WELCOME TO THE
  NEW WORLD
The Statistics
There are over 1,500,000 individuals
 in the United States that are living
            with autism.        ...
Children Grow into Adults
Where Will They Live?
What Will They Do?
Promote Maximum Independence
Technology is the Key
START EARLY!!
 Using Computer
Technology to Train
      Skills
Computer-Based Intervention
             CBI
 for Individuals With Autism
                  Presented by:
        Valerie ...
My Background
• Speech Pathologist for 30
  years
• Owner: Dimensions
  Therapy Center
• Mother to Blake, 18 years,
  auti...
How I Became Interested in
 Computer-Based Therapy
It started back in 1996 at the EPCOT Center
   HOME OF TOMORROW
Today’s Technology As Seen
         In 1996
• Touchscreen Technology
• Used to turn on appliances
• Adjust comfort levels ...
And the Light Bulb Went Off



Accessing the Technology of tomorrow(which
 is now today) would lead to maximizing
 indepen...
Today’s Technology That Can
 Promote Independence For
  Individuals with Autism:
Dream Home of Innoventions
       Disneyland
Entrance:
Keyless/Programmable Entry
    System by Kwikset
Foyer
Digital Photo Frames
Also in Foyer
     Home Automation System by Life Ware
Integrates Lighting, Media, Temperature, Security,
            Wind...
Family Room
Microsoft Media Center Hooked up to Large Screen TV
          Manage Photos, Music, Videos etc
Also in Family Room
  Microsoft Surface
Kitchen You on How to
Talking Kitchen Counter Top Instructs
          Cook Different Recipes.
Computer Room
Communication Devices
Organizers
Pocket Phrase                              TM

          Communication and Executive Function Software


•   Communication...
IPOD Touch/IPHONE
GPS Systems
E-MAIL/Webcam
Video Phone Calling
TIVO
Cool Toothbrush




Oral B Triumph
HP TouchSmart PC
Tomorrow’s Technology as
       Seen Today
• Mattresses that modify to your body shape
  and then has sensors to wake you ...
It Starts with CBI
   It Starts Early!!
Blake’s Journey
Here’s What I Have Learned:

Individuals with Autism Take to the
   Computer Like Fish to Water
Technology is the Key
START EARLY!!
 Using Computer
Technology to Train
      Skills
What Makes Computer-Based
   Instruction So Successful For
  Individuals With Special Needs
• Predictability
• Engaging
  ...
Individuals with Autism
  “Many children and adults with Autism will
 frequently tolerate one-on-one instruction via a
  c...
Research
Brief report: Vocabulary Acquisition for Children with
Autism: Teacher or Computer Instruction.

Moore M, Calvert S

Depar...
Do Children with autism learn to read more readily by computer assisted
         instruction or traditional book methods? ...
Enhancing social problem solving in children with autism
and normal children through computer-assisted instruction.
      ...
Skill Areas for Computer Training
          • Cause and Effect
              • Language
                • Speech
     • Au...
Specialized Software
• Not the type you buy in computer stores-this type
  is called Off-the-Shelf. They are not specifica...
The Seven Stages of
Language Acquisition
       1. From birth to adulthood
       2. Depicts typical stages in language
  ...
Stage 1-INTERPRETED
   COMMUNICATION
   Language Acquisition Age (0 to +/- 4 Months

Language Characteristics
•No intentio...
Stage 2-INTENTIONAL
      COMMUNICATION
      Language Acquisition Age (4 to +/- 9 Months
Language Characteristics
•Expres...
Stage 3-Single Words
Language Acquisition Age (9 to +/-18 Months

Language Characteristics
•Comprehends object names as sy...
Stage 4-Word Combinations
   Language Acquisition Age (18 to +/-24 Months

Language Characteristics
•Comprehends a core vo...
Stage 5-EARLY SYNTAX
     Language Acquisition Age (24 to +/- 36 Months
Language Characteristics
•Uses short, simple sente...
Stage 6-Syntax Mastery
      Language Acquisition Age (3 to +/-5 Years

Language Characteristics
•Uses simple and complex ...
Stage 7-Complete
    Generative Grammar
Language Characteristics
•Shows complete mastery of all grammatical forms
•Establi...
AND
Cause and Effect Skills:



1. The concept of non-existence-Making things
   appear and disappear
2. Recognizing that an a...
Receptive Vocabulary
(Understanding Language)
Expressive
   Language
(Verbal Speech)
Sentence Developer™
    Now Available In
Individualized Lessons !!!
      boy             eat

The            is
         ...
ATTENTION
   and
 FOCUSING
Articulation

Phonological   Processing
 Phoneme Awareness
Teaching Our Children to Understand Printed Material

                                                                    ...
•   Arithmetic skills
•   Money
•   Time Concepts
•   Provide visual approach to learning
Social Skill Development
                • Improve interactions

           • Teach steps for social situations

        •...
Lifeskills
    Reinforce Hygiene,
    Dressing, Shopping
           skills,
      Understanding
     community signs,
    ...
My Dream is Becoming a Reality
• Association of Developmentally Delayed
  Adolescents and Adults
• Virtual Community-Globa...
This is the Intro Class
      THERE ARE 6 CLASSES IN THE
     COMPUTER-BASED INTERVENTION
             (CBI) SERIES.

FOR ...
Computer-Based Intervention
      Home Program Training
            Available
• Individualized to the Unique Needs of Your...
Val’s Contact Info:
• Call: 954-236-9415
• E-Mail: info@valerieherskowitz.com
• Website: www.valerieherskowitz.com
     Va...
www.valerieherskowitz.com
More About CBI

   • Webinars for Families and
          Professionals

• Check out valerieherskowitz.com
        Click on...
Remember to Visit
                 • Valerieherskowitz.com
• Many items are 50% off for families of individuals with
  spe...
Copying, editing or presenting
   this document is strictly
  prohibited without written
consent of Valerie Herskowitz.
Th...
Computer Based Intervention For Individuals With Autism
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Computer Based Intervention For Individuals With Autism

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Visual preference meets computer learning for and independent future. Used with permission from Valerie Herskowitz

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Computer Based Intervention For Individuals With Autism

  1. 1. WELCOME TO THE NEW WORLD
  2. 2. The Statistics There are over 1,500,000 individuals in the United States that are living with autism. 1 (1) U.S. Center for Disease Control and Prevention ADDME Study 2007 and Autism Society of America 2007
  3. 3. Children Grow into Adults
  4. 4. Where Will They Live?
  5. 5. What Will They Do?
  6. 6. Promote Maximum Independence
  7. 7. Technology is the Key START EARLY!! Using Computer Technology to Train Skills
  8. 8. Computer-Based Intervention CBI for Individuals With Autism Presented by: Valerie Herskowitz, MA. CCC/SLP www.valerieherskowitz.com www.dimensionstherapycenter.com
  9. 9. My Background • Speech Pathologist for 30 years • Owner: Dimensions Therapy Center • Mother to Blake, 18 years, autistic • Writer and Lecturer on the subject of CBI • Author of Autism and Computers: Maximizing Independence Through Technology • President of NARY • VP of AFDDAA
  10. 10. How I Became Interested in Computer-Based Therapy It started back in 1996 at the EPCOT Center HOME OF TOMORROW
  11. 11. Today’s Technology As Seen In 1996 • Touchscreen Technology • Used to turn on appliances • Adjust comfort levels of room temperature- even the bath water • Ovens were pre-set to cook food • Voice activation • Robotics for housekeeping
  12. 12. And the Light Bulb Went Off Accessing the Technology of tomorrow(which is now today) would lead to maximizing independence for all individuals who were on the autism spectrum
  13. 13. Today’s Technology That Can Promote Independence For Individuals with Autism:
  14. 14. Dream Home of Innoventions Disneyland
  15. 15. Entrance: Keyless/Programmable Entry System by Kwikset
  16. 16. Foyer Digital Photo Frames
  17. 17. Also in Foyer Home Automation System by Life Ware Integrates Lighting, Media, Temperature, Security, Window Shades and More
  18. 18. Family Room Microsoft Media Center Hooked up to Large Screen TV Manage Photos, Music, Videos etc
  19. 19. Also in Family Room Microsoft Surface
  20. 20. Kitchen You on How to Talking Kitchen Counter Top Instructs Cook Different Recipes.
  21. 21. Computer Room
  22. 22. Communication Devices
  23. 23. Organizers
  24. 24. Pocket Phrase TM Communication and Executive Function Software • Communication Aid • Story Scheduler • Tasks • Problem Solver • Scales • Provides journals and Progress Reports to Caregivers and Parents
  25. 25. IPOD Touch/IPHONE
  26. 26. GPS Systems
  27. 27. E-MAIL/Webcam
  28. 28. Video Phone Calling
  29. 29. TIVO
  30. 30. Cool Toothbrush Oral B Triumph
  31. 31. HP TouchSmart PC
  32. 32. Tomorrow’s Technology as Seen Today • Mattresses that modify to your body shape and then has sensors to wake you up in the morning according to your pre-set time • Your bathroom mirror lets you know of your morning appointments and the weather (Called The Intelligent Mirror) • The refrigerator lets you know what you are out of and then you can order it from the grocery using your touchpad • A closet organizer systems that picks out your clothes for you
  33. 33. It Starts with CBI It Starts Early!!
  34. 34. Blake’s Journey
  35. 35. Here’s What I Have Learned: Individuals with Autism Take to the Computer Like Fish to Water
  36. 36. Technology is the Key START EARLY!! Using Computer Technology to Train Skills
  37. 37. What Makes Computer-Based Instruction So Successful For Individuals With Special Needs • Predictability • Engaging Animation • Vertical Plane Presentation • Multi-modality W orking o n the co m puter
  38. 38. Individuals with Autism “Many children and adults with Autism will frequently tolerate one-on-one instruction via a computer when they won't engage in a human tutorial dyad. Language skills of individuals with Autism have been noted to improve through computer-assisted instruction when all other traditional methodologies have failed.”
  39. 39. Research
  40. 40. Brief report: Vocabulary Acquisition for Children with Autism: Teacher or Computer Instruction. Moore M, Calvert S Department of Psychology, Georgetown University, Washington, DC 20057, USA. This study examined the impact of computers on the vocabulary acquisition of young children with autism. Children's attention, motivation, and learning of words was compared in a behavioral program and an educational software program. The educational software program was designed to parallel the behavioral program, but it added perceptually salient qualities such as interesting sounds and object movement. J Autism Dev Disorders 2000 Aug;30(4):359-62 Children with autism were more attentive, more motivated, and learned more vocabulary in the computer than in the behavioral program. Implications are considered for the development of computer software to teach vocabulary to children who have autism.
  41. 41. Do Children with autism learn to read more readily by computer assisted instruction or traditional book methods? A pilot study. Williams C, Wright B, Callaghan G, Coughlan B. York NHS Trust, UK. christine.williams@exch.yhs-tr.northy.nhs.uk.com The study evaluates the progress of eight children aged 3-5 years with autism attending a specialist teaching unit in their development of reading skills in two conditions: computer instructed learning and book based learning. The authors developed a direct observation schedule to monitor autistic behaviors using computerized techniques. The children were matched by age, severity of autistic symptomatology and number of spoken words. They were initially randomly allocated to the computer or book condition and crossed over at 10 weeks. Autism. 2002 Mar;6(1):71-91. All of the children spent more time on task in the computer condition than in the book condition. By the end of the study after computer assisted learning, five of the eight children could reliably identify at least three words. It was found that children with autism spent more time on reading material when they accessed it through a computer and were less resistant to its use.
  42. 42. Enhancing social problem solving in children with autism and normal children through computer-assisted instruction. Bernard-Opitz V, Sriram N, Nakhoda-Sapuan S. Department of Social Work and Psychology, National University of Singapore. swkberna@nus.edu.sg Children with autism have difficulty in solving social problems and in generating multiple solutions to problems. They are, however, relatively skilled in responding to visual cues such as pictures and animations. Eight distinct social problems were presented on a computer, along with a choice of possible solutions, and an option to produce alternative solutions. Eight preschool children with autism and eight matched normal children went through 10 training sessions interleaved with 6 probe sessions. Children were asked to provide solutions to animated problem scenes in all the sessions. Unlike the probe sessions, in the training sessions problem solutions were first explained thoroughly by the trainer. Subsequently these explanations were illustrated using dynamic animations of the solutions. Although children with autism produced significantly fewer alternative solutions compared to their normal peers, a steady increase across probe sessions was observed for the autistic group. The frequency of new ideas was directly predicted by the diagnostic category of autism. Results suggest young children with autism and their normal peers can be taught problem-solving strategies with the aid of computer interfaces.
  43. 43. Skill Areas for Computer Training • Cause and Effect • Language • Speech • Augmentative Communication • Reading/Spelling • Math • Social Skill Development • Attention and Processing • Work Skills • Lifeskills
  44. 44. Specialized Software • Not the type you buy in computer stores-this type is called Off-the-Shelf. They are not specifically designed for the special needs population and can often be inappropriate. • Specialized Software are programs that have been distinctly designed for the use of teaching the skills to a special needs population • They are available only through certain vendors
  45. 45. The Seven Stages of Language Acquisition 1. From birth to adulthood 2. Depicts typical stages in language development 3. Can also be used to assess the linguistic functioning level of children and adults with language disabilities and Developmental Disabilities.
  46. 46. Stage 1-INTERPRETED COMMUNICATION Language Acquisition Age (0 to +/- 4 Months Language Characteristics •No intention to communicate •Cries, coos, and expressions are interpreted by caregiver •Begins to focus on caregiver's speech Training Goals •Improve visual and auditory attention •Develop communicative turn-taking •Establish intentional communication and cause/effect •Provide linguistic stimulation
  47. 47. Stage 2-INTENTIONAL COMMUNICATION Language Acquisition Age (4 to +/- 9 Months Language Characteristics •Expresses intent primarily through eye gaze •Comprehension of words as abstract concepts emerges •Alternating gaze between an object and a caregiver is developing Training Goals •Improve ability to signal intentionally •Increase attention to words •Develop symbolic comprehension
  48. 48. Stage 3-Single Words Language Acquisition Age (9 to +/-18 Months Language Characteristics •Comprehends object names as symbols of basic categories •Understands verbs •Uses single words in combination with gestures and the environment to communicate Training Goals •Increase symbolic comprehension •Develop core vocabulary •Introduce word combinations
  49. 49. Stage 4-Word Combinations Language Acquisition Age (18 to +/-24 Months Language Characteristics •Comprehends a core vocabulary •Two-word combinations emerge •Word combinations describe here-and-now environmental events Training Goals •Develop simple sentence structures •Foster language exploration and growth •Continue vocabulary and category development
  50. 50. Stage 5-EARLY SYNTAX Language Acquisition Age (24 to +/- 36 Months Language Characteristics •Uses short, simple sentences •Utterances lack grammatical refinement and complexity •Comprehension goes beyond the here-and-now Training Goals •Improve knowledge of grammar •Expand sentence structures •Enhance and expand vocabulary concepts
  51. 51. Stage 6-Syntax Mastery Language Acquisition Age (3 to +/-5 Years Language Characteristics •Uses simple and complex sentences •Masters most grammatical forms •Limited comprehension of abstract relationships among words Training Goals •Increase knowledge and use of advanced syntax structures •Increase semantic knowledge •Improve auditory processing •Foster critical thinking
  52. 52. Stage 7-Complete Generative Grammar Language Characteristics •Shows complete mastery of all grammatical forms •Establishes ability to analyze and talk about language •Develops reading/writing skills Training Goals •Develop secondary language skills of reading/writing •Provide advanced semantic training •Enhance abstract concepts
  53. 53. AND
  54. 54. Cause and Effect Skills: 1. The concept of non-existence-Making things appear and disappear 2. Recognizing that an action causes a reaction 3. The emergence of intentionality is the first critical step in communication development
  55. 55. Receptive Vocabulary (Understanding Language)
  56. 56. Expressive Language (Verbal Speech)
  57. 57. Sentence Developer™ Now Available In Individualized Lessons !!! boy eat The is red apple ing a
  58. 58. ATTENTION and FOCUSING
  59. 59. Articulation Phonological Processing Phoneme Awareness
  60. 60. Teaching Our Children to Understand Printed Material Phonics Phoneme Awareness Sight Word Training Comprehension Spelling Bla ke is le a rn in g to re a d an d spe ll o n th e co m pu te r
  61. 61. • Arithmetic skills • Money • Time Concepts • Provide visual approach to learning
  62. 62. Social Skill Development • Improve interactions • Teach steps for social situations • Demonstrate appropriate body language • Telephoning skills • Emotions • Correct voice usage
  63. 63. Lifeskills Reinforce Hygiene, Dressing, Shopping skills, Understanding community signs, money skills, and Personal Care Skills
  64. 64. My Dream is Becoming a Reality • Association of Developmentally Delayed Adolescents and Adults • Virtual Community-Global Support Village • Blake’s home: December 2009 • Technological state-of-the-art homes • Job training leading to all residents having employment • Social community for residents and families
  65. 65. This is the Intro Class THERE ARE 6 CLASSES IN THE COMPUTER-BASED INTERVENTION (CBI) SERIES. FOR SLP’S. TAKE ALL 6 CLASSES AND YOU WILL BE ELIGIBLE TO TAKE A TEST. UPON COMPLETION OF THE CLASSES AND PASSING THE EXAM, YOU WILL RECEIVE A LEVEL 1 CBI PRACTITIONER CERTIFICATION For Parents and other professionals; Take these classes and learn about specific programs in all skill areas
  66. 66. Computer-Based Intervention Home Program Training Available • Individualized to the Unique Needs of Your Child or Student • Evaluation Can be Accomplished in our Offices or via Phone Consultations • Uses “Prescription Software”TM Methodology • Uses available software as well as our Individualized Software Programs • Contact: www.valerieherskowitz.com
  67. 67. Val’s Contact Info: • Call: 954-236-9415 • E-Mail: info@valerieherskowitz.com • Website: www.valerieherskowitz.com Val’s Book Now Available: Autism and Computers:Maximizing Independence for Individuals With Autism
  68. 68. www.valerieherskowitz.com
  69. 69. More About CBI • Webinars for Families and Professionals • Check out valerieherskowitz.com Click on Webinars Join our Newsletter Group for new webinars
  70. 70. Remember to Visit • Valerieherskowitz.com • Many items are 50% off for families of individuals with special needs-use coupon code LAURFAM when placing your order. • SLP’s Receive 10% off all products. Use Coupon code SLP OR • FREE shipping for SLP’s. Use Coupon code: FREE SHIPPING • If you are not on our Webinar list to be notified for other webinars, please make sure you register
  71. 71. Copying, editing or presenting this document is strictly prohibited without written consent of Valerie Herskowitz. Thank you for your cooperation

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