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Autism: Communication Options Using the iPad (Meier, 3/1/13, CSUN Conference)
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Autism: Communication Options Using the iPad (Meier, 3/1/13, CSUN Conference)

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Slide presentation from today's presentation by Gwendolyn Meier at the 28th Annual International Technology and Persons with Disabilities Conference in San Diego, March 1, 2013.

Slide presentation from today's presentation by Gwendolyn Meier at the 28th Annual International Technology and Persons with Disabilities Conference in San Diego, March 1, 2013.

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Autism: Communication Options Using the iPad (Meier, 3/1/13, CSUN Conference) Autism: Communication Options Using the iPad (Meier, 3/1/13, CSUN Conference) Presentation Transcript

  • Autism: CommunicationOptions Using the iPad Gwendolyn Meier, MA, CCC-SLP, MT-BCSpeech Language Pathologist, Music Therapist Villa Esperanza Services Pasadena, CA
  • Autism: Communication Options Using the iPad March 1, 2013
  • The Speech & Language Center x``Autism: Communication Options Using the iPad March 1, 2013
  • x`` AAC ServicesAutism: Communication Options Using the iPad March 1, 2013
  • App Explosion “What app should I buy?”Currently over 100 iPad apps designed ascommunication toolsVariety of levels of complexity and co$tDecision-making:Speech Language Pathologists, specialeducators, AT specialists and parents ALLneed guidance
  • A Tale of AAC Failure• Parent bought an iPad...• AT Specialist provided an iPad... But, “It’s not working” “He’s not using it”• Teaching AAC is often the missing link Autism: Communication Options Using the iPad March 1, 2013
  • Non-oral Learners with Autism Much of the info and education on teaching AAC focuses on non-oral individuals with INTACT SOCIAL SYSTEMS • More is needed on how exactly to teach AAC to learners who have social deficits • Individuals with autism often have to be taught to take pleasure in social engagement as part of their AAC-learning Autism: Communication Options Using the iPad March 1, 2013
  • So much more than the appAn AAC System should• Increase participation (classroom, work, community, home)• Address IEP, work and personal goals• Support efficient and interactive communication• Provide the user with meaningful language• Support language and literacy learning• Provide a positive support to behavior Autism: Communication Options Using the iPad March 1, 2013
  • So much more than the appAn AAC System should Y Hwork,• t W ting Increase participation (classroom, community, home) ou l a b unica alwork andm• It’s com personal goals Address IEP,• Supportre u’ efficient and interactive app yo communication ut the• o userabo meaningful language Provide the t with N• Support language and literacy learning• Provide a positive support to behavior Autism: Communication Options Using the iPad March 1, 2013
  • Early Language Stages1. One word/hit at a time2. Two- and three-word/hit phrases3. Building phrases and early sentences4. Learning grammar and sentence structure5. Sentences with more grammatical endings Autism: Communication Options Using the iPad March 1, 2013
  • Getting Communication GoingIn autism we know we can teach:Cause-and-Effect RequestingCause-and-Effect Rejecting Autism: Communication Options Using the iPad March 1, 2013
  • START with One-word/One-button Requestingfor items, actions or recurrence (“more”)• Builds “buy-in”• Adds pay-off to the effort of communicating Autism: Communication Options Using the iPad March 1, 2013
  • START with One-word/One-button Requesting for items, actions or recurrence• BUT DON’T STOP HERE!• It’s very easy to get stuck on requesting Autism: Communication Options Using the iPad March 1, 2013
  • Early Pragmatic Communicative Functions • Attention Directing • Requesting • Rejecting • Greeting • Self-Expression and Self-Assertion • Naming • Commenting • Giving Information / Requesting Information Autism: Communication Options Using the iPad March 1, 2013
  • Communicative Functions In Nonverbal Autism• Attention Directing• Requesting• Rejecting• Greeting• Self-Expression and Self-Assertion• Naming• Commenting• Giving Information / Requesting Information Autism: Communication Options Using the iPad March 1, 2013
  • Communicative Functions*Sometimes Present* In Nonverbal Autism• Attention Directing• Requesting• Rejecting*• Greeting*• Self-Expression and Self-Assertion• Naming• Commenting• Giving Information / Requesting Information Autism: Communication Options Using the iPad March 1, 2013
  • Early Pragmatic Communicative Functions • Attention Directing The s • torie sI Requesting • Rejecting hear • Greeting ... • Self-Expression and Self-Assertion • Naming • Commenting • Giving Information / Requesting Information Autism: Communication Options Using the iPad March 1, 2013
  • • It is rare for difficult-to- motivate students to naturally move out of the requesting function• No matter the AAC system...Modeling and Augmented Input are KEY to the process of expanding communicative functions Autism: Communication Options Using the iPad March 1, 2013
  • Model and Expand Language• Oral language development Autism: Communication Options Using the iPad March 1, 2013
  • Model and Expand Language• Non-oral language development Sign language Speech Generating Device Autism: Communication Options Using the iPad March 1, 2013
  • Augmented Input Partner Augmented Input Point to pictures while you areSpeech p talking.* • Use parallel talk, self-talk, break down, build up. Pictures • Produce a variety of communicativePictures functions such as questions, comments, greetings, requests, etc. • Use a large percentage of available vocabulary • Use a large percentage of vocabulary as they appear in your speech Build language skills by • 80:20 ratio of statements to questions/commands demonstrating use of AAC! • Strive to provide Partner Augmented Input at least 80% of ongoing daily p g g y Copyright notification: User may not copy or distribute these materials except for use with the students, patients, clients, or other individuals who Autism: Communication Options Using the iPad activities receive instruction, therapy, supervision, assessment, care or other services • March 1, 2013Use scripts to develop ideas directly from the User. Otherwise, these materials may not be copied without the 1 written consent of DynaVox Mayer-Johnson. * See references for sources
  • In autism, modeling is essential to: First) Demonstrate the use and power of additional functions of communication: attention directing, commenting, sharing opinions, greeting Then) We can worry about teaching the vocabulary/symbol location for these functions Autism: Communication Options Using the iPad March 1, 2013
  • Augmented Input in ASD VIDEO • Ryan (20 years old) - Bracket Assembly ✴ Requests for items - Mastered ✴ Attention Directing - ModeledWhat he’s saying / What I’m saying Autism: Communication Options Using the iPad March 1, 2013
  • Augmented Input Our terminology:• “Augmented Input” • “Aided language stimulation” (ALgS)• “Modeling”• “Demonstration” • “Aided language support”• “Aided language input” • “Simultaneous Communication”AAC, the iPad and Autism - Moving Beyond Choice-making. CSHA 2013
  • Augmented Input VIDEO• Milo (4 years old) ✴ Naming - Modeled Pogg - $0.99 Autism: Communication Options Using the iPad March 1, 2013
  • Drawbacks to Augmented Input at Early Language Stages• Requires pre-planning• Occupies valuable ‘real estate’ on the visual display• Takes dedicated modeller(s)• Like oral language development, aided language development also TAKES TIME Autism: Communication Options Using the iPad March 1, 2013
  • One-Hit at a Time• Requests• Attention Directing Do• Sharing Opinions n’t for get• Commenting the se!• Greeting Autism: Communication Options Using the iPad March 1, 2013
  • One-Hit at a Time Inexpensive Apps• Answers:YesNo ($1.99)• Sounding Board (FREE)• Picture Card Maker (FREE, $5.99)• Digitized (recorded) voice• Icons: Take a pic, online pic, Photos Autism: Communication Options Using the iPad March 1, 2013
  • Can be Done with More Expensive Apps• Full-featured Communication Apps with a Robust Language system ($150-$300) Autism: Communication Options Using the iPad March 1, 2013
  • One-hit: Moving Beyond Choice-Making Attention Directing • Delivering a message ✴ Delivering/picking up items ✴ Social scripts • Making announcements ✴ Before transitions, “It’s time for...” Autism: Communication Options Using the iPad March 1, 2013
  • AnswersYes/No - Requests A RD NDSTA CUS TOM IZED Autism: Communication Options Using the iPad March 1, 2013
  • AnswersYes/No DeliveriesAutism: Communication Options Using the iPad March 1, 2013
  • Sounding BoardOne-hit Requests Various Functions Autism: Communication Options Using the iPad March 1, 2013
  • Pic Card MakerAttention Directing - Delivering Messages Autism: Communication Options Using the iPad March 1, 2013
  • Pic Card MakerAttention Directing - Delivering Messages 3-button script; one-hit per turn Autism: Communication Options Using the iPad March 1, 2013
  • Pic Card Maker3-button Script in Choiceboard View Autism: Communication Options Using the iPad March 1, 2013
  • One-hit: Moving Beyond Choice-Making VIDEO Nicolas (6 years) • Attention Directing, Delivering flyers - Teaching Autism: Communication Options Using the iPad March 1, 2013
  • AnswersYes/No - Deliveries Autism: Communication Options Using the iPad March 1, 2013
  • AnswersYes/No - Deliveries Autism: Communication Options Using the iPad March 1, 2013
  • Pic Card Maker Attention Directing - Making AnnouncementsOne-hit:“It’s time for...” Autism: Communication Options Using the iPad March 1, 2013
  • Pic Card Maker Attention Directing - Making AnnouncementsOne-hit:“It’s time for...” Autism: Communication Options Using the iPad March 1, 2013
  • One-hit: Moving Beyond Choice-Making Attention Directing ✴“Look!” ✴Naming • Item or action label ✴Descriptive word • Broken, dirty, cute... Autism: Communication Options Using the iPad March 1, 2013
  • One-hit: Moving Beyond Choice-Making Attention Directing✴“Look!” - Versatile - Best use of real estate✴ Naming • Item or action label✴Descriptive word • Broken, dirty, cute... Autism: Communication Options Using the iPad March 1, 2013
  • One-hit: Moving Beyond Choice-Making Comments & Sharing Opinions • Expressing taste • Cool, oh man, good, bad, gross... • Giving Compliments Autism: Communication Options Using the iPad March 1, 2013
  • Sounding Board appOne-hit: Mixed Function BoardAttention Directing, Comments, Sharing Opinions Autism: Communication Options Using the iPad March 1, 2013
  • Sounding Board appOne-hit: Mixed Function Board Comments, Sharing Opinions Autism: Communication Options Using the iPad March 1, 2013
  • Sounding Board appOne-hit: Mixed Function Board Attention Directing N a m i n g Autism: Communication Options Using the iPad March 1, 2013
  • Sounding Board appOne-hit: Mixed Function Board Directing Action Autism: Communication Options Using the iPad March 1, 2013
  • One+ Hit: Moving Beyond Choice-Making VIDEO - Augmented Input • Gissette - (16 years old) Comments, Describing (cute) - Modeling Autism: Communication Options Using the iPad March 1, 2013
  • AnswersYes/No (Compliments) Autism: Communication Options Using the iPad March 1, 2013
  • Sounding Board app Just CommentsAutism: Communication Options Using the iPad March 1, 2013
  • Autism: Communication Options Using the iPad March 1, 2013
  • One-hit: Moving Beyond Choice-Making • Versatile Requests for actions • Attention Directing • Sharing Opinions • Commenting • Greeting Autism: Communication Options Using the iPad March 1, 2013
  • Sounding BoardCore Vocabulary Board: Sym bol wed ns B orro x ico Sti Autism: Communication Options Using the iPad March 1, 2013
  • Sounding BoardCore Vocabulary Board: Request Action Autism: Communication Options Using the iPad March 1, 2013
  • One-hit: Request Action VIDEO • Milo - Firefighters - Augmented Input, Core Words board Question:What will be Milo’s first core word? Autism: Communication Options Using the iPad March 1, 2013
  • Sounding BoardCore Vocabulary Board: Request Action Autism: Communication Options Using the iPad March 1, 2013
  • One-hit: Moving Beyond Choice-Making Greetings✴Hey / Good Morning / Hi✴Bye / See you later / Have a good weekend (Any of the low cost apps) Autism: Communication Options Using the iPad March 1, 2013
  • One-hit: Moving Beyond Choice-Making Attention Directing Sharing Opinions Comments Greeting Teach it! Model and demonstrate Reinforce it! Provide motivation to perform Autism: Communication Options Using the iPad March 1, 2013
  • One-hit: Mixed FunctionsBook Reading - Requests, Comments, Directions Autism: Communication Options Using the iPad March 1, 2013
  • One-hit: Mixed FunctionsButterfly Coffee filter craft -Requests, Comments, SharingOpinions Autism: Communication Options Using the iPad March 1, 2013
  • Early Language Stages1. One word at a time2. Two- and three-word phrases3. Building phrases and early sentences4. Learning grammar and sentence structure5. Sentences with more grammatical endings Autism: Communication Options Using the iPad March 1, 2013
  • 2- and 3-hit Goals Choice-Making and Beyond• Elaborated requests: “I want” + item, “More” + item/activity, “I want” + “to go” + place• Attention Directing: “Look” + item/location, “It’s time for” + activity• Directing other’s actions, core vocab: Open it, give me, my turn, put in, you go• Greet using names Autism: Communication Options Using the iPad March 1, 2013
  • 2- and 3-hit Goals Choice-Making and Beyond• Elaborated requests: “I want” + item, “More” + item/activity, “I want” + “to go” + place• Attention Directing: “Look” + item/location, “It’s time for” + activity• Directing other’s actions, core vocab: Open it, give me, my turn, put in, you go• Greet using names Autism: Communication Options Using the iPad March 1, 2013
  • 2- and 3-hit Goals Choice-Making and BeyondElaborated requests Wi l l requ links ire sAttention Directing ome betw navigDirecting other’s actions een ation boar /Greet using names ds Autism: Communication Options Using the iPad March 1, 2013
  • 2- and 3-hit Goals Choice-Making and Beyond Elaborated requests Wi l l requ links ire s Attention Directing ome betw navig Directing other’s actions een ation boar / Greet using names ds• Comments/Sharing Opinions often still one-hit Rather than expecting a sequence of hits Lots of modeling/augmented input & reinforcement Autism: Communication Options Using the iPad March 1, 2013
  • Apps for 2- and 3-hit 2- and 3-Button Phrases• Sounding Board (FREE)• Picture Card Maker (FREE; $5.99)• Full-featured Communication Apps ($149+) Autism: Communication Options Using the iPad March 1, 2013
  • Sounding Board - Requests Autism: Communication Options Using the iPad March 1, 2013
  • Sounding Board - Requests Autism: Communication Options Using the iPad March 1, 2013
  • Request embedded in a Multi-Function board At Work Break Choices Autism: Communication Options Using the iPad March 1, 2013
  • Picture Card Maker Sentence Strip - 2, 3, or 4 symbolElaborated request Autism: Communication Options Using the iPad March 1, 2013
  • 2- and 3-hits Directing Actions & Attention VIDEOS• Gissette (16 years) 1. Descriptive request, funny dance - Emerging Autism: Communication Options Using the iPad March 1, 2013
  • 2- and 3-hits Moving Beyond Choice-Making• We know we can teach: Elaborated requests: “I want” + item, “More” + item/activity, “I want” + “to go” + place• Directing attention: “Look” + item/ location, “It’s time for...”• Directing other’s actions, core vocab: Open it, give me, my turn, put in, you go• Greet using names Autism: Communication Options Using the iPad March 1, 2013
  • Sounding BoardCore Vocabulary Autism: Communication Options Using the iPad March 1, 2013
  • TouchChatHD ($149.99)Autism: Communication Options Using the iPad March 1, 2013
  • 2- and 3-hitsCore Vocab, Directing Actions & Attention VIDEO• Gissette (16 years old) Comments, Directing actions - Put on (nail polish) - Emerging Autism: Communication Options Using the iPad March 1, 2013
  • Teaching the Power of Core Vocab • Single button - or - a sequence • Same page - or - navigating between board/pages Autism: Communication Options Using the iPad March 1, 2013
  • Teaching the Power of Core Vocab• Gissette’s Symbol Recognition? Requesting action - “Put on” Autism: Communication Options Using the iPad March 1, 2013
  • Motor Plans are extremely important when...• Teaching the use of core vocabulary and use of more abstract vocab/symbols• When using multiple pages of vocabulary• When symbol recognition is weak Autism: Communication Options Using the iPad March 1, 2013
  • Picture Communication BooksRely on symbol understandingAutism: Communication Options Using the iPad March 1, 2013
  • Motor Plan VS. Icon Recognition• We have found that consistent placement of icons may be more important than symbol recognition• Learners dont need to be able to recognize/"point to"/"give" a symbol that is named before they can use that symbol to get something done in the world. THIS IS COUNTER-INTUITIVE... Autism: Communication Options Using the iPad March 1, 2013
  • Location, Location, Location! When teaching AAC: Teach location Why??• Motivating outcomes/consequences of the act strengthen motor plans• Stable key location enables the development of motor automaticity• Consistent motor plans reduce the cognitive requirement of symbol recognition Autism: Communication Options Using the iPad March 1, 2013
  • We can take advantage of motor planning when:• Each word has its own motor pattern due to consistent icon location• Motor patterns don’t change• Patterns build upon themselves as language grows - preserve relative location Autism: Communication Options Using the iPad March 1, 2013
  • Motor patterns don’t changeAutism: Communication Options Using the iPad March 1, 2013
  • As language system grows... Autism: Communication Options Using the iPad March 1, 2013
  • PIC Core Vocab hidden buttons Autism: Communication Options Using the iPad March 1, 2013
  • Using Motor Planning to Our Advantage...• Our lower-functioning students can generate multi-word phrases...• ...across multiple pages• ...using core vocabulary We’re ready for Language Stage 3 Autism: Communication Options Using the iPad March 1, 2013
  • Multi-Word Language Stages1. One word at a time 3+ words in length2. Two- and three-word phrases3. Building phrases and early sentences4. Learning grammar and sentence structure5. Sentences with more grammatical Autism: Communication Options Using the iPad March 1, 2013
  • Stage 3+ Goals Beyond 3-word phrases...• Visual sentence strip or message window• Useful for the learner• Useful for the communication partner Autism: Communication Options Using the iPad March 1, 2013
  • Language Stage 3+ Goals Meaningful word order Adding more verbs and adjectives to requests Describing phrases (Object+Action+Location) Including word endings (-ing, -s)• Navigation between multiple pages (Core vocab, actions, descriptors, multiple categories, etc.)• Extensive icon library is a plus for abstract vocab• Larger vocab: Synthesized (text-to-speech) voice Autism: Communication Options Using the iPad March 1, 2013
  • SGDs Apps Full-Featured Communication- Expanded, Word-based Vocabulary- Variety of Phrase Types- Multi-Word Language Construction- Intuitive Navigation- Grammatical Endings- AAC Assessment and Therapy is Essential!
  • Apps for Stages 3+ ProLoQuo2Go TouchChat HD • $189.99 • $149.99 • The first, not necessarily the • Highly customize-able best • Unique features: Button Actions more varied, Copy and move pages between users, iShare mobile upload/ download • Language Stages 4, 5 - WordPower version $299.99Other apps: Words For -Life, Sonoflex, GoTalk Now, Talk Tablet AAC, the iPad and Autism Moving Beyond Choice-making. CSHA 2013
  • TouchChat Family of Apps Today’s presentation: Students used customized TouchChat HD vocabulariesAAC, the iPad and Autism - Moving Beyond Choice-making. CSHA 2013
  • TouchChat Starter Vocabularies• Different users: Different needs• Main key to success of a communication app - VOCABULARY• Autism: Communication Options Using the iPad Vocabularies set this app apart March 1, 2013
  • The iPad is not the best Communication Tool for everyonePlay on the iPad may not necessarily lead to communication skills
  • That being said…exposure to visually supported communication and a variety of communicativefunctions may lay the foundation for future skills!!
  • • Monthly email blast - write to join socalaacnetwork@gmail.com• Blog - www.scaacn.blogspot.com Updated weekly with AAC-related news, materials, trainings, jobs• Facebook - SoCal Aac Scaac-n• Twitter - @SCAACN Autism: Communication Options Using the iPad March 1, 2013
  • • FREE Quarterly “support group” meetings, Pasadena, CA Next meeting: Tuesday, 4/23/13 6:30-8:30 p.m. Topic: TBD Autism: Communication Options Using the iPad March 1, 2013
  • Thank you! Gwendolyn Meier, SLP, MT Villa Esperanza Servicesgmeier@villaesperanzaservices.org