A Work in Progress: Behavior Management Strategies and a Curriculum for Intensive Behavioral Treatment of Autism

 

 

Ron Leaf & John McEachin, editors.  Published by Different Roads to Learning, New York, 1998.

      

 

Table of Contents

 

Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix

Introduction:  Partnership . . . . . . . . . . . . . . . . . . . . . . 1

    One Parent’s Story . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

 

Chapter 1:  Intensive Behavioral Intervention. . . . . . .  7

    Historical Foundations 8

    Curriculum 9

    How Many Hours Of Intervention Should

    My Child Receive? 10

    What Is The Family’s Role? 10

    Therapy Format 11

    Teaching Format 12

    Teaching Settings 13

    Stages Of Therapy 13

    Evaluation 14

    Program Effectiveness 15

    Factors That Good Programs Have In Common 16

Chapter 2:   A Method That Works For Older

Children And Adolescents Too . . . . . . .  17

    Working With Older Children 20

    Educational Placement 21

Chapter 3:  Reinforcement. . . . . . . . . . . . . . . . . . . . . 23

    Objections To Reinforcement 23

    Identifying And Developing Reinforcers 25

    Categorizing Reinforcers 27

    Selecting Reinforcement Schedules 27

    Rules Of Reinforcement 28

    Differential And Informational Feedback 35

Chapter 4:  Disruptive Behaviors. . . . . . . . . . . . . . . .  37

    When Are Behaviors Considered Detrimental? 39

    Creating The Optimal Environment 40

    Environment And Stress 41

    Making Therapy Natural, Fun And Generalizable 42

Chapter 5:  Understanding Disruptive Behaviors. . . .  45

    Guidelines For Dealing With Disruptive Behaviors 48

    Escalation Cycle 49

        Beginning Stage 51

        Second Stage 52

        Third Stage 53

        Final Stage 55

        All Stages 55

    Specific Behavior Management Techniques 56

 

Chapter 6:  Behavior Programs . . . . . . . . . . . . . . . . . 59

    Disruptive Behaviors 59

    Frustration Tolerance Program 61

    Stress Hierarchy 62

    Non-Compliance 63

    Pointers To Facilitate Compliance 64

    Compliance Program 65

    Compliance Hierarchy 66

    Reactive Program - Positive 67

    Reactive Program - Reductive 68

Chapter 7:  Self-Stimulatory Behaviors  . . . . . . . . . . . 69

    Functions Of Self-Stimulation 71

    Reactive Procedures 73

        Systematic Ignoring 73

        Reinforcement 73

        Response Prevention 74

        Reducing The Reinforcing Value Of Self-Stimulation . .75

        Stimulus Control 76

    Proactive Procedures 77

    Practicality 78

Chapter 8:  Sleep Problems . . . . . . . . . . . . . . . . . . . . 79

    Establishing A Nighttime Routine 80

    Selecting The Proper Bedtime 81

    Developing A "Sleep" Object 82

    Staying In Bed 83

    Keeping Children Out Of Their Parents’ Bed 84

    Nap Times 85

 

Chapter 9:  Toilet Training . . . . . . . . . . . . . . . . . . . . . 87

    Readiness 87

    The Equipment!!! 88

    Schedule Training 89

    Lengthening The Schedule 91

    Shaping Independent Toileting 91

    Dry Pants Checks 92

    Intensive Independent Toilet Training 93

    To Prompt Or Not To Prompt 94

    Bowel Movement Difficulties 94

    Diaper Rituals 95 Nighttime Toileting 96

    Nap Time 97

Chapter 10:  Eating Problems. . . . . . . . . . . . . . . . . . . 99

    Food Selection 100

    Selecting The Teaching Time 101

    Introducing The New Food 101

    Other Eating Problems 102

 

Chapter 11:  Play And Social Skills . . . . . . . . . . . . . .105

    Facilitation Of Language 105

    Incidental Learning 106

    Social Reinforcement 107

    Resistance To Teaching Social And Play Skills 108

    Selecting Play Skills To Be Taught 111

    Solitary Play 113

    Teaching Play 113

    Components Of Effective Teaching 114 

    Task Analysis 114

    Teaching One Step At A Time Until Mastery 115

    Concentrated Teaching 116

    Prompting And Prompt Fading 116

    Reinforcement 116

    Developing Independence 117

Chapter 12:  Social Play . . . . . . . . . . . . . . . . . . . . . . 119

    Examples Of Social/Play Activities 121

    Setting Up Play Dates 122

    Peer Selection 124

    Stages Of Social Development 124

 

 

The Autism Partnership Curriculum for
Discrete Trial Teaching

Session Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

Discrete Trial Teaching . . . . . . . . . . . . . . . . . . . . . . . . . . .131

    Introduction 131

    Components of a Discrete Trial 133

    Establishing Attention 142

    Guidelines for Maximizing Progress 143

Generalization Checklist  . . . . . . . . . . . . . . . . . . . . . . . . . 149

Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151

Nonverbal Imitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153

Block and Construction Material Imitation 159

Motor Skills 163

Matching 165

Drawing 171

Play 175 

Songs 179

Independent Work And Play 181

Play Scripts 185

Receptive Instructions 189 

Receptive Labels 193

Functional Communication 197

Communication Temptations 199

Verbal Imitation 203

Expressive Labeling 209

Conversation — Basic 213

Assertiveness 215

Yes/No 217

Negation 219

Joint Attention 221

Emotions 225

Gestures (Pragmatics) 229

Attributes 233

Functions 237

Categories 241

General Knowledge And Reasoning I 243

General Knowledge And Reasoning II 247

Same vs. Different 251

Prepositions 253

Pronouns 257

Expanding Language 261

Verb Tenses 265

Plurals 269

"I Don’t Know" 271

Conversation — Intermediate 273

Asking Questions 277

Sequencing 281

First/Last 283

Before/After 287

Stories 289

Cause And Effect 291

Comprehension I 295

Comprehension II 297

Peer Interaction 299

Conversation — Advanced 303

Conversation Checklist 307

Social Awareness 309

Observational Learning 311

Socialization Skills 317

What’s Missing? 321

Recall 323

Quantitative Concepts 325

Reading 329

Writing 331

Self-Help Skills 333

Toilet Training 337

School Checklist 343

 

References 345

 

Appendices 

Appendix A Curriculum Assessment 

Appendix B Daily Data Summary 

Appendix C:  Discrete Trial Data 

Appendix D Overview of Programs 

Appendix E Performance Evaluation 

Appendix F Program Description 

Appendix G Tracking Form

 

Index

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