Showing posts with label speech therapy. Show all posts
Showing posts with label speech therapy. Show all posts

Monday, September 30, 2013

What is the learner objective?

When we started developing our student curriculum nearly seven years ago, Denise and I knew what we, as parents, wanted typically-developing peers to know about their classmates with autism, including our own sons.  Not long after we had done some field tests, we assembled a committee to review our newly-hatched programs and services.  One of the members encouraged us to identify learner objectives for our programs to clarify the content.

Boiling lessons down to learner objectives crystalizes your message, and should drive both the message and the medium for delivery.

2009, Alcon Entertainment
Warner Bros. Pictures
One of my favorite film-based examples of a teacher having a clear understanding of her learning objectives for a lesson is in The Blind Side.  As the true story goes, eventual pro football player Michael Oher struggled greatly in school.  At the private school he ended up graduating from, his Biology teacher opted to give his assessment orally versus requiring him to read the questions and write his answers.  The academic ability she found in her student by taking that alternate approach made a radical difference in both his educators' perception of his potential and in the way his education was crafted.

Students with autism spectrum disorder are notoriously difficult to assess by traditional means.  Standardized tests are often verbally-loaded, which poses a number of problems for most children with ASD.  For example ...

  • verbal processing delay: Many individuals with autism experience a measurable, many-second time delay in hearing words and being able to make sense of them.  In timed tests, this is especially debilitating when trying to assess understanding.
  • need for rephrasing of questions: Abstract language and concepts are difficult for people with autism, who are often black-and-white, concrete thinkers.  While rephrasing questions often helps students understand the intent, this is prohibited or carefully restricted on many standardized tests.
  • fine motor impairment: Whether it's a difficulty with writing in small spaces or an executive planning problem with getting thoughts from head to paper, writing words is often hard for people with autism.

And these don't even take into account communication and sensory perception differences.

In light of these, educators and families need to be clear about what their learner objectives are.  If the learner objective is to take a high-scoring standardized test, that's one thing.  But if the objective is to understand the factions of the Civil War, or the order of operations for algebra equations, or to identify and successfully manage one's emotions, then be sure the teaching and assessment methods are individualized to the learner.

The need for clarity around learner objectives, which is not restricted to academic pursuits, was recently driven home when the meltdown of a student with ASD was perceived and treated as if it were a behavior problem.  The student presented in the morning with a number of underlying stressors, which were not evident to educators because of his limited spoken language.  What sent him over the edge was a substitute teacher, who ended up receiving a communicative swipe.  Perceived by administrators as an aggressive act, the incident prompted a phone call to the parent, who was asked to take her son home as a disciplinary measure.

Thankfully for all parties, the parent had the tools to de-escalate her son* and debrief the many people who tried to respond, reminding them of her son's existing IEP and BIP, which were full of techniques that were used successfully in the past to prevent meltdowns and/or bring them to resolution.  (*Note: While the de-escalation techniques described in the article may work for some individuals, this is by no means a universal, exhaustive, and/or exclusively recommended list.) With the proper interventions, he was able to return to class successfully and complete his school day without further incident.

Here are the lessons the student could have learned from the initial mis-handling of the meltdown:
  • I must self-regulate emotionally, even in the absence of otherwise available assistance.
  • My non-verbal means of communication will be ignored, even punished when misperceived by adults around me.
  • I will be freed from school when I use out-of-control behavior as my last resort.

Here are recommended learner objectives:
  • To recognize feelings of upset and communicate those, whether verbally or otherwise, to people who can help in the ways established through my IEP/BIP.
  • To expect that feelings of upset will be handled by trained adults without escalating those unwanted feelings.
  • To return to class following times of emotional and/or physical dysregulation, confident that systems exist to encourage inclusive practices.

So take a good, honest look at what you're trying to teach your student with autism.  Are your learner objectives and teaching methods consistent with the lessons?  If not, how can you adapt them?  If so, please share your successes with others who require inspiration!

Monday, December 17, 2012

A Spectrum of Friends

First, to honor the lives of the students and staff lost in the Sandy Hook community in Connecticut ...  There is no amount of explanation that will heal hearts, but we hope our prayers for the survivors and tears for the slain will resound across miles and time.

This week's topic was to be based on friendship in elementary school -- a follow-up to last week's thoughts regarding peer relationships in early childhood.  It seems now, with these budding first grade friendships forever frozen, a respectful tribute of sorts.

There are three main considerations of peer relationships in elementary school as they apply to students with autism spectrum disorder (ASD).  First, that they are a necessary part of social-emotional development and mental health.  Second, that they will exist, but perhaps to a differing depth and breadth than their neurotypical (NT) peers will experience.  And finally, that they should be specifically developed and nurtured for mutual benefit.

As we look at the determinants of quality of life for adults living with autism, we notice that connections in the community are key.  Jobs, recreational opportunities, and social/familial relationships help us, whether we have typically-wired brains or not.  Learning to form and derive enjoyment from these connections starts in elementary school.  Tony Attwood, author of The Complete Guide to Asperger's Syndrome and a world-renowned clinical psychologist specializing in the treatment of individuals with ASD, notes that the ages of 4 to 6 years are critical for motivating these early friendship skills.  While social impairment is a diagnostic criteria for an ASD diagnosis, it doesn't mean that relationships are less important to the development of someone with autism.  It helps to understand, however, that these relationships may look different than those between NT peers.

Many individuals with autism prefer to interact with people either younger or much older than they.  In the case of elementary school students, the 3rd grader may gravitate toward 1st graders on the playground; or the 2nd grader may bond with his speech-language pathologist versus his classmate.  In the case of the former, delayed social maturity may play a role, as well as a sense of competence around less-complicated unwritten social rules.  For the student who prefers to socialize with adults, contributing factors could include a penchant for specialized conversational topics (i.e., migratory patterns of birds or dinosaurs of the Mesozoic Era), an acceptance or level of patience not experienced among peers, or a gravitation to the familiar (in the instance of children receiving many hours per week of adult-driven therapies and interventions).

Whatever those early connections are, channel them into platforms for generalizing positive social behaviors.  Speech therapists can use the foundations of these friendships to seed new social skills, such as turn taking in conversation or noticing tone of voice and body language.  Since words only account for (at best) a third of our communication, "speech" skills are inextricably tied to these social nuances so elusive to our friends with autism.

So maybe elementary school-aged children with autism might not have the quantity of friends their NT classmates have, but the quality of their early friendships is immeasurable.  They are the building blocks of critical social development, eventually contributing toward peer acceptance and positive self-image.

And we should not ignore the benefit that students with typical brain development derive from these opportunities to learn, relate, and grow.  One of my son's very first friends was able to decrease his own school-related anxiety by focusing on the help he provided to my boy.  Studies on Peer-Mediated Instruction and Intervention programs have demonstrated that specifically-trained mentors achieve better academically and feel more fulfilled because of their engagement in these relationships.  They become less self-absorbed and more empathetic.  They develop leadership skills and flexibility -- traits which will eventually make them more employable, as well.

Ultimately, children with autism should have a spectrum of friends: ones they can share their special interests with, ones who help them be the best social being they can be by gently pushing development of new skills, ones they can feel competent with at their social-emotional level, and ones who accept them right where they're at, regardless of outward manifestations of their autism.  Are we as NTs any different in our need for a diverse friend base?

Monday, June 4, 2012

The Things We Do for Love

I think it's safe to say that teachers love kids. Why else would you spend six hours a day, five days a week, in a room with 25 students? Now I love my kids, but I can guarantee you that if I spent every waking moment with them for the summer, I would go bonkers. In fact, the final weeks of the school year are always a scramble to be sure we have the right mix of down time and scheduled, supported activities to keep everyone happy and healthy (and lovely).


I also love my job, part of which is to go in to schools to teach students about autism. And I often say I can do it for an hour, but it might be a different story if it were 8 to 3.
photo by Curtis Compton, Atlanta Journal-Constitution (2010)


Yet there are these educators who not only punch in and punch out, but think critically about how to make learning more fun and functional for their students.  And not only between those hours of 8 to 3, but specifically before- and after-hours; because often while the students are there at school, they're commanding full attention.


Recently, my 13-year-old son was struggling with team activities in Physical Education (Gym).  His Specially-Designed Phy Ed teacher contacted me, starting off the phone call with, "I've been thinking all night about how we can design a program for him that will be meaningful."  It's the stuff of dreams, really -- both the inspired ideas and the collaborative effort that combine for the magic of effective inclusive instruction.


During an Autism Spectrum Disorder/Developmental Disability Community of Practice meeting last month, one of the round table sessions was on "Hot Topics" for the population in discussion.  It was moderated by a staff member for the statewide Autism Society chapter and a speech therapist for an area school district.  One of the parent-initiated discussions was regarding socialization and meaningful inclusion in elementary school.  


The speech therapist was eager to share her idea of a "Birthday Manager".  This job was created for students with special education needs who benefit from positive social interaction, practice in decision making, and fine and gross motor skill development.  The Birthday Manager has a list of the week's student birthdays.  He or she selects a pre-made card, chooses a piece of clip art to add, and addresses and delivers the card.  The birthday student is happy, the Birthday Manager is proud, and everyone sees how valuable an exchange the exercise is.  Brilliant!  The speech therapist shared a number of ways such an activity fits into existing IEP goals.


Ah, the things we do for love -- for love of students, for love of education, for love of success.  Thank you, educators and therapists, for the love you've shown this past school year.  We look forward to your renewed energy and ideas again in August/September!