Autism Therapy: preschool

definition of preschool: School for children before kindergarten. In the United States preschool typically refers to children between the ages of three and five.

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Research in Autism Spectrum Disorder, by Jones, EA, published in 2009, summarized Nov 27, 2009

Behavioral therapy may help children with autism learn verbal and nonverbal ways to start a social interaction.

People with autism may have problems initiating (starting) a social interaction. The first step is called “initiating joint attention.” This article describes the way that 3 preschool children with autism were taught these skills. Therapists used behavioral therapy techniques based on Applied Behavior Analysis (ABA) theory. For one boy, the therapist used toys that could show a response (e.g., singing stuffed animal or piano with lights). When the boy did the right behavior, the therapist would make the toy react and the boy liked that. For another boy, the therapist used games as a way to teach the skills. The boys learned some of the skills, and eventually were able to use them with their.


Journal of Intellectual & Developmental Disability, by Trembath, D., Balandin S., Togher L., and Stancliffe RJ, published in 2009, summarized Nov 24, 2009

Preschool children with autism may learn social communication skills from typically developing peers in an inclusive classroom.

Children at school may be able to teach their classmates with autism many things Children can use naturalistic teaching for social, communication, or academic skills. In this study, 6 typically developing children were taught how to use naturalistic teaching to help 3 classmates with autism learn to communicate; all the children were 3-5 years old. All 3 children with autism showed improvements in communication behaviors in the classroom and in the lunch room. Over time, only 1 of the 3 children continued to use the skills. The authors think that children as young as 3 years old can help teach their peers in inclusive classrooms.


Beyond Behavior, by Stichter, JP, Brown T., Clarent R., Iskow J., Krug M., and Richards J., published in 2006, summarized Nov 3, 2009

A Michigan school district developed a program that offers services to children with autism using a team-based approach. The Huron Intermediate School District in Michigan developed a team-based program for autism services for preschool and elementary students. The district has had increased the number of students with autism over the past few years. They also have limited numbers of special education service providers. The school district developed a program that provides services to children with autism using a team approach. They rely on paraprofessional support and evidence-based decision making in the classroom. Individual support gradually shifts from paraprofessionals to other adults, like teachers, as the children become more skilled. Many people are happy with the way this program works, and the program is a model program for the state of Michigan.


Journal of Developmental Disabilities, by deRivera, C., published in 2009, summarized Nov 2, 2009

A modified intensive behavioral therapy (IBI) program has been very helpful for children with autism in a Toronto preschool system.

The Lovaas method of applied behavior analysis (ABA) therapy has been used since the early 1980s to help improve behaviors in children with autism. The Toronto Partnership for Autism Services made some changes to the Lovaas method in their preschool autism treatment program. The Toronto IBI uses discrete trial training to teach language skills. The Toronto IBI therapy also uses the picture exchange communication system (PECS) and teaching schedules. The authors talk about the research related to Lovaas method, IBI, PECS, and teaching schedules. They also describe some practical details about how their therapy program works with children.


Mercy Children’s Hospital in Toledo Ohio offers an intensive preschool program for children with autism along with a home intensive program. The programs focus on early intervention including speech and occupational therapies. The Lyons twins are both on the spectrum and have improved speech skills and social skills since becoming involved with Mercy. The program runs 24 hours a week for 12 months and the cost of the program is partially funded by the state. As with other schools working with children with autism, the goal is for children to integrate with their peers.

Read original article: Autism Programs Focus on Early Intervention


The Marian Hope Center in Missouri, like a lot of schools for special needs kids, offers many therapies, but their focus is on individual goals for each child. The center, open since 2007, offers play groups, play classes, and pre-kindergarten classes. Special education teachers work with children with autism on skills that will allow them to mainstream and/or become a part of the community. There is an emphasis on integrative therapy that combines other treatments such as speech therapy and nutrition therapy

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Mailman Segal Institute's Baudhuin Preschool, in Florida, offers an integrated preschool class that includes both neuro-typical children and those with autism. What makes the class different than just mainstreaming, is that the kids do not know who has autism and who does not. As far as they are concerned, they are all the same. The neuro-typical children seem to like the structure that is in place for the children with autism. The children with autism learn social and communication skills from their peers. The director, Nancy Lieberman says, "The children follow a structured schedule that includes many elements of a typical classroom, such as story time, circle time and show and tell. Occupational therapists, speech therapists, behavior specialists and others lend support to the classroom."

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The Clippard Family YMCA in Ohio will open a full-day preschool for children with autism. The preschool will focus on applied behavior analysis (ABA) therapy and will provide peer interaction and social interaction. The children will receive one-on-one intervention along with the chance to use the YMCA's swimming pool and gym facilities. The YMCA services the Cincinnati, Northern Kentucky, and Southeast Indiana areas. 

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Social Skill Builder

Feb 16, 2010 by megan

Social Skill Builder, Inc. was founded by speech pathologists and sisters Jennifer Jacobs M.S. CCC-SLP andLaurie Jacobs M.A. CCC-SLP in 1999.  Social Skill Builder provides appropriate tools for teaching social skills to children affected by Autism Spectrum Disorder (ASD) and other language/learning difficulties. 

Because social interaction between people usually happens so quickly and naturally, it is hard to teach these skills to children with social competence difficulties. Social Skill Builder software programs allow children to dissect social situations in a safe and controlled environment, with the opportunity to replay scenarios for greater understanding. Such practice provides children with greater insight into social interactions and increases their confidence as they try out new skills in their real-world environments.

Social Skill Builder has created a series of learning tools, targeting preschool through young adults, which use real life video in computer assisted programs to teach social skills. The user is able to watch the video scenarios unfold and then make choices about what should be said or done next in a safe and controlled environment. These interactive features allow the child or adolescent to step inside familiar social situations to problem solve or predict outcomes. Motivating reinforcements and games make learning the social skills fun and entertaining. This unique training software provides a reference for language, behaviors and interactions that children can carry into the natural environment.

Social Skill Builder's products are designed for speech and occupational therapists, educators, counselors and psychologists, and parents who interact with children and adolescents ages 3-18 affected by ASDs and other learning/language deficits.


You can find more information regarding our software at www.socialskillbuilder.com


ABA Therapist in Michigan

Sep 7, 2009 by Anonymous

I am looking for an ABA Therapist to work with my 4 year old son. He attends an ECSE preschool in the afternoons, but I'd like to see more with ABA Therapy.

Please contact jlapoe@clare.k12.mi.us


Drinking buddies

Aug 31, 2009 by Anonymous

Well, I was worried about the wrong kid.
How long did we wring our hands and experience gut-wrenching anguish over Thomas’ surely difficult and confusing transition to all-day, eat-lunch-at-school first grade? On the first day of school, he kissed me goodbye and walked in the building. Okay, so long! See you later! Hayley, on the other hand, was rather upset, sobbing loudly. I have a bit of a dilemma on my hands that I have to drop Hayley off at the Kindergarten entrance and Thomas gets dropped off at the First Grade entrance. So on the first day, it was pouring outside (naturally) so we had to walk into the hall. I left Hayley, who wasn’t listening to me and when I told her that I’d be right back after I found out where Thomas needed to go. I walked about ten feet away when I heard her crying. One of the aides who knows Thomas offered to take him to his class so that I could stay with Hayley, which I did, until it was time for me to leave her. She was crying – loudly and a lot.
Jonathan and I were completely confused by this behavior. Hayley had been in that classroom once every week for the past school year! However, Jonathan made the sensible point that I had been with her the whole time she was there. This was the first time I left her there. Okay, that makes sense. Anyway, Hayley stopped crying shortly after I left and ended up having an okay day. Since it rained for the first three days of school this year, Jonathan was able to pick up the kids with me which was nice for him and the kids. Thomas was very excited to see Jonathan after his first day of school. We immediately noticed that Thomas had forgotten his lunch box and home folder so we had to go back in for them. His teacher said that he did a fine job and the social worker said that the few times she poked her head in the room, he was doing great. So Thomas is off to a surprisingly smooth start. Of course, I remember last year when there was a “honeymoon period” right at the beginning of the year and then things went downhill a bit. I might be remembering a couple years ago when Thomas was in preschool. I don’t know. I just hope we keep grooving like this.
Thomas is doing fine eating lunch at school, although he rarely finishes. I guess he eats like Jonathan – slooooooowly. Most days, he brings his bag home with leftovers. He always asks for a snack when he gets home which is not that weird – most kids have after-school snacks. But I hope he’s getting enough time to eat. Rather, it’s probably that he doesn’t stay focused and eat when it’s time to do so. He might be socializing with the two girls he sits next to. Anyway, he likes recess and he likes eating lunch at school. We’ve managed to put other edible (to Thomas’ standards) items in his lunch box so that we don’t have make pizza every night to put in the lunch box the next day. He eats chicken nuggets and chicken sandwiches too. We put a juice pouch or chocolate milk in there along with maybe a granola bar and fruit snacks. The fruit snacks are always finished when we get his lunch bag back. It’s usually the nuggets, pizza or sandwich that is half-eaten.
Part of the program in first grade is learning to read, so we have to read with Thomas for twenty minutes every night. I have modified this program to reading one book at night. Making Thomas try to do anything he doesn’t enjoy for twenty minutes is frustrating for him and us. He’s able to recognize words when prompted, so he’s got a good foundation. I just wonder when he’s going to start trying to sound out words on his own. He makes the word sounds but doesn’t put them together. And then there’s Hayley, who’s prone to know-it-all-ism, hanging over my shoulder, shouting, “Mommy! I know that word!” It’s hard getting her to keep quiet while I’m trying to get Thomas to read. I’ll have to put her in her room while we’re trying to read from now on.
It’s hard, too, to try and get everything ready for school on nights when I work. I try to get lunches made and homework done before I go to work at 5 p.m. But I suspect I’m preaching to the choir of my readers here…I don’t even work full-time, so I have little room to complain about trying to keep everything running smoothly. Things are going well for me at work, though. They really seem to like me and I won Employee Of The Month while we were in Florida and they want me to start training new people as a “Neighborhood Expert” which I am not officially yet as I have to attend some sort of “expert camp” or retreat or something before. At least it’s nice to be appreciated.
One funny story and then I’m off to collect Hayley from school: The last time the kids were at the cottage, they went out for ice cream. Hayley and Grandma ordered the same flavor, so Mary said that they were “ice cream buddies.” Fast-forward to this past Friday when Hayley and Thomas both chose to have grape Kool-Aid for dinner. Hayley looked at her cup and his and declared, “Thomas! Look! We’re drinking buddies!” Jonathan and I laughed until there were tears in our eyes.


A magical vacation...

Aug 20, 2009 by Anonymous

Okay. Here goes.
We had a wonderful vacation. I can only say that now, a few days later, after I’ve been given time to ponder and reflect. I wrote a blog on the airplane home, but after reading it now a few days later, I think it was a little harsh so I’m doing a re-write. I liken it to childbirth. After the baby is out and you’re thrilled to be a parent, you don’t really remember the agony of it all. You even start thinking about when you’ll have another one.
To be honest, most of the trip was exhausting to us. We learned a lot, which is a good thing. We’ll do things a bit differently next time, whenever that turns out to be. We think the kids had a great time; at least they’re saying that they did now. They were not very well-behaved for a large portion of the vacation. In fact, Donald Duck himself had to break up a fight between Thomas and Hayley at Chef Mickey’s at the Contemporary Resort. We were suitably mortified, I can assure you. We were, needless to say, disappointed in the kids and their behavior. We had hoped that they would be magically wonderful, since every Disney employee we ran into wished us a “magical” day. Even when I called the front desk for extra towels, I was wished a “magical” evening. I should have asked for “magical” towels.
There were two main pieces of advice that we received prior to our vacation that we should not have taken as gospel truth. The first was that autistic children can improve dramatically (magically!) while at Disney World. I really thought that this would happen for Thomas, since he is one of those kids who requires more stimulation than other kids. And Disney World is sensory overload extraordinaire. I’ll just say that Thomas has never acted more autistic in his life. I was quite disappointed. I’m not saying that I thought we’d spend ten days (too long, by the way, but more on that later) in Disney World and come home with a cured boy, but I at least thought that he might be better while on vacation. He was worse. And his badness rubbed off on his sister. Hayley copped an attitude most of the time which I’m sure has nothing to do with the fact that every Disney employee who crossed her path called her “princess.” I was called princess a couple times, but I know I’m not a princess. Trust me, I know. For Hayley, the jury in her brain is still out.
The second thing that we were told to do over and over again by everybody we talked to was to take a break in the middle of the day. Go back to the room, go swimming, take a nap, have a snack, re-charge the old batteries and then go back to the parks in the evening, fresh as daisies. Here’s what happened to us: We got on the bus to go back to the hotel, and during the bus ride the kids fell asleep. We made the trek back to the hotel room where the kids, having rested quite enough on the bus, would be bouncing off the walls just as Jonathan and I wanted to curl up and take a nap. Ha! So we maybe would take them swimming or watch cartoons for a while and then head out again. So this way, the kids were great for the rest of the day but Jonathan and I were completely frazzled and every little thing the kids did wrong set us off. The grown-ups were the cranky ones by day’s end. So some of the best days we had were ones where we went all day long, taking for our “break” a sit-down meal for lunch.
Despite our “go all day long” routine, I managed to pack on twelve pounds! Yes, despite walking around in the hot and humid Florida sun, sometimes toting a child on my back, I managed to gain several pounds over the course of the ten days. I can sum it up in two words: brownie sundaes. We did the basic Disney Dining plan which included one snack, one “quick-service” (fast food) meal and one sit-down table-service meal per person per day. Both the quick-service and the sit-down meal included a dessert for adults. Well, what are you supposed to do but order the dessert and scarf it down? We’d already paid for it! Next time, we think we’ll skip the dining plan, although it was very nice not to have to budget for food which can be a very inexact science. The food was all paid for before we left so that any extra money we brought could be used for incidentals and suchlike. We actually spent very little cash because we didn’t have to pay for food while we were there.
Again, in hindsight, it was a wonderful vacation but not without its ups and downs. We thought the kids would be better than they were. At the end of the trip, we decided that the kids were still a little too young to truly appreciate what they were enjoying. I don’t mean that we expected them to sit us down, look us in the eyes and say, “Mom, Dad, we know just how great an undertaking this has been for you, we understand the cost involved and we truly appreciate everything you’re doing for us. We will always treasure this time with you in our memories.” I don’t think I’ve even said that to my own parents now, who took us all to Disney World when I was in eighth grade. I can say that I have a huge appreciation for them having done it, and I understand what kind of planning and budgeting went into it.
Also, as I hinted at before, ten days was just straight-up too long. Next time, we’ll stay for maybe a week and get better accommodations. The All-Star Movies Resort was fine, but it was clear that it was Disney’s version of the nosebleed section given its proximity to the parks and the clientele. It was rather noisy and we dealt with rude people a lot. Really, at Disney in general, it’s every family for themselves, and those who realize this sooner rather than later will have a better time in general. Jonathan and I, being pushovers, care about other people’s feelings and were shocked at some of the rudeness we witnessed.
So next time – this hypothetical “next time” – we’d stay for shorter in a better hotel, rent a car so that we weren’t constantly at the mercy of the Disney Bus System and ditch the dining plan so that we could eat (less) outside the World and probably spend less. Everything at Disney is so expensive! I read that Disney will ride a money horse until it drops and boy, was that ever true! Plus, if you do the Dining Plan, Disney’s got you – all your money and you’re never leaving the parks until they shuffle you onto the bus to the airport and drop-kick your luggage to its final destination, and they don’t really care where that might happen to be. Our bags did show up, but somewhat smashed.
So that was our trip. If you have any questions, let me know. Now, we gear up for school! Hayley had her kindergarten assessment with Mrs. H. yesterday and she did a swell job! Pre-school really paid off in that respect. After her little interview, we went and visited Thomas’ new classroom and saw his teacher again. After seeing his teacher and class again, Thomas is much more…okay…with going to first grade. Plus, I told him that I’d make him cold pizza to eat for lunch. So that was great! I feel like he’ll be okay now and that he understands he’ll be at school all day and eat lunch with his friends. He’ll get a recess which will really help him out and Mrs. H. said that he will have sensory breaks in her classroom a couple of times per day or as needed. Thomas was pleased to hear that. When we were in his new classroom, he noticed many similarities between his kindergarten room and the first grade room which made him very happy. There was a chart on the wall for the weather, lots of numbers to count the days and the old “green-yellow-red light” cards on the wall to track everyone’s behavior.
As we walked home from school, I asked him again how he felt about it. I said, “So how do you feel about first grade now? Do you think you’ll like it?” He replied, “I think it’ll be great!” I really, REALLY hope he means it! School starts next Wednesday.
I can’t wait, for my own sake. It’s been one hell of a rough summer.



Please comment on preschool or other autism therapy topics.

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  • Synonyms for preschool include: pre-K, pre-kindergarten, pre-school
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