Autism Therapy: reinforcement

definition of reinforcement: Process of using something such as a reward to offer to someone after a desired behavior that increases the frequency of the behavior.

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Behavior Modification, by Ma, H. - H., published in 2009, summarized Oct 21, 2010

Some applied behavior analysis (ABA) approaches are more helpful than others when teaching social skills to people with autism.

The aim of this review article was to compare applied behavior analysis (ABA) techniques to treat autism. The study found five helpful ways to use ABA: priming, self-control, training, positive reinforcement plus punishment, and presenting preferential activities. These interventions were helpful for all ages and both genders. The least helpful use of ABA was in teaching perspective-taking skills. The author found that it worked better to train social skills as a whole instead of training just a single type of social skill.


Journal of Applied Behavior Analysis, by Tiger, JH, Fisher WW, and Bouxsein KJ, published in 2009, summarized Jul 6, 2010

Applied behavior analysis (ABA) may be helpful in decreasing self-injurious skin picking in people with autism.

Differential reinforcement of other behavior (DRO) is an ABA technique that involves a reward if the child does not do the behavior in question (in this case skin picking) during a certain period of time. The purpose of this case study was to see if DRO could help to reduce skin picking of a 19-year-old young man who had been diagnosed with Asperger syndrome. At the start of the study, the young man engaged in skin picking 56.3% of the time during sessions. He was able to decrease his skin picking and he was able to do so when he was being watched by a therapist and when he was alone. The authors noted that this is just a case study and it is hard to see if this approach will also work for other people.


Behavior Interventions, by Soares, DA, Vannest KJ, and Harrison J., published in 2009, summarized Dec 16, 2009

Using a computer to keep track of academic success may help reduce self-injury and other unwanted behaviors in children with autism.

This case study described success for one adolescent (13 years old) with Asperger’s syndrome who used a computer as positive reinforcement. The boy kept a record of his own success at completing school tasks. The boy completed more tasks and had less self-injury behavior and fewer tantrums during the weeks that he used the computer system. When researchers stopped his use of the system, he again had tantrums, self-injury, and trouble completing tasks. The authors said that this system is a promising way to offer some independence and would be relatively easy to use in classrooms.


Journal of Autism and Developmental Disorders, by Moore, TR, and Symons FJ, published in 2009, summarized Sep 28, 2009

Parents may be better at following some autism treatment recommendations than others.

The researchers asked 220 parents of children with autism and other disorders on the spectrum (ASD) about sticking to the therapy plan. These parents were better at following medical treatment plans than behavioral treatment plans. For behavioral treatments, these parents stuck with the plan better when the plan used reinforcement than when it used punishment.


The country of India is providing access to 6,000 Web sites for people with disabilities including autism. India wants their Web sites to be "disabled-friendly," and for example, will provide screen-reader software for people with visual difficulties. They will offer "iconic learning" especially for children with autism. Iconic learning is a reinforcement method that combines a narrative with screen images. In addition, for people with motor skills issues, there will be special keyboards and "transcripts of the audio-video content for the hearing impaired as well as changes in colour schemes." To stimulate the transition, the Indian government is offering awards to the top three disabled-friendly Web sites.

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Most of us learn new skills and behaviors by imitating others; children with autism may have difficulties with this concept. Discrete trial training, which is a form of applied behavior analysis (ABA), may be useful in teaching imitation skills. This intervention uses prompting and positive reinforcement to teach the child. This therapy can be used with gross motor skills, requesting toys or food, and ultimately with speech as the tool for communication. The goal being that the child learns to imitate without the use of prompts.

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Jean Muckian, the Wisconsin founder of ABA Lifeline Interactive, hopes her tool will make applied behavior analysis therapy more accessible to more families struggling with autism. This family-based intervention can be loaded onto a computer or iPod and accessed anytime. Ms. Muckian states, "The ABA Lifeline Interactive tool teaches parents to function without the added cost of an in-home care individual, while allowing for constant positive reinforcement of their teachings." Parents move with their child's successes to each level of instruction.

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Home and Community Options, in MN, provides intensive therapy for kids with autism by certified mental health practitioners (MHPs). The MHPs use positive reinforcement to "encourage desired behaviors." One-on-one therapy is used to teach "receptive communication - helping autistic children learn to respond to direction." In addition the MHPs work with the child's parents and teachers.

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Please comment on this autism topic.

Children with autism and horses

Jan 17, 2012 by Anonymous

PREFACE:

My experience working with children diagnosed with Autism has been a little like knocking on the door to their place of business. 

Option #1

Sometimes, no one answers the door and even if the hours of operation are posted, they are not always observed.

Option #2

If the door is answered, you rare sometimes invited in, but once inside you realize it is a waiting room where messages are exchanged.  There is no direct contact.  This can cause delays, miscommunication and confusion.  Patience and timing are critical.

Option #3

With enough effort and understanding you are sometimes (and hopefully) invited into the main office and speak to the boss directly.  In this setting, skills understanding and effort are still required but are less demanding and more productive.

This is the most rewarding and productive of the three options.

The equine program developed at the Westwind Rodeo Academy has facilitated the opportunity to enter the office and speak to the boss directly.  (Remember - they are not YOUR boss, but the boss of the company you need to do business with.)

I personally believe it has been a key ingredient in several instances, in moving forward and grasping the potential for the Education system to assist and direct students diagnosed with Autism in their academic efforts and opportunities.

FOLLOWING : Is a cursory description of a multi-faceted program that will hopefully provide a glimpse into these concepts.

CAUTION:  The thoughts information and data provided here are solely my responsibility and have not been endorsed, accredited, approved or even spell-checked by the Westwind School Division, the Westwind Rodeo Academy or any other authority.

Harlan (Lanny) Smith B.S.W., Family School Liaison Counselor

e-mail lannysmith56@gmail.com

The Program

More than just a riding program, the Westwind Rodeo Academy in Cardston Alberta provides a unique program centered on relationships that is based on a triad as part of a larger group of nine.  Each child that attends the program is matched with a specific horse and equine specialist EQ (horse handler) that is chosen for their skills and experience working with children with special needs as well as their command of horse knowledge and competence.  

The group of 9 is formed with 3 groups of 3 to allow for broader experience, interactive activities and comparative experiences and an ambience in the session.  The selection of which 3 students will attend together is carefully considered and may include children with a variety of challenges not limited to Autism.  The sessions are repeated for 6 consecutive weeks and may be repeated up to 4 times a year, space allows and need requires, although each section is provided as a stand alone intervention.

One of the most inspiring experiences is when children fully embrace the horse and the relationship when they take the opportunity to lay down on the horses back without saddle (sometimes with a bareback pad or blanket, but not always), and spend quiet time, just embracing the horse while the child is at rest.  This can include conversation with the EQ as originated by the child and is largely a listening activity for the EQ, or just a silent time.  This activity is sometimes suggested by the child and sometimes by the EQ and may occur at anytime during the session.  It is can be used to de-escalate the child or address stress or emotional discomfort.  It is also used as a modest celebration or reinforcement in the relationship.

Actual riding occurs during these sessions but is not the object or the goal.  Many sessions pass without the child being on horseback as the situation dictates.   Each session is focused on the child's orientation to the world around them as far as they can express through words, body language, choices or actions, their needs and concerns as well as interests and inclinations.  Although safety is an over riding principal, convenience to the horse or EQ is secondary to the child's expressed or perceived preference.  

We have witnessed EQ's trotting beside the horse as ridden by the child who has expressed a desire to have the horse move at faster than a walk.

(Again, safety is paramount which necessitates one or more EQs running beside the horse. In this case, the child's skills and aptitude to remain safely on the horse is previously determined.  We also consider the horses history and attitude and performance on that particular day as part of the decision making process.)  

This can be physically demanding and inconvenient for the EQ but a major contributor to the child's experience and benefit.  The results the child experiences, the more effort required by the EQ to facilitate without imposing or tainting the child's experience.

The other component of this system is the support of a Mental Health Practitioner and supervision by the Facility Director.  This completes the formal team.  Decisions about activities, concepts and specific goals are managed by the Facility Director and Bahavior Specialist and the EQ's in consultation.

We have also encouraged with some success, the attendance to at least one of the sessions in each section by a significant family member as well as the students classroom teacher and possible other support personnel.  These individuals are given direction about the concepts of non-interference and non-projecting on the child's experience while acknowledging the elements the child is embracing.  They meet the horse, the EQ and observe the activities.  We often take pictures or video and encourage this experience to be talked about at home and in the classroom.

Of course this is a snapshot of the experience in condensed form and there are many details and intricacies that cannot be explained or properly presented in this format.  Overall, the development of this process has been  most rewarding and inspiring and worth the investment of time, money and effort.  It requires many elements working in concert to achieve this model.  We are fortunate that these things have come together thus far.

Questions or comments leading to discussion and education are appreciated.


Responding to aquatic

Sep 4, 2011 by Anonymous

I have been a private swim instructor, specializing in teaching children with disabilities for over 10 years in Los Angeles. Most of my swimmers are children, ages 2- 12, who are on the Autism spectrum. When these children are in the water, they all have shown a sense of comfort, mind and body relaxation. With certain cues, such as the word "focus," I am able to receive quick eye contact and immediate response to my action requested by them. Positive reinforcement and encouraging words, whether the task was perform correctly or not, increases their consistency of performance in the water. Their sense of body movement in the water becomes hightened because they have control over the water and therefore they feel the need and comfort to be in the water and be active.



Please comment on reinforcement or other autism therapy topics.

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