Erin J. Miller Holy family university September 15, 2010.

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Autism & School Counseling Erin J. Miller Holy family university September 15, 2010

Transcript of Erin J. Miller Holy family university September 15, 2010.

Page 1: Erin J. Miller Holy family university September 15, 2010.

Autism & School Counseling

Erin J. MillerHoly family universitySeptember 15, 2010

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What is Autism?

•1 in every 110 children•Prevalence is increasing 10-17% annually -> improved diagnoses? Environmental influences?•Boys are 3 to 4 times more likely to receive a diagnosis•In the United States, 1 out of 70 boys are diagnosed.

•http://www.autismspeaks.org/whatisit/index.php

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School Counselors

What’s our role as this population continues to increase in our schools?

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Understanding Areas of Application(Marshak, Dandeneau, Prezant, & L’Amoreaux, 2010)

Personal Application Possible adjustment issues in school due

to other related health issues or medication side effects.

Changes in routine: i.e. school assembly, different bus, half day or fire drill

Behavior modification for behaviors that are serious enough to interrupt with academics, such as SIBs.

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Understanding Areas of Application

Social Application The nature of ASD alone makes it

difficult for students to have social interaction.

Creating and seeking opportunities for socialization with peers is important.

ASD students are at risk for isolation, bullying, exploitation, rejection and being taken advantage of.

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Understanding Areas of Application

Academic Application Sensory needs should be considered.

This can include seating, lights, windows, noise, teaching methods and schedules

Accommodations and modifications for testing, testing areas, the way assignments are given, need for breaks, sensory rooms or stimulation needs

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Understanding Areas of Application

Career Application Transition planning should be focused on

their specific abilities, not their inabilities.

Many ASD students have the ability to become successful in specific vocations.

Promotion of independence. Don’t set them up to fail, but don’t hold

them back either. * Story of MG

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Interventions

1. Pivotal Response

2. Behavioral

3. Cognitive-Behavioral

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Pivotal Response Training (R. Koegel, L. Koegel & Carter, 1999; Volker & Lopata, 2008)

Applied behavioral analysis in the child’s natural environment.

Improves self-management, self-initiative & self-management

This approach is less costly and empirically supported to be more effective

Play-Based/Manding Session

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Behavioral Intervention

Volker & Lopata (2008) article reviews interventions including behavioral. Behavioral interventions seem to be the

predominant intervention with ASD children (including ABA & PRT)

Argued that [social] behaviors learned are not generalized. ▪ PRT is not included in this weakness; this

approach is successful for social generalization under behavioral interventions

ABA Therapy

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Cognitive Behavioral

Volker & Lopata (2008) report that this area of intervention continues to be researched to gain empirical support.

Direct instruction, modeling, role-playing, performance feedback, reinforcement.

Some evidence leading to this intervention becoming more promising… keep your eye out!

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Pivotal Response TrainingEarly Study

Koegel, R. L., & W. D. Frea , 1993. Treatment of social behavior in autism through the modification of pivotal social skills. Journal of Applied Behavioral Analysis, 26, 369-377.

2 “high functioning” children with early diagnosis of autism. IQ score above 70. Successful and functioning in normal education classrooms, no physical handicaps.

Baseline of 5 behaviors – facial expression & affect, eye gaze, nonverbal mannerisms, voice volume, and perseveration of topic.

Parents and teachers judged the most stigmatizing behaviors which were the ones that received treatment. Other behaviors were not treated to measure generalization .

Significant results suggesting that PRT is successful in treating social skills in high functioning ASD.

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The Need for Team WorkKoegel, R. L., Koegel, L. K. & Carter, C. M., 1999. Pivotal teaching interactions for children with autism. School Psychology Review, 28, 576-594.

Need consistent interventions across environments. When they vary is when you may see success

in one environment, but not in the other (i.e. well he doesn’t do work for me at home, behaviors aren’t seen at school)

Provide materials from the classroom to the parent so that it can be reviewed at home: “Priming.”▪ Teachers report that it is easy to implement,

preventative, and helps avoid the time to address problems in the classroom since they are prevented.

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Summary

How are we involved? Interaction with the students Collaboration IEP meetings – appropriate goals Small Groups – socialization Up to date on research and

empirically supported interventions Well read

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References

Koegel, R. L., Koegel, L. K. & Carter, C. M., 1999. Pivotal teaching interactions for children with autism. School Psychology Review, 28, 576-594.

Koegel, R. L., & W. D. Frea, 1993. Treatment of social behavior in autism through the modification of pivotal social skills. Journal of Applied Behavioral Analysis, 26, 369-377.

Marshak, L. E., Dandeneau, C.J., Prezant, F. P., & L’Amoreaux, N.A., 2010. The school counselor’s guide to helping students with disabilities. San Francisco, CA: Josey-Bass.

Volker, M. A., & Lopata, C., 2008. Autism: A review of biological bases, assessment, and intervention. School Psychology Quarterly, 23, 258-270. doi: 10.1037/1045-3830.23.2.258

“What is Autism?” in Autism Speaks (n.d.) retrieved from http://www.autismspeaks.org/whatisit/index.php