Social Engagement & Steps of Being Social: An Overview for ...€¦ · 5/29/2018 4 4 Participants...

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5/29/2018 1 Social Engagement & Steps of Being Social: An O verview for School Teams Presented by Marci Laurel, MA, CCC-SLP Speech Language Pathologist The Autism Programs, Center for Development and Disability Kathleen “Mo” Taylor, OTR/L Occupational Therapist, Clinical Specialist The Autism Programs, Center for Development and Disability

Transcript of Social Engagement & Steps of Being Social: An Overview for ...€¦ · 5/29/2018 4 4 Participants...

Page 1: Social Engagement & Steps of Being Social: An Overview for ...€¦ · 5/29/2018 4 4 Participants will: Define the four components of social engagement. Name three of the four Skill

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Social Engagement & Steps of Being Social:An Overview for School Teams

Presented by

Marci Laurel, MA, CCC-SLP

Speech Language Pathologist

The Autism Programs, Center for Development and Disability

Kathleen “Mo” Taylor, OTR/L

Occupational Therapist, Clinical Specialist

The Autism Programs, Center for Development and Disability

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Disclosure

• Marci Laurel and Kathleen Taylor are employees of the University of New Mexico where some of this content has been developed.

• Presenters have published Social Engagement & the Steps to Being Social with Future Horizons.

• Marci Laurel is the author Our Hearts’ Desire: For Parents Navigating the Journey of Sensory Processing Challenges which is used as a reference for the model presented today.

• Kathleen Taylor is the owner of a private therapy business "Theraplay" where this content has been developed and disseminated.

• Presenters have no relevant nonfinancial relationships to disclose.

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Who are you?

Who are we?

Introductions

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Participants will:

Define the four components of social

engagement.

Name three of the four Skill Sets of the Steps

to Being Social.

Link two evidence based practices for

teaching specific social skills.

Be familiar with the sub-skills of the model.

Training Objectives

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Why is it so, so

important?

Social

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“Having good social skills simply means

people share their space with others

effectively.”

-- Winner, 2005

Social skills are not just for social situations

or for making friends…these skills are

needed to function every day in all settings.

Social Skills Count

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We do it intuitively

Now we have to teach it

cognitively

Where Did you Learn Social Skills?

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Teach Me How

• Social skills need to be taught directly and explicitly in a variety of settings.

• Learners with ASD will not learn social skills just by being around people who have better social skills than they do.

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Some Basics of the Model

• Everyone needs to be self-regulated in order to “be social.”

• Engagement is the foundation of “being social.”

• Skills have to be broken down into small and specific “steps.”

• Social needs change as social demands change.

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All Communication is Social!

• Children may learn to talk or use alternative methods of communication, but these have little value if social interaction skills are not developed to provide opportunities to use those skills for meaningful communication with another person.(Frea, 2015)

• Difficulties using social communication are often related to problem behaviors identified in children with ASD.

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The Four Components of Engagement

Taylor & Laurel, 2016

Self-Regulation

Shared Space

Shared Pleasure

Shared Focus

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ENGAGEMENT

Taylor & Laurel, 2016

Self-Regulation: being in an emotional and physical

state to learn and respond positively within an interaction

Calm + Alert = READY

Self-Regulation

Shared Space

Shared Pleasure

Shared Focus

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What Type of Sensory Input Helps This

Person Stay Regulated?

Tactile (touch) input

Auditory (sound) input

Visual (sight) input

Vestibular (movement) input

Olfactory/gustatory (smell/taste) input

Proprioceptive (position) input

ONLY when self-regulated

can one begin to share space to pursue a positive social interaction

What sensory input helps you stay

regulated for a social interaction?

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ENGAGEMENT

Taylor & Laurel, 2016

Shared Space: being in proximity

Self-Regulation

Shared Space

Shared Pleasure

Shared Focus

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What Space Will Support this Person?

In what settings are they calm and alert?

What proximity to others do they prefer?

How is the space visually defined?

How will you limit or organize materials?

Why would you want control of the materials

during the social interaction?

Within a shared space, we can begin to be attentive together

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ENGAGEMENT

Taylor & Laurel, 2016

Shared Focus: Both people paying attention to the

same thing

Self-Regulation

Shared Space

Shared Pleasure

Shared Focus

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How Could You Support this Person to Share Focus?

What is the person interested in?

How do they bring your attention to it?

How do you bring their attention to something else?

How long can you share focus?

What items have you noticed that

your learners enjoy?

Now that we are on the same topic, we can begin having fun together

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ENGAGEMENT

Taylor & Laurel, 2016

Shared Pleasure: Enjoying the same moment together

Self-Regulation

Shared Space

Shared Pleasure

Shared Focus

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How Can You Identify Pleasure In This Person?

Identify what nonverbal cues are associated with “fun?”

Who can help you identify individual cues?

Where and when can you observe?

What does pleasure look like for your learners?

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Taylor & Laurel, 2016

Self-Regulation

Shared Space

Shared Pleasure

Shared Focus

It is the synergy of shared space, shared focus and shared pleasure

in the context of a calm and alert state,

that defines the very special moments of engagement.

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Video on engagement in school home or community

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Strategiesfor Engagement

• Shrink in the space

• Limit the materials

• Use motivating items or topics

• Identify the moments of engagement

• Try to increase the duration and frequency of the “engaged moments”

• Teach others the importance of “engagement”

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Assessment

• Assessment is important in order to:• Know where an individual is on the steps and how

to support his or her progress

• Point out gaps in critical skills

• Identify links to evidence-based practices to help teach those skills

• Assist with creating groups

• Create meaningful and measurable behavioral objectives

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Assessment

• Who are the communication partners?• Skilled Partners (SP)

• Trained Peers (TP)

• Peers

• Where are you assessing social skills?• Therapy room

• Classroom

• Other school environments…

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Sub-steps

• Social Steps are broken down into smaller skills (sub-steps)that are:

Critical to social development

Measureable

Meaningful

• Engagement is recorded as a simple yes/no dichotomy – yes they did or no they did not

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Self-Regulation

Shared Space

Shared Pleasure

Shared Focus

Self-Regulation 1 of 2 Appears to be in control of body and emotions: Stays in designated space without aggression,

yelling, or overt signs of distressShare Space

Close enough (five feet or less) to share focus and pleasureShared Focus Briefly pays attention to the same thing with a skilled partnerShared Pleasure

Appears to experience pleasure with a skilled partner (e.g. smiles, glances, looks, laughs)

Taylor & Laurel, 2016

Sample Sub-Skills: FOUNDATION

Yes (Y) or No (N)

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Evidence-Based Practices: FOUNDATION

Task Analysis

Parent Implemented Intervention

Reinforcement

Visual Supports

Prompting

FOUNDATION

Self-Regulation

Shared Space

Shared Pleasure

Shared Focus

Taylor & Laurel, 2016

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Engagement is the Foundation

to all the “Steps” of

Being Social

Self-Regulation

Shared Space

Shared Pleasure

Shared Focus

Taylor & Laurel, 2016

Self-Regulation

Shared Space

Shared Pleasure

Shared Focus

Skill Set: FOUNDATION

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Shared Space

Shared Pleasure

Shared FocusSelf-Regulation

The Steps of “Being Social”

Proximity

Parallel

Joint

Attention

Reciprocal

Exchange

Give

And

Take

Perspective

Taking

Reading

the

Social

Scene

Group

Cooperation

Friendship

Growing

Connections

Taylor, Laurel 2016

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The Steps of “Being Social”

Taylor, Laurel 2016

Shared Space

Shared Pleasure

Shared FocusSelf-Regulation

Proximity

ParallelJoint

Attention

Reciprocal

Exchange

Give

And

Take

Perspective

Taking

Reading

the

Social

Scene

Group

Cooperation

Friendship

Growing

Connections“Oh, you are doing

this too”

“Oh you

are

here”

“We are looking

at this”“Me then

you”

“I got it and coming back

at you”

“Hey there’s a lot going

on here”

“That is NOT what I was

thinking”

“Ok, a little of my idea and a little

of yours”

“I am interested in you, what can we

do together?”

“We are in it for

the long haul”

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Shared Space

Shared Pleasure

Shared FocusSelf-Regulation

Skill Set: LOWER 4

Proximity

Parallel

Joint

Attention

Reciprocal

Exchange

Taylor & Laurel, 2016

Lower 4

Learning to be together with a

social partner and beginning

to participate in back and

forth interaction

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Shared Space

Shared Pleasure

Shared FocusSelf-Regulation

Evidence-Based Practices: LOWER 4

Proximity

Parallel

Joint

Attention

Reciprocal

Exchange

Taylor & Laurel, 2016

Task Analysis, Parent Implemented Intervention, Reinforcement,

Visual Supports (boundaries), Prompting

Visual Supports (schedules/cues)

Discrete Trial Teaching

Naturalistic Interventions Joint Attention Training

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Shared Space

Shared Pleasure

Shared FocusSelf-Regulation

Reciprocal

Exchange

Give

And

Take

Perspective

Taking

Reading

the

Social

Scene

Taylor & Laurel, 2016

Middle 4

Learning to use directed

back and forth

communication and

understand that others

have different ideas,

and that social activity

is happening

everywhere

Skill Set: MIDDLE 4

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Shared Space

Shared Pleasure

Shared FocusSelf-Regulation

Reciprocal

Exchange

Give

And

Take

Perspective

Taking

Reading

the

Social

Scene

Taylor & Laurel, 2016

Task Analysis, Parent Implemented

Intervention, Reinforcement, Visual

Supports, Prompting, Discrete Trial

Teaching, Naturalistic Interventions,

Joint Attention Training

Social Skills Training Social Narratives Video Modeling Peer Mediated

Interventions

Evidence-Based Practices: MIDDLE 4

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Shared Space

Shared Pleasure

Shared FocusSelf-Regulation

Reading

the

Social

Scene

Group

Cooperation

Friendship

Growing

Connections

Taylor & Laurel, 2016

Upper 4

Learning to interact successfully as part of

a group, create friendship, and move

toward lasting meaningful relationships

Skill Set: UPPER 4

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Shared Space

Shared Pleasure

Shared FocusSelf-Regulation

Reading

the

Social

Scene

Group

Cooperation

Friendship

Growing

Connections

Taylor & Laurel, 2016

Task Analysis, Parent Implemented Intervention,

Reinforcement, Prompting, Visual Supports, Discrete

Trial Teaching, Naturalistic Interventions, Joint Attention

Training, Social Skills Training, Social Narratives, Video

Modeling, Peer Mediated Interventions

Self-Management Generalizing evidence based strategies

Evidence-Based Practices: UPPER 4

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Shared Space

Shared Pleasure

Shared FocusSelf-Regulation

The Steps of “Being Social”

Proximity

Parallel

Joint

Attention

Reciprocal

Exchange

Give

And

Take

Perspective

Taking

Reading

the

Social

Scene

Group

Cooperation

Friendship

Growing

Connections

Taylor & Laurel, 2016

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Assessment

• Who are the communication partners?• Skilled Partners (SP)

• Trained Peers (TP)

• Peers

• Where are you assessing social skills?• Therapy room

• Classroom

• Other school environments…

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Sub-Skills

• Skill sets are broken down into smaller skills that are:

Critical to social development

Measureable

Meaningful

Taylor & Laurel, 2016

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Sub-Skills

• Lower, Middle and Upper 4 • Recorded on a 0 to 3 scale

0 = Not observed

1 = Being acquired

2 = Uses intermittently with support, limited environments

3 = Uses across settings, people and environments

0 = Not yet

1 = Beginning

2 = Practicing

3 = Got it

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Sample Sub-Skills: LOWER 4

Taylor & Laurel, 2016

Proximity 1 of 1

Shares the same space (no more than 5 ft) without aggression or excess physical contact or vocalizations for at least 5 minutes

Parallel 1 of 4

Attends ( e.g., looks at action or person) briefly to what the SP is doingJoint Attention 1 of 4

Alternates visual attention between object of interest and the SPReciprocal Exchange 1 of 7

Imitates a sound or action

Proximity

Parallel

Joint

Attention

Reciprocal

Exchange

0 = Not yet

1 = Beginning

2 = Practicing

3 = Got it

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Reciprocal

Exchange

Give

And

Take

Perspective

Taking

Reading

the

Social

Scene

Taylor & Laurel, 2016

Reciprocal Exchange 1 of 7

Engages in back and forth interaction for more than one exchangeGive and take of conversation 1 of 4

Intentionally directs a message ( non verbal or verbal)Perspective Taking 1 of 4

Identifies ways to figure out what others are thinking by reading nonverbal cues Reading the Social Scene 1 of 5

Labels the social interactions within a given environment

Sample Sub-Skills: MIDDLE 4

0 = Not yet

1 = Beginning

2 = Practicing

3 = Got it

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Reading

the

Social

Scene

Group

Cooperation

Friendship

Growing

Connections

Taylor & Laurel, 2016

Reading the Social Scene 1 of 5

Adjust social communication based on social situation and partnersGroup Cooperation 1 of 8

Agrees on a topic or activity (e.g. suggests, negotiates)Friendship 1 of 6

Finds out what he/she has in common with another personGrowing Connections 1 of 7

State differences in the type of friendship (e.g. best friend, girlfriend)

Sample Sub-Skills: UPPER 4

0 = Not yet

1 = Beginning

2 = Practicing

3 = Got it

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In Closing…

“Love is just a word until someone comes along and

gives it meaning.”

Anonymous