Creating a Highly Effective "Behavior-Plan" for Children on the Autism Spectrum

"What are some of the parenting techniques that work best with children on the autism spectrum? As grandparents, we will soon be full-time parents to our 6 yo granddaughter (high functioning)."

Inappropriate behavior is common among many children with High Functioning Autism (HFA), especially when comorbid conditions exist as well (e.g., ADHD, OCD, anxiety). Knowing how to create and utilize behavior plans improves the home environment on multiple levels. 
 
The behavior plan is a great management tool for children engaging in unwanted behavior. It serves to teach and reinforce positive behaviors in the “special needs” child – and is a helpful way of documenting the success of the plan.

==> Teaching Social Skills and Emotion Management

Common behavioral techniques for parents of kids on the spectrum include:
  • Contingency Management: A child receives a positive outcome or reward if certain conditions are met.
  • Modeling: The special needs child observes siblings receiving rewards for appropriate behavior.
  • Planned Ignoring: The parent ignores the problem behavior to reduce negative attention-seeking behaviors.
  • Proximity Control: This technique involves placing the child closer to the parent (e.g., at the dinner table), or when the parent comes closer to a child who is at risk of engaging in unwanted behavior.
  • Signal Interference: This involves having a planned signal with the child as a reminder to redirect inappropriate behavior.
  • Social Reinforcement: This is the effective use of parent-attention and praise to promote appropriate behavior (i.e., catch the child in the act of doing things right).
  • Token Reinforcement: The child receives a “token” when a clearly defined target behavior is performed. Tokens can be exchanged for a wide variety of reinforcers (e.g., special privileges). It is easily administered with checkmarks or stickers. Tokens should be given immediately after target behavior is performed.





Creating effective behavior plans for kids on the spectrum:
  1. Describe the targeted misbehavior (be specific)
  2. Obtain a baseline measure of misbehavior (i.e., frequency or duration of misbehavior)
  3. Determine what causes the behavior
  4. Determine what is reinforcing to a child
  5. Consider additional supports that might be needed
  6. Define roles of those involved in the intervention
  7. Document everything
  8. Use positive recognition and incentives
  9. Clear and consistent house-rules and consequences are important and can improve situations and prevent many problems

Motivating the special needs child:

Successful behavior plans require the child to become motivated. A parent must first determine what motivates the child by interviewing him or her. Create a menu of potential reinforcers that you are willing to give, and allow the child to choose from the menu.

All parents want their children to be intrinsically motivated (i.e., reinforcement directly from performing a task). Unfortunately, some special needs children are not intrinsically motivated for a variety of reasons. Extrinsic motivators (i.e., reinforcement from outside the performance of a task) are often used to motivate a child to engage in a more appropriate behavior.

Some parents believe that children should not be rewarded for something they should be doing already. But, extrinsic motivators should be temporary. The goal is to motivate the child extrinsically until he or she begins to feel success, and then use intrinsic motivation when the behavior is changed. Extrinsic motivators should be phased out over time to best allow intrinsic reinforcement to provide the motivation.

==> Teaching Social Skills and Emotion Management

An example of extrinsic-intrinsic motivation used properly:

A behavior plan is created for a special needs child who usually completes her school assignments – but consistently fails to turn them in to the teacher for credit. The child is initially rewarded with extra computer time each day she turns in her assignments (as reported by the teacher). After a few weeks of success, she receives a weekly reward for weeks that all assignments are handed in. 
 
She turned in assignments for the reward initially, but grades came up. Mom and dad were excited and stopped complaining, they gave praise, and as a result the child began to feel proud of herself. She became intrinsically motivated and no longer needed an extrinsic motivator to be successful with turning in assignments.

Evaluating the behavior plan:

After creating a behavior plan, it is important to evaluate the outcomes. With good baseline data, it will be fairly easy to measure the behavior again and compare. If the plan is working like it should, gradually encourage more independence from your child. If it is not working like expected, determine what is at fault, and revise and monitor closely. Behavior plans that are implemented inconsistently usually fail.





Resources for parents of children and teens on the autism spectrum:
 

==> Videos for Parents of Children and Teens with ASD
 
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 COMMENTS:

•    Anonymous said... Having the same struggle at home and at school with 11 yr old son. Might have to try some if the suggestions
•    Anonymous said... I also homeschool and use gametime as incentive and reward for full day of school or whatever is required.
•    Anonymous said... I feel for you Tonya as we've had similar situations in our home with our 9 1/2 year old daughter. I've learned that work first before any video games or Ipod is the best result for us. We use that as a reward system instead of an entitlement and so far so good! Good luck!
•    Anonymous said... My son is 13 and he just acts like theres no one else that matters but him. He makes up reasons why he cant help us do anything..and just sits in his room playing his video games. If we do ask him to do something anything, he freaks out and yells at us. My husband is his step dad and thinks i should just spank him but i no that isnt going to work. Help how do i handle this.

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Activity-Shifting- Part II: Helping Kids on the Autism Spectrum to Move Successfully from One Task to Another

Transition strategies are used to support children with HFA during changes in tasks, settings, and routines. These techniques are used before, during, and after the activity-shift occurs. The strategies increase predictability for the child, thus reducing meltdowns and tantrums.

Here are some examples:

Finished Box—

This visual activity-shifting strategy can be used before and during a transition. This is a designated location where children with High-Functioning Autism (HFA) place items that they are finished with when it is time to shift to a new activity. When it is time to transition, it is often helpful for these young people to have an assigned location to put materials prior to moving on to the next task. The box may be located in the child’s work area or in any center of the classroom or room in the home, and can be labeled with the word or a visual cue to indicate its purpose.

Often, children with HFA may prefer to complete a task before moving on, and this may not be possible due to time constraints. In these cases, establishing a location where the child knows he or she can find the materials to finish up at a later time or date may be helpful.

Objects, Photos, and Icons—

Using a visual cue during activity-shifting can decrease challenging behavior and increase following “transition demands.” For example, photo cues can be used during transitions from one classroom activity to another, from one room within the school to another, etc.

“First/Then” Sequence—

A First/Then sequence of information may be useful, because the children can see what activity they are completing currently and what activity will occur next. This may help a child transition to a location that is not preferred if he or she is able to see that a preferred activity is coming next. The “First/Then” sequence should be portable and move with the child as he or she shifts to the next task.

Activity-Shifting Cards— 

Some children with HFA may find that longer sequences of visual information are more effective in alleviating activity-shifting difficulties. These children often benefit from the use of a visual schedule that is located in a central area in the home or classroom. In this technique, they have to travel to the schedule to get the object, photo, or icon that describes the next activity or location.

Using the visual cue regularly helps these young people predict the shifting routine. The visual cue will likely be more meaningful to the child than repeated verbal cues. Examples of activity-shifting cues can include visuals that read “Check Schedule” and match to a corresponding pocket above daily schedules, and a picture of Snoopy that serves as a transition cue.

Visual Countdown— 

Another visual strategy to use prior to activity-shifting is a countdown system. Like the visual timer, a visual countdown allows a child to “see” how much time is remaining in an activity. There is no specific time increment used. This tool is beneficial if the timing of the activity-shifting needs to be flexible.

It’s often helpful for children with HFA to “see” how much time remains on a task before they will be expected to shift to a new location or event. Concepts related to time are fairly abstract to kids on the spectrum (e.g., “You have a few minutes”), often can’t be interpreted literally (e.g., “We need to go in a minute”), and may be confusing for these “special needs” kids, especially if time-telling is not a mastered skill.

Visual Schedules— 

The consistent use of visual schedules with children with HFA can assist in successful activity-shifting. Visual schedules can allow them to view an upcoming activity, have a better understanding of the sequence of tasks that will occur, and increase overall predictability. Visual schedules used in classrooms and home settings can assist in decreasing transition time and challenging behaviors during the shift – and increase child-independence during the transition.


eBooks for Parents of Kids on the Autism Spectrum

Resources for parents of children and teens with High-Functioning Autism and Asperger's:

==> How To Prevent Meltdowns and Tantrums In Children With High-Functioning Autism and Asperger's

 ==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism

 ==> Launching Adult Children with Asperger's and High-Functioning Autism: Guide for Parents Who Want to Promote Self-Reliance

 ==> Teaching Social Skills and Emotion Management to Children and Teens with Asperger's and High-Functioning Autism

 ==> Parenting Children and Teens with High-Functioning Autism: Comprehensive Handbook

==> Unraveling The Mystery Behind Asperger's and High-Functioning Autism: Audio Book

==> Parenting System that Reduces Problematic Behavior in Children with Asperger's and High-Functioning Autism