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Social Scripts: Social Skills Development for Children Who Are Socially Different

"How can I teach my daughter (high functioning) to relate better to her classmates and not be so offensive. She's having difficulty gaining acceptance from her peers."

“Socially different” describes children who may not use appropriate eye contact, may not know how to open or close a conversation, may be isolated from their classmates for a variety of reasons, may have trouble with self-control, don’t seem to fit in with others in the classroom (which is easily identifiable by the other classmates), or are unable to maintain social acceptance. Such social skills deficits often characterize children on the autism spectrum. An important method for overcoming these deficits involves the use of Social Scripts.

Social Scripts are a social narrative that provides direct instruction of social situations for young people with Asperger’s (AS) and High-Functioning Autism (HFA). The scripts are written by the youngster’s parent or teacher (sometimes with the help of the youngster), providing a visual cue and desired social responses. The content of the script should match the youngster’s needs and take his or her perspective into consideration.



Social Scripts can reduce the stress associated with social interactions and assist the AS or HFA youngster with understanding the perspective of others. Slang or child-specific terms in the script can help the conversational exchange appear more natural. Scripts can be used to help a youngster deal with uncertainty, introduce change in routine, teach various routines, or address a wide variety of impeding behaviors (e.g., aggression, fear, obsessions, etc.). Other examples of ideas for scripts include:
  • Being assertive without being pushy
  • Compromising and negotiating
  • Conversation starters
  • Dealing with failure or being left out
  • Dealing with peer pressure
  • Disagreeing with others
  • Giving and responding to criticism
  • Learning to participate appropriately in groups
  • Respecting someone’s personal space
  • Responses and ideas to connect conversations or change the topic
  • Settling conflicts
  • Taking charge of one’s feelings
  • Thinking about one’s behavior before, during, and after speaking
  • Using appropriate eye contact, voice, tone, expression, and posture

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

Here is an example of a Social Script written for Michael, a sixth-grader with Asperger’s, for purchasing a fountain Coke at the corner gas station (which he was allowed to do several times a week):

When I go to the gas station for some pop, I will stand in line at the pop machine until the people in front of me are done getting their drinks. Then I will get my drink and go to the cashier. The cashier will say something like, “Hi, is that all for today?” I will say, “Yes.” If she asks me if I want anything else, I will say “No.” I will then hand her $2.00 and will be given some change. Then I will say, “Thank you.” 




Daily observations and reports from others who interact with the AS or HFA child can help determine the skills that need to be practiced. Basic social skills are a good place to start. For example, respecting personal space, greeting someone, making eye contact, using active listening, and starting/ending a conversation should be part of every scripting lesson.

Skills should be applicable to the child’s needs, daily experiences, and interests in order to help maintain his motivation. Blending humor into the scripts or using silly names for the characters can help maintain motivation as well. In addition, scripts need to match the child’s life experiences at home, at school, and in his community.

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

Social Scripts can be used in groups as well (e.g., special education class). Once the “special needs” children are comfortable with practicing the scripts, short field trips can provide opportunities to practice and enhance newly learned skills. Peer-assistance is often helpful to the social skills class or target group.

Due to the fact that socially challenged kids tend to associate with other socially challenged kids, peer-assistance is highly beneficial because the assistant can model social situations appropriately and help children with social skills deficits acquaint themselves with people outside their usual circle of peers/friends.

Social Scripts may not be appropriate in all situations, because there is a risk of making the AS or HFA child sound too “rehearsed” or “scripted” in her response. Since children on the autism spectrum struggle with generalization of skills, they may try to use one particular script at the wrong time. For example, Michael learned how to purchase his fountain Coke at the gas station through scripted communication. However, when he ordered a Coke at a fast food restaurant, he became agitated when asked additional questions about the order, such as “Do you want a meal with that?” and “Do you want a regular Coke – or diet?”

When parents and teachers utilize Social Scripts, these prompts should be systematically faded out fairly quickly. Otherwise, the AS or HFA child may continue to spontaneously communicate with friends and classmates using scripted phrases. Visual prompts (click on the picture at the top of this article for an example) have the potential to be more effective than verbal prompts given by a parent or teacher because they are much easier to fade out.

Using Social Scripts as a prompting procedure to teach kids on the spectrum to engage in more complex play, initiate and maintain conversations with others, and participate in a variety of community activities can be effective in the short and long term. The key to using scripts is to fade them out so the child does not become dependent on the prompt.


The Power Card Strategy: Behavior Management and Social Skills Development for Children on the Autism Spectrum

"Have you heard of the power card method that is supposed to help children on the spectrum with social skills and behavior problems? Is it effective? How does it work?"

The Power Card Strategy is an effective way to teach behavior management and social skills to young children with Asperger's (AS) and High-Functioning Autism (HFA).

It is effective because it takes into account the unique characteristics of these "special needs" youth. Kids on the autism spectrum tend to have highly developed special interests, so this strategy capitalizes on those interests as a motivational force toward positive behavioral changes.

The Power Card Strategy involves visual aids that incorporates the youngster's special interest to teach appropriate social skills, including behavioral expectations, routines, the meaning of language, and the “hidden curriculum” (refers to the set of routines, social rules, tasks, or actions that kids readily understand and use; often considered to be a matter of common sense, the hidden curriculum is almost never directly taught, yet it is a salient part of everyday life).

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

In addition, the strategy can be used to aide in generalization, to clarify choices, to teach another’s perspective, and to teach cause-and-effect between a specific behavior and its consequence.

The strategy consists of two basic parts:
  1. a brief scenario or character sketch describing how a hero solves a problem, and
  2. the "power card" which recaps how the youngster can use the same strategy to solve a similar problem.



In part one, a brief script of the special interest and the situation being addressed for the AS or HFA child is created. The script is written at the child’s comprehension level and includes relevant pictures or graphics. Initially, the script is read on a scheduled basis as the child learns to use the power card. In part two, the actual power card is created.

It is the size of a trading card and includes a small picture of the special interest and the solution to the problem situation broken into three to five steps. The card is created from the script and is carried by the child.

Below is an example of the use of the Power Card Strategy written for Michael, a 5-year-old boy with Asperger's who tends to act-out aggressively when he loses a game. This behavior was demonstrated in a variety of situations both at home and school. The following scenario was created featuring Teen Titans Go (Michael’s special interest) with the three steps to success on the reverse side of the picture:

The Teen Titans love to play games. Sometimes they win, sometimes they don’t. When they win, it makes them feel very happy. They smile, give each other a high five, and say "Hooray!" But, sometimes they lose games. When they lose, they may not feel very happy. But, they take a deep breath and say "good job" to their friends. The Teen Titans want everyone to have fun while playing games, whether they win or lose. The most important thing is to have fun. They want you to remember these three things when playing games the Teen Titan way:
  1. Games should be fun for all kids.
  2. If you win a game, you can smile, give a high five, or say, "Hooray!"
  3. If you lose a game, you can take a deep breath and say "good job" to your friends.

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

Below is another example of the Power Card Strategy borrowed from Elisa Gagnon of the Autism Society. It was written for a fourth-grade girl with Asperger’s who was struggling to pay attention in class. The power card in this scenario utilized a small picture of Hannah Montana with the three steps to success on the reverse side of the picture:

Hannah Montana loves being in concert and also loves being on the set of her TV show. She still, however, has to go to school. Sometimes it is hard for her to pay attention to her teachers when she is in class. As Miley Cyrus she is sometimes tempted to daydream about her other life as Hannah Montana. She has learned, however, that listening to her teachers and doing her school work is as important as singing, dancing and acting. She has learned that she needs to pay attention in class and do her work, so that she has time to do what she loves to do. Just like Hannah Montana, it is important to pay attention in class. This would make Hannah Montana proud. Hannah would like all girls who love her to remember these three things.
  1. Listen to your teacher when she is talking. Be ready to answer any questions that she might ask.
  2. Do your school assignments and stay on task until the assignment is completed.
  3. Always ask for help when needed.



In summary, when parents or teachers utilize the Power Card Strategy, they will need to (a) identify the unique or special interest of the AS or HFA child, (b) write a scenario describing how a hero solves the problem in question, and (c) create a power card to generalize the expected skill.

The strategy is a strength-based intervention to promote social skills by capitalizing on the child’s special interests. Although preliminary studies have shown that the strategy is a promising approach to teaching social skills, additional research is needed. 

More 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

The Easily Discouraged Asperger’s Student: Tips for Parents and Teachers

There are two schools of thought when it comes to the education of the easily discouraged youngster. Some teachers believe the Least Restrictive Environment (LRE) is in the “mainstream” classroom, while others believe the LRE should be in an environment that gives the correct amount of structure for that individual person. 

No matter where the child is placed, the right techniques can help in the right kind of environment. Research has shown that AS and HFA students do best in an environment that is predictable, stable, and structured. These kids need help in frustration-management and self-control through coaching, modeling, and teaching.

Click here for the full article...




Multisystemic Therapy for "At-Risk" Youth on the Autism Spectrum

"What therapy (or therapies) are recommended for struggling teenagers on the high functioning end of the autism spectrum?"

Not all teenagers enjoy the "happy-go-lucky" days of adolescence. Unfortunately, there are those who suffer from development disorders such as Asperger’s (AS) and High-Functioning Autism (HFA). When things start to go wrong (e.g., behavioral problems, meltdowns, poor academic performance, etc.), parents often despair of not being able to effectively help their child.



Arguments are waged as to the management of “special needs” teens who act-out aggressively at home or school, commit crimes, or even attempt suicide. Sadly, our society has impoverished resources to address such issues, and while some hospitals are available, all too often the answer is jail. However, research has demonstrated that “troubled” young people on the autism spectrum do not need to be hospitalized or incarcerated to get the help they need. A home-based model of therapy called Multisystemic Therapy (MST) offers treatment services to these teenagers, as well as their parents and siblings.

AS and HFA teens with serious emotional and/or behavioral problems (e.g., substance abuse, severe depression, suicidal thoughts, delinquency, severe anxiety, antisocial behaviors, etc.) have been successfully treated through Multisystemic Therapy. This therapy shows a more hopeful and positive approach and focuses on how to help moms and dads assist their “special needs” teens and how to teach these teens to cope effectively with their schools and communities. In addition, this therapy has been found to be an effective alternative to hospitalization and incarceration.

There is heated debate in our society about the proper roles of psychotherapies and medications for teens “at risk,” as well as teens already suffering. But, what we know for sure is that AS and HFA teens who go untreated: (a) often suffer in silence, (b) can’t learn, (c) tend to act-out their emotions rather than articulate them, (d) have great difficulty forming healthy relationships with friends and family, and (e) tend to isolate themselves from constructive social contacts. Some of these “special needs” teens are placed on a trajectory for jail rather than college at a very early age.

==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism
 
Multisystemic Therapy is a mental health service that focuses on changing how these young people function in their natural settings (i.e., at home, school, in the neighborhood, etc.). It is designed to promote positive social behavior while decreasing problematic behavior (e.g., substance abuse, delinquency, violence, etc.). Therapy involves the following:
  • The family sets treatment goals, and the therapist suggests strategies to accomplish them. Specific treatments are used within therapy.
  • The interventions are individualized to the family's strengths and weaknesses and address the needs of the AS or HFA youngster, family, peers, school, and neighborhood.
  • Treatment teams usually consist of crisis caseworkers, professional counselors, and psychiatrists or psychologists who provide clinical supervision. 
  • Therapists focus on strengthening the ability of moms and dads to raise “special needs” teens who have complex problems.
  • Therapists working in the home have small caseloads and are available 24-hours-a-day, 7-days-a-week.
  • Therapists identify strengths in the families and use these strengths to develop natural support systems and to improve parenting skills.
  • Therapy is a collaboration between the family and the therapist.



Multisystemic Therapy gets its name because it involves treatment that addresses each of the “systems” that factor into an adolescent’s health and well-being (e.g., his or her social circle, school environment and interactions with teachers, neighborhood environment, family, and home environment).

During therapy, therapists typically meet with the entire family in the home where they focus on such things as assessing and improving parenting skills, as well as the quality of the relationships the adolescent has outside the home (e.g., relationships with peers and the larger community). As a rule, therapists (a) are available to their clients at all times, (b) only work with a small number of families at any given time, and (c) place special emphasis on positive critiques during the therapeutic process. A typical course of therapy lasts for about four months. During this time, therapists typically meet with their families several times a week.

In clinical trials, Multisystemic Therapy has proven effective in reducing long-term rates of criminal offending in serious juvenile offenders – and in reducing their rates of out-of-home placements. Positive long-term effects of Multisystemic Therapy – even 4 years post-treatment – were found. Also, it was found that this therapy reduced long-term rates of re-arrest by 25% to 70% compared with control groups.

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


Multisystemic Therapy:
  • increases family cohesion and school attendance compared with hospitalization
  • is an effective alternative to psychiatric hospitalization with “special needs” teens in a psychiatric emergency
  • is successful in preventing a significant proportion of teens from being hospitalized
  • reduces symptoms of internalizing distress and depression
  • significantly decreases behavior problems

In addition, families who received Multisystemic Therapy were significantly more satisfied with their treatment than were families whose teenager was hospitalized.

There is an urgent need for clinically-effective, cost-effective methods to manage antisocial and criminal behavior in “special needs” teens. Oppositional Defiant Disorder, as well as Conduct Disorder, is increasingly prevalent in today’s society and is associated with a range of negative outcomes.

Quantitative reviews carried out for the National Institute for Health and Clinical Excellence have identified Multisystemic Therapy as one of the most promising interventions for (a) reducing antisocial or offending behavior and (b) improving individual and family functioning. If you have an AS or HFA teen who is acting-out in self-destructive ways, consult your family doctor for a referral to a mental health professional.

More 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

Pragmatic Language Impairment in Asperger’s and High-Functioning Autism

Pragmatic speech is language used to communicate and socialize (e.g., knowing what to say, how to say it, when to say it, and generally how to “act” around others during conversation). Many children with Asperger’s and High-Functioning Autism have difficulty using language in various social situations – even though they may have large vocabularies and are able to speak in full sentences that are clearly articulated. These “special needs” kids may say words clearly and use long, complex sentences with correct grammar, but still have a communication problem if they haven’t mastered the rules for social language known as pragmatics.

Click here for the full article...
 


ASD: Difficulty Identifying and Interpreting Emotional Signals in Others

Autism spectrum disorder (ASD) is a complex neurodevelopmental condition that affects an individual's ability to communicate, interact w...