Development of skills for interaction and communication in children with autism

Transcription

1 Training course Development of skills for interaction and communication in children with autism Anna Manoleva

2 Training program... Presentation Work in small groups Groups discussions General discussion A handbook for parents - a manual for specialists

3 Children with autism

4 Theoretical concept - Basic features of the interactions Interaction Communication Comprehension Speech

5 General scheme of speech and language therapy for autistic children Elements of interaction: Children with autism: Adults can: Reasons Ways Develop their Opportunities Escape situations opportunities

6 Work in small groups 10 working groups 4 working cases Alexander Emi Daria Tedi

7 Element 1 Elements of interaction: Reasons Ways Children with Adults 2 autism: main groups of : can: Self-oriented Socially-oriented Develop their Opportunities Escape situations opportunities

8 Self-oriented Behavioral regulation Socially-oriented Desire for interaction Refuse to receive something Refuse to do something Protest/reject the actions of others Express basic needs (water, food, toilet, sleep) Request a desired object Request a desired action Request the other to do something Attract other s attention Initiate interaction with others Request assistance Greet /Hi, Bye/ Show something interesting to others Joint attention Share something interesting with others Comment the actions with others Give information to others Request information from others

9 Task 1 30 min Elements of interaction: Reasons Ways Opportunities Children with autism: Read the cases Fill in the form Escape situations Adults can: Find all for interaction Develop their Why does the child interact? opportunities

10 Element 2 Elements of interaction: Reasons Ways Opportunities Children with Adults 5 main of communication: autism: can: interaction Basic forms Escape situations Why does the child Non-verbal forms Verbal forms interact? interaction Alternative forms Comprehension Why does t Develop their opportunities

11 Basic forms Reaction to other s interaction Eye contact Looking at the others Joint attention Looking at the same object Joint attention Looking at the same place Attract other s attention Give and take the same object Turn-taking in the same game Non-verbal forms Crying Screaming, tantrums Pushing with hand Verbal forms Pronounce single sounds once Pronounce single sounds for long Pronounce syllables Pulling with hand Combine syllables in words Alternative forms Exchange of pictures or photos Use gestures Use written words or phrases Technological devices Comprehension Orientation from the context of the situation Orientation with the visual support Understanding single words Understanding one word instructions Head shaking Use single words Understanding simple sentences Using a person s Use short phrases Understanding hand for complex sentences instrument Taking others to the place Use simple sentences Imitate other s actions Pointing Use complex sentences Echolalia Understanding the situation here and now Understanding past tense Understanding future tense Understanding

12 Task 2 30 min Elements of interaction: Reasons Ways Opportunities Children with autism: Read the cases interaction Fill in the form Escape situations Adults can: Why does the child Find all of communication interact? interaction Why does t Develop their How does the child communicate? opportunities

13 Element 1+2 Elements of interaction: Children with autism: interaction Adults can: Reasons Ways How does the child Why does the child express his/her interact? interaction Develop their needs and wishes? Opportunities Why does t Escape situations opportunities

14 Child s needs and wishes Ways of communication Refuse to receive something Refuse to do something Protest/reject the actions of others Express basic needs Request a desired object Request a desired action Request the other to do something Attract other s attention Request assistance Greet /Hi, Bye/ Show something interesting to others Share something interesting with others Comment the actions with others Give information to others Request information from others Without any reaction Eye contact Joint attention Crying Tantrum Facial expressions Gestures Vocalizations Syllables Words Phrases Sentences Written words Alternative devices Technological devices

15 Task 3 30 min Elements of interaction: Reasons Ways Opportunities Children with Adults autism: can: Read the cases interaction Fill in the form Escape situations Why does the child Find the child s way to express his/her interact? interaction needs and wishes Why does t Develop their opportunities

16 Element 3 Elements of interaction: Children with autism: interaction Adults can: Reasons Ways Different strategies Why does the child to provoke interact? interaction Develop their the child to communicate Opportunities Why does t Escape situations opportunities

17 Opportunities to provoke the interaction Make the child s access to favourite things difficult Offer the child complex and difficult to use toys Give the child desired things in portions Disprove the child s expectations Decrease our attention to the child Some ideas: Keep favourite things visible for the child but on higher shelves Put favourite things visible for the child but in a locked cupboard Give the child toys, which he will need assistance to use Give the child combined toys or sets of toys Instead of a whole pack of biscuits, we give the child biscuits one by one Instead of a whole cup of juice, we pour less quantity React in a different way from the usual one React in a different way from what the child expected Give or do something wrong Wait before do something Hide ourselves so that the child can look for us Give the child a reward Material reward /food, a toy/ Verbal reward /Congratulations/ Action reward /a game, an activity/ Offer the child to make choices among alternatives Give one desired and one undesired thing Give two desired things so that the child can choose one

18 Task 4 30 min Elements of interaction: Reasons Ways Opportunities Children with Read the cases autism: Fill in the form Escape situations Adults can: Why does the child Suggest strategies to provoke child s interact? interaction communication Why does t for therapy sessions for home activities Develop their opportunities

19 Child s needs and wishes Refuse to receive or do something Express basic needs Request a desired object or action Attract other s attention Request assistance Greet Show something interesting to others Share something interesting with others Comment the actions with others Give information to others Request information from others Therapy sessions Home activities

20 Purpose of our work: Adults can: Give the child for interaction Satisfaction to basic needs Interaction with others Develop the child s of interaction Give the child opportunities Crying and tantrums Passive service Speaking Alternative communication Choice and initiative

21 Connection between interaction and language Elements of interaction: Reasons Ways Opportunities Children with autism: Have unsocial Have unsocial Escape situations Elements of language: Use of language Form of language Content of language Comprehension of language

22 Language development in autistic children Elements of interaction: Quality Reasons Functional skills Quantity Ways New skills More skills Opportunities Children with autism: Have unsocial Have unsocial Escape situations Elements of language: Use of language Form of language Content of language Comprehension of language

23 Language development in autistic children Elements of interaction: Children with autism: Elements of language: Reasons Verbal children Ways Opportunities Have unsocial Have unsocial Non-verbal children Escape situations Use of language Form of language Content of language Comprehension of language

24 Quantitative development in verbal children Single sounds Syllables Words Phrases Simple sentences Mum, I want to drink water. Give me water. Water Wo Complex sentences

25 Qualitative development in verbal children First words Functional words Important words Social words Words for objects (nouns) Words for actions (verbs) Words for descriptions (adjectives, adverbs)

26 Quantitative development in non-verbal children Natural gestures Sign language Photos of real objects Pictures Symbols Schemes Written words Technologies

27 Qualitative development in non-verbal children First words Functional words Important words Social words Words for objects (nouns) Words for actions (verbs)

28 Special features of language development in autistic children QUALITY QUANTITY Reasons for communication Functional words / symbols The most familiar to the child the child uses every day daily living activities The easiest words / symbols easy syllables structure easy to pronounce sounds concrete, not abstract

29 Task 5 20 min Fill in the form Think of different functional words and functional symbols

30 Child s needs and wishes Refuse to receive or do something Express basic needs Request a desired object or action Attract other s attention Request assistance Greet Show something interesting to others Share something interesting with others Comment the actions with others Give information to others Request information from others Functional words Functional symbols

31 Task 6 30 min Elements of interaction: Reasons Ways Opportunities Children with autism: Read the cases interaction Fill in the form Escape situations Adults can: Why does the child Make a plan for speech and language therapy interact? interaction Why does t Develop their for verbal and non-verbal children opportunities

32 Reasons for communication Actual skills Functional skills Refuse to receive or do something Express basic needs Да проверят кои са думите или поведенията сега на детето от засечката How does the child със стрелките и да заложат фунционални express his/her of и нови думи за да развият даденото умение needs and wishes Request a desired object or action Attract other s attention Request assistance Greet Show something interesting to others Share something interesting with others Comment the actions with others Give information to others Request information from others now? NEW skills How can his/her communication become more functional? MORE skills

33 Closure Final discussion Sharing of experiences from the training