Parent Training: Is your child's behavior getting worse?

How do you know whether you’re experiencing an ‘extinction burst’ or if your child’s behavior is just getting worse?

What is an Extinction Burst?

To understand what I mean by this, I’ll give an example. Let's say you ask your child to do something and they start hitting you. You've learned that not allowing escape is a great intervention so you ignore the child hitting you and repeat your request. At this point the child may start hitting more or harder (i.e. behavior just go worse).   

Why does this happen?

Because it used to work for them! This is called an extinction burst.

When you start to ignore the behavior all together they will up the ante and try to go back to the way it was before. Because that was easier for them than listening to you.

This doesn’t make your child a bad person in any way; in fact it makes them pretty smart! They’ve figured out how to get what they want in this world, and it’s wonderful. They can problem solve like this. Increasing the bad behavior is actually a clever thing to do. If you did something one way, and it worked, you would keep doing more of it to get the same reaction too!

When a behavior is done for attention, and we ignore the behavior it will get worse. But then it will start to get better, because your child will realize this is just too much work. Great!

But what happens if it stays the same? And doesn’t get better at all? When do you draw the line in the sand and try a new tactic?

What if an intervention isn’t working?

There will be plenty of data and charts to show whether your child is going through an extinction burst, or the behavior hasn’t changed at all. If the behavior hasn’t changed at all the reason your child is doing the behavior may need to be looked at again. Maybe the therapist was wrong, and they did it for another reason. If this is the case, the charts will show it and the data will help them change tactics. Some other ways the therapist could change the intervention to the behavior is;

-        Changing the length of time they ignore the behavior/child

-        Expand the plan to other places where the behavior may occur more

-        Have someone else also back up the intervention

If you feel a part of therapy isn’t working for your child, you can always speak to your therapist about it. They will have the data and charts to confirm or deny your experiences. They should work with you, not against you, to help your child better function, learn more and live a more productive life.

ABA therapy steers autistic children to work through sensory overload until it's no longer an issue

Many children with autism suffer from sensory overload. This could be sensitivity to noises, sensations, lights, textures, temperature and more. The issue with these sensory problems is they impede things your child needs to do.

We work with a boy who has autism and he hates people touching his finger-tips. Therefore, it is almost impossible for parents to cut his nails because he will scream and thrash around. But he also uses his nails as weapons to hurt himself, so cutting them is necessary. It’s a catch 22 and there are a lot of times this happens for our autistic children.

Take for example a potty; if they are scared of how it sounds or how it feels to sit on one, they won’t want to relieve themselves. It will be impossible for them to learn how to potty train. They may not like the way a hairbrush feels or a shower sounds. It hinders their life in a way you don’t always expect; sensory issues can stop your child from being able to care for them self.

That is why Applied Behavior Analyses (ABA) is so important. The therapist can use ABA as a way to run programs that eradicate this sensory issue for good. The name of one technique is systematic desensitization. This is where, a child is exposed to the stimulus on purpose and taught relaxation techniques.

For my son and his nail clipper issue it looked like this:

-        -Nail clippers were used on other people

-        -Nail clippers were brought close to him

-        -They brushed the nail clippers over his fingers

-        -They used the nail clippers to cut one nail

At every step this boy screamed and cried and fought, but eventually he could cope with that step. It became normal to him and he calmed himself.

Dealing with things like that alone is scary, especially seeing your own child in that level of fear or pain. An ABA therapist helps to steer them through these issues until they are no longer a big deal.

How your child can wait in a structured way

It’s hard for our children on the spectrum to control impulse control and emotions related to frustration. Because of this, asking them to wait is akin to asking them to stop their world from spinning. The end result? It gets frustrating quickly; they may explode, tantrum, lash out, whine, repeatedly ask, and destroy property, or any number of things to stop the waiting period.

This is why with applied behavioral analyses (ABA) your therapist teaches your child how to wait in a structured way.  First the therapist may start by reducing the waiting period to a miniscule amount of time; usually 5 seconds.

The therapist will hold a toy, and when the child asks for it, they will say wait, and count to 5. If the child can wait those 5 seconds, great! They receive the toy and all is good with the world again. If this happens regularly, the time will increase from 5 seconds to 10 and so forth.

But if your child throws themselves into ‘negative’ behaviors, the therapist will stop the program until the child has calmed down, and try again. If the child continues to engage in problem behavior that’s no issue! The therapist will simply stop trying and move the situation to something else.

As long as the adults teach the child to wait, eventually this hard lesson will sink in, tolerance for this situation will be built, and you will have a child able to wait. Teaching a child how to wait has so many long term benefits. As an adult we have to wait for many things, lines in stores, for a package to arrive, for somebody to finish using what we need, etc. If an adult couldn’t wait it would severely impact their relationships and happiness later on. Which is why therapies like ABA are so important.

If Your Child Has Aggression Along with Autism, Then Here Are Some Reasons to Why.

Aggression in Autistic children is common, but it can be an embarrassing thing to deal with – even for the child. Aggression interferes with so much; from school, to play dates and sadly sibling relationships.

There are many reasons a child with Autism might act out by pinching, biting, shoving or hitting.

1.     They may feel stressed; if their routine is off, or they are in a place that triggers sensory issues

2.     Aggression could be the only way they have to communicate right now

3.     They could be trying to get out of a situation with an adult or child, or avoiding something they don’t want to do

4.     They could even be looking for you to react

None of these things mean that your child is ‘bad’. But Applied Behavioral Analyses (ABA) helps to put a stop to these behaviors once a for all. ABA looks at why the child is reacting in this way. Getting to the root of the issue gives us the tools to fix it. Once the therapist gets to the root of the issue, they can transform the violence into positive acts.

Your ABA therapist might do this using redirection. Such as showing the child a positive alternative. If your child is shoving a child away, they will teach the child to verbalize their feelings instead. If a child is told they can’t touch something, they will be given something they can touch instead. Using negative reactions, such as scolding, and scowling, only teaches the child they can distract you from the situation, avoid situations with ease or get attention with this negative behavior. It doesn’t teach them what they should do instead.

The goal of ABA is to teach your child positive behaviors, through positive rewards. So ultimately your child can grow to be confident, happy and ready to face the world without the use of aggression.

Visit out website at www.BuildingBlockResolutions.com

Verbal Behavioral Therapy Works and Just Because A Child Is Nonverbal Doesn’t Mean There Is No Hope.

Verbal Behavior (VB) therapy is a branch of Applied Behavioral Analyses therapy (ABA); it helps non-verbal children to become vocal and use words with meaning. Having a child who is non-verbal is scary, for both the child and the parents involved, but there is hope even if your child is severely delayed. Recently a study showed that children, who cannot speak by the age of four, can learn how to speak – something that was deemed unlikely. The study can be found here.

B.F. Skinner was a famous psychologist who wrote a book on verbal behavior and developed many of the theories that ABA is based on. B.F. Skinner said that language comes in types:

Mand – To ask for something, such as juice

Tact – A label of an object, such as circle, when something is round

Intraverbal – A way to answer a question, such as where do you live?

Echoic – When your child repeats what is said

Because of these different types of speech, your therapist looks at what is the most basic and works their way up. In this case, a Mand would be most basic, which is why a child will learn to ask for juice by saying ‘juice’, and not ‘I’m thirsty’ when they begin.

VB therapists today also work on play skills, self-help skills, social skills and complying with instructions. They do this using discrete trial training, natural environment teaching and manding to name a few.

Just like ABA, VB doesn’t let the child feel they got the answer wrong. Autistic children receive little positive feedback as they don’t engage in the world in the same way other children do. To achieve a positive learning environment, the child is re-directed and lavished in praise to solidify the positive re-enforcement process – that will ultimately help your child learn in the real world.

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Is Your Child Sync with ABA Therapy and School? If Not Here Are Some Tools You Can Use to Get ABA Therapy and School Aligned.

Applied Behavioral Analyses therapy (ABA) helps to change behaviors that hinder your child’s development – when they have a diagnosis of Autism and other similar issues. But this therapy alone will not push your child to the heights of their learning abilities. It’s important that all areas of the child’s life are in sync – which is why it’s great to have an ABA therapist willing to be in contact and work with schools.

All Therapists Should be in Sync with ABA

Some schools provide OT, speech and other services that help improve your child’s quality of life, but they have the luxury of syncing these lessons together. If your ABA therapist is on the outside of this team, they can’t work as a whole. This is why, as a parent and ABA therapist, it’s important to be on top of the lessons the child is learning in all areas of their lives.

But what if your child is struggling in school and not progressing with peers? Or the school is not providing any therapy at all?

Some Autistic Children Do Not Cope in School

A child who absolutely cannot function in a social, verbal learning environment due to sensory issues will often exhibit strong sensory pre-occupation; they may seem inattentive, or exhibit bad or repetitive behavior. This is typical for a lower functioning Autistic child. It can be so distracting for your child and sometimes even painful, it’s almost impossible for them to learn in a school environment.

If this sounds like your child, ABA and homeschooling/shorter days should be thought about. Postponing regular schooling to correct sensory/learning problems doesn’t make you a bad parent. If a child cannot concentrate in a group setting, they won’t be gaining anything out of it anyway.

However, some schools simply aren’t trying hard enough. Hiring your ABA therapist to go in and investigate the school environment should be step one. They can identify the issues in the classroom and report back what isn’t working for your child and work with your child’s teacher who likely hasn’t been trained correctly. Using this method you can fight for better resources – and sometimes, unfortunately, it will be a fight.

Is ABA More Important than School?

ABA can help a child learn to learn, help a child overcome sensory issues and engage in the world outside of themselves. If your child can’t participate in a school setting, perhaps thinking about intense ABA therapy before school would be the best way to go. As a parent it’s best not to feel guilty about this; a child learning how to live in the world is more important than the skill of counting which can be taught at any age. With that said…

A child is not required to enter school until they are 6 years of age on or before September 1^st of the year they will enter school. But if pushing back school entirely makes you uncomfortable, you can also consider shorter school days in order to add extra ABA therapy or even home school entirely.

ABA therapy should be a compliment to your child’s schooling and should always come first if a child is struggling greatly. As a parent, it’s important to communicate with schools and our children’s therapist to know what course of action needs to be taken.

For more information please visit our Website @ www.buildingblockresolutions.com

Can Applied Behavioral Therapy Help a Child Who is Non-verbal?

Many children on the Autism spectrum have trouble with speech. This could be because of Apraxia which is a motor disorder that makes it hard for children to use their mouths to form words, or maybe they simply can’t communicate as well as the rest of us. This doesn’t mean they can’t communicate in other ways such as picture cards, behavior (good and bad), sign language and electronic devices.

But can Applied Behavioral Analyses (ABA) help a child who is non-verbal?

The short answer is yes.

ABA is essentially performing an antecedent (an action, a request), the child performs a behavior, and then there is a consequence for the behavior. Either they get it right and there're positive displays of fun and cheering, or the child is shown again. If they still get it wrong a hand is placed on theirs to guide them to the answer so they are correct (queue cheers and happy words).

Think of all the ways a non-verbal child could respond to this without words. They could hand over an object, use picture cards or electronics to communicate speech, point, or even sign their response. Not being able to speak would not hinder your child to learn. 

In fact, VB is a branch of ABA that teaches children how to communicate. So ABA techniques can help teach your child to speak too. It uses much of the same principles including errorless learning. This means your child is never wrong and receive prompts as much as needed – which like ABA are faded out as the child learns.

As parents, we use ABA tools all the time. We ask a child to get up to the table to eat, the child does, we praise the child. This is partly ABA! Being able to speak or not speak would never hinder your child to learn positive behaviors and in turn learn that the world will reward them for all the good that they do.

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Will A Child Only Respond To The Way It's Taught?

There is a question that is often asked about Applied Behavioral Analyses (ABA) and it is ‘will my child become a robot?’ When a parent see’s a child taught the same thing over and over it’s a natural conclusion.

“My child only responds this way because he is told to.”

Truly, we are all taught how to react to certain situations by our experiences – in fact, it is a perfectly human thing to do. We say please and thank you because our parents kindly taught us manners and reminded us again and again to use them. We are scared of clowns because we learned they were menacing through experience.

ABA isn’t an alien form of learning where the techniques are only used with Autistic children; it is a therapy that fundamentally teaches a child how to learn. But others use these techniques too, an addict can use ABA techniques, the same is done to encourage workers, or reduce disordered behavior. In fact, behavioral therapies, in general, are one of the largest, most used therapies out there.  Not just for Autism, but disorders and everyday problems all across the board. Psychologists learn behaviorism (the study of human behavior) almost as soon as they learn about the human mind. And ABA is just a form of behavioral therapy, teaching a child what behaviors affect the world around them and what one’s will create positives or negatives in their lives.

Much has changed since the 1960s version of ABA which most base their opinions on. Much has changed in psychology since the 1960’s in general, one only has to look at the state of mental institutions back then, to see huge changes. Not only this but Autism is diagnosed differently, and we know more about the disorder. ABA evolved too; it now promotes flexibility and models several ways to respond to environments.

But if you still fear your child will turn into a robot, you can talk to your therapist about ‘programming for generalization’ something that all ABA therapists will know about. This means, once a child can remember how to react in situations safely and effectively, they can begin to add on their own quirks and abilities – something that ABA ultimately aims for, anyway. You can see this in ‘neurologically normal’ children too (robotic responses that morph into their own personalities). When first learning to speak, we are taught to say milk to a bottle, or hungry when we want something to eat. But at some point, those words take on a flow of their own and our child speaks, adding their own mannerisms and thoughts.

ABA, when done right, is not a therapy that creates a robot, it is a therapy that teaches a child how to learn, how to function in this world, and how to stay safe and happy, whilst still satisfying their needs.   

ABA Therapy at Home V.S. The Therapist's Office

 

  Applied behavioral analysis (ABA) is a therapy that teaches your Autistic child how to learn with positive re-enforcement. They are taught in a thrilling, gentle way, which opens up new paths for them. But should your child be doing their ABA therapy at home? Or in the therapist’s office?

ABA in the Therapists Office

When ABA is performed in this structured way it simulates similar learning environments your child will encounter over the years in schools, colleges and universities. Performing ABA therapy with your child in such an environment may help them focus when at school, due to a familiar feeling of structure. ABA teaches child skills and behaviors that are needed for environments like schools, such as concentration.

By performing ABA therapy in an office, or out of the home, your child doesn’t have their usual clutch items to cling to, such as toys and family. This is something that will happen as they get older and enter ordered environments. Being away from familiar items can cause anxiety and distress for a child, something that a therapist can address and help your child overcome.

Also, Autistic children often have issues with distractions; some of these are sensory problems such as loud noises. In a home it’s hard to avoid the sounds of traffic, phones ringing, and people talking, but a therapist can design their space to suit your child’s needs to get the best out of ABA.

ABA at Home

Of course, home based therapy can be wonderful for a child who struggles with new places and new people. Sometimes a child has specific behaviors that need addressing within the home, such as meal times, or escaping out of the front door! This can’t be addressed easily in an office as it’s hard to simulate. It’s also convenient for the parent to keep up with high hours of therapy if it’s done within the home.

Another thing to consider is that it can depend on how old your child is. A child who doesn’t need to be in nursery or a school setting yet (1 – 3 years) may benefit more from having therapy in an environment they know. ABA also doesn’t need any fancy equipment that you don’t already have around your home and working with loved toys will be enjoyable for your child.

Balancing working in a structured environment and a therapist’s office is the best way to achieve a perfect balance with ABA therapy. But otherwise, the approach will depend on your child. ABA therapy is a wonderful experience for most Autistic children and it’s important they are as comfortable as possible where ever it’s performed.

For more information visit our site at www.buildingblockresolutions.com

Finding The Right Therapist

Before your child starts Applied Behavioral Analyses (ABA) therapy there may be many things you need to know about ABA and your therapist. ABA therapy can increase your child’s learning abilities which helps in all areas of their life, so it’s important to find the right therapist.

But what questions can parents ask to get the right results?

What are your qualifications?

A good response would be – somebody with a BA in fields pertaining to psychology and child care, and a certificate in ABA.

What experience do you have? Can you refer me to other parents you have worked with?

A good therapist for your child is one who has worked with Autistic children before. You can discover a lot by calling other parents who have worked with the therapist.

What happens during an ABA session?

A therapist who is re-assuring, kind, and takes time to explain how a session will be for your child is a good therapist. This will also tell you what your child is likely to go through and allow you to agree with their methods.

How many hours per week will my child need to be in therapy?

It’s good to know this so you can build your schedule around therapy.

How often can you update me on my child’s progress?

It’s important to know if ABA is working well for your child and as parents sometimes we can be impatient. A therapist knows how well ABA is working for your child and can give frequent updates to help you feel settled in your child’s progress.

Can you work with my child’s school?

Having a therapist who can keep your Autistic child’s teachers up to date on methods to help your child is a bonus.

Do you provide training or support for family, so that ABA can continue from home?

Children whose parents continue ABA at home succeed more often.

For more information, visit our website at www.buildingblockresolutions.com

Applied Behavioral Analysis Therapy And Discrete Trial Training

One type of Applied Behavioral Analysis (ABA) therapy is called the Loovas Method; the most heavily researched therapy for Autism which demonstrates some of the best outcomes. If your child has been diagnosed with Autism at a young age and you’re thinking about ABA therapy, then your child could be on the road to success.

As a parent we worry about the legitimacy of all therapies, how they will help our child, and what exactly goes on inside the therapist’s room. The Loovas Method relies heavily on Discrete Trial Training (DTT) and some incidental teaching.

What is DTT?

Discrete trial training is when a skill is broken down into steps instead of being taught as a whole. For example, when teaching shapes, the therapist would give two shapes and ask ‘which is the circle?’. Once the child can point out different shapes, then they would teach the child to say the shapes. Each skill is taught slowly, easing your child into the learning process without overwhelming them.

There are 5 steps to DTT

1.     The Antecedent (when the therapist sets up the question, perhaps by showing two shapes)

2.     The Prompt (where the therapists asks a question, or performs an action to get a response)

3.     The Response (where the child responds)

4.     The Consequence (for either a correct response, or incorrect response)

5.     The Pause (where the therapist allows it to sink in)

A Further Explanation of the Prompt

There are three types of prompts, an independent, a partial and a full gesture. This means that your child will either be: fully shown what to do, half shown, or not be shown at all. A therapist will generally start with a full prompt and begin to fade this until it becomes independent.

A Further Explanation of the Consequence

It’s scary as parents when we hear the word consequence, and we ask ourselves if it means punishment. This shouldn’t be the case with a qualified ABA therapist. A consequence only means something that happens after a response. If the child performs correctly they are showered with praise. But if the child cannot perform the task (which will happen sometimes) they are simply corrected and shown the right response.

The Loovas Method is just one school of ABA therapy, a therapy that can change the life of an Autistic child. Children who have completed this therapy have gone on to achieve a normal intellectual and educational functioning by the time they are 7 years old.

There’s always hope for a child that’s struggling.

Please visit our website at www.buildingblockresolutions.com for more information. 

Get The Best Therapy From a Smaller Agency

Sometimes bigger is better, but when it comes to choosing the right therapist for your child. Bigger may not always be better. There are pros and cons to every decision and Applied Behavior Analysis, ABA therapy may be one of the biggest investments you make in your child with autism’s life. For this reason, here are a few simple things to consider when choosing a small versus a big ABA agency.

With a small agency you can always get to the top person in charge. With the larger agencies there are usually several people you have to go through before getting to anyone who can actually help you. With a smaller agency you have probably met the owner and be getting personalized ABA therapy.

With a smaller agency, the likelihood of turnover is usually less because of the direct 1:1 mentoring each employee gets, they are treated as team members instead of just another number. They may even get paid more because of decreased overhead.

With a smaller agency, you’ll have better quality people. Because a smaller agency can afford to make less mistakes than a larger agency, you can probably bet on more quality ABA therapy.

To be fair, I’ve listed some of the challenges you may face with a smaller agency.

One of the things to be aware of is that it make take longer to find the right therapist for your child with autism because fit will be more important. They may have fewer on call therapists and may have to look for one.

Paperwork may be slower because only a handful of people are wearing several hats. Billing may arrive late and graphs and data sheets may take longer to get.  

Overall when choosing an ABA agency for your child, it really doesn’t matter which ABA agency you go with as long as the BCBA working with your child is competent, has a good team of therapists, and is passionate about helping your child.

Check out Building Block Resolutions, Inc. in Los Angeles for ABA therapy for your child with Autism.

And Autism Care for All?

In March of 2012 Florida legislators passed a bill saying that Medicaid should cover autism services for children diagnosed with autism.

As a provider of Applied Behavior Analysis services for over 8 years, this makes myself, and many low-income families very happy. Especially since I’ve been trying for the last 5 years to become a Medicaid provider being turned down always for some mistake which is incomprehensible to me and the team of consultants I’ve hired to get me on as a Medicaid provider.

But now I’m getting an influx of telephone calls from families who have been approved for services with nowhere to go. It seems that virtually every agency I’ve talked to is running into the same road blocks as I have. And after a stint of telephone tag with the people from the Miami Medicaid office, I found out that they’re not quite sure what to do with all the families and have nothing really set up.

This is really sad because Early Intervention is the key to effective autism intervention. In testimony at a trial, Dr. Elza Vasconcellos, a neurologist who is director of the Autism Clinic at Miami Children’s Hospital says children who get early autism therapy were able to attend mainstream classes with their typically developing peers.

“I see kids who get applied behavior analysis and have money getting better, and kids who don’t have money just staying there — and we don’t see any progress,” Vasconcellos testified. “For me, as a mother and as a doctor, it’s really devastating to see that.”

For me as a practitioner, it’s especially frustrating because the services are there, the funding is there, but there seems to be a disconnect between getting one to the other.

 To find out more information about Autism services click here