computer based intervention for individuals with autism

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Computer-Based Intervention for Individuals With Communication Disorders and Special Needs

WELCOME TO THE NEW WORLD

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The Statistics

There are over 1,500,000 individuals in the United States that are living with autism.1(1) U.S. Center for Disease Control and Prevention ADDME Study 2007 and Autism Society of America 2007

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Children Grow into Adults

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Where Will They Live?

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What Will They Do?

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Promote Maximum Independence

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Technology is the KeySTART EARLY!!Using Computer Technology to Train Skills

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Computer-Based InterventionCBI for Individuals With AutismPresented by:Valerie Herskowitz, MA. CCC/SLPwww.valerieherskowitz.com www.dimensionstherapycenter.com

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My BackgroundSpeech Pathologist for 30 yearsOwner: Dimensions Therapy CenterMother to Blake, 18 years, autisticWriter and Lecturer on the subject of CBI Author of Autism and Computers: Maximizing Independence Through TechnologyPresident of NARYVP of AFDDAA

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How I Became Interested in Computer-Based TherapyIt started back in 1996 at the EPCOT Center HOME OF TOMORROW

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Todays Technology As Seen In 1996Touchscreen TechnologyUsed to turn on appliancesAdjust comfort levels of room temperature-even the bath waterOvens were pre-set to cook foodVoice activationRobotics for housekeeping

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And the Light Bulb Went OffAccessing the Technology of tomorrow(which is now today) would lead to maximizing independence for all individuals who were on the autism spectrum

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Todays Technology That Can Promote Independence For Individuals with Autism:

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Dream Home of InnoventionsDisneyland

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Entrance: Keyless/Programmable Entry System by Kwikset

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Foyer

Digital Photo Frames

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Also in Foyer

Home Automation System by Life WareIntegrates Lighting, Media, Temperature, Security, Window Shades and More

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Family RoomMicrosoft Media Center Hooked up to Large Screen TVManage Photos, Music, Videos etc

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Also in Family RoomMicrosoft Surface

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KitchenTalking Kitchen Counter Top Instructs You on How to Cook Different Recipes.

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Computer Room

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Communication Devices

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Organizers

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Pocket Phrase TMCommunication and Executive Function SoftwareCommunication AidStory SchedulerTasksProblem SolverScalesProvides journals and Progress Reports to Caregivers and Parents

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IPOD Touch/IPHONE

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GPS Systems

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E-MAIL/Webcam

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Video Phone Calling

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TIVO

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Cool Toothbrush

Oral B Triumph

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HP TouchSmart PC

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Tomorrows Technology as Seen TodayMattresses that modify to your body shape and then has sensors to wake you up in the morning according to your pre-set timeYour bathroom mirror lets you know of your morning appointments and the weather (Called The Intelligent Mirror)The refrigerator lets you know what you are out of and then you can order it from the grocery using your touchpadA closet organizer systems that picks out your clothes for you

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It Starts with CBIIt Starts Early!!

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Blakes Journey

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Individuals with Autism Take to the Computer Like Fish to WaterHeres What I Have Learned:

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Technology is the KeySTART EARLY!!Using Computer Technology to Train Skills

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What Makes Computer-Based Instruction So Successful For Individuals With Special NeedsPredictabilityEngaging AnimationVertical Plane PresentationMulti-modality

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Many children and adults with Autism willfrequently tolerate one-on-one instruction via a computer when they won't engage in a human tutorial dyad. Language skills of individuals with Autism have been noted to improve through computer-assisted instruction when all other traditional methodologies have failed.

Individuals with Autism

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Research

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Brief report: Vocabulary Acquisition for Children with Autism: Teacher or Computer Instruction.

Moore M, Calvert S

Department of Psychology, Georgetown University, Washington, DC 20057, USA.This study examined the impact of computers on the vocabulary acquisition of young children with autism. Children's attention, motivation, and learning of words was compared in a behavioral program and an educational software program. The educational software program was designed to parallel the behavioral program, but it added perceptually salient qualities such as interesting sounds and object movement. J Autism Dev Disorders 2000 Aug;30(4):359-62

Children with autism were more attentive, more motivated, and learned more vocabulary in the computer than in the behavioral program. Implications are considered for the development of computer software to teach vocabulary to children who have autism.

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All of the children spent more time on task in the computer condition than in the book condition. By the end of the study after computer assisted learning, five of the eight children could reliably identify at least three words. It was found that children with autism spent more time on reading material when they accessed it through a computer and were less resistant to its use.

Do Children with autism learn to read more readily by computer assisted instruction or traditional book methods? A pilot study.

Williams C, Wright B, Callaghan G, Coughlan B.

York NHS Trust, UK. [email protected] study evaluates the progress of eight children aged 3-5 years with autism attending a specialist teaching unit in their development of reading skills in two conditions: computer instructed learning and book based learning. The authors developed a direct observation schedule to monitor autistic behaviors using computerized techniques. The children were matched by age, severity of autistic symptomatology and number of spoken words. They were initially randomly allocated to the computer or book condition and crossed over at 10 weeks. Autism. 2002 Mar;6(1):71-91.

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Results suggest young children with autism and their normal peers can be taught problem-solving strategies with the aid of computer interfaces.

Enhancing social problem solving in children with autism and normal children through computer-assisted instruction.Bernard-Opitz V, Sriram N, Nakhoda-Sapuan S.Department of Social Work and Psychology, National University of Singapore. [email protected] with autism have difficulty in solving social problems and in generating multiple solutions to problems. They are, however, relatively skilled in responding to visual cues such as pictures and animations. Eight distinct social problems were presented on a computer, along with a choice of possible solutions, and an option to produce alternative solutions. Eight preschool children with autism and eight matched normal children went through 10 training sessions interleaved with 6 probe sessions. Children were asked to provide solutions to animated problem scenes in all the sessions. Unlike the probe sessions, in the training sessions problem solutions were first explained thoroughly by the trainer. Subsequently these explanations were illustrated using dynamic animations of the solutions. Although children with autism produced significantly fewer alternative solutions compared to their normal peers, a steady increase across probe sessions was observed for the autistic group. The frequency of new ideas was directly predicted by the diagnostic category of autism.

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Skill Areas for Computer TrainingCause and EffectLanguageSpeechAugmentative CommunicationReading/SpellingMathSocial Skill DevelopmentAttention and ProcessingWork SkillsLifeskills

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Specialized SoftwareNot the type you buy in computer stores-this type is called Off-the-Shelf. They are not specifically designed for the special needs population and can often be inappropriate. Specialized Software are programs that have been distinctly designed for the use of teaching the skills to a special needs populationThey are available only through certain vendors

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The Seven Stages of Language Acquisition

From birth to adulthoodDepicts typical stages in language developmentCan also be used to assess the linguistic functioning level of children and adults with language disabilities and Developmental Disabilities.

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Stage 1-INTERPRETED COMMUNICATION

Language CharacteristicsNo intention to communicate Cries, coos, and expressions are interpreted by caregiver Begins to focus on caregiver's speech Training GoalsImprove visual and auditory attention Develop communicative turn-taking Establish intentional communication and cause/effect Provide linguistic stimulation

Language Acquisition Age (0 to +/- 4 Months

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Stage 2-INTENTIONAL COMMUNICATIONLanguage Acquisition Age (4 to +/- 9 Months

Language CharacteristicsExpresses intent primarily through eye gaze Comprehension of words as abstract concepts emerges Alternating gaze between an object and a caregiver is developing Training GoalsImprove ability to signal intentionally Increase attention to words Develop symbolic comprehension

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Stage 3-Single WordsLanguage Acquisition Age (9 to +/-18 MonthsLanguage CharacteristicsComprehends object names as symbols of basic categories Understands verbs Uses single words in combination with gestures and the environment to communicate Training GoalsIncrease symbolic comprehension Develop core vocabulary Introduce word combinations

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Stage 4-Word CombinationsLanguage Acquisition Age (18 to +/-24 MonthsLanguage CharacteristicsComprehends a core vocabulary Two-word combinations emerge Word combinations describe here-and-now environmental events Training GoalsDevelop simple sentence structures Foster language exploration and growth Continue vocabulary and category development

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Stage 5-EARLY SYNTAX

Language Acquisition Age (24 to +/- 36 Months

Language CharacteristicsUses short, simple sentences Utterances lack grammatical refinement and complexity Comprehension goes beyond the here-and-now Training GoalsImprove knowledge of grammar Expand sentence structures Enhance and expand vocabulary concepts

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Stage 6-Syntax MasteryLanguage Acquisition Age (3 to +/-5 YearsLanguage CharacteristicsUses simple and complex sentences Masters most grammatical forms Limited comprehension of abstract relationships among words Training GoalsIncrease knowledge and use of advanced syntax structures Increase semantic knowledge Improve auditory processing Foster critical thinking

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Stage 7-Complete Generative GrammarLanguage CharacteristicsShows complete mastery of all grammatical forms Establishes ability to analyze and talk about language Develops reading/writing skills Training GoalsDevelop secondary language skills of reading/writing Provide advanced semantic training Enhance abstract concepts

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CAUSEANDEffect

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Cause and Effect Skills:The concept of non-existence-Making things appear and disappearRecognizing that an action causes a reactionThe emergence of intentionality is the first critical step in communication development

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Receptive Vocabulary(Understanding Language)

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Expressive Language(Verbal Speech)

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Sentence DeveloperNow Available In Individualized Lessons !!!

Theisboyeatingaredapple

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ATTENTIONand FOCUSING

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SpeechArticulationPhonological ProcessingPhoneme Awareness

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ReadingTeaching Our Children to Understand Printed MaterialPhonicsPhoneme AwarenessSight Word TrainingComprehensionSpelling

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Arithmetic skillsMoneyTime ConceptsProvide visual approach to learningMath

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Social Skill DevelopmentImprove interactions

Teach steps for social situations

Demonstrate appropriate body language

Telephoning skills

Emotions

Correct voice usage

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Work Skills

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Reinforce Hygiene, Dressing, Shopping skills, Understanding community signs, money skills, and Personal Care Skills

Lifeskills

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My Dream is Becoming a RealityAssociation of Developmentally Delayed Adolescents and AdultsVirtual Community-Global Support VillageBlakes home: December 2009Technological state-of-the-art homesJob training leading to all residents having employmentSocial community for residents and families

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THERE ARE 6 CLASSES IN THE COMPUTER-BASED INTERVENTION (CBI) SERIES.

FOR SLPS. TAKE ALL 6 CLASSES AND YOU WILL BE ELIGIBLE TO TAKE A TEST. UPON COMPLETION OF THE CLASSES AND PASSING THE EXAM, YOU WILL RECEIVE A LEVEL 1 CBI PRACTITIONER CERTIFICATIONThis is the Intro Class

For Parents and other professionals; Take these classes and learn about specific programs in all skill areas

Computer-Based Intervention Home Program Training AvailableIndividualized to the Unique Needs of Your Child or StudentEvaluation Can be Accomplished in our Offices or via Phone ConsultationsUses Prescription SoftwareTM MethodologyUses available software as well as our Individualized Software ProgramsContact:www.valerieherskowitz.com

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Vals Contact Info:Call: 954-236-9415E-Mail: [email protected]: www.valerieherskowitz.comVals Book Now Available:Autism and Computers:Maximizing Independence for Individuals With Autism

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www.valerieherskowitz.com

More About CBI

Webinars for Families and Professionals

Check out valerieherskowitz.comClick on WebinarsJoin our Newsletter Group for new webinars

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Valerieherskowitz.comMany items are 50% off for families of individuals with special needs-use coupon code LAURFAM when placing your order.SLPs Receive 10% off all products. Use Coupon code SLPORFREE shipping for SLPs. Use Coupon code: FREE SHIPPINGIf you are not on our Webinar list to be notified for other webinars, please make sure you register

Remember to Visit

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Copying, editing or presenting this document is strictly prohibited without written consent of Valerie Herskowitz. Thank you for your cooperation