learning to implement a home-based aba program. chrissy mcnair, mom

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UNDERSTANDING ABA Learning to Implement a Home-Based ABA Program

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Page 1: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

UNDERSTANDING ABALearning to Implement a Home-Based ABA Program

Matt McNair
CM opens and welcomes.
Page 2: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

INTRODUCTIONS

Chrissy McNair, Mom

Matt McNair
CM Introduces self and goes into next slide
Page 3: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

INTRODUCTIONS

Melinda Henson, BCBA

Matt McNair
Melinda introduces self
Page 4: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

SESSION OVERVIEW

Gain Understanding of ABA Outcomes, Theories, Principles, and Guidelines

Learn How to Assess Your Child’s Needs Understand How to Set Goals for Your

Child Learn Methods for Prompting,

Reinforcement, Generalization Learn the Importance of Data Collection

and Different Collection Methods

Matt McNair
CM
Page 5: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

TODAY’S SESSION

PART ONE ABA Overview Types of ABA Programs

PART TWO Principles of ABA Diving into ABA Components

PART THREE Designing Your Own Home Program

Matt McNair
CM
Page 6: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

http://www.nationalautismcenter.org/affiliates/reports.php

Page 7: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom
Page 8: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

ABA FACTS & MYTHS

MYTH FACT ABA is an intervention. ABA is actually a theory

that encompasses many specific interventions based on principles of Behaviorism.

Page 9: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

ABA FACTS & MYTHS

MYTH FACT ABA is specifically for

autism. ABA is used in a variety

of fields to help change behaviors.

Examples: gambling, smoking, weight loss, teaching new skills

Page 10: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

ABA FACTS & MYTHS

MYTH FACT ABA is discrete trial

training. Discrete trial training is

one specific type of intervention that is based upon principles of ABA.

Examples of other interventions based in ABA: video modeling, incidental teaching, PRT, activity schedules

Page 11: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

ABA FACTS & MYTHS

MYTH FACT ABA is based on

punishments. ABA focuses on the use

of reinforcement.

Page 12: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

ABA FACTS & MYTHS

MYTH FACT Principles of ABA

promote simple, robotic skill development.

Principles of ABA can be used to teach complex behaviors that generalize across situations.

Examples: toileting, problem solving, dressing, social skills, language

Page 13: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

ABA FACTS & MYTHS

MYTH FACT Principles of ABA are

used only to reduce negative behaviors.

Principles of ABA are used to teach new skills and reduce negative behaviors.

Page 14: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

ABA IS….

Scientific approach for discovering environmental variables that

reliably influence socially significant behavior

(Cooper, Heron, & Heward, 2007)

Page 15: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

ABA IS MORE THAN DTT

Matt McNair
MH- part of why this is here is because in NE (especially in the schools) people think ABA is only DTT
Page 16: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

USING ABA AT HOME

Structured Programs-Supervisors, Staff, Parents as Managers or Teachers

Dinner Table ABA

NEED GOALS, PROTOCOLS & PROCEDURES, ANALYSIS

Page 17: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

PART 2 ABA 101

REINFORCEMENT PROMPTING BEHAVIOR SHAPING DATA COLLECTION VERBAL BEHAVIOR GENERALIZING SKILLS

Matt McNair
CM
Page 18: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

REINFORCEMENT

Reinforcement is KEY! Preference Assessment (daily or

weekly) Differential Reinforcement Continuous vs Intermittent Fading Reinforcement

Matt McNair
CM
Page 19: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

REINFORCEMENT AND ASD

Many times, children with autism’s behaviors are not reinforced by naturally occurring consequences, or the naturally occurring reinforcement for negative behaviors outweigh those of positive behaviors

For this reason, we must sometimes use tangible items to reinforce specific behaviors

Page 20: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

REINFORCEMENT

• Reinforcement is what makes the behavior more likely to occur in the future.

• Should immediately follow the behavior you want to strengthen.

• Tips for strong reinforcement:– Conduct a preference assessment to see what

your child/student enjoys– Vary reinforcement to prevent satiation– Provide higher levels of reinforcement for new

responses and lower levels for more firmly established behaviors

– Remember the definition of reinforcement!

Page 21: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

THINGS THAT AFFECT REINFORCEMENT

• Deprivation: To keep toys, foods, and activities fun, save them for therapy or when you want to teach a difficult or new skill. Think: Absence makes the heart grow fonder….

• Immediacy: Deliver reinforcement within a ½ second or you run the risk of them thinking that you are reinforcing anything that happened within the delay.

• Size: Do not expect your student to work for an hour for a M ‘n’ M. The reinforcer should match the level of work that was done. Would you willingly work for a company that paid you less than you deserve?

• Contingency: The reinforcement should be contingent on a behavior you want to see more of.

Page 22: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

LEVELS OF REINFORCERS

Edibles

Tangible

Activities

Social Approval

Praise

Exchangeable

Primary Reinforcers

Secondary Reinforcers

Generalized Reinforcers

Page 23: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

PRIMARY REINFORCERS

• Primary reinforcers automatically fill some biological human need without learning

• Examples:– Food (edibles), Water, Oxygen, Warmth

• Advantages/Disadvantages of Edible Reinforcement:– Being fed is an basic need to survive & can be highly

effective– Avoid if secondary or generalized reinforcers are

equally effective– Check for food allergies and choking hazards– Avoid giving too much food before meal times– May not be effective if child is not hungry

Page 24: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

SECONDARY REINFORCERS

• Secondary reinforcers acquire their value through learning (through association with primary reinforcement)

• Examples:– Tangibles, Activities, Social Approval, Praise

• Advantages/Disadvantages of Secondary Reinforcers:– Disadvantages of edible reinforcement is avoided– More choices available– Social approval & praise is always available and

reflects more natural/real-world reinforcement– Tangibles/activities may not be reinforcing every time

they are presented

Page 25: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

GENERALIZED REINFORCERS

• Generalized reinforcers have been paired with a variety of previously established reinforcers

• Exchangeable Reinforcers/Token Systems:– Tokens are earned that can be exchanged later for access

to reinforcement (e.g. money, stickers, points)– Token is given immediately following behavior, but actual

reinforcing activity or item is given after a certain number of tokens are received.

• Advantages/Disadvantages of Generalized Reinforcers– Tokens themselves are not initially reinforcing– Student must be able to delay reinforcement/understand

that tokens add up to larger reinforcer

Page 26: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

SCHEDULES OF REINFORCEMENT

• A schedule of reinforcement determines how often the behavior should be reinforced

• Continuous Reinforcement: – Reinforcing the desired behavior every time it

occurs.– Used to teach and strengthen behavior.– Examples: Vending machine, ATM

• Intermittent Reinforcement: – Reinforcing the desired behavior some of the time

it is observed.– Used to maintain behavior.– Time-based or response-based

Page 27: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

INTERMITTENT REINFORCEMENT

• Advantages of Intermittent Reinforcement– More resistant to extinction– Results in relatively high rates of responding– More closely approximates natural

reinforcement conditions– Less reinforcement from the outside allows for

intrinsic motivations to begin to maintain behavior as competency increases

– Less likely to create satiation– More cost effective

Page 28: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

AUTOMATIC REINFORCEMENT

• Automatic reinforcement occurs when behaviors have an immediate affect on their environment which in turn reinforce the behavior.– Visual, Auditory, Gustatory, Olfactory, Tactile

• These can be tough to compete with because they do not require social interaction – but we can figure out how to control some of them and present the child with these experiences during social interactions and exchanges.

Page 29: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

HOW TO USE REINFORCEMENT

• Better reinforcement for better responding– Provide higher quality reinforcement for:

• Unprompted responses• Faster responses• Better articulated responses• Proper tone is used• Correct response required a less intrusive prompt

• No problem behavior occurring

Page 30: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

WHAT ABOUT PRAISE?

• Early learners may not work for praise– ALWAYS pair praise with back-up reinforcers– Eventually praise will become valuable– Gradually thin the use of back-up reinforcers

• Advanced learners– Might work well for praise most of the time– Continue to sprinkle in back-up reinforcers

Page 31: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

VARIETY, NOVELTY, & CHOICE

• Including a variety of reinforcers helps decrease the chance of satiation

• Novelty is often exciting to students– New things– Not knowing what is going to happen

• When choice is given, the chances increase that the preferred item is really preferred at that time

Page 32: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

HOW OFTEN SHOULD I REINFORCE?

• Each target behavior will be reinforced EVERY TIME until child/student shows that s/he can perform this behavior in a variety of environments without mistakes!

• Generally, prompted behaviors should result in praise, while independent responses should result in praise + tangible, edible, etc…

• Continuous Reinforcement: – Reinforcing the desired behavior every time it is

observed– Used to teach and strengthen behavior

Page 33: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

TIPS FOR REINFORCEMENT

• Give choices• Always keep a box of reinforcers next to

you when working for quick access• Have a reinforcer in hand to immediately

give to him• Give child/student multiple reinforcers

from which to to choose• Place reinforcers in a “surprise grab

bag” so child is surprised each time• Vary the reinforcement to avoid satiation

Page 34: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

PROMPTING

Matt McNair
CM
Matt McNair
CM
Page 35: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

3-STEP PROMPTING

Compliance Building

1. Tell2. Show 3. Do

Must be consistent with follow-through and be willing to implement step 3 if needed

Matt McNair
CM
Page 36: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

BEHAVIOR SHAPING Reinforcing even a slight approximation to

the desired behavior After that behavior is being replicated, only

reinforce a closer approximation

Advantages Used to teach new behaviors It is a positive procedure Can be combined with other procedures (fading,

chaining, etc.) Disadvantages

Time consuming Progress is not always linear Implementer needs some skill

Page 37: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

COLLECTING DATA

Must have all variables definedMust be consistent across all collectorsConsider what variables you want to

track

Matt McNair
MH
Page 38: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

WAYS TO ANALYZE DATA

What do the scores tell you? Visual interpretation better in graph vs.

table form

Matt McNair
MH
Page 39: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

VERBAL BEHAVIOR

Matt McNair
MH
Matt McNair
Add Slides as needed--I'm thinking just defining what each is, what it means and give examples.
Page 40: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

GENERALIZING SKILLS

Across Environments Across People When to Generalize? Building a Maintenance Schedule

Matt McNair
CM
Page 41: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

PROGRAMMING FOR GENERALIZATION

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Generalization occurs when behaviors learned under one set of circumstances occur:• At other times• In other places• With other people• For different stimuli

Page 42: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

PROGRAMMING FOR GENERALIZATION

• Natural maintaining conditions• Practice the skill in naturally occurring situations and

make sure it maintains during natural contingencies (antecedents & consequences)

• Train sufficient exemplars• Teach the behavior to occur in the presence of many

examples of stimuli that include the critical stimulus features

• Train loosely• Prevent stimulus overselectivity by teaching in various

settings, with various stimuli, in various forms

Page 43: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

PROGRAMMING FOR GENERALIZATION

• Program common stimuli• Include as many of the physical and

social elements that exist in the “real life” setting into the practice setting

• Mediate generalization• Teach self-instruction techniques

Page 44: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

FLUENCY

Fluency is performing a behavior smoothly, rapidly, correctly, and with ease.

• Taught with repetition• Target speed & accuracy• Remember to include fluency in your

goal as appropriate• Fluent skills maintain better across

time

Page 45: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

Maintenance is the ability to continue the behavior after intervention has ended.

What contributes to poor maintenance? Ending reinforcement too soon Reinforcement of unwanted

behaviors Punishing the behavior

MAINTENANCE

Page 46: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

INTERSPERSING MAINTENANCE

When conducting trials, it is best to intersperse maintenance trials.

Alternate acquisition (learning) trials with learned concepts to: Build momentum Increase success & reinforcement Increase practice of learned skills Maintain skills over time

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Page 47: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

• Minimize unwanted behaviors during initial learning (errorless teaching)

• Be sure the behavior is fluent before ending intervention

• Teach self-management strategies• Self-recording• Self-reinforcement• Asking for reinforcement

PROGRAMMING FOR MAINTENANCE

Page 48: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

PROGRAMMING FOR MAINTENANCE

Fade reinforcement slowly and transfer to natural contingencies

• Fade antecedents from structured to natural

• Adjust schedule, quality, & quantity of reinforcement

• Increase criteria for reinforcement• Set up peer supports for reinforcement

Page 49: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

PART THREEBUILDING YOUR OWN HOME PROGRAM

Set Goals

Child’s NeedsFamily’s NeedsSibling’s Needs

Language/ Behavioral/ ….or Both

Matt McNair
CM
Page 50: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

START SMALL

Determine Motivators—Reinforcement

Immediate Reinforcement (toys, tickles, etc)

Longer Term Reinforcement (trips out in community)

Reserve these reinforcement objects ONLY for instruction time!

Matt McNair
CM
Page 51: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

DEVELOP PROGRAMS FOR WEEK

Choose 4-6 Areas to Focus On Motor Imitation Following Directions Tacting Behavioral Skill Social Etc

Matt McNair
Either MH or CM
Page 52: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

WRITE PROCEDURES & PROTOCOLS

Make definitions as specific as possible Write exactly what instructor needs to

do Define desired response from child Define Mastery

Matt McNair
Either MH or CM
Page 53: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

DEVELOP DATA SHEET FOR EACH PROGRAM

Consider amount of learning opportunities needed to achieve mastery and fluency Establish and follow steps to mastery!

Develop own sheets Download Copy from manual

Matt McNair
MH
Page 54: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

DATA SHEET

Target: Target: Target:

Delay: Delay: Delay:

FP PP I E FP PP I E FP PP I E

Data FP = Full prompt Delay 0 = 0-s

PP= Partial prompt 2 = 2-s

I = Independent 4 = 4-s

E = Error N = No prompt

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Page 55: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

FIRST RESPONSE DATA SHEET

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Page 56: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

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Page 57: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

CURRICULUM GUIDES

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Page 58: Learning to Implement a Home-Based ABA Program.  Chrissy McNair, Mom

ASSESSMENTS & CURRICULUM GUIDES

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Verbal Behavior – Milestones Assessment and Placement Programhttp://www.avbpress.com/vbmapp-set.html

Assessment of Basic Language and Learning Skillshttp://www.behavioranalysts.com/shop/home.php