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Training for Success. Training Plan for ACS ACS clients are assigned to care paths – the amount of training provided depends on their communication system.

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Presentation on theme: "Training for Success. Training Plan for ACS ACS clients are assigned to care paths – the amount of training provided depends on their communication system."— Presentation transcript:

1 Training for Success

2 Training Plan for ACS ACS clients are assigned to care paths – the amount of training provided depends on their communication system A general plan regarding the amount of training typically required for each care path is in place Exceptions happen!

3 Care Paths Care PathApproximate time on case load post assessment Number of Training Sessions Low Tech or Single Message Devices - ex. PODD, Step by Steps 3 months1-2 telephone/ support as needed while active Light Tech – ex. Tech Talk, Go Talk 6 months2-4 telephone/ support as needed while active High Tech Purchase – ex. iPad with Proloquo2go 1 yearUp to 8 telephone/ support as needed while active High Tech Consultation – ex. Family already owns iPad with Proloquo2go 3-6 monthsUp to 4 telephone/ support as needed while active High Tech LeaseUntil 18 th birthdayUp to 8 per year if required telephone/ support as needed while active

4 Standard Training Held in clinic or in clients home Focus on operational competency, i.e. how to use device, backing up, trouble shooting Focus on functional use, i.e. core vocabulary, aided language, prompting Goal setting completed – generally in the format of Goal Attainment Scaling

5 New Training Opportunities Within the last 2 years the KidsAbility ACS team has expanded the type of training that is available to clients based on the Centres guiding Life Needs Model

6 Life Needs Model

7 Training that Supports the Life Needs Model 1.Summer Communication Group (2 years) 2.Community Training (implemented summer 2013) Next Steps/beginning: Aided Language Training Block Proposed: Monthly Communication Group

8 Summer Communication Group To provide daily opportunities for communication in community settings To model for and train parents or caregivers to support the use of core and theme based vocabulary in community settings

9 Summer Communication Group: COPM outcomes Facilitator Satisfaction Questionnaire - Questions adapted from COPM – 10 point scale Average Pre-group rating / (n=10) Average Post-group rating / (n=6) Average Pre-group rating / (n= 4 ) Average Post-group rating / (n= 4 ) What is your satisfaction with your ability to choose the vocabulary to help your child participate in a certain situation? What is your satisfaction with your ability to facilitate your childs interaction with a peer? What is your satisfaction with your ability to facilitate your childs interaction with yourself? What is your satisfaction with your ability to facilitate your childs interaction with another adult? What is your satisfaction with your ability to facilitate your childs use of their Speech Generating Device to respond to others? What is your satisfaction with your ability to facilitate your childs use of their Speech Generating Device to ask questions? What is your satisfaction with your ability to facilitate your childs use of their Speech Generating Device to initiate a conversation What is your satisfaction with your ability to model the use of your childs SGD for them?

10 What did Caregivers Like Best? Getting out into the community & giving the kids hands on experience with their talkers Meeting other parents / caregivers of SGD users in our community, (making) valuable connections, [and] community outings where wasn't the only one with an SGD (Speech Generating Device).

11 Summer Training Group cont. Success Stories… Two boys in our group have developed a friendship and they now see each other regularly. They attend sports events, go bowling together and even hang out in the hot tub together. Weve taught them how to Skype, which they do when they can. They are close in age, intelligence, interests and have a shared sense of humour. They use similar technology (Maestro and Dynavox V) and similar access (2 switch scanning and automatic scanning).

12 Summer Training Group cont. Success Stories: Zhade, one of our group members is 17, a Maestro user and uses an adult size power wheelchair with lots of equipment attached to it (i.e. oxygen, suction, etc.). One of our newest clients, Helena who is 6, mobile, has a significant motor speech disorder and uses an iPad/P2G was quite overwhelmed when confronted with all of this equipment and quite scared of Zhade. By the end of the week, Helena was very interested in Zhade as a person, and was interacting and sharing information with support. She even independently approached Zhade on the last day to say goodbye using her device.

13 New: Community Training CDA offered a single community training session in location of familys choice in their own community We began offering this training this past summer – have had good responses Provided to families who are actively seeking support or those who have recently had a prescription of an SGD

14 Community Training cont. Variety of locations – Chuck E. Cheese, KW Humane Society, Chapters, McDonalds Focus on demonstrating and assisting parents/caregivers in understanding how to use Aided Language Stimulation techniques and take advantage of communication opportunities with others outside their home.

15 Community Training cont. Benefits: Increased caregiver confidence in facilitating their childs use of the SGD in their community Increased client skills – initiation, requesting, commenting, asking questions. (These functions of communication are often targeted in their GAS goals). Increased awareness of communication partners in the community. (Some have excellent natural skills, some do not!).

16 Community Training cont. Success Stories… Daniel, an 11 year old boy with autism uses a Vantage Lite and loves french fries and ice cream. His mom chose to meet the CDA at McDonalds for his training session. Daniel was able to order his own food almost independently – his mom was able to practice facilitating in the middle of a busy McDonalds at lunch time that was loud, had lots of distractions, lots of people watching her (some judging) but was able to stay focused on the goal and promote her sons success in using his SGD in this motivating environment.

17 Community Training cont. Success Stories: Henry a 12 year old boy with Down Syndrome uses an iPod with P2G. His mom chose to meet at Old Navy to do some back to school shopping. Henry was able to use his SGD to share information while picking out and trying on clothes (i.e. whether he needed a different size, if he liked it or not and his favourite items and colours). It was a great opportunity for his whole family (mom, dad, sister and a worker were in attendance) to practice using Aided Language techniques in an environment that they visit frequently.

18 Next Steps: Aided Language Training Block Implementing a block of training sessions The block is included into the number of training sessions that are available within the clients care path.

19 Care Paths Care PathApproximate time on case load post assessment Number of Training Sessions Low Tech or Single Message Devices - ex. PODD, Step by Steps 3 months1-2 telephone/ support as needed while active Light Tech – ex. Tech Talk, Go Talk 6 months2-4 telephone/ support as needed while active High Tech Purchase – ex. iPad with Proloquo2go 1 yearUp to 8 telephone/ support as needed while active High Tech Consultation – ex. Family already owns iPad with Proloquo2go 3-6 monthsUp to 4 telephone/ support as needed while active High Tech LeaseUntil 18 th birthdayUp to 8 per year if required telephone/ support as needed while active

20 Aided Language Training Block Up to 4 training sessions held either in clinic, in clients home or both Goal for sessions set by SLP CDA runs sessions Focus on training parent/guardian to increase their competence at supporting their child using Aided Language strategies, i.e. modeling use of SGD at a reasonable rate while using verbal communication as well Also focused on providing appropriate prompting and opportunities for the child to use the device during motivating activities

21 Aided Language Training Block cont. Benefits: Increased caregiver confidence Increased client skills – initiation, requesting, commenting, asking questions

22 Aided Language Training Blocks cont. Success Stories… Nathan is a 8 year old boy with a physical disability and vision and hearing concerns. He uses a Tech Talk with 2-6 core vocabulary words. Training sessions focused on teaching his mom Aided Language strategies during play based activities. Over 4 training sessions, his moms skills improved and Nathan became a more interactive communicator using the targeted core vocabulary within activities. He also became more focused and he appears to have a better understanding of communication.

23 Proposal for the Future: Monthly Communication Group ACS team have developed a proposal to run monthly or bimonthly Communication Group sessions Attendees include alumni from the Summer Communication Group, those who have completed an individual community training or an Aided Language Training Block Considering alternating community outings with in clinic sessions focusing on specific skills Investigating using parents as co-organizers

24 Monthly Communication Group cont. Predicted Benefits: Providing additional opportunities for clients to work on a variety of functions of communication in a motivating group setting Providing models and opportunities for effective communication for clients and for effective support strategies for caregivers in a natural setting (community outings) Providing a network for clients and their caregivers FUN!!!

25 Additional Training Opportunities ACS Workshops (offered at 3 sites over 8 months of the year): – Supporting Early Communication – Using a Speech Generating Device Functionally – Vocabulary Selection and Developing Overlays – Beyond Requesting…Next Steps – Using Your Speech Generating Device…Success Through Aided Language ACS Video Workshops: – Visual Strategies for Communication – Adaptations to Support Shared Reading – Developing and Using Conversation Books Online Training Opportunities: (examples include) – Assistiveware tutorials, videos – AAC Centre for Autism Resources

26 Factors Influencing Quality Training Staffing! Life Needs Model philosophy of KidsAbility Supportive management Motivated families


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