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The Learning Clinic. The Learning Clinic The Learning Clinic The Learning Clinic A sperger S yndrome A P lan for T ransition to I ndependence.

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Presentation on theme: "The Learning Clinic. The Learning Clinic The Learning Clinic The Learning Clinic A sperger S yndrome A P lan for T ransition to I ndependence."— Presentation transcript:

1 The Learning Clinic

2 The Learning Clinic

3 The Learning Clinic The Learning Clinic A sperger S yndrome A P lan for T ransition to I ndependence

4 The Learning Clinic Presented by: Raymond W. DuCharme, Ph. D. Kathleen A. McGrady, Psy. D. CT College January 16, 2004 The Learning Clinic

5 Pervasive Development Disorder Category of Diagnosis that includes Autism, Rett’s Disorder, Childhood Disintegrative Disorder, Asperger Syndrome, and PDD NOS. Historically, other diagnostic labels in this category have included Childhood Schizophrenia and Autistic Psychopathy.

6 The Learning Clinic W ho is the A sperger I ndividual? The Learning Clinic

7 Asperger Syndrome Criteria DSM-IVICD-10 Qualitative impairment in social interaction XX Restricted repetitive and stereotyped patterns of behavior, interests, and activities XX No general language delay XX No delay in cognitive development XX Normal general intelligence (most) X Markedly clumsy (common) X No delay in development of:  age appropriate self-help skills  adaptive behavior (excluding social interaction)  curiosity about environment X

8 The Learning Clinic Asperger Syndrome Criteria Pragmatic language skill deficits not part of DSM-IV or ICD-10 criteria but should be included for differential diagnosis.

9 The Learning Clinic Other Developmental Issues  Deviation from normal development  Do not “Outgrow” Developmental Deficits  Stress Impairs Performance  Co-Morbid Diagnosis Impairs Overall Functioning

10 The Learning Clinic Cognitive Functioning Medications

11 The Learning Clinic Psychological Symptoms Age / Time

12 The Learning Clinic Clinical Symptoms and Learning Disabilities Grade

13 The Learning Clinic Asperger Syndrome Pervasive Developmental Delay C O G N I T I O N  Memory  Higher Order Process Analysis, Synthesis, and Evaluation  Organization  Flexibility

14 The Learning Clinic Asperger Syndrome Pervasive Developmental Delay C O G N I T I O N  Wide Band of Knowledge  Problem Solving  Verbal-Performance IQ  Attention Shift  Rule - Governed Behavior

15 The Learning Clinic Asperger Syndrome Pervasive Developmental Delay L A N G U A G E  Pragmatics  Syntax  Meaning: Connotative Denotative

16 The Learning Clinic Asperger Syndrome Pervasive Developmental Delay L A N G U A G E  Processing Speed  Expression  Duration

17 The Learning Clinic Asperger Syndrome Pervasive Developmental Delay S P E E C H  Prosody  Pedantic  Elocution  Volume

18 The Learning Clinic Asperger Syndrome Pervasive Developmental Delay M O T O R  Fine Control  Gross Control  Coordination  Regulation

19 The Learning Clinic Asperger Syndrome Pervasive Developmental Delay S E N S O R Y P R E C E P T I O N  Visual Integration  Kinesthetic  Tactile Accuity  Gestalt  Integration of other Senses

20 The Learning Clinic Asperger Syndrome Pervasive Developmental Delay S O C I A L  Cue Identification  Responsive to others  Isolate  Rude  Aggressive

21 The Learning Clinic Asperger Syndrome Pervasive Developmental Delay S O C I A L  Boundary Acceptance  Maintain Social Roles (e.g., student, son, daughter, friend)  Self - Regulate

22 The Learning Clinic W hat are the P riorities of the A sperger S yndrome S tudent? The Learning Clinic

23 Priorities of the Asperger Student 1. Independence  How to find and use resources and self-advocate 2.Work Experience  Paid employment and volunteer work

24 The Learning Clinic Priorities of the Asperger Student 3A.Shared Living versus Living Alone  Advantages and disadvantages of each 3B.Resources  How to find resources, e.g., doctors, therapists, etc.

25 The Learning Clinic Priorities of the Asperger Student 4A.Social Activities  How to find resources for fun activities?  How to make friends and find others with common interests?  How to deal with the tendency to isolate?

26 The Learning Clinic Priorities of the Asperger Student 4B.Medication  How do you know when you need medication?  Who do you go to for help?

27 The Learning Clinic Priorities of the Asperger Student 5.College Experience  What it takes to be successful in college 6.Problem-Solving  How to partner with others to solve problems

28 The Learning Clinic Priorities of the Asperger Student 6. Problem-Solving / Continued  Expressing issues openly  Independent problem-solving versus teaming

29 The Learning Clinic How Can We Assess Readiness for Independence?  The Learning Clinic Pragmatic Skills Survey  The Learning Clinic Transition & Independent Living Skills Assessment

30 The Learning Clinic Which Asperger Symptoms Compete with Independence? Degree of Anosognosia Age Over time, symptoms become egosyntonic

31 The Learning Clinic What Does a Transition Program Include? Independent Living 1.Housing  Housing Acquisition & Leases  Home Management

32 The Learning Clinic What Does a Transition Program Include? Independent Living 2. Nutrition  Meal Planning & Preparation  Dining  Clean-up & Food Storage

33 The Learning Clinic What Does a Transition Program Include? Independent Living 3. Money Management  Budgeting & Taxes  Banking & Credit  Consuming

34 The Learning Clinic What Does a Transition Program Include? Independent Living 4. Transportation  Type of Transportation & Costs  Independent Travel  Obtaining Driver’s License  Vehicle Maintenance

35 The Learning Clinic What Does a Transition Program Include? Independent Living 5. Leisure  Exercise Routine  Community Activities  Personal Hobbies  Community Groups

36 The Learning Clinic What Does a Transition Program Include? Independent Living 6. Legal Awareness  Responsibilities of Adulthood  Contracts  Constitutional Rights

37 The Learning Clinic What Does a Transition Program Include? Independent Living 6. Legal Awareness / Continued  Misdemeanor versus Felony  Resources for Legal Obligations  Sexual Harassment

38 The Learning Clinic What Does a Transition Program Include? Independent Living 7. Health  First Aid  Self-Administer Prescription Medications  Personal Hygiene  Stress-Control Strategies

39 The Learning Clinic What Does a Transition Program Include? Independent Living 8. Time Management  Realistic Goals  Time of Day Most / Least Productive  Priorities - Establish and Organize  Appointment Book or Calendar

40 The Learning Clinic What Does a Transition Program Include? Independent Living 8. Time Management / Continued  Step - Wise “Bite Size” Goals  Self - Reward  Identify Basic Needs  Schedule Time to Meet Basic Needs

41 The Learning Clinic What Does a Transition Program Include? Independent Living 9. Personal Safety at Home  Smoke Alarm - Check Operation Monthly  Fire Drill Procedures & Fire Extinguisher  Post Emergency Numbers

42 The Learning Clinic What Does a Transition Program Include? Independent Living 9. Personal Safety at Home / Continued  Basic First Aid  First Aid Supplies  Hazardous Materials  Lock Doors in the Home

43 The Learning Clinic What Does a Transition Program Include? Independent Living 10. Personal Safety in the Community  Walking in the Community at Night  Public Transportation  Dating

44 The Learning Clinic What Does a Transition Program Include? Independent Living 11. Personal Safety during Dating Relationships  Sexual Abstinence  Social Gender Boundaries  STD’s  Methods of Contraception  “Safe” Sex Practice

45 The Learning Clinic What Does a Transition Program Include? Independent Living 12. Personal Presentation  Appropriate Clothing for Different Settings  Clothing: Needs versus Wants  Budgeting and Shopping for Clothes

46 The Learning Clinic What Does a Transition Program Include? Independent Living 12. Personal Presentation / Continued  Cleaning Different Types of Clothing  Female: Appropriate Use of Make-up / Hair Care

47 The Learning Clinic What Does a Transition Program Include? Independent Living 12. Personal Presentation / Continued  Male: Proper Grooming / Hair & Shaving  Body Language: Personal versus Professional

48 The Learning Clinic What Does a Transition Program Include? Community Resources  Access Community Health Resources  Completion of Medical Forms  911 / Local Emergency Numbers  Health Insurance & Its Use  Community Services: Library, Legal Aid, Adult Education, Leisure

49 The Learning Clinic What Does a Transition Program Include? Community Service / Volunteer Opportunities  Community Service Opportunities  Value of Volunteering  Ten Hours / Month - Minimum per Quarter

50 The Learning Clinic What Does a Transition Program Include? Vocational Readiness, Training & Post-Secondary Education  Career Planning Areas of Interest Aptitude Training  Career Plan Action Plan

51 The Learning Clinic What Does a Transition Program Include? Employment  Importance of Paid Employment  Job Shadowing, Internship, Volunteer Work  Search for Employment  Resumé

52 The Learning Clinic What Does a Transition Program Include? Employment / Continued  Job Applications  Job Interview  Computer Skills for the Workplace  Wage Deductions  Maintaining Employment

53 The Learning Clinic What Does a Transition Program Include? Employment / Continued  Changing Jobs  Termination of Employment  Job Safety Gear  Work Procedures  Maintaining Employment

54 The Learning Clinic What Does a Transition Program Include? Employment / Continued  Workman’s Compensation Procedures  Sexual Harassment in the Workplace

55 The Learning Clinic What Does a Transition Program Include? Post Secondary Education  Career Track and Opportunities for Employment  Education and Training Needed for Chosen Career  Colleges & Technical Schools with Available Programs

56 The Learning Clinic What Does a Transition Program Include? Post Secondary Education / Continued  Cost & Ways to Pay for Tuition  Financial Aid Paperwork  Scholarships  Complete College Applications  Analyze Acceptance & Available Money

57 The Learning Clinic What Does a Transition Program Include? Post Secondary Education / Continued  Borrowing Money for College Training  Plan Timeline & What Will Be Needed for School  Support Service for Post-Secondary Education

58 The Learning Clinic What Does a Transition Program Include? Healthy Relationships  Quality of Healthy Relationships  Personality Traits (Self & Others) Necessary for Healthy Relationships  Emotional & Mental Well-being Within a Relationship  Boundaries & Intimacy

59 The Learning Clinic What Does a Transition Program Include? Healthy Relationships / Continued  Relationship “Games”  Abusive Dangerous Relationships  How to Choose Healthy Partners for Relationships

60 The Learning Clinic H ow D o S tudents A ssess and C omment on T heir E xperience? The Learning Clinic

61 A ssess B enefit by C omparing P erformance with A ll S tudents of C omparable IQ and S kill L evel. The Learning Clinic

62 Education: Asperger Student Classroom Behavior 1. Attending Behavior  Discern Task Expectations  Focus Attention on Relevant Stimuli  Shift Attention to Relevant Stimuli  Ignore Irrelevant Material  Perform Multi-Task Operations

63 The Learning Clinic Education: Asperger Student Classroom Behavior 2. Responding Behavior  Verbal Skills  Pragmatic Language Skills  Writing Ability  Executive Function Ability  Perseverance  STM for Denotative Items

64 The Learning Clinic Education: Asperger Student Classroom Behavior 3. Reinforcement Behavior  Provide Contingent Positive Social Reinforcement  Assert Negative Reinforcement in an Appropriate Way  Receive Positive Reinforcement  Ability to Respond to Positive Reinforcement

65 The Learning Clinic Education: Asperger Student Classroom Behavior 4. Initiating Behavior  Self - Initiate Classroom Routines  Use CAI Prompts  Start Task According to Direction

66 The Learning Clinic Education: Asperger Student Classroom Behavior 5. Comply / Demonstrate Rule - Governed Behavior  Accept Correction from Instructor  Accept Correction in Public Setting  Self - Correct Assignments to Pre - determined Standards

67 The Learning Clinic Education: Asperger Student Classroom Behavior 6.Completing Behavior  Perform Tasks to Standards  Return Completed Product to Supervisor

68 The Learning Clinic Education: Asperger Student Classroom Behavior 7. Transitioning Behavior  Initiate Independent Steps between Tasks  Use Prompts / Cues to Signal Move from One Task to Another

69 The Learning Clinic Education: Asperger Student Classroom Behavior 8. Cooperating Behavior  Taking Turns  Waiting  Avoid Arguing  Sharing  Making Requests Before Acting

70 The Learning Clinic Education: Asperger Student Classroom Behavior 9. Adapting Behavior  Adjust to Different Routines in Different Classrooms  Adjust to Alteration in Routine  Follow New Routine Required by a Situation

71 The Learning Clinic Education: Asperger Student Classroom Behavior 10. Cooperate with Medication Administration 11. Complete Homework 12. Attend School  Discern Task Expectations  Focus Attention on Relevant Stimuli  Shift Attention on Relevant Stimuli  Ignore Irrelevant Material  Perform Multi-Task Operations

72 The Learning Clinic Competing Clinical Behaviors  Perseveration  Obsessive Thought  Rigid Cognitive Style  Inability to Shift from “Personal View” to Data - Based Decision

73 The Learning Clinic Competing Clinical Behaviors  Confabulation  Affirming False Information  “Stealing”  Sexually Inappropriate Actions and Statements / Continued

74 The Learning Clinic Competing Clinical Behaviors  Violation of Boundaries  Cognitive Disorientation and Distortion / Continued

75 The Learning Clinic Optimal Classroom Behaviors  Closed Classroom  Applied Task - Oriented Setting  Standards are Limited, Precise and Based on Asperger Student’s Level of Ability to Self - Regulate  Class Size Under 10 - Over 3

76 The Learning Clinic Optimal Classroom Behaviors  Cues and Prompts are Provided a.Daily Plan / Organizer b.Assigned Work Station c.CAI Task Presentation  Clear System of Discipline Consistently Applied Setting Wide / Continued

77 The Learning Clinic Optimal Classroom Behaviors  Classroom Mix Controlled  Interpersonal Style of Teacher: Direct, Non-Judgmental, Organized  Task Analysis Reflects: a.Backward Chaining b.Performance Standards c.Over - Learning Options / Continued

78 The Learning Clinic Optimal Classroom Behaviors  Control Risk  Minimize Transitions / Continued

79 The Learning Clinic What Is on the Horizon for Asperger Students? Early Diagnosis  Pediatric Training  Teacher Training Psycho - Education Treatment Cognitive Behavioral Therapy

80 The Learning Clinic What Is on the Horizon for Asperger Students? Technology  Distant Coaching (remote video monitoring)  Computer Checklists and Prompting  Computer Assisted Instruction (CAI)

81 The Learning Clinic What Is on the Horizon for Asperger Students? Technology / Continued  Kurtzweil 3000  Dragon Naturally Speaking

82 The Learning Clinic The Learning Clinic... because every child can succeed! End


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