Presentation on theme: "The SCERTS Model Barry M. Prizant, Amy Wetherby, Emily Rubin"— Presentation transcript:
1The SCERTS Model Barry M. Prizant, Amy Wetherby, Emily Rubin A comprehensive educational approach for children with Autism Spectrum DisordersCharlotte Edwards, PsyDTanya Kim, MANew Connections Academy2007
2Domains of the SCERTS Model Interdependent Trio Social CommunicationEmotional RegulationTransactional SupportWHY?Used at home, school, anywhereUsed along with other methodsFollows development: directly addresses the core developmental challenges & places learning within the context of natural environments (OT, SPEECH, nature hikes)ASK WHY these 3 domains? And collect answers.IMPORTANCE:SC: Although diagnostic schemes have evolved and changed over the years (like Attwood said), 2 criteria have remained constant: 1. the development of social-communicative abilities 2. development of social relationshipsER: The inabilities to express themselves in the social realmsUncomfortable, etc comes off as looking like conduct disorder or commorbities, etc.TS: support is ongoing… many kids’ parents are most concerned about transitioning into real life and how much support they will need.We are the support/ transactional partners.Support is also needed across settings to be consistent in every day activities.
3Why SCERTSOngoing debate about what is most important to teach and what are the most effective methodologies for teaching children with ADSRecent review of two decades of research on educational interventions for children with Autism concluded there is no evidence that any one approach is more effective than another
4Why contMost important, the panel argued for the introduction of a new dynamic approach to include educational priorities to include, functional spontaneous communication, development of social relationships and play skills with peers and acquisition of functional abilities in meaningful activitiesThe authors believe these priorities are fully consistent with the SCERTS model
5SCERTS Social Communication Emotional Regulation Transactional Support Recognized that the most meaningful learning experiences in childhood occur in everyday activities within the family and school contextsFramework is designed to target priority goals in social communication (SC) and emotional regulation (ER) by implementing transactional supports (TS) throughout a child’s daily activities and across social partners
6SCERTS Respects and infuses expertise from a variety of disciplines Regular and special educationSpeech-language pathologyOccupational TherapyPsychologySocial WorkMedicalParents and family members
7Social CommunicationCommunicating and playing with others in everyday activities and deriving joy and pleasure in social relationships with children and adultsChildren must acquire capacities in two major areas of social-communicative functioningJoint AttentionSymbolic UseCommunicative means may be preverbal, such as gestures or use of objects to communicate or verbal, signs, picture symbol systems and/or speech ranging from single words to complex expressive language used in conversation
8SC: 3 Stages of Social Communication Development SOCIAL PARTNER:Child communicates with gestures & vocalizationsLANGUAGE PARTNER:Child uses symbolic means to communicate shared meanings (oral language, sign language, picture symbolsCONVERSATIONAL PARTNER:More advanced language abilities and social awareness of others.SP:are not symbol users (don’t pretend to cook food or feed a doll) but they do play at a sensory and motor level.>LANGUAGE PARTNER: modifier + object (more cookie), agent + action + object (mommy go bye bye)ConversationalWhere is Matt?Main goal is to attain JOINT ATTENTION: reciprocal social interactions with a variety of partners and across different social contexts.
9Emotional RegulationAn essential and core capacity that supports a child’s “availability” for learningFor a child to be optimally “available” he or she must have the emotional regulatory capacities and skills to1.Independly remain organized in the face of potentially stressful events that may be either positive or negative in nature (self-regulation)
10ER cont2. Seek assistance and/or respond to others' attempts to provide support for emotional regulation when faced with stressful, over stimulating or emotionally dysregulating circumstances (mutual regulation)3. “Recover” from states of emotional dysregulation or “attentional shutdown” through self-and/or mutual regulation strategies (recovery from dysregualtion)
12ER: Behavior Strategies Simple motor activities or sensory- motor strategies that the child engages in to regulate his or her arousal level, remain alert, and self soothe.Examples: looking at one’s hands, seeking oral sensory input, etc.Johnny and chewing on erasers or anything…
13ER: Language Strategies The child becomes a symbolic communicator.Language strategies are words or other symbols that the child uses that regulate his or her arousal level.Imitative or creative use of symbols to engage in audible or observable self-talk as well as inner language.EXAMPLES: 1. child saying or signaling “ok” after falling down,2. A child selecting the picture icon for “mad” from his or her communication book during play3. And child stating, “don’t worry” when afraid.
14ER: Metacognitive Strategies A child’s ability to reflect on and talk about cognitive processes that support organization, decrease anxiety, and regulate attention and arousal to guide behavior.The process of internalizing a dialogue that requires coordinating different perspectives, which allows for greater social problem solving, inhibiting behavior based on social and moral rules, and using reflective problem solving( “If ___ happens, I can always do ____.”)For instance when faced with a challenge, the child can consider his ability to succeed or not succeed and regulate these thoughts by formulating a plan on how to complete the activity. The regulating plan might even be as simple as knowing they may request help from the teacher.
15Transactional Support The third and final core component of the SCERTS Model.The most meaningful learning occurs within the social context of everyday activities and within trusting relationships, transactional support needs to be infused across activities and social partners
16TS cont1. Interpersonal supports include adjustments made by communicative partners in language use, emotional expression and interactive style that help a child to process language, participate in social interaction, experience social activities as emotionally satisfying and maintain well-regulated states
17TS cont3.Family support includes educational support such as sharing of helpful information and resources, direct instruction in facilitating a child’s social communication, emotional regulation, daily living skills and implementing learning supports2. Learning and educational supports include environmental arrangement or the ways typical settings and activities are set up or modified to foster social communication and emotional regulation
18Transactional Support TS Learning occurs in a social context.Thus, a child’s comprehensive program should not only address a child’s developmental progress, but also the progress of that child’s social partners (parents, teachers, siblings, and peers).Support must be given within everyday activities across settings, activities, and partners.Multisensory teaching approaches- visual, kinesthetic as much as possible.Pg. 33 Do’s & Don’ts
19TS Example Goal Student Goals Partner Goals Initiates conversations about a variety of topicsInitiates & maintains conversations that relate to partner’s interestRequests information about others’ experiencesPartner GoalsModels a range of communicative functions & rules of conversationUses supports to foster understanding of language and behavior.Friendship Map ExamplePg. 48: Family Expectations for Services & Helpful Supports good to have parents fill out and find out about their concerns. Might be good for intake?Pg. 76 : Go through and ask what do we already do? What can we feasibly initiate in NCA?Pg : Goals that may be added to IEP?
20SCERTS Model Approaches Meaningful Activities & Purposeful Activities (MA& PA)Learning & Playing with Peers (LAPP)
21Meaningful Activities & Purposeful Activities Activity based intervention & joint activity routinesConsistency & predictabilityStructure & flexibilityVisually based with multimodal learning.Very distinct from primarily skill based approaches of repetitive,mass trial format.Kids with ASD can’t relate learned ideas into application or meaningfulness to life.IE. Go to the dentist to role play, or role play going to the store to buy something.*** ASD has difficulties generalizing so best to learn in the natural environment… so ideally all therapies are NOT pull outs but actually done within the classroom.
22MA & PA Continuum Planned activity routines Engineered activities and environmentsModified natural activities and environmentsNaturally occurring events & environmentsKnowing that not ALL can be taught in a “natural setting”…Pg. 14 has more detailed information on this continuum
23MA & PA: Types of Activities GD: preparation or fabrication of a specific end product: food preparation, constructive playCTT: games or routines where the goals are shared enjoyment and reciprocity- sportsTO: activities organized around a plot or a themes like daily living routines, prep for bedtime, going to a restaurant
24Learning and Playing with Peers Offers a child with ASD a systematic and semi-structured means to learn and apply social-communicative and play skills in predictable and supportive activities as well as natural activities.Predictable & Supportive to help with emotional regulationNatural to help general activitiesAnd obviously LPP is social communication
25LAPP Planned activity routines Natural Interactions & Settings Control for noveltyShared control & reciprocityUnconventional behavior & social play behaviorsMore motivated when familiar with the steps for the activity and their roles in participating.May start out these routines with one-on-one adult/child situation and then bring in other kids. EX: Social Partner Stage: Ring around the rosyConversational Partner Stage: Red light green lightReduces the child worrying about ER because they know what’s going on and it opens them more up for learning and communicating with peers. Like the guy wanting to play FOUR SQUARE- he knows the rules…2. Naturally occuring interactions & settings allow for reciprocal exchanges, shared positive emotional experiences btwn child and peers instead of just child and adult partners.3. novelty = unpredictability = emotional/social dysregulation… be sure to systematically move from predictable to novel4. ASD like to be in control of activity so turn taking is difficult. Examples of how to help: Social Partner Stage: puzzle (take turns passing a bowl of puzzle pieces) Language Partner Stage: visual support for who’s turn (spinner dial)Conversational Partner Stage: “talking ball” to take turns in convo.5. Echolalia/ incessant questioning or repetitive manipulation of toys shouldn’t be a reason to keep from LAPP activities. TS should design strategies to systematically increase verbal/ nonverbal interactions to replace those unconventional reactions.
26Continued… 6. Intrinsic motivation 7. Expressing a range of social-communicative intentions & functions8. Enhancing skills of peer partners9. Adult partner’s role6. a- puzzle has definite start & end points: this will encourage completion of activity with peers as opposed to trains, blocks, legos which is indefinite end.b. have regular opportunities of movement like an obstacle coursec. high interest activities* all these opportunities will create positive emotional memories of LAPP activities to promote future motivation.7. Three types of intentions/ functions: a. behavioral (requesting, making choices)b. social interaction (requesting games, calling , greeting)c. joint attention (commenting, sharing and requesting information)Learning supports can be used like visual cue cards for “Julie, paint with me” or “all done” increases independence instead of relying on adult verbal cues.8. Peer partners need help or training in waiting for the initiation of communication, reading communication attempts, responding in a manner that encourages continued interactions and supporting emotional regulation.9. Creating natural activities, modeling SC, prompting, repairing breakdowns, offering repeated opportunities for predictable interactions, monitoring child’s ER, and providing TS.
27What SCERTS Is and Is Not Is a value based model with core values and principles that guide educational efforts
28SCRETS Is and Is NotIs not a curriculum focused solely on training skills, but focuses on underlying capacitiessupports the development of functional skills, individualized for each child in a systematic and semi-structured, but flexible mannerhierarchy of goals in social communication and emotional regulation informed by research on child development and based on each child’s needs and family priorities
29Is and Is Not contIs not exclusionary of other practices or approaches and flexible enough to incorporate from available approaches and teaching strategiesSCERTS has been developed as a “next generation" model for working with children with ASD as a vehicle for helping to move education of children with ASD forward in a more comprehensive and meaningful manner