Pillar 5 - 3 Levels of Programming

 

Level 1:  Initial Programming.  First 2 Days (typically).

1.       Begin Tolerance Training.  Steps 1-4 of Tolerance Training are training the Functional Communication Response (FCT).  “Pairing” and “Instructional Control” are natural ABA by-products of these first few steps of Tolerance Training. 

2.       If Tolerance Training will not be used with the patient, begin 7 Steps to Instructional Control program, which again includes components of “pairing”.

3.       Begin drawing ABC behavioral data for future analysis as to function.

Level 2:  Standard Programming. Days 2-6 (Typically)

1.       Continue Tolerance Training.

2.       Begin introducing demands in form of standard programs, when at appropriate step in Tolerance Training.

a.       As age and client-specific appropriate, Standard Programming may include programs such as:

·         Ready with the Bell

·         The Cup Game (Eye Contact and Gaze Alternat)

·         Behavioral Relaxation Training (BRT)

·         YogaRilla

·         Model Me Kids – Balance and Core on the Ball

·         Smiley Faced Behavioral Chart

·         SuperFlex Social Skills 

·         Model Me Kids Social Skills

·         Zones of Emotions

·         RISE Humor Kit

·         RISE Homework ABA Style

·         RISE Rec

Level 3:  Individualized Programming.  Days 3+ (Typically)

1.       Continue Tolerance Training, increasing demands as appropriate to level.

2.       Introduce assessment goals written specifically for the child to address individual needs.

Life Stage Transitions Programming Packages

RISE Summer Bridge (Transitioning to outdoors and community)

RISE offers NET style summer bridge programming - bridging your child's ABA into fun summer activities while the weather is warm. These programs help to facilitate getting your child out into the community and out into the great outdoors.  In these programs, your child will learn about the topic and then have an opportunity to practice what they have learned.  Many of these programs are embedded in RISE ABA Summer Camp.  Bridge programming topics can include:

·         Community Gardening

ABA targets are on learning mini-skills and responsibilities related to gardening, and for proper care for a pallet garden that is ultimately created.

·         Community Outing

ABA target categories are on initiating communication, responding to communication, interacting in public, compromising or conflict resolution, following community directions, clean up and transition, managing problem behaviors in public, various community skills (like shopping, ordering food, waiting in line, etc), and community safety (road crossing, stranger awareness, awareness of environmental hazards, etc.).

·         Bike Riding & Bike Safety

ABA targets are on community safety when going on a bike ride, asking permission, leaving a note about our route, mapping our route and staying in those boundaries, stranger danger while out in the public, and how to care for our bike, and how to dress properly for the weather and event.

·         Fishing

ABA targets are on learning to complete the full forward chain to the task of fishing and we eventually practice it with real fishing!  Learning this skill creates a leisure or fun activity that your child will know and be able to use to interact with other people in their life, such as you or friends!

·         RISE Hoops

ABA targets are on imitation of some basketball moves, such as bouncing, catching, dribbling, standing behind the line, and shooting. Targets also include follow directions, take turns, and sportsmanship in a game of HORSE presented in a positive behavioral way (to earn a letter for doing the skill versus missing the skill as the game is originally designed).

·         Picnic Table Chess

ABA targets are in prompt and response in intraverbals in a chess exchange, sportsmanship, turn-taking, and match-to-sample skills that are inherent in navigating chess.

·         Outdoor Science Explore

We explore topics that take us into the great outdoors on science focused activities.  ABA targets are in following 2 and 3 sequence instructions, prompt and response in intraverbal exchanges, math skills, small and large motor skills, outdoor boundaries, and my turn - your turn in collaborating with a group.  Activity examples in this program may include, for example, going on a scavenger hunt for flower types and then looking at our prizes under a microscope or pressing and displaying them.  We may create a habitat for frogs and learn about frogs and caring for live beings.  We may learn about how the sun changes as the day goes by and go out and trace and measure our shadow at various times of the day. Etc.

·         Sportsmanship and Group Rules

Your child has joined a sport or community activity and needs help to integrate into the group and activity.  ABA targets are on displaying good sportsmanship, accepting losing or failing, turn-taking, understanding and following the group or activity rules, understanding the activity in general.  In this program we work with your child during his/her actual group sport activity on these important social skills.

·         Thin the Reinforcement

This program is to help your child do a gym type or large motor activity independently.  For example, maybe your child would like to learn now to play catch.  In this program we work on the discrete component of the ball toss, individualizing the activity to whatever level your child can perform at.  The program is to thin the reinforcement schedule on a fixed schedule to bring your child to independence at the activity.  This is a great program for any large motor activity!

RISE Kindergarten Prep Programming

RISE Kindergarten Prep programming includes the following targets as skills prep for Kindergarten entry.  This program is delivered in conjunction with Starfall to move your child forward in a fun way.

·         Saying first AND last name

·         Write First Name (not perfectly)

·         Tell Adult if they need help, "I need help."

·         Blows Nose & Disposes Tissue

·         10-minute sit for being read to OR patient reads

·         Sing/Recite Nursery Rhymes 

·         Can Glue with Glue Stick

·         Can Cut with Scissors

·         Follows 2-step Directions

·         Sing the Alphabet (see Starfall)

·         Puts Shoes on & Velcro's

·         Count to 10 Independently

·         Knows Phone Number

·         Knows Teacher's Name

Soft Skills to Work Curriculum

This is an interactive curriculum to prepare the autistic individual toward the workplace.  Soft skills include adaptability, attitude, communication, creative thinking, work ethic, teamwork, networking, decision making, positivity, time management, motivation, flexibility, problem-solving, critical thinking, and conflict resolution.

Purpose is to generalize these skills out into applying for, interviewing, and then working a real job.

RISE-FT (family training)

Delivery Format

Family Training is conducted primarily in a tele format, sometimes in person and optimally on a weekly basis.

Family Training is always conducted with the family present.  Although the family may bring guests with them to the meeting who they feel may collaterally benefit from the information, family training is always directed to and advising only the family.

Curriculum

RISE family training and consult is unique and interactive, designed to link ABA concepts to specific patient programming, and to train parents in practical ABA techniques they can apply in real life.

        15m        Pre-Measure on ABA Topic (Kahoot!) and Review Home Practice from previous session

        15m        Review Patient’s Key Data Points and Q & A on Programming and Progress

        25m        Instruct, Model, Practice and/or Feedback on ABA Topic

        5m          Assign Home Practice


Session 1:  Unpacking the Assessment & Choose 1 Patient Behavior & 1 Skill to Focus on Learning to deliver

Session 2:  The 3 Pillars of Autism

Session 3:  The Nuts and Bolts of ABA

Choices for Sessions 4+

ABC Breakdown

7 Steps to Instructional Control

Help-Prompt-Wait Strategy

Drawing ABC Data (on the FAO)

Analyzing Behavior Data (drawn on the FAO)

Time Delay Techniques

Transitioning Between Activities

Increasing Skills

Reducing Behaviors

Reinforcement vs Punishment

Grandma’s Rule

Compliance Training

Creating Visual Supports

What are Antecedent Strategies?

Home Base

Discrete Trail Training v Natural Environment (DTT vs NET)

Differential Reinforcement       (DRA, DRO, DRI)

Functional Communication Training (FCT)

Tolerance Training

Planned Ignoring

Homework ABA Style

Response-Interrupt-Redirect (RRR)

Self-Management:  4 Levels of Behavior Relaxation Training

Picture Exchange Communication (PECS)

Toilet Training

The Incredible 5 Point Scale

Video Modeling

 

RISE Family Centric (intensive family training)

RISE Family Centric is intensive family training of 10 hours or more per week and is delivered fully via tele-therapy.  This program has been used in and is beneficial in instances such as:

·         Very remote locations that are difficult or impossible to staff.

·         Sites where safety reasons prevent direct staff from servicing onsite.

·         Cases that are in "step-down" care, where the patient has accomplished goals and transfer is appropriate.

·         Cases where the family prefers to not have staff in their home, cannot attend clinic, and would like to learn ABA for themselves so they can know how to benefit their own child.

This program would typically run 2 hours per day, with the first hour resembling RISE-FT.  In the second or remainder hours, the family is performing the role that a behavior technician would be typically delivering.  The parent is directly delivering the patient programming under the guidance and supervision of an ABA supervisor who is present in tele-format.