RISE Blocks® are a trademark block delivery format designed by RISE for use in RISE facilities.
RISE is a Tolerance Training facility.
RISE’s ABA approach to mediate problem behavior is State of the Art – Tolerance Training
Tolerance Training addresses problem behavior through a systematic and strictly sequenced approach of teaching the skill of functional communication (FCT – Functional Communication Training), delay and denial tolerance (Tolerance), and compliance with reasonable adult expectations (Compliance).
1. The appropriate alternate communication response is taught, reinforced immediately with the same reinforcers that were shown in analysis to be maintaining the problem behavior, while problem behavior is no longer reinforced.
2. More developmentally appropriate communications responses are then shaped.
3. Intermittent delays or denials are introduced.
4. Child is taught effective response to delays and denials.
5. Delay tolerance is strengthened.
6. Variable behavioral expectations are introduced.
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, progressive token economy board, or 7 Steps to Instructional Control program, including components of “pairing”.
3. Begin drawing ABC behavioral data for future analysis as to function.
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 Alternate)
· Behavioral Relaxation Training (BRT)
· Model Me Kids – Balance and Core on the Ball
· Smiley Faced Behavioral Chart
· SuperFlex Social Skills
· Model Me Kids Social Skills
· Social Thinking and Me
· Zones of Emotions
· RISE Humor Kit
· RISE Homework ABA Style
· RISE Hidden Curriculum
· RISE Rec
· Soft Skills to Work
1. Continue Tolerance Training, increasing demands as appropriate to level.
2. Introduce assessment goals written specifically for the child to address individual needs.
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.
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 Play-Based School Skills Programming (PBSS)
RISE Play-Based School Skills (PBSS) programming includes the following targets as skills prep for your child to be successful in school. This program is delivered in conjunction with Starfall to move your child forward in a fun way.
· Sit at rug time with a group
· Raise hand to answer questions
· Saying first AND last name
· Stand in line and wait turn
· Adhere to a group schedule
· 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
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 considers parent/family participation and training as an essential part of ABA therapy to achieve transfer and generalization of skills learned and behavioral reduction achieved, and to reduce collateral effects of ABA behavioral training, such as behavioral contrast effect. Thus, being central to the child’s success, RISE programs include an expectation that parents consistently participate in family training on a weekly basis.
Family Centric is conducted in a tele-format. Family Centric 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.
RISE Family Centric is unique and interactive, designed to help families understand their autistic family member, to train and practice with parents’ practical ABA techniques they can apply in real life, and then to link those ABA concepts to specific patient programming. The curriculum has 7 modules (or learning goals):
Each module is broken down into hours, typically 5-7 hours. Each hour is broken down into specific interactive activities that are up and active, content rich, and include engaging online games and interactive activities. A 1-hour Family Centric session flows like this:
Ø Opener: Self-Management Technique Practice
Ø Review-Graph-Analyze Previous Session Take-Home-Targets
Ø Content – Learning on the Topic
Ø Safety Tweak of the Week
Ø Assign Take-Home-Targets
Ø Dashboard/Progress Review OR Open Consult (parent choice)
Ø Closer: Self-Management Technique Practice