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Using Visual Cues Across All Ages Ranges and Skill Levels Scot Greathead Speech and Language Therapist
Consider the inclusive environment and the difficulties our students face accessing this. Visual cues within the context of a larger ‘Prosthetic Environment’ Using visual cues to support transitions Increasing the complexity of schedules Text based cue systems and wider issues of developing independence in older students Learning Objectives The effect the environment has on developing independence and understanding October 2005 Scot Greathead - Hatton School
‘ The Inclusive Environment’ ,[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
Difficulties with gaining independence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
Difficulties with gaining independence ,[object Object],Self Inhibition Working Memory Foresight (prediction and planning) Sense of time Shifting tasks Starting / Completing tasks Beginning a task The Frontal Lobe -The Brain’s ‘Boardroom’  October 2005 Scot Greathead - Hatton School
How Do these Difficulties Manifest? Raised Voices: “Do this!” Physical Prompting Confusion ‘ Opting Out’ Learned helplessness: “Everything gets done for me” Loss of control: “What’s happening next?” Self Harm? Heightened state of anxiety Failure Confrontation, tantrums, ’behavioural difficulties’ Low self-esteem Loss of independence – reliance on others October 2005 Scot Greathead - Hatton School
The effect of the environment on developing independence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
A compatible environment? ,[object Object],[object Object],October 2005 Scot Greathead - Hatton School
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Prosthetic Environment: October 2005 Scot Greathead - Hatton School
Our ability to function independently Relationship with your physical environment Relationship with your symbolic environment Relationship with your social environment The meaning we give to objects within our environment and how we respond to them.  Ability to attach meaning to symbols and markings Awareness of how time is represented Ability to adapt your role within a given setting October 2005 Scot Greathead - Hatton School
Using visual cues to support the transition process   October 2005 Scot Greathead - Hatton School
Using a transition schedule independently What to do when you’re given a visual cue Assess students level of symbolic understanding Taught through backward chaining How to use a series of visual cues i.e. a schedule Teach to respond to a visual command – backward chaining 2 key skills October 2005 Scot Greathead - Hatton School
Hierarchy of Symbolic Understanding Real Objects Miniature Objects Photographs Coloured Drawings Line Drawings Symbols: i.e. Bliss Text/written word Choosing an appropriate visual cue October 2005 Scot Greathead - Hatton School
Following Visual Directions ,[object Object],[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
Following Visual Directions Backward Chaining ,[object Object],[object Object],Go to sink Go to schedule Dry hands Turn on tap Put soap on hands Wash hands Turn off tap Take off top symbol Look at symbol Move to the indicated area Teach the final component first by physically prompting the student to the end of the sequence then gradually allowing more independence October 2005 Scot Greathead - Hatton School
Verbal Prompting A spoken command - tells a student to do something “pick it it”, “get the ball”, “put your shoes on”, “check your schedule” Danger is that the student becomes reliant on the command rather than ‘thinking for themselves’ Impossible to ‘fade’ verbal prompts – easier to fade physical prompts. Turn the command into a comment “ Turn the tap on” becomes  ‘Hot Water!’  “ Go to your schedule” becomes  ‘Here’s your schedule’  “ Get your shoes” becomes  ‘They were under the chair!’ October 2005 Scot Greathead - Hatton School
Following Visual Directions What’s in the box? Here comes the hoop! “ Get this!” “ Go here” Photograph which student takes from  his schedule as a cue to collect his PE kit A photograph of an activity : Students collect the required Items for each song. Take Register Sensory Room Photographs should clearly represent the area students are moving to. October 2005 Scot Greathead - Hatton School
Following Visual Directions Providing a compatible environment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
Visual Schedules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
Visual Schedules Considerations ,[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
Visual Schedules 6 steps to independence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
Student ,[object Object],[object Object],I.E.P Targets  Consistent and regular opportunities to develop skills Assessment of student’s symbolic understanding Clearly Marked Areas Consistent Meaningful Symbols Consistent Base Boards Backward Chaining Accessible Schedules Prosthetic Environment Teaching Strategies Transition Profiling  Outcome Measures Clear ‘ends’ and ‘beginnings’ to activities October 2005 Scot Greathead - Hatton School
[object Object],October 2005 Scot Greathead - Hatton School
Build In Surprises Important skill for students are going to learn to tolerate and accept changes. Teaching ‘Surprise!’ is a lesson in which the adult needs to have control over.  Regular surprises normalise ‘change’ ,[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
Build in time for choice Support transitions with reinforcers   Develop sight vocabulary Incorporate commands Social  Functional October 2005 Scot Greathead - Hatton School
Collecting materials Items for collection need to be smaller than the ‘location’ symbol Make your October 2005 Scot Greathead - Hatton School
Incorporate Checklists/Gathering materials ,[object Object],Different checklists within the same activity – assign different responsibilities to each group member. The Art Checklist symbol is mounted on the schedule which signals the student to fetch the checklist from the box and collect the required materials   October 2005 Scot Greathead - Hatton School
Activity Schedules ,[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
Activity Schedules To reinforce rewards and  aid transitions: the following activity is more motivating than the current activity  To help students organise their own unstructured time. Students choose activities,  then follow their schedule.  choose October 2005 Scot Greathead - Hatton School
Activity Schedules To develop independence To support the  understanding of a  sequence of events   October 2005 Scot Greathead - Hatton School
The success of supporting more complex instructions for non-reading students will be limited unless they are taught and can read a series of symbols Can a series of symbols be replaced by 1 meaningful symbol If you take the text away can you understand what the instruction is? Using symbols to support complex instructions V’s October 2005 Scot Greathead - Hatton School
Schedule Books ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
A weekly / monthly schedule Requires ability to follow horizontal and vertical schedules Less specific - indicates key event throughout the week Could split into before and after school zones Eliminates repetitive questioning Teaches concepts of day names, today, tomorrow, yesterday, weekends Able to recap on a weekly basis October 2005 Scot Greathead - Hatton School
The development of the transition process Understanding that a symbol represents a command or event Following a vertical timetable Following a horizontal schedule Introduce the concept of a weekly schedule  Introduce the concept of a monthly schedule  Introduce the concept of a simple calendar, diary, to do lists, reminders etc Acknowledging the past is equally as important as thinking about the future: diary/lifeline etc Introduced as day planner and task planner Concepts: months, seasons   Concepts: today, tomorrow, yesterday and days of week October 2005 Scot Greathead - Hatton School
The next step to independence: ,[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
Text based systems to develop independence
Adult Visual Cueing Strategies ,[object Object],[object Object],[object Object],Activity schedules Daily Schedules Weekly Diary Monthly Diary Calendar To do lists Recipes Instruction manuals Directions Science experiments Activities over longer time periods:  Planning holidays Planning trips School projects October 2005 Scot Greathead - Hatton School
Difficulties achieving this ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
Wider issues with independence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
Time ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
School Diary ,[object Object],[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
Calendar ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
Coordinating   many tasks 25 minutes: Sausages 20 minutes: 10 slices of toast 10 minutes: Fried Eggs 10 minutes: Lay the table 10 minutes: Beans 10 minutes: cups of tea Completion   This strategy could also be used for projects which may takes weeks rather than minutes Breakfast Timer indicates when to start each task October 2005 Scot Greathead - Hatton School
Specific programs integrated within curricular activities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Life Skills Planning a dinner party Taking a friend into London Buying presents for Christmas Ordering takeaway At all levels students need to be involved with planning, execution and evaluation of their work. October 2005 Scot Greathead - Hatton School
Planning for independence ,[object Object],[object Object],[object Object],[object Object],[object Object],October 2005 Scot Greathead - Hatton School
I am autistic. I've always been autistic, and I always will be autistic. Autism is part of who I am, just as my sense of humor and my emotions are part of me. I like who I am, even my autistic part.  http://www.geocities.com/growingjoel/ October 2005 Scot Greathead - Hatton School

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Using Schedules All Ages

  • 1. Using Visual Cues Across All Ages Ranges and Skill Levels Scot Greathead Speech and Language Therapist
  • 2. Consider the inclusive environment and the difficulties our students face accessing this. Visual cues within the context of a larger ‘Prosthetic Environment’ Using visual cues to support transitions Increasing the complexity of schedules Text based cue systems and wider issues of developing independence in older students Learning Objectives The effect the environment has on developing independence and understanding October 2005 Scot Greathead - Hatton School
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  • 6. How Do these Difficulties Manifest? Raised Voices: “Do this!” Physical Prompting Confusion ‘ Opting Out’ Learned helplessness: “Everything gets done for me” Loss of control: “What’s happening next?” Self Harm? Heightened state of anxiety Failure Confrontation, tantrums, ’behavioural difficulties’ Low self-esteem Loss of independence – reliance on others October 2005 Scot Greathead - Hatton School
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  • 10. Our ability to function independently Relationship with your physical environment Relationship with your symbolic environment Relationship with your social environment The meaning we give to objects within our environment and how we respond to them. Ability to attach meaning to symbols and markings Awareness of how time is represented Ability to adapt your role within a given setting October 2005 Scot Greathead - Hatton School
  • 11. Using visual cues to support the transition process October 2005 Scot Greathead - Hatton School
  • 12. Using a transition schedule independently What to do when you’re given a visual cue Assess students level of symbolic understanding Taught through backward chaining How to use a series of visual cues i.e. a schedule Teach to respond to a visual command – backward chaining 2 key skills October 2005 Scot Greathead - Hatton School
  • 13. Hierarchy of Symbolic Understanding Real Objects Miniature Objects Photographs Coloured Drawings Line Drawings Symbols: i.e. Bliss Text/written word Choosing an appropriate visual cue October 2005 Scot Greathead - Hatton School
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  • 16. Verbal Prompting A spoken command - tells a student to do something “pick it it”, “get the ball”, “put your shoes on”, “check your schedule” Danger is that the student becomes reliant on the command rather than ‘thinking for themselves’ Impossible to ‘fade’ verbal prompts – easier to fade physical prompts. Turn the command into a comment “ Turn the tap on” becomes ‘Hot Water!’ “ Go to your schedule” becomes ‘Here’s your schedule’ “ Get your shoes” becomes ‘They were under the chair!’ October 2005 Scot Greathead - Hatton School
  • 17. Following Visual Directions What’s in the box? Here comes the hoop! “ Get this!” “ Go here” Photograph which student takes from his schedule as a cue to collect his PE kit A photograph of an activity : Students collect the required Items for each song. Take Register Sensory Room Photographs should clearly represent the area students are moving to. October 2005 Scot Greathead - Hatton School
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  • 25. Build in time for choice Support transitions with reinforcers Develop sight vocabulary Incorporate commands Social Functional October 2005 Scot Greathead - Hatton School
  • 26. Collecting materials Items for collection need to be smaller than the ‘location’ symbol Make your October 2005 Scot Greathead - Hatton School
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  • 29. Activity Schedules To reinforce rewards and aid transitions: the following activity is more motivating than the current activity To help students organise their own unstructured time. Students choose activities, then follow their schedule. choose October 2005 Scot Greathead - Hatton School
  • 30. Activity Schedules To develop independence To support the understanding of a sequence of events October 2005 Scot Greathead - Hatton School
  • 31. The success of supporting more complex instructions for non-reading students will be limited unless they are taught and can read a series of symbols Can a series of symbols be replaced by 1 meaningful symbol If you take the text away can you understand what the instruction is? Using symbols to support complex instructions V’s October 2005 Scot Greathead - Hatton School
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  • 33. A weekly / monthly schedule Requires ability to follow horizontal and vertical schedules Less specific - indicates key event throughout the week Could split into before and after school zones Eliminates repetitive questioning Teaches concepts of day names, today, tomorrow, yesterday, weekends Able to recap on a weekly basis October 2005 Scot Greathead - Hatton School
  • 34. The development of the transition process Understanding that a symbol represents a command or event Following a vertical timetable Following a horizontal schedule Introduce the concept of a weekly schedule Introduce the concept of a monthly schedule Introduce the concept of a simple calendar, diary, to do lists, reminders etc Acknowledging the past is equally as important as thinking about the future: diary/lifeline etc Introduced as day planner and task planner Concepts: months, seasons Concepts: today, tomorrow, yesterday and days of week October 2005 Scot Greathead - Hatton School
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  • 36. Text based systems to develop independence
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  • 43. Coordinating many tasks 25 minutes: Sausages 20 minutes: 10 slices of toast 10 minutes: Fried Eggs 10 minutes: Lay the table 10 minutes: Beans 10 minutes: cups of tea Completion This strategy could also be used for projects which may takes weeks rather than minutes Breakfast Timer indicates when to start each task October 2005 Scot Greathead - Hatton School
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  • 46. I am autistic. I've always been autistic, and I always will be autistic. Autism is part of who I am, just as my sense of humor and my emotions are part of me. I like who I am, even my autistic part. http://www.geocities.com/growingjoel/ October 2005 Scot Greathead - Hatton School