Treatment Brochure- J.Lockwood

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Apr 3, 2024

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JaShawna Lockwood Treatment Brochures (PECS and DTT) SPCE 682 Section 806 Ball State University
Who is eligible to use PECs? Preschoolers with autism spectrum disorder and other similar developmental difficulties were the target audience for its original creation. These kids didn’t start conversations with people and didn’t acquire any meaningful language. PECS has been utilized with people of all ages and diverse abilities. ( Kid Sense Child Development , 2011). Anyone who has difficulties with spoken language can benefit from this type of system. This encompasses both people with autism and traumatic brain injury and people with developmental delays. Which pictures are okay to use? It is best to utilize images of the actual objects. An images of the child’s favorite snacks, toys, etc. This will make it more likely that the kid will use PECS to make requests since the object they will get, the reinforcer, will resemble the picture they are currently using for communication. Cost PECs are typically low cost. The costs shown below are an estimate and may change based on the amount and quality of the things you buy. From the website ( https://pecsusa.com/store/ ), the communication book can cost between $29.50-$41.00, communication book strap can cost $9.00, Insert pages can cost between $4.50-$36.00, Sentence Strips can cost $3.50-$5.75, and Velcro fasteners that can cost between $1.75- $5.25. The training manual cost $75. The website even sells a PECS starter kit for Picture Exchange Communication Systems (PECS) Picture Exchange Communication System (PECS) is an augmentative communication system intended to assist children communicate their wants and needs. PECS protocol starts with a preference assessment to determine the reinforcers. The six-phase program starts with teaching a person how to give a single picture of an action or desired object to a “communicative partner,” who then promptly complies with the request. The method then teaches how to distinguish between different pictures and how to combine them into phrases. In the more advanced stages, people learn how to respond to questions, utilize modifiers, and make comments. (Bondy, 2017). There are six phases: (1) How to communicate, (2) Distance and Persistence, (3) Picture Discrimination, (4) Sentence Structure, (5) Responsive Requesting, and (6) Commenting. (Bondy, 2017)
Generalizability of PECS PECS provides the child with a voice when it is used. If PECS is started at school, then it should be started at home and vice versa. This enables generalization and sets expectations for the child to make request across different settings and people. Benefits Boost expressive language and communication skills by letting the kid take the lead in expressing needs and wants. Reasonably priced for parents, schools, and clinics. PECS works for all age groups and across a large variety of disorders and needs. PECS is easily understood in the community and by peers. Supporting Literature Applied Behavior Analysis (ABA) techniques can sometimes be used in conjunction with PECS. Although it was first created to assist non-verbal autistic children, it has also been utilized with adults and adolescents with a variety of linguistics, cognitive, and physical issues. (Research Autism, 2017). Numerous research has been conducted on intervention techniques that uses PECS to improve communication in autistic children. Study conducted by Charlop-Christy et al., 2002, consisted of three boys with autism spectrum disorder that participated in biweekly sessions at an afterschool behavioral treatment program. These three boys were taught to use PECS. All three children mastered PECS use within a relatively short time. Drawbacks Although PECS has many wonderful qualities, it has its drawbacks. Challenging to use after requesting: Phase 6 is the initial instance in which measures beyond requesting are observed. Limited Vocabulary: Due to the size of the binder, there isn’t much room for a whole lot of PECS. Limited Grammar: pronouns, adjectives, and fundamental ideas are rarely or never stressed. Limited complexity: PECS does not support complicated communication, such as responding to open-ended questions. Fine motor skills are needed to pick up and grasp pictures. Treatment Feasibility The ability to successfully apply a therapy in real-world circumstances is known as treatment feasibility (Wilczynski, 2017, p.47). A child’s life may benefit by being able to use a treatment in practical settings. According to Wilczynski (2017), treatment acceptability, service demand, faithfulness, practicality, adaptation, and intergradation are the indications of treatment feasibility. (p.47). Five questions are answered by treatment acceptability. “Is it treatment reasonable? Is it appropriate? Is it fair? Is it unintrusive? Would this treatment be recommended for others?” Three categories- resources limitation, environmental support, and fidelity- may be used to group the remaining five indications.
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References Bondy, A. (2017).  Picture Exchange Communication System (PECS)® | . Pyramid Educational Consultants. https://pecsusa.com/pecs/ Charlop-Christy, M. H., Carpenter, M., Le, L., LeBlanc, L. A., & Kellet, K. (2002). Using the picture exchange communication system (PECS) with children with autism: assessment of PECS acquisition, speech, social-communicative behavior, and problem behavior.  Journal of Applied Behavior Analysis 35 (3), 213–231. Picture Exchange Communication Systems (PECS) - Kid Sense Child Development . (2011). Kid Sense Child Development. https://childdevelopment.com.au/areas-of-concern/using- speech/picture-exchange-communication-systems-pecs/ Picture Exchange Communication System and Autism Ranking: (2017). Retrieved from http://www.researchautism.net/interventions/36/picture-exchange-communication-system-and- autism . Raising Children Network. (2022).  Picture Exchange Communication System (PECS) . Raising Children Network. https://raisingchildren.net.au/autism/therapies-guide/pecs Tereshko, L. (2013).  Picture exchange communication system (PECS) . Association for Science in Autism Treatment. https://asatonline.org/for-parents/learn-more-about-specific- treatments/picture-exchange-communication-system-pecs/ Wilczynski, S.M. (2017). A practical guide to finding treatments that work for people with autism. London, UK: Academic Press, an imprint of Elsevier.
Who uses DTT? DTT can be used by educators, therapists, and doctors to teach skills. Typically, DTT is used on children with autism, but it can also be used on typically developing individuals. Discrete Trial Training (DTT) Discrete Trial Training (DTT) is a systematic applied behavior analysis (ABA) approach that tackles how children acquire new skills/abilities. DTT can also be used to teach social skills and other desirable behaviors. DTT teaching approach entails teaching skills using a system of simple, easily learned components. The method began in the 1970s through the efforts of Doctor Ivar Lovaas. DTT can be used to help children learn basic skills in the following areas: Cognitive Communication Play Social Self help 5 Principles of DTT: 1. Skills are broken down into small pieces. 2. Each component is taught separately and until each component is mastered. 3. Every session is intense. 4. Use prompts as needed, gradually decreasing as the learner gains independence. 5. Reinforcement!
Benefits of Discrete Trial Teaching: Discrete Trial Teaching assists children with autism in learning and maintaining new abilities. Just like other ABA strategies, it has the potential to greatly improve a child’s developmental growth (Behavior Nation, 2021). There are benefits of DTT: Clear structure Increased attention Flexible model Interactive learning Breaking complex learning into manageable pieces. The Basics of Discrete Trial Training. Discriminative Stimulus During the session, the start of each trial should begin with the same cue this is known as discriminative stimulus or SD. This cue should not vary from trial to trial. The Prompt Prompts are instructional tools that are used as needed to assist clients in responding appropriately. After the SD and before the behavioral reaction, prompts are utilized. Child Response This is the behavior that follows the SD and the prompts. Reinforcement and Error Correction Each trial has two possible results. The child will either do the intended action or they will not. When the child responds correctly, he or she receives instant positive reinforcement, and the therapists delivers social praise. If the child’s response is incorrect, the teacher will use a corrective technique to show the student the proper response. The teaching technique for error correction should be established and tailored to each student. Responses that are incorrect should not be reinforced. Inter-Trial Interval This is the final step of DTT, and this step occurs after the consequence of reinforcement or error correction. DTT Feasibility Discrete Trial Training began in the 1970s by Doctor Ivar Lovaas. Discrete Trial Training was initially adopted to assist children and people with autism in gradually improving abilities at their own rate.
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References Applied ABC. (2022, June 2).  What Is Discrete Trial Training (DTT) in ABA Therapy?  Applied ABC. https://www.appliedabc.com/blog/what-is-discrete-trial-training-in-aba-therapy Applied Behavior Analysis Programs Guide. (n.d.).  What is Discrete Trial Teaching?  Applied Behavior Analysis Programs Guide. https://www.appliedbehavioranalysisprograms.com/faq/what-is-discrete-trial-teaching/ Behavior Nation. (2021, June 3).  5 Reasons Why Discrete Trial Teaching is Beneficial . Behavior Nation. https://www.behaviornation.com/blog/5-reasons-why-discrete-trial-teaching-is- beneficial