Teaching Children with Autism Angela Hutchinson October 9, 2014
2 TEACHING CHILDREN WITH AUTISM Abstract Information about autism has become more advanced over the last few decades. It is important for teachers to know how to educate students who struggle due to autism. This paper provides information that can help teachers associate with their students that need intervention. The characteristics of autism are also essential for teachers to know. These can provide a base for a direction, in which, the student can travel to obtain success. Researchers have developed tools to assist teachers with the struggles in the classroom. Key terms: autism, history, teaching components, behavioral strategies
3 TEACHING CHILDREN WITH AUTISM Autism in the Classroom How can teachers adequately educate students with autism in the classroom? Teachers face many obstacles when it comes to teaching students with autism, because it has an impact on both the childrens academic skills and their social interactions. According to the 2014 report on autism, 1 in 68 children are affected by autism, with the boys being identified as five times more likely than girls to have autism. The rate between boys and girls is as follows: 1 out of 42 boys to 1 out of 189 girls (Centers for Disease Control and Prevention, 2014, p. 14). Approximately 3.5 million Americans struggle with symptoms of autism spectrum disorder (ASD) (Autism Society, n.d.). With this rate of children being identified as having autism, it is important for teachers to understand the history, key teaching components, and how teachers can support positive behaviors. In 1943, Leo Kanner, a Johns Hopkins University psychiatrist, conducted a study on eleven children who were showing signs of stimuli sensitivity and difficulty with social interactions and changes in routine (Mandal MD., 2014). Kanner also laid claim to the term refrigerator mothers, that described the mothers of children with autism. It was believed that the mother- child relationship was dysfunctional, so the result was children who showed little to no emotions. Since then, there have been several studies that have given researchers a better insight as to how autism affects childrens abilities to connect with others. However, the real causes are due to abnormalities in brain structure or function, which can be caused by genetic and/or environmental factors. This finding has been largely accepted by researchers to be the source of autism, but there is still no known solitary cause (Autism Society, n.d.). Autism is one of several conditions that are part of what is called the autism spectrum, which can range from relatively mild to very debilitating, according to Levine & Munsch (2014, p. 185). On the other 4 TEACHING CHILDREN WITH AUTISM hand, there are some children with autism that have exceptional abilities, called savant abilities. These abilities can include excelling in one or more of the following areas: mathematical, artistic, musical, spatial and mechanical (Reynolds & Dombeck, n.d.). With the rise in research on autism, researchers have implemented some strategies to help assist teachers in educating these children. There are three key teaching components that are important for teachers to know about when instructing children with autism. These factors include having knowledge about autistic characteristics, implementing adequate structured teaching methods, and maintaining behavioral management skills to effectively educate students who are challenged by autism. When a teacher has an awareness of a students difference in ability, then these tactics can be useful to help student succeed in a social realm. It is important that the teacher has a basic knowledge of autistic characteristics. Students with autism can have difficulties in many areas, such as social skills, language development, behavior management, emotional struggles, and health and movement issues (Rocky Point Academy, 2009). Lack of social skill indicators include little to no eye contact, difficulty making friends, and the preference to be alone. Language development signs include using short, incomplete sentences and using pronouns inappropriately. Directional terms are difficult to comprehend by an individual with autism. Behavioral warning signs include verbal outburst, obsession with objects, and difficulty waiting his/her turn. Some observable emotional signs include laughing, crying or throwing a tantrum for no apparent reason. Signs of seizure activity, allergies and food sensitivities, and walking on his/her toes are all warnings of health and movement difficulties. Many of these characteristics of autism can be managed by using structured teaching strategies and behavioral management. 5 TEACHING CHILDREN WITH AUTISM Implementing adequate structural teaching strategies are critical in educating students with autism. According to Stokes, Structured teaching is a system for organizing their environments, developing appropriate activities, and helping people with autism understand what is expected of them (Stokes, n.d.). Physical structure and visual schedules are the primary teaching methods in structured teaching. The physical structure consists of the set-up and organization of the students environment, which helps to reduce distractions. Visual schedules help address the student's difficulty with memory and organization of time, and reduce anxiety. The main teaching method for children with autism is visual instruction. Stokes states that a visually structured teaching method allows the student with autism to learn a process of focusing upon and following visual cues in various situations and environments, in order to increase his overall independent functioning (Stokes, n.d.). Another key teaching component that is essential to maintain classroom structure is behavior management. Many children with autism have issues with controlling their behavior in the classroom, because they see the world differently. When things are not in order, students with autism tend to become agitated, which can lead to behavior issues. These behavior issues need to be corrected as soon as they are observed, for the safety and well-being of all the students in the classroom. There are two strategies that have been researched and have been proven to improve behaviors in children with autism: (1) Prevent-Teach-Reinforce method (PTR) and (2) positive behavior supports method (PBS). The first method that can be beneficial to teachers when coping with behavioral issues is Prevent-Teach-Reinforce (PTR). According to Iovannone, the Prevent-Teach-Reinforce (PTR) model of behavior support is a team-based, systematic, structured process for supporting students with challenging behaviors that have not been resolved satisfactorily with classroom and school 6 TEACHING CHILDREN WITH AUTISM wide behavior management systems(Iovannone, 2012). The use of the PTR method has proven to be beneficial to students who have received this type of intervention. Crosland and Dunlap state that the research shows evidence of improvement in social skills, academic achievements, and behaviors among students who have participated in this intervention (2012, p. 258). This method has five different stages that can promote health behavior strategies for students who deal with the struggles of autism. The stages include: (1) team building, (2) setting goals and collecting data, (3) PTR assessment, (4) PTR interventions, and (5) evaluation. How does the PRT method work? The first stage is team building, which gathers individuals who interact with the student, such as teachers, parents, behavior experts, and other members of the education faculty. During the second stage, goals are set and data is collected to assist in evaluating the behavior level. In the third stage, a PTR assessment is given to aid in the understanding of the students behavior issues and find out what influences the students behavior. The fourth stage prepares for PTR interventions such as, setting up an IEP or behavioral contracts. Finally, in the fifth stage, the student is evaluated to be observe to determine if the PTR intervention was effective. Strain, Wilson, and Dunlap conducted a study on three children with autism using the PTR method. During their observation, they concluded that, The data from this study showed that implementation of the PTR process was effective in rapidly improving the behavior of the three children with autism (Strain, Wilson, & Dunlap, 2011). There is still ongoing research on this approach, but it can be a tool to assist in improving classroom behavior. The next method is positive behavior supports. Positive behavior supports (PBS) is another strategy that can be implemented in the classroom to help maintain a healthy classroom environment. PBS is a behavior management system that is used to understand challenging behaviors. According to Autism Speaks, four essential elements 7 TEACHING CHILDREN WITH AUTISM are needed in order for the team members to ensure proper behavior support. The elements include: clarity, consistency, simplicity, and continuation (2014, p. 29-30). Clarity is making sure that all team members are clear on the expectations and procedures that will be implemented. Consistency is making sure that all team members are working together by using the same interventions and approaches. Simplicity is making this intervention simple, so that goals are met successfully. Finally, continuation is important, because it helps to improve and maintain good behavioral habits. Maintaining a healthy classroom environment is also essential to prevent behavior issues. Important methods include: organizing and providing structure, using informal transitions and changes, using visual supports, providing a safe place, and removing distracting stimuli (Autism Speaks Inc., 2014, p. 41). Once the obtainable behavior is reached, it should be monitored and reviewed frequently. How are appropriate behaviors maintained once they are obtained? Students with autism need structure with a daily routines that include time for the students to play and interact with other students. . Once again, all team members need to be on board. There are many helpful strategies that teachers can use to reinforce appropriate behavior. Some of them include: celebrate and build on strengths, respect and listen, provide clear expectations of behavior, alternate tasks, use positive language, and pick your battles (Autism Speaks Inc., 2014, p. 42-43). These steps may be beneficial to success in redirecting the behavior before it erupts. Teachers have to be aware of the abilities of their students. The benefit of knowing the history, key teaching components, and behavioral management skills is the ability to maintain an adequate learning environment. Some of these strategies may work in the classroom, and some may not. It depends on the effort put forth by the student and the team. Most children are willing to learn; some just have trouble figuring out how learn and they need a teacher for this. 8 TEACHING CHILDREN WITH AUTISM Works Cited Autism Society. (n.d.). Causes - Autism Society. Retrieved September 15, 2014, from http://www.autism-society.org/about-autism/causes/ Autism Speaks Inc. (2014). What are the Positive Strategies for Supporting Behavior Improvement? Retrieved September 18, 2014, from http://www.autismspeaks.org/sites/default/files/section_5.pdf Centers for Disease Control and Prevention. (2014). Community Report on Autism 2014. Retrieved September 26, 2014, from http://www.cdc.gov/ncbddd/autism/states/comm_report_autism_2014.pdf Crosland, K., & Dunlap, G. (2012). Effective Strategies for the Inclusion of Children With Autism in General Education Classrooms. Behavior Modification, 257-258. doi:10.1177/0145445512442682 Iovannone, R. (2012, April 10). Prevent-Teach-Reinforce: A School-Based Model for Functional Behavioral Assessment - Handouts - PaTTAN. Retrieved September 23, 2014, from http://www.pattan.net/category/Resources/Handouts/Browse/Single/?id=4f7b17be8b0332 da2e000003 Levine, L. E., & Munsch, J. (2014). Child development: An active learning approach (2nd ed.). Thousand Oaks, CA: SAGE Publishing. Mandal MD., A. (2014, January 14). Autism History. Retrieved September 18, 2014, from http://www.news-medical.net/health/Autism-History.aspx Reynolds, T., & Dombeck, M. (n.d.). Special Autistic Abilities (Savant Behavior) - Autism. Retrieved September 13, 2014, from http://www.sevencounties.org/poc/view_doc.php?type=doc&id=8768 9 TEACHING CHILDREN WITH AUTISM Rocky Point Academy. (2009). List of autism characteristics. Retrieved September 23, 2014, from http://www.calgaryautism.com/characteristics.htm Stokes, S. (n.d.). Autism Papers--Structured Teaching: Strategies for Supporting Students with Autism pg 1. Retrieved September 22, 2014, from http://www.specialed.us/autism/structure/str10.htm Strain, P. S., Wilson, K., & Dunlap, G. (2011, January 18). Prevent-Teach-Reinforce: Addressing Problem Behaviors of Students with Autism in General Education Classrooms. Retrieved September 18, 2014, from http://web.a.ebscohost.com.madison.libproxy.ivytech.edu/ehost/pdfviewer/pdfviewer?vid =15&sid=d0c8dcf3-a00e-499c-8755-a08551651e54%40sessionmgr4003&hid=4212