Using The Verbal Behavior Approach To Teach Children With Autism
Using The Verbal Behavior Approach To Teach Children With Autism
Using The Verbal Behavior Approach To Teach Children With Autism
Behavior
Approach to
Teach Children
with Autism
Mary Lynch Barbera, RN, MSN, BCBA
www.vbapproach.com
May 2009
Autism One Conference
My Autism Journey
• July 2, 1999 – Lucas was diagnosed with moderate to severe
autism one day before his third birthday.
Also Described As
Discriminative Stimulus--Response--
Consequence
MO/SD—R—Reinf. or Punish.
Basic Behavioral
Principles
Antecedent - any stimulus that happens
before a behavior
– Medication adjustment
– Medical problems (pink eye, diaper rash)
– Sleep problems
– Eating routines/diet
– Number of people in room
– Daily schedule (how predictable/how much
choice)
Immediate Antecedents
• What triggered the behavior
Punishment
– A consequence that results in
decreasing the future rate of behavior it
follows.
Consequences
Focus on pairing/manding
8 positives to every negative
Reconfigure class layout or ratio
Give more or less time at a center
Get more sleep at night or nap
Eat breakfast or serve snack earlier
Provide transition warnings
Reactive Interventions
• Interventions implemented after
problem behavior occurs.
• Some examples:
– Count and Mand (use for attention only)
– Planned Ignoring (use for attention only)
– Time Out (use for attention only)
– Work through Demand (use for escape
only)
Count and Mand
• Explained in Chapter 2 of my book
• Used for access to tangibles/attention only!
• Can also use count and give choice, count and
R+, or count and give attention.
Steps:
5. Stop the problem behavior (hands down, be
quiet, no kicking)
6. Silent count to 3, 5, or 10—if problem behavior
resumes, return to # 1.
7. Prompt the mand “cookie”—child echoes
“cookie” Right…how do you ask?…child
responds “cookie”….deliver R+.
Combined Approach
• Spend 95% of your time preventing
problem behavior
****2-minute activity****
Case Studies
• Case Study # 1
• Amy’s mother reports that Amy is a poor
sleeper. Each Monday morning she arrives
to daycare and begins to play. When she
is called to circle, Amy cries and throws
herself to the ground. The staff tries to
find something less aversive to Amy and
usually tries bouncing Amy on the ball to
get her calm. Amy does usually quiet down
on the ball.
Case Study Questions
Direct
Discrete Trial Instruction Verbal
Behavior
Teaching
Intensive
Lovaas
behavioral Incidental
Therapy Intervention Teaching
Precision Teaching
Fluency Based Instruction
Dual Path of Applied Behavior Analysis Research
• MAND?
• TACT?
• INTRAVERBAL?
MAND
TACT
ECHOIC
(FFC)
RECEPTIVE
INTRAVERBAL
(FFC)
Verbal Operants
Verbal Antecedent Behavior Consequence
Operant
Mand Motivative Verbal behavior Direct reinforcement
Operation (says “cookie”) (gets cookie)
(wants cookie)
Tact Sensory Stimuli Verbal behavior Non-specific
(sees or smells (says “cookie”) reinforcement
cookie) (gets praised, for
instance)
Intraverbal Verbal stimulus Verbal behavior Non-specific
(someone (says “cookie”) reinforcement
says:”What do (gets praised, for
you eat?” instance)
Echoic Verbal Stimulus Verbal behavior: Non-specific
(someone says repeats all or part reinforcement
“cookie”) of antecedent (gets praised, for
(says “cookie”) instance)
Receptive Verbal stimulus Non-verbal Non-specific
(actually not (someone says behavior reinforcement
a verbal “touch cooke”)* (child touches (gets praised, for
operant) cookie) instance)
Verbal Behavior Activity
As a result of: One has a tendency to: This is a:
The ABLLS
Structure Of ABLLS
T h r e e C o m p o n e n ts
A B L L S P ro to c o l A B L L S G u id e T e a c h i n g L a n g u a g e t o C h il d r e n
C u r r ic u lu m & S c o r in g S c o r in g I n s t r u c t i o n s w it h A u t is m
R e c o r d C h ild S c o r e s I E P D e v e lo p m e n t G u id e V e r b a l B e h a v io r
S k ills T r a c k in g S y s t e m A n l. S c o r e s & E s t . P r io r it ie s W h a t & H o w to T e a c h
Daniel’s ABLLS A-H
ABLLS is an assessment of language and learning skills originally developed by James W. Partington, Ph.D. and Mark L. Sundberg, Ph.D.
This spreadsheet is for private use only
Color Key Date
January 0, 1900 C 52 ● . . . .
January 0, 1900 C 51 ● . . . .
January 0, 1900 C 50 ● . . . .
C 49 ● . . . .
C 48 ● . . . .
C 47 ● . . . .
C 46 ● . . . .
C 45 ● . . . .
C 44 ● . . . .
C 43 ● . . . .
C 42 ● . . . . G 42 ●. . . . H 42 ●. . . .
C 41 ● . . . . G 41 ●. . . . H 41 ●. . . .
C 40 ● . . . . G 40 ●. . . . H 40 ●. . . .
C 39 ● . . . . G 39 ●. . . . H 39 ●. . . .
C 38 ● . . . . G 38 ●. . . . H 38 ●. . . .
C 37 ● . . . . G 37 ●. . . . H 37 ●. . . .
C 36 ● . . . . G 36 ●. . . . H 36 ●. . . .
C 35 ● . . . . G 35 ●. . . . H 35 ●. . . .
C 34 ● . . . . G 34 ●. . . . H 34 ●. . . .
C 33 ● . . . . G 33 ●. . . . H 33 ●. . . .
C 32 ● . . . . G 32 ●. . . . H 32 ●. . . .
C 31 ● . . . . G 31 ●. . . . H 31 ●. . . .
C 30 ● . . . . G 30 ●. . . . H 30 ●. . . .
C 29 ● . . . . G 29 ●. . . . H 29 ●. . . .
C 28 ● . . . . G 28 ●. . . . H 28 ●. . . .
C 27 ● . . . . F 27 ●. . . . G 27 ●. . . . H 27 ●. . . .
C 26 ● . . . . F 26 ●. . . . G 26 ●. . . . H 26 ●. . . .
C 25 ● . . . . F 25 ●. . . . G 25 ●. . . . H 25 ●. . . .
C 24 ● . . . . F 24 ●. . . . G 24 ●. . . . H 24 ●. . . .
C 23 ● . . . . F 23 ●. . . . G 23 ●. . . . H 23 ●. . . .
C 22 ● . . . . F 22 ●. . . . G 22 ●. . . . H 22 ●. . . .
B 21 ● . . . . C 21 ● . . . . F 21 ●. . . . G 21 ●. . . . H 21 ●. . . .
B 20 ● . . . . C 20 ● . . . . F 20 ●. . . . G 20 ●. . . . H 20 ●. . . .
B 19 ● . . . . C 19 ● . . . . F 19 ●. . . . G 19 ●. . . . H 19 ●. . . .
B 18 ● . . . . C 18 ● . . . . F 18 ●. . . . G 18 ●. . . . H 18 ●. . . .
B 17 ● . . . . C 17 ● . . . . F 17 ●. . . . G 17 ●. . . . H 17 ●. . . .
B 16 ● . . . . C 16 ● . . . . F 16 ●. . . . G 16 ●. . . . H 16 ●. . . .
B 15 ● . . . . C 15 ● . . . . F 15 ●. . . . G 15 ●. . . . H 15 ●. . . .
B 14 ● . . . . C 14 ● . . . . F 14 ●. . . . G 14 ●. . . . H 14 ●. . . .
B 13 ● . . . . C 13 ● . . . . D 13 ●. . . . F 13 ●. . . . G 13 ●. . . . H 13 ●. . . .
B 12 ● . . . . C 12 ● . . . . D 12 ●. . . . F 12 ●. . . . G 12 ●. . . . H 12 ●. . . .
A 11 ● . . . . B 11 ○ 1 . . . C 11 ● . . . . D 11 ●. . . . F 11 ●. . . . G 11 ●. . . . H 11 ●. . . .
A 10 ● . . . . B 10 ○ 1 1 . . C 10 ● . . . . D 10 ●. . . . F 10 ●. . . . G 10 ●. . . . H 10 ●. . . .
A 9 ○ 1 1. . B 9 ○ 1 1. . C 9 ●. . . . D 9 ●. . . . E 9 ●. . . . F 9 ●. . . . G 9 ●. . . . H 9 ●. . . .
A 8 ○ 1. . . B 8 ●. . . . C 8 ●. . . . D 8 ●. . . . E 8 ●. . . . F 8 ●. . . . G 8 ●. . . . H 8 ●. . . .
A 7 ○ 1. . . B 7 ●. . . . C 7 ●. . . . D 7 ●. . . . E 7 ●. . . . F 7 ●. . . . G 7 ●. . . . H 7 ●. . . .
A 6 ○ 1 1. . B 6 ●. . . . C 6 ●. . . . D 6 ●. . . . E 6 ●. . . . F 6 ●. . . . G 6 ●. . . . H 6 ●. . . .
A 5 ○ 1 1. . B 5 ●. . . . C 5 ●. . . . D 5 ●. . . . E 5 ●. . . . F 5 ●. . . . G 5 ●. . . . H 5 ●. . . .
A 4 ○ 1 1. . B 4 ●. . . . C 4 ○ 1 1. . D 4 ●. . . . E 4 ●. . . . F 4 ●. . . . G 4 ●. . . . H 4 ●. . . .
A 3 ○ 1 1 1 1 B 3 ●. . . . C 3 ○ 1 1. . D 3 ●. . . . E 3 ●. . . . F 3 ●. . . . G 3 ●. . . . H 3 ●. . . .
A 2 ○ 1 1. . B 2 ●. . . . C 2 ○ 1 1. . D 2 ●. . . . E 2 ●. . . . F 2 ●. . . . G 2 ●. . . . H 2 ●. . . .
A 1 ○ 1 1 1 1 B 1 ○ 1. . . C 1 ○ 1 1. . D 1 ○ 1 1. . E 1 ●. . . . F 1 ○ 1 1 1 1 G 1 ●. . . . H 1 ●. . . .
L 22 ? . . . .
L 21 ? . . . .
J 20 ? . . . . L 20 ? . . . .
J 19 ? . . . . L 19 ? . . . .
J 18 ? . . . . L 18 ? . . . .
J 17 ? . . . . L 17 ? . . . .
J 16 ? . . . . L 16 ? . . . .
J 15 ? . . . . L 15 ? . . . . Q 15 ? . . . .
J 14 ? . . . . L 14 ? . . . . Q 14 ? . . . .
J 13 ? . . . . L 13 ? . . . . Q 13 ? . . . .
J 12 ? . . . . L 12 ? . . . . M 12 ? . . . . Q 12 ? . . . .
J 11 ? . . . . L 11 ? . . . . M 11 ? . . . . Q 11 ? . . . .
J 10 ? . . . . K 10 ? . . . . L 10 ? . . . . M 10 ? . . . . N 10 ? . . . . Q 10 ? . . . .
I 9 ? . . . . J 9 ? . . . . K 9 ? . . . . L 9 ? . . . . M 9 ? . . . . N 9 ? . . . . Q 9 ? . . . .
I 8 ? . . . . J 8 ? . . . . K 8 ? . . . . L 8 ? . . . . M 8 ? . . . . N 8 ? . . . . Q 8 ? . . . .
I 7 ? . . . . J 7 ? . . . . K 7 ? . . . . L 7 ? . . . . M 7 ? . . . . N 7 ? . . . . Q 7 ? . . . .
I 6 ? . . . . J 6 ? . . . . K 6 ? . . . . L 6 ? . . . . M 6 ? . . . . N 6 ? . . . . P 6 ? . . . . Q 6 ? . . . .
I 5 ? . . . . J 5 ? . . . . K 5 ? . . . . L 5 ? . . . . M 5 ? . . . . N 5 ? . . . . P 5 ? . . . . Q 5 ? . . . .
I 4 ? . . . . J 4 ? . . . . K 4 ? . . . . L 4 ? . . . . M 4 ? . . . . N 4 ? . . . . P 4 ? . . . . Q 4 ? . . . .
I 3 ? . . . . J 3 ? . . . . K 3 ? . . . . L 3 ? . . . . M 3 ? . . . . N 3 ? . . . . P 3 ? . . . . Q 3 ? . . . .
I 2 ? . . . . J 2 ? . . . . K 2 ? 1 1. . L 2 ? . . . . M 2 ? . . . . N 2 ? . . . . P 2 ? . . . . Q 2 ? . . . .
I 1 ? 1. . . J 1 ? . . . . K 1 ? 1 1 1 1 L 1 ? 1 1. . M 1 ? . . . . N 1 ? . . . . P 1 ? . . . . Q 1 ? . . . .
I - Spontaneous J - Syntax and K - Play and L - Social M - Group N - Classroom P - Generalized Q - Reading
Vocalization Grammar Leisure Interaction Instruction Routines Responding
Daniel’s ABLLS S-Z
Y 28 ? . . . . Z 28 ? . . . .
Y 27 ? . . . . Z 27 ? . . . .
Y 26 ? . . . . Z 26 ? 1 1 1 1
Y 25 ? . . . . Z 25 ? . . . .
Y 24 ? . . . . Z 24 ? . . . .
Y 23 ? . . . . Z 23 ? . . . .
Y 22 ? 1 1 1 1 Z 22 ? . . . .
Y 21 ? . . . . Z 21 ? . . . .
Y 20 ? . . . . Z 20 ? . . . .
Y 19 ? . . . . Z 19 ? . . . .
Y 18 ? . . . . Z 18 ? . . . .
Y 17 ? . . . . Z 17 ? 1 1 1 1
Y 16 ? . . . . Z 16 ? 1 1 1 1
U 15 ? . . . . Y 15 ? . . . . Z 15 ? . . . .
U 14 ? . . . . Y 14 ? . . . . Z 14 ? . . . .
U 13 ? . . . . Y 13 ? . . . . Z 13 ? . . . .
U 12 ? . . . . Y 12 ? . . . . Z 12 ? . . . .
U 11 ? . . . . Y 11 ? . . . . Z 11 ? . . . .
U 10 ? . . . . V 10 ? . . . . X 10 ? . . . . Y 10 ? . . . . Z 10 ? . . . .
S 9 ? . . . . U 9 ? . . . . V 9 ? . . . . X 9 ? . . . . Y 9 ? . . . . Z 9 ? . . . .
S 8 ? . . . . U 8 ? . . . . V 8 ? . . . . X 8 ? . . . . Y 8 ? 1 1 1 1 Z 8 ? 1 1 1 1
S 7 ? . . . . U 7 ? . . . . V 7 ? . . . . W 7 ? . . . . X 7 ? . . . . Y 7 ? 1 1 1 1 Z 7 ? 1 1 1 1
S 6 ? . . . . T 6 ? . . . . U 6 ? . . . . V 6 ? . . . . W 6 ? . . . . X 6 ? . . . . Y 6 ? . . . . Z 6 ? . . . .
S 5 ? . . . . T 5 ? . . . . U 5 ? . . . . V 5 ? . . . . W 5 ? . . . . X 5 ? . . . . Y 5 ? 1 1 1 1 Z 5 ? 1 1 1 1
S 4 ? . . . . T 4 ? . . . . U 4 ? . . . . V 4 ? . . . . W 4 ? . . . . X 4 ? . . . . Y 4 ? 1 1 1 1 Z 4 ? 1 1 1 1
S 3 ? . . . . T 3 ? . . . . U 3 ? . . . . V 3 ? . . . . W 3 ? . . . . X 3 ? . . . . Y 3 ? 1 1 1 1 Z 3 ? 1 1 1 1
S 2 ? . . . . T 2 ? . . . . U 2 ? . . . . V 2 ? 1 1. . W 2 ? . . . . X 2 ? . . . . Y 2 ? 1 1 1 1 Z 2 ? 1 1 1 1
S 1 ? . . . . T 1 ? . . . . U 1 ? . . . . V 1 ? 1 1 1 1 W 1 ? . . . . X 1 ? . . . . Y 1 ? 1 1 1 1 Z 1 ? 1 1 1 1
S - Writing T - Spelling U - Dressing V - Eating W - Grooming X - Toileting Y - Gross Motor Z - Fine Motor
Mason’s ABLLS
o C52
o C51
o C50
Name: Mason o C49
o C48
DOB: o C47
o C46
o C45
o C44
o C43
J an 05 2005 o C42 o G42 o H42
o C41 o G41 o H41
2/25/2005 o C40 o G40 o H40
o C39 o G39 o H39
o C38 o G38 o H38
o C37 o G37 o H37
o C36 o G36 o H36
o C35 o G35 o H35
o C34 o G34 o H34
o C33 o G33 o H33
o C32 o G32 o H32
o C31 o G31 o H31
o C30 o G30 o H30
o C29 o G29 o H29
o C28 o G28 o H28
o C27 o F27 o G27 o H27
o C26 o F26 o G26 o H26
o C25 o F25 o G25 o H25
o C24 o F24 o G24 o H24
o C23 o F23 o G23 o H23
o C22 o F22 o G22 o H22
o B21 o C21 o F21 o G21 o H21
o B20 o C20 o F20 o G20 o H20
o B19 o C19 o F19 o G19 o H19
o B18 o C18 o F18 o G18 o H18
o B17 o C17 o F17 o G17 o H17
o B16 o C16 o F16 o G16 o H16
o B15 o C15 o F15 o G15 o H15
o B14 o C14 o F14 o G14 o H14
o B13 o C13 o D13 o F13 o G13 o H13
o B12 o C12 o D12 o F12 o G12 o H12
o A11 o B11 o C11 o D11 o F11 o G11 o H11
o A10 o B10 o C10 o D10 o F10 o G10 o H10
o A9 o B9 o C9 o D9 o E9 o F9 o G9 o H9 o I9
o A8 o B8 o C8 o D8 o E8 o F8 o G8 o H8 o I8
o A7 o B7 o C7 o D7 o E7 o F7 G7 o H7 o I7
o A6 o B6 o C6 o D6 o E6 o F6 o G6 o H6 o I6
o A5 o B5 o C5 o D5 o E5 o F5 o G5 o H5 o I5
o A4 o B4 o C4 o D4 o E4 o F4 o G4 o H4 o I4
o A3 o B3 o C3 o D3 o E3 o F3 o G3 o H3 o I3
o A2 o B2 o C2 o D2 o E2 o F2 o G2 o H2 o I2
o A1 o B1 o C1 o D1 o E1 o F1 o G1 o H1 o I1
Cooperation Visual Receptive Imitation Vocal Imitation Requests Labeling Intraverbals Spontaneous
& Reinforcers Performance Language Vocals
Recommendations for
Mason 1/5/05
• Matching Identical Objects/Pictures
(F/3)
• Increase Verbal Imitation using Mand
• Work on Fill-ins with songs
• Baseline Labels
• Set up Mand Sessions (2) 10-minute
sessions/day
• Keep demands low (VR 3 or 4)
Recommendations for Mason
2/25/05
A - Cooperation & B - Visual C - Receptive D - Imitation E - Vocal F - Requests G - Labelling H - Intraverbals I - Spontaneous
Reinforcer Performance Language Imitation Vocalization
Effectiveness
VB MAPP--Lucas
Key:
Score Date
Color Tester
Child's name
Lucas Barbera 1st test:
117.5 Aug07 M. Barbera
Date of birth 7/3/1996 2nd test:
3rd test:
LEVEL 3
Mand Tact Listener VP/MTS Math Reading Writing Social/play LRFFC IV Group Ling.
15
14
13
12
11
LEVEL 2
Mand Tact Listener VP/MTS Imitation Echoic Play Social LRFFC IV Group/CR Ling.
10
LEVEL 1
Mand Tact Listener VP/MTS Imitation Echoic Play Social Vocal
`
5
4
1
Language Barriers--Lucas
Key Date Color Tester
Inst. Control
Behavior Prob. Defective Mand
Defective Tact Defective Imit.
Defective Echo Defective MTS
1
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3
D
Defective List. Defective IV Prompt Dep. Generalization Scrolling Defective Scan Defective C
1
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3
1
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3
Recommendations for Lucas
• Intensive teaching and NET sessions
• VR 15 (with 80% easy/20% hard)
• Teach prepositions/pronouns
• Teach manding for
attention/information
• Edmark reading program
• Teach coin and time identification
• Leisure and self care skills
Thirteen Intervention Tips
• Pairing
• Manding
• Once the child can mand for items,
ease in demands gradually
• Prevent and Correct Errors
throughout the day
• Don’t reinforce problem behaviors
Questions?
• www.vbapproach.com
• Mary@vbapproach.com
• Thank You!