"thinking outside the...bag! coaching in natural environments"

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Webinar provided by the Integrated Training Collaborative with funding support from the Virginia DBHDS.

Thinking Outside the…Bag!Coaching in Natural Environments

Cori

Corey Herd, Ph.D. CCC-SLP

Thinking Outside the…Bag!Coaching in

Natural Environments

Cori

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Thinking Outside of the…BAG!

Coaching in Natural Environments

Corey L. Herd, Ph.D. CCC-SLPCommunication Sciences and DisordersWaldron College of Health and Human ServicesRadford University

Are YOU ready to think outside of YOUR bag?

To ensure that you will enjoy and learn from today, you will need:

Something to write with (anything will do!)…

Something to write ON (preferably on material that you can read)…

Your own ideas about “what works” and what doesn’t…

The willingness to consider how important your “bag of tricks” is when providing services to your families…

To what extent do you rely on your “bag of tricks” to get you through a visit with a family?

1 2 3 4 5

Not at all; Occasionally It’s the only way I don’t even bring a bag to get anything done

Natural Environments

• IDEA Part C (2004): Settings that are

typical for infants and toddlers without disabilities or delays

Most frequently identified natural environment location for families is in their homes (NEILS, 2007)

What are some of the routines that a child and his/her family engage in on an everyday basis?

Which of those routines might serve as meaningful and functional opportunities for learning?Share your best

idea in CHAT

A Process…not a place

Consider this…

• Knowledge and skills are best developed under conditions that are authentic and reflect the reality and demands of daily living. (Brown, Collins, Duguid, 1989)

• Real activities and purposeful interactions help children become

more effective communicators. (Bricker, 1986)

And this…

A child needs repeated opportunities to experience a desired behavior• within the context of

an activity• across different

activities

• Ukrainetz (2006)

But what about our bags of toys?!

Fact or Fiction?

The toy bag/toys are used for direct instruction; the materials in the natural environment are for generalization of outcomes.

Some homes have nothing-no materials or activities or everyday routines-with which to address outcomes.

Parents WANT us to bring toy bags/toys into the home. The children LOVE our toys!

The use of a toy bag is an addiction and we depend on those toys to do our jobs.

The toy bag carries our toys…and a message…

“Your stuff isn’t good enough.”

Intervention only occurs during the visit.

10 Step Program to Decreasing Your Toy Bag Dependence!

FACETS: http://facets.lsi.ku.edu/

1. Conduct a functional assessment of the home/natural environment.

Time to share via chat

Let’s chat!

2. Use social and daily routines that are already occurring to join the caregiver and child upon your arrival.

Share 1 routine or activity

3. Plan activities for your next visit before leaving.

Get ready to chat

4. Plan a special activity with the caregiver.

Chat Time

5. Organize a play date with other children and caregivers.

Time to share

6. Ask the child to show you/get toys or preferred objects from another room in the house. Follow the child’s lead and move into other rooms of the house.

If you are STILL feeling the need to carry a bag into the natural environment…

7. Fade your dependence by decreasing the size of the bag over time.

8. Demonstrate the use of a toy that includes opportunities to practice a skill. Then look around the home for toys or other materials that might provide additional practice for the same skill.

9. Use “hybrid approaches”:

Forgetfulness is always an option!

Provide a choice.

Sabotage the bag.

10. Leave the toy bag by the door and join the child’s activities. Use the toy bag only when and if needed.

So…FACT or FICTION???

The toy bag/toys are used for direct instruction; the materials in the natural environment are for generalization of outcomes.

Some homes have nothing-no materials or activities or everyday routines-with which to address outcomes.

Parents WANT us to bring toy bags/toys into the home. The children LOVE our toys!

The use of a toy bag is an addiction and we depend on those toys to do our jobs.

Coaching the Caregivers

5 considerations for working with

the ADULTS!(Knowles, 1995)

Agree on priorities and clarify roles.

Join in; try not to take over.

Nice chatting with you.

Encourage the caregivers to identify opportunities that they already enjoy!

From there, build on the caregiver’s strengths within those routines and activities.

Provide specific and meaningful feedback.

Sharing roadblocks

THE RELATIONSHIP DOES MATTER!

My challenge to you:

Go into your next visit and “forget” your toys in the car. Ask the family what they were just doing and simply join in.

How many ideas (strategies) can you come up with during your visit to address just one of the family’s outcomes?

things you learned in today’s webinar.

strategies you will put to use in your own practice.

idea that you want to learn more about in the near future.

Corey L. Herd, Ph.D. CCC-SLP

Communication Sciences and DisordersWaldron 111 Box 6961Waldron College of Health and Human ServicesRadford UniversityRadford, Virginia 24142

540-831-7637cherd@radford.edu