recent interventions and strategies to decrease repetitive ......•about 20% of typical developing...
TRANSCRIPT
Recent Interventions and Strategies to Decrease Repetitive Behaviors and Increase independent play and Leisure skills
Oswaldo Ochoa M.A. BCBA Clinical Director - California Psychcare
What are Restricted Interests and Repetitive Behaviors in children with Autism
What are some different types or forms of Repetitive Behaviors
Why are Repetitive Behaviors a challenge?
What are some interventions or solutions for these behaviors
What are Repetitive Behaviors
• Repetitive movements vary in range of different forms and may involve one or more body movements for the reason of just movement
• When a person engages in repetitive behaviors due to just movement itself, they are said to engage in the behavior that is “AUTOMATIC”
• About 20% of typical developing individuals engage in some form (e.g. biting finger nails, twiddling hair, rocking chair, etc) (Miller, Singer, Bridges, & Waranch, 2006).
What are some types or Forms of repetitive Behaviors
• Hand waving
• Finger Play
• Vocalizations
• Hand/object in mouth
• Finger tap/spin
• Rub lips
• Head twirl
• Finger curl
Other types may include rigidity or inflexibility
• Rigid/inflexible
• Fixated interests
• Changes in routines
• Transitions
• Ritualistic bx
• Topics to talk about
• Attachments with unusual objects
Why is it a Problem?
More prevalent in DD population
Stereotypy is a symptom of ASD (DSM-IV-TR, 2000)
Interferes with attending,
learning, and toy play
Isolates individual
from social/peer interactions
Challenging to change something that they enjoy to
do
Why is it a Problem?
More prevalent in DD population
Stereotypy is a symptom of ASD (DSM-IV-TR, 2000)
Interferes with attending,
learning, and toy play
Isolates individual
from social/peer interactions
Challenging to change something that they enjoy to
do
Why is it a Problem?
• Lets imagine that someone removes 1-2 or 3 of your favorite leisure activities? • What then do you do?
• Option 1 - upset
• Option 2 – be bored
• Option 3 – find something else to do
Challenging to change something that they enjoy to
do
Now lets apply the same situation to a child with Autism?
Upset
Be Bored
If doesn’t have other
play or leisure skills
Find a new repetitive behavior
Reduce new
repetitive Behavior
Need to understand the Function of Repetitive
Behaviors
Need to identify their form of repetitive behavior (senses)
Identify substitute behaviors/What you want to
teach
Lets examine what we can do
and some interventions
What is it? How to
Implement Enriched
Environment
What is it? How to
Implement Differential
Reinforcement
What is it? How to
Implement
Non-Contingent
Reinforcement
What is it? How to
Implement Multiple Schedule
What is it? How to
Implement Sensory
Extinction
What is it? How to
Implement Self-
Management
What is it? How to
Implement RIRD
What is it? How to
Implement Displacement
What is it? How to
Implement IAS/Conditioning
Procedures
What are Repetitive Behaviors
Thank you!
Oswaldo Ochoa M.A. BCBA Clinical Director - California Psychcare [email protected] 714-415-8918 www.calpsychcare.com