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AS & Thoughts for Management in School
The most important starting point in helping a student with AS to function in the school setting is for all that may come in contact with the child have a good understanding of what AS is. Often their behaviors are misinterpreted.
Hans Asperger realized this himself from his own work with AS children. In 1944 he wrote,
"These children often show a surprising sensitivity to the personality of the teacher.... They can be taught, but only by those who give them true understanding and affection, people who show kindness towards them and, yes, humor... The teacher's underlying emotional attitude influences, involuntarily and unconsciously, the mood and behavior of the child."
Occupational Therapy & Function in the School Setting
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Routines
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 The therapy/classroom routines should be kept as consistent, structured, and predictable as possible, for changes and transitions, including things such as schedule breaks, vacation days, etc.
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Rules
(OT: The rules of the group poster)
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 Rules should be applied with some flexibility.
 The rules do not automatically have to be exactly the same for the child with AS as for the rest of the students--their needs and abilities are different
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Area of interest
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 Staff should take full advantage of a child's areas of interest when working with him/her.
 The child will learn best when an area of high personal interest is on the agenda.
 One can creatively connect the child's interests to the teaching process.
 One can also use access to the special interests as a reward for the child.
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Visuals
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 Most students with AS respond well to the use of visuals-schedules, charts, lists, pictures, etc. (OT rules of group, behavior board, and numbers on station for OT movement).
 Training strategies can be very helpful, to assist the child gain proficiency in "executive function" areas such as organization and study skills.
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Each Child has their own individual Style and needs
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 Insure that outside staff are also aware of the child's style and needs.
 Try to avoid power struggles. These children often do not understand blind shows of authority and will become more rigid and stubborn if forcefully confronted.
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Behavior Modification
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See Next section
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What is Behavior Modification
This next technique is commonly used with this population, BUT, does NOT enable the child to be an ACTIVE participant.
The section following called "Lauren's Class" is a much more interactive behavior approach.
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 Behavior Modification consists of making a chart of the unwanted behaviors.
 Behavior Modification charts can have a great impact on some AS children.
 You started monitoring behavior every 15 minutes.
 When unwanted behaviors had not occurred a star would be put on the chart.
 The next part or the program is the reward part.
 You need to reward the child in a way that will mean something to THEM.
 If they had a good day then they will be rewarded.
 It is real important that you are consistent!
 You MUST stick to it. It sometimes will not be easy.
 If you give in to the temper tantrum or what have you, because they didn't earn the reward the program will never work.
 Monitor Chart: Modify the chart to fit new unwanted behaviors. Along with extending the monitoring time. After awhile the positive behaviors will be reinforced and chart will not be needed.
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Lauren's Class
A "Child Active" Behavioral Approach
Goal Board
Child Self-evaluation & Teacher evaluate performance of reaching goals on Behavior Chart
Behavior Stripes to reach goals
Goal Board
A large goal board should be addressed with all of the children's goals on them, and reviewed at a particular time of the day. The child and the teacher choose goals together. The OT or teacher should guide the child to choosing his/her goals, making sure to let them come to the goal themselves. The child's peers should be aware of his or her goals and techniques should be taught to help the peers support each other in reaching their goals.
Self Evaluation Behavior Chart
The rating system would be a 1-3.
1: Great job attaining goal
2: Child tried hard, but had some difficulty reaching the goal
3: Had a difficult time reaching the goal, & did not work hard enough to reach it
A specific time to evaluate performance should be chosen.
The top number: The OT or teacher asked the child what he/she would rate him or her self on a particular goal. That is the top number.
The bottom number: The OT or teacher may either agree with eh child or explain reasons of why he or she feel the child should receive a different number.
If the child's number and OT's (or teachers) are different, the OT/ teacher should discuss with the child why he or she chose that number. The teacher may have to remind the child of behaviors that occurred throughout the day and then ask them to reevaluate their score. The goal would be for the child to internalize and reflect on his behavior. The OT or teacher would help the child come up with strategies on how to get a higher score next time. Goal Stripes can be used as well (see below).
Goal Strips for the child having a difficult time with particular goals.
1) A figure that the child may like (like a base ball bat, roller-skates, etc.) should be made from cardboard and hung by the black board with 3-4 Velcro strips to hold 3-4 smaller pictures (small bats, small roller-skates). The goal object will be to remind the child of ONE goal throughout the day that he or she is having a hard time with. The child earns a small picture strip that is put-on the larger picture for trying to reach that particular goal throughout the day. If he or she is having a hard time with that goal, they should be reminded about trying to earn a stripe OR that they can loose one if they do not try harder.
If the child earns all of the stripes, then he or she should be rewarded appropriately (example: He or she can go with the class to the park after lunch).
Mary M. Muoio, MS OT, Post-MS GRN
e-mail at mary@healthmood.com
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