Showing posts with label Guest Post. Show all posts
Showing posts with label Guest Post. Show all posts
"Confidence is Key"
Guest Post written by: Emily Lauren Beard



Much of what I have learned over the last year working as a Registered Behavior Technician (RBT for short) has changed my life completely. I found my job as an RBT mostly by accident. I knew that I wanted to work with children, and I knew I wanted to make a difference
I began a Master’s program for Mental Health Counseling, but I knew that ultimately, I wanted to work in a field that provided therapy for children with disabilities. After a semester of graduate school, unhappy and confused, I decided to go a different direction and look for a different career path.  After months of research, I found ABA therapy and immediately knew that was where I needed to be. I connected with a local behavior therapy clinic outside of my hometown near Jackson, MS, received a job offer, and began training to become a Registered Behavior Technician. As I approach my 1-year anniversary working at Blue Sky Behavior Therapy in Ridgeland, MS, I have begun to think about all the ways I have grown as a therapist.

I want to tell you a story about a few of the most important lessons I have learned about myself, my life, and my job as a helping professional:


This job is about the children, not you.  
 Ouch, that hurt. At least it did the first time I heard it.

My supervisor had just finished taking notes about the session I had just run with a particularly challenging client. This kiddo was sweet, no doubt, but I learned very quickly that if you didn’t have it together – your emotions, a plan for task presentation, control over the situation – the session could take a nosedive quickly.

What I realized during this session in my first few months of training is that being prepared is a must. Adaptability – the quality of being able to adjust to new conditions (Lexico.com, 2019) is a skill that is most definitely learned on the job. One minute we were at the table working hard at sorting pictures by their category and the next, my sweet kiddo was hurling a giant spit wad at my face from across the room. Chairs were knocked over, cards and toys were scattered all over the room, and my client was standing on top of the table.

All the sudden, my heart rate increased, my palms began sweating profusely, I couldn’t breathe and the whole room became blurry and it was as if time had stopped. I began asking myself, “What is my boss going to think of me?”, “Am I going to get fired?”, and “How could I possibly let this happen? I am so stupid!”

Yep. You read that right.

Not once in that moment did I even think about the client and how I could deescalate the entire situation. I was not thinking about the child’s safety or what he could have needed. I was thinking about me.

Luckily my supervisor was there and was all too familiar with the disruptive and problematic behaviors this child engaged in. She quickly deescalated the situation and had him sitting back at the table, working on identifying common objects, compliant and calm as could be, in under 10 minutes.

Looking back on this and discussing with my supervisor, I realized that this job is a selfless one. Walking into a session means leaving yourself – your fears, anxieties, stress – at the door. This job is not about you. It is about the client and what he/she might need to be successful at the skills that we are teaching.


This job requires confidence – a trait that unfortunately, you do not possess.
Over the next few months as I trained with a variety of clients with very specific skill deficiencies and behaviors, I learned that confidence means having the ability to go into a session believing in the work that has prepared you for this moment. Confidence means knowing you’ve got the skills, you are good at what you do, and that you are prepared for the unexpected....and believe me when I say this – kids can smell fear from a mile away. 

If you go into a session afraid of looking silly or not being quick enough, the child will know. They may possibly use it to their advantage. If you look like you don’t know what you are doing or can’t be quick on your feet, your session could go poorly. The session could end in tears, a torn-up room, and sometimes worse, a broken relationship with your client.


You can reach your goals.
Luckily, my boss saw my potential and believed that I could become a successful and confident RBT. Eventually I began to believe it, too. The more sessions I sat in on, the more trials I ran, the more confident I became.

Now don’t get me wrong, this was a long and grueling process. Some days it felt as if I was just tossed to the wolves. I learned to think on my feet and adjust as I went along. I learned that the work that I do is not about me. Sure, I earn a paycheck and have financial stability and that’s great. However, when I walk into my office, the client lobby, the therapy rooms, my goal is to help my client be successful and learn life skills that will make them happier and healthier. The joy that I feel when I see my client finally master a goal that has taken them weeks to understand outweighs any fear or anxiety that I might carry with me deep inside.

I am here to tell you that being an RBT is not an easy job. It is not for the faint of heart or the ones just in it to make money. This job is for the compassionate, hard-working, selfless individuals who wish to see others achieve their goals.

If you are one of these compassionate go-getters, believe me when I say: You can do this!
You can gain confidence in your skills. 
You can be successful. 
You CAN see lasting change in your own life, and the life of your clients.





*References:
Adaptability. 2019. In lexico.com
Retrieved November 29, 2019, from https://www.lexico.com/en/definition/adaptability




Guest Post Author:

Emily Beard is an Registered Behavior Technician at Blue Sky Behavior Therapy, a clinic with locations in Ridgeland, MS and Winona, MS.

Find out more at www.blueskybx.com or email Emily directly at emilybeard.proofreader@gmail.com



"How ABA can help a child be successful in a classroom setting"
Guest post written by: How To ABA




Many children start out their ABA journey with an intensive individualized ABA program.  This means that they can be receiving 20-40 hours a week of one-on-one ABA support with a skilled Instructor Therapist and oversight by a Behavior Analyst.  
I say this is a journey because it is not always the end goal for a child to have this level of support – both financially and educationally.  However, it doesn’t have to be all or nothing.  There is a misconception that ABA is all about the one-on-one model but in reality, ABA principles can do so much more to support a child in different settings and environments so that they are successful.

When children transition from 1:1 ABA into a classroom environment, the outcome can either be fantastic or disastrous.   With the right amount of thought and planning, using ABA principles can help a child transition to a classroom and away from needing 1:1 support.  

Here are some tips and strategies to keep it on the more fantastic side in the classroom:

Visual Schedules
If I was sent into work one day without my calendar and appointment book, I’d be lost!  I can be told what my meetings are and where I need to be but if it’s not written down, I’m likely to forget.  This is similar for our students in the classroom.  Visual schedules make the words more meaningful and permanent.  I’ve heard so many times from teachers, “But he knows what to do!” and that may or may not be true.  But why are we expecting more of our students then we would want for ourselves? We can make it easier on our students by having the visuals available for them and this also makes the prompting less intrusive.  Instead of needing to verbally remind them, we can direct them back to their schedule and thus removing the need for constant reminders.  

Tip: A visual schedule is something that can always be available to a student in an age appropriate way.  While a younger student can use pictures, an older student can be following a text-based to-do list.

Classroom Setup
In ABA we’re all about the interactions between the environment and behavior.  So wouldn’t it make sense to set up the environment for the behavior we want to see?  In a classroom, this means using the physical space to set your students up for success.  You can use dividers to block off areas that become distracting.  You can create an area in the classroom that is used for calming down and regulation.  Strategic planning can be as simple as making sure that your student’s materials are easily accessible to minimize traveling around the room (which can result in unwanted behaviors).  Is the student having difficulty transitioning from circle time back to his desk? Put his desk as close as possible to where circle time occurs.  Does the student need frequent breaks? Put his desk near the door so it can be less disruptive. 

Reinforcement Systems:
Reinforcement is a proactive way to set our students up for success.  Instead of waiting for the problem behavior to occur, we want to set up ways for the student to access all the good stuff by showing the appropriate behaviors.  Don’t wait!  The first thing to do is to make sure that the behavior expectations in the classroom are clear.  Review rules like, “Keep your hands to yourself” and “Use an indoor voice” so that student understands what they mean.  Then, reinforce, reinforce, reinforce.  If you want the rules to be followed, there has to be something in it for the student to follow them!  Reinforcement can be immediate (e.g.: getting a favorite toy every time they show the desired behavior) or delayed (e.g.: collecting points toward a treat at the end of the day). If your student is new to the classroom environment, you can tweak the system to be individualized for that student’s goals.  If your student is working on “greetings” then have a reinforcement system in the classroom that rewards appropriate greetings with adults and peers.  The more we reinforce a skill, the more we’ll see it and then we can build on it in the classroom. 

Tip: Sometimes reinforcement systems take some time and some tweaks to find what works.  Don’t give up!  Keep trying until you find the right combination of time, effort, and reward for that student.

Peer Leaders:
Using other students as leaders is another great strategy.  If your student is going into a classroom with peers who are at a higher level, you can choose one of those peers to act as the peer model or leader. Give that peer jobs such as holding all the crayons and waiting for your student to ask for one.  If the teacher gives an instruction and your student hasn’t followed it yet, have the peer go and get that student instead of you.  Pair up your student with an appropriate peer model for structured lessons such as turn-taking or group work.

Tip: Reinforcement can be for everyone! Did the peer do a really great job waiting for your kiddo to say hi? Offer a small sticker or reward to both!

Priming
Priming is another great ABA strategy that can be applied in a classroom.  If you know that your student struggles with a certain subject, ask for the materials beforehand so that you can pre-teach or prime some of the content.  That way, when the teacher teaches the content during class, it makes it easier for the student to pay attention and follow the instructions in a group.  You can also use this strategy for a difficult time of day, like gym or recess.  Prime your student before going into the gym with what the rules are in the gym.  Remind your student about the behavior expectations and what’s in it for him to follow the rules.  Some role-play and modeling might also be helpful in acting out the specific scenarios before they happen.

Is it Working?
How do you know if any of these systems are working? DATA!  Keep ongoing data on the behaviors you want to increase and the behaviors you want to decrease.  Is the child having LESS tantrums when transitioning inside form recess?  Is the child becoming MORE independent with self-help skills?  Is the child able to request for what she wants MORE often?  Watching for the trends in these behaviors will let you know if what you’re doing is working or if something needs to be changed.  As the child becomes more successful and more independent, slowly fade the amount of support and prompting they are receiving in the classroom. 




Guest Post Authors: 

We’re Shira and Shayna and we started How to ABA as a way to share and collaborate with other ABA professionals.  We know how overwhelming and lonely it can be in this field, especially when first starting out.  We’ve taken our resources and materials that we’ve collecting over many years of ABA practice and we’re sharing them all in one place! How to ABA and The Bx Resource offers programs, downloads, community, support, and CEU’s  - so you can help your clients and save more time!  With our combined strengths of teaching, program development, and finding the practical application of ABA to real-life situations, we love helping other professionals help their clients and feel supported along their journey!

You can find us at www.howtoaba.com.






"Choose Your Words Wisely…"
Guest post written by Amy Prince







As a Speech Pathologist, words are my jam - my favorite thing - really my super power. 



But as I have done this job for a few years (and a few more and a few more) I have come to understand that some words are so much more valuable than others. 

 Image result for apple


The first time it hit me that I needed to be more conscious about the words I chose, it was an apple (or at least my first clear memory).  I was working with a sweet kiddo (all my kiddos are sweet...and cute...and I am not biased, I swear!!) who was minimally verbal and even more minimally motivated.  Between the lack of play skills and the fact that social connections were not reinforcing, my sessions we more struggle than celebration.  One consistent thing about me, a habit I have not outgrown, is the fact that I am a snacker, and I get hangry without my snacks.  And I love a perfectly ripe Fuji apple. 



On this day, I was working with this little guy during that witching 3pm hour (100% snack time).  I had placed my apple on the table in anticipation of my very own positive primary reinforcement at the close of his session.  So he sat in his chair...and I tried to play...put all my effort into being fun...and he signed “more” which was in his repertoire.  I provided more of the toy...NOPE, wrong...tried more of another toy and again, wrong.  So I moved away and instructed him to “Show me”...and he went straight for my apple.  He’d never had an apple in my room, so a request for recurrence was not appropriate, but he was definitely showing a clear preference - more clear than I had seen in the past.  So I asked (not expecting an answer), “Do you want to eat apple?”, and he responded, “eat”.  I quickly checked with mom, then allowed a bite.  Then another “eat” and another and another...so I pushed, modeling “eat apple”...and he imitated, “eat apple”.  By the end of the apple, his request to “eat apple” was independent - mediated only by me holding the apple as a visual prompt.


This doesn’t make apples magic (but they are for some kids).  And I have no desire to venture down the rabbit hole of core vocabulary versus fringe vocabulary with you.  But, what is does mean is SALIENT is IMPORTANT.  Salient...noticeable, remarkable, essential.  These are the words we need.  And these are the words that will facilitate real communication.


So today, roughly 9 years after the magic apple, my cause is your words.  I teach on topics like “Want for nothing” - which is an entire presentation about killing the word want. 

Well, not killing, but maybe really really reducing:  You don’t want cake...you want to EAT cake.  You don’t want new shoes....you want to WEAR new shoes.  You don’t want Hawaii...you want to GO to Hawaii. 


The path I hope to forge is one where even our most limited speakers can do more with the words they have.  And, there is a little known tool, a TTR (Type Token Ratio) used in speech pathology...a TTR, documents lexical richness, or variety in vocabulary. TTR is the total number of UNIQUE words (types) divided by the total number of words (tokens) in a given segment of language. The closer the TTR ratio is to 1, the greater the lexical richness of the segment.



Typically (anecdotally?) we advise starting with five really useful verbs.  For many kids, these five are excellent:
  • Get
  • See
  • Have
  • Hold
  • Play



Now, these are not for everyone.  Sometimes we switch out and add:
  • Eat
  • Go

(Or whatever falls solidly within the interest area of the child!!)



We find that those lend themselves so well to building phrases.  And they can build a variety phrases - and they don;t all sound the same because they are using a variety of words!
  • Go up
  • Go outside
  • Go get
  • Go play

~ or ~

  • Get car
  • Get toy
  • Get marker
  • Get Thomas

~ or ~

  • Hold Slinky
  • Hold ball
  • Hold iPad
  • Hold popper


You see the pattern?  For some children you may choose 5 verbs, for others the number is endless. 


Goals?  Yup…


Here is the school version…

In one year’s time, little Timmy will independently request using two or more words (verb and noun) within structured settings, showing use of 5 or more unique verbs within a 10 minute language sample.


Or something like that!



So, my request to anyone who has stuck around to read all of this is NO MORE WANT...be creative, respect kids by gifting them a rich vocabulary...and remember that that does not necessarily mean a huge vocabulary - just add variety! 



Guest post author:

Amy Prince, along with Amber Ladd, is the owner of The TALK Team, a speech pathology clinic with locations in Fresno, CA and Visalia, CA.  
They also co-own TALK ABA, Inc, an ABA clinic in Fresno, CA, focused on ABA service with an emphasis on communication and social skills.  Amy and Amber are both dually certified Speech Pathologists and Board Certified Behavior Analysts.  
Find out more at www.thetalkteam.com or email Amy at amy.prince@thetalkteam.com


The Talk Team








     



    


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