Tag Archives: social participation

Social emotional learning (SEL) involves teaching strategies that help individuals of all ages develop emotional regulation skills, interpersonal skills, self-awareness, and resilience to succeed academically and socially in various settings.

Social Language Rules & Tools: A Preschool Curriculum of activities to improve social–ability

Activities to Improve Social–Ability in Play

Teachers and speech language pathologists (SLPs) can use highly interactive social language roleplay activities to improve the social-ability of their preschool students.   During these fun lessons children learn strategies to help them to establish joint attention so that their communication attempts will succeed.  

Why do so many Of preschooler’s attempts at communication fail? 

Failed communication attempts are not uncommon for preschool-age children, especially those with social language challenges, such as autism. The missing key is joint attention.

  • One child begins to talk about his painting, “I made a fish.”, but the other child turns away.  There’s no joint attention,  so communication fails.
  • One child asks, ”Where is the truck?”, but the other child talks over them commenting on their bridge. There’s no joint attention,  so communication fails.
  • One child requests the red train, “I wanna have the red one?”, but the other child talks about his new shirt.  There’s no joint attention,  so communication fails.
  • One child comments on their toy cat, “My cat is scratchy.”, but the other child just ignores them.  There’s no joint attention, so communication fails. 

Joint attention ensures that both the speaker and the listener are looking at, referring to and or thinking about the same topic. Adults take responsibility for creating joint attention with children by getting down on their level, by following their lead and by persevering in calling their attention to interesting objects or events.  Therefore, communication with adults is often successful. 

However, peers with social language challenges are less likely to be able to initiate and or respond to other’s attempts at joint attention resulting in many missed opportunities to successfully close the communication circle. 

Age Expectations

 It is interesting to note that most babies should be following the gaze of their parent by turning to look at whatever their parent is looking at by 6 months of age.  Babies begin pointing by 8-9 months.  Babies use gestures, eye gaze and vocalizations to get caregiver’s attention by 12 months (for more, see Developmental Milestones on page 196 of Social Language Rules and Tools).

What is happening? 

In order for a communication attempt to succeed, the speaker and the listener have to create joint attention toward each other, toward an object or toward an idea. Joint attention is the key to success in completing the communication loop. Many preschoolers, especially those on the spectrum, are still developing this skill. That’s why communication attempts with adults, who take responsibility for creating joint attention are much more likely to succeed than preschooler’s communication attempts with peers. The speaker needs to be aware of their listener’s needs.

  • “If I don’t get their attention then they won’t know I’m talking to them.” 
  • “If I don’t get close enough to them they might not hear me.” 
  • “If I don’t say it in an interesting way they might not notice me.” 

The listener needs to be responsive to the speaker. 

  • “If I don’t look up or say a word then they won’t know I heard them.” 
  • “If I didn’t understand what the speaker said then I need to ask.“ 

There’s a lot that can go wrong! 

What to do? 

Many children with special needs, such as autism, benefit from specific and direct social language instruction.  The Social Language Rules and Tools Curriculum provides this type of instruction. Key features of the Rules and Tools Curriculum include:

  • It is focused on specific chanted rules. 
  • It is prompted with non-verbal devices, such as, gestures, pictures, objects, etc. 
  • It is presented in integrated group lessons.
  • It is modeled by typical peers and supportive teachers.
  • It is incorporated into increasingly novel play, conversation and learning activities. 
TAP AND CALL TEACHING PICTURE  used to teach joint attention

An example of an activity that provides needed direct social language instruction is Tap and Call, from the Rules and Tools Curriculum. Tap and Call is the first rule of the 68 rules and lessons in the Social Language Rules and Tools Curriculum and is taught to increase successful interactions by ensuring  joint attention. If you teach preschoolers to Tap and Call then:

  1. The preschooler who is speaking will get close to the listener
  2. The preschooler who is speaking will look at the listener
  3. The preschooler who is speaking will gain the listener’s attention

With this the preschooler who is listening is much more likely to respond with eye contact or a verbal response; they will establish joint attention and the communication circle will be complete!

How to teach this? 

Roleplay! Through roleplay, parents, teachers and speech language pathologists can engage preschool children in interactive lessons to teach these skills. 

Pointer finger icon from Rules and Tools

For example, using a large pointer finger prop (which is easily and inexpensively cut out of foam board) creates drama as adults model Tapping and Calling their listeners before they talk. Best of all, this can become an interactive game for the preschool audience watching the role play. Encourage your preschoolers to call out “FREEZE, YOU NEED TO TAP AND CALL!” when the adult role players ‘forget’ to Tap and Call before talking.

Enhance the learning experience with a multisensory element like singing. In the example above preschoolers can say and clap out a chant:  “They might not notice me at all, if I forget to ‘Tap and Call’!” 

Using songs when teaching social language rules can tap into different learning styles.  Songs have been shown to improve attention and memory.  Tap and Call has a song to the tune of “TAPS” (see Social Language Rules and Tools Curriculum for the words to the Tap and Call song).     

Adults and peers can use the large pointer finger prop/token along with the chant and song to playfully generalize the Tap and Call rule to the classroom during snack, games, crafts, and free play activities.   These props, chants and songs can be sent out of the classroom to many different settings within the school and to the child’s home to ensure generalization of new rules to different environments and to different people.   

How to find out more information?  

Refer to Rule 1.1 of Social Language Rules and Tools Curriculum for details about these interactive roleplay lessons and the multimodality teaching methods. 

Some children are missing positive communication experiences over and over in every possible interaction with peers, teachers, siblings and parents. What a lot of missed opportunity and missed reinforcement from those possible interactions!  Unlike ABA and Playfulness therapies where adults do all the work, Social Language Rules and Tools Curriculum teaches communicatively challenged children to recognize and implement subtle, key rules or behaviors that their more successful peers use intuitively all day long. 

The rule sets are listed in developmental order based on literature review (included in the program on pages 195-229). 

Stay tuned for the next Talk and Play blog for Lesson 1.2 Answer, ‘What?’ 

Guest Author: Deborah Fortin, author of Social Language Rules & Tools: A Preschool Curriculum

The functionalhand® Supports Your Child’s Learning!

For children who have difficulty with muscle tone, movement and motor skills, they may lack the hand control to hold writing utensils.  This may impact their ability to complete academic skills at the level they are capable of. The functionalhand® supports learning by reduces fine motor demands allowing your child to focus on discovering letters, numbers, counting skills and so much more.

Child using the functionalhand to write the letter A

Children learn through a variety of sensory experiences. Processing auditory and visual cues in combination with movement enhances cognitive or academic concepts.  The functionalhand® reduces the physical demands of academic tasks and allows the child to have more energy to focus on learning. Tracing and copying activities are completed with less effort.

Child using the functionalhand tool  to participate in a writing activity

The functionalhand® allows children to participate in formal writing programs that teach letters such as “Handwriting without tears”.

Child using the functionalhand® to support participation in a math activity

Dot markers are another “tool” that the functionalhand® assists children to hold and practice number recognition and matching skills.

Child using the functionalhand® to support participation in a counting activity
Child using the functionalhand® to support a learning activity

In addition to number recognition, there are a variety of activities a child can participate in that supports math skills.  This universal device enables individuals who cannot hold a writing utensil in their hand, to complete academic skills.

Guest Bloggers: Linda Merry, OTR/L, NDT/C and Celine Rosati Skertich, PT, MS, PCS, NDT/C, creators of The functionalhand®.

Autism Challenges in Public Entertainment Venues

Ironically, the reasons why we go to these venues are the reasons people with Autism do not like them! Here are a few challenges that may be faced in public entertainment venues:

  1. Sensory: People with Autism often struggle with sensory input and how to deal with it.
    • Many of these venues may smell strange (or someone may be wearing perfume) and cause a negative reaction for some people. This can be so subtle that the person with autism may not even know that it is causing him/her to act out of control.
    • Sudden and loud chaotic noises can cause confusion for them in addition to all the chatter and background music in the room.
    • Sitting too close to other people can cause unwanted light touch that we know can be very irritating. Speaking of touch, a theatre setting may have textured chairs that are uncomfortable
    • And not to mention all the visual stimuli that occurs – all the bright lights, some moving and others flashing can put a nervous system into overload.
  2. Social Skills: These venues involve social environments which is an area of real challenge for people with Autism
    • They may be highly anxious in knowing how to interact with the rest of the group.
    • As a result they may seem aloof or, on the other hand, blunt.
    • In an attempt to communicate, they may not be able to read the body language or facial expressions of the other person and then their behavior may appear to be inappropriate.
    • People with Autism take things very literally which may cause misunderstandings with others at the venue.
  3. Routine and Anxiety: Routine is very important for people with Autism
    • Going somewhere new outside of routine can cause a lot of anxiety.
    • Even if a person with Autism is used to going to a venue each week, even the absence of a staff member, different layout, etc. could cause anxiety.
    • Unexpected events are anxiety producing for them.

Other diagnoses that might experience similar challenges:

  1. We as occupational therapists working with people with developmental disabilities are trained to assess their ability to process sensory information as part of their evaluation.
  2. We are finding that many people with no known diagnoses also have challenges with entertainment venues. Recently, I have been privileged to attend professional baseball games in Baltimore, Philadelphia and San Diego. That venue has changed since I went to baseball games as a child – now there is loud music, flashing lights, huge TV screens and people getting up and stepping on your toes which all make me wonder why I am there. It is challenging for me!

Suggested Solutions

Preparation, Preparation, Preparation:

  1. Social Story:
    A social story can be a written or visual guide describing various social interactions, situations, behaviors, skills or concepts and were introduced and described by Gray and Garand (1993). They are designed to improve the social skills of people with autism spectrum disorders (ASD). Social stories are used to educate and as praise. Social stories model appropriate social interaction by describing a situation with relevant social cues, other’s perspectives, and a suggested appropriate response. About one half of the time, the stories are used to acknowledge and praise successful completion of an accomplishment. These have been used successfully in preparation for entertainment venues. For further information, Therapro, Inc. offers the Newly Revised Book on Social Stories here.
  2. Sensory Stories:
    sensory_story_cards
    Sensory Stories, published by Therapro, are similar to Social Stories but with the specific approach to teaching children with autism and over-responsive sensory modulation issues to successfully engage in social activities within the home, school, and community. Sensory Stories comprise 30 individual stories about daily activities. These Sensory Stories instruct the child to use calming sensory strategies in order to deal with the unpleasant sensory aspects of that particular situation. When read on a regular basis, Sensory Stories assist the child in developing effective routines to manage the sensory experiences surrounding typical daily activities. The authors have conducted several studies to demonstrate their effectiveness. They can be viewed on the Therapro website.

The Venue Itself

  1. Call ahead and see if the facility has a visual tour for an iPad of the venue. A 360 degree tour to show as much of the rooms, location of bathrooms, etc. would be helpful for knowing the physical layout.
  2. Find out what the venue rules are, how services operates so everyone knows what to expect of the routine
  3. Ask if there could be dedicated time that can be with just families with autism
  4. Would there be a quiet area or small area available for families and individuals who might experience stress during the venue? Here at the Therapro Showroom, we have a sensory area for individuals including a bean bag chair and a basketful of sensory tools. This helps when the parent or caregiver want to look around the showroom. Also, our showroom does not have all products out as that could be overwhelming to individuals. Instead, we ask the parent to make a list of interested products and we go into the warehouse to pick them. Shoppers can sit comfortably at a table and make their decisions as to what they want – no rush.

Helpful Tools During the Venue Visit

  1. Fidgets:
    During stressful times, fidgets help reduce agitation. Therapro’s selection of fidgets have increased through the years as each nervous system finds a fidget helpful and others offensive. Please see our website for numerous fidgets. Our very popular Fidget Kit includes a variety of fidgets so a person can determine which ones they like or dislike. We have many quiet fidgets that can be used unnoticed!
  2. Additional Tools:
    • Sensory Strategy Cards: These are small cards with such strategies as “I can grasp my elbows and squeeze hard”, “I can put a heavy backpack or fanny pack in my lap”, “I can do an elbow-check to make sure no one is too close.” They are visual reminders of the various strategies that children can use. They can be tucked in a shirt or pants pocket for a quick reference to a preferred strategy or put on a belt loop or backpack.
    • Noise-reducing headphones
    • sunglasses

Guest Blogger: Karen Conrad Weihrauch, PhD, OTR/L