Teaching to Handle with Care when Working with Children with ASD

Handle with Care provides teaching strategies for those working with the behaviorally challenged population. The goal of Handle with Care is to ensure a safe and nurturing environment.

By teaching and implementing preventative actions that decrease the need for physical restraints, Handle with Care equips parents, ABA professionals, school teachers and many other professionals proper restraining techniques for the event that a restraint is absolutely necessary for the safety of a client or student.

Handle with Care believes that if staff work in fear and do not feel personally safe, then there can be no emotional safety whatsoever as fear will be the controlling emotion. 

Similarly, if the client cannot trust the staff to keep them unharmed and treat them fairly, they will not trust the staff or therapists to teach and provide the therapy they need.

Handle With Care is committed to the emotional and physical safety of behaviorally challenged individuals whose behavior may become harmful to themselves or others and the staff and organizations that support them.

In this video, Faith demonstrates how to responsibly remove yourself from an approach to then calm a client/child.

At Spectrum Autism Services, Faith Martino, one of our Clinical Assistants, and Abby Hawkins, our Office Manager, are trained to teach the employees of our company proper prevention, de-escalation techniques, and also proper restraining techniques.

A Handle with Care course is provided annually at Spectrum Autism Services to re-certify staff as well as certify newly joined staff. We believe that handling our kiddos with respect, despite the difficult emotional behaviors they sometimes exude, is not only morally fair, but paramount to teaching them the successful behavioral therapy they deserve.

Schools and facilities that use Handle With Care see on average a 30-40% reduction in injuries and incidents.

Handle with Care training addresses problematic behavior early in the cycle, thus reducing the number of incidents, injuries, holding times and assaults on staff, teachers, clients, private parties and students.

The following reviews convey the positive impact of implementing Handle with Care (HWC) protocol in professional environments:

For more information about Handle with Care, visit their website at http://www.handlewithcare.com

Learning Opportunities at the Park

Leaving the house with a child who has Autism Spectrum Disorder can be difficult, but we promise, it is worth the countless learning opportunities these outings provide.  New places and people are excellent ways to ensure your child is generalizing all of the amazing new skills you are teaching him from making eye contact to asking another child to join him in play.  

Things to note:

  • Stand in front of your child when he or she is swinging.  This way they can associate you with the fun sensation of being pushed back and forth!
  • Work on language and social skills while simultaneously performing gross motor activities. This builds critical connections between different regions of the brain.
  • Encourage your child to play with many different items at the park.  Make sure you prompt him to move on if his play becomes repetitive in nature (ex: going up the same ladder and down the same slide over and over).

While at the park:

1. Get in your child’s attention spotlight as often as possible (face-to-face within 3-4 feet)

2. Have fun (goofy faces, sing songs, big smiles, play movement games).

3. Imitate his vocalizations and actions.  Trust us children love to see that you are interested in what they are doing. Initially you may need to be careful to bring two of certain items such as balls, toy trucks, etc.  Some children will shut down if they feel like you are taking their toy.

4.  Follow the ONE-UP RULE. If your child is nonverbal label items and actions with one word (e.g. “push,” “swing”) If he is reliably using one word to make requests and communicate table items and actions with two words (“go fast” “kick ball”).

These strategies can increase engagement between you and your child with Autism Spectrum Disorder. We hope you have found them useful.

Feel free to comment with any additional strategies below!

Employee Spotlight: Verna Birch

This month’s Employee Spotlight highlights one of Spectrum’s amazing Clinical Assistants, Verna Birch!

Verna has always had a strong passion to help others and maximize the individual potential of her clients. She holds a Bachelor’s Degree in Psychology from the University of California, Irvine. She has experience working in the medical and human services fields. She has worked as a Registered Behavior Technician since 2015.

She began her career providing one-on-one direct services to children on the spectrum in home, community and clinic settings in San Diego, California. Her family relocated to Virginia in 2017, where she continues her work as an RBT with Spectrum Autism Services. She is a military spouse and has vast experience working with and serving the military community. 

She cherishes each of her clients and their families and constantly seeks to make a meaningful, positive difference in their lives. Currently Verna is pursuing her Masters degree in Special Education with an emphasis in Applied Behavior Analysis.

We are grateful for Verna each day for her continual effort and impact on her clients! Thank you for all that you do!

Using Visual Aids for Your Child with ASD

Providing visual supports can be an effective strategy for easing the anxiety that may be caused by daily activities and changes in routine for your loved one with Autism Spectrum Disorder. Children with ASD may not always grasp social expectations or fully comprehend spoken directions. Visual cues give children with ASD a visible calendar of events and a visible action to pair with a direction. Visuals can help parents better communicate and can often minimize frustrations of both the parent and child.

Labels & One Step Directions

The keyring with cards below is a great example of a portable visual that can be used to provide a variety of simple directions or choices. Providing an image that describes an action can help your child better understand the parent’s expectation of them. It also acts as a differentiated method of teaching your child seeing as verbal directions are not always comprehended.

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Posting visuals with adhesive around the home is a great way to label items. It can also be done to assist your child in learning names for items.

A “Stop” sign on the front door and other exit areas can also assist your child with better understanding their parameters. Make sure to always praise your child when they demonstrate that they have listened to these boundaries.

You can also use the “Stop” visual when leaving a playground or ending another activity. This way, once the action is initially taught, it can be applied to other activities and the action will be better understood when transferred to different environments.

First –> Then Visuals

To better help your child understand a sequence of events, for instance, eating lunch before play time, you can create a “First-Then” card. These cards demonstrate at least two visuals with an event that happens first, and then the event that follows.

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This is a great idea if your child struggles with motivation to complete a specific task, like eating. It also helps your child begin learning multi-step directions. When presenting the visual to your child, provide simple directions of “first you will eat lunch, then we will go to the playground.”

In order for this process and visual to be successful, it is important to provide the more rewarding activity following the first, less desirable task. It is important to also always follow through with the cards, or else your child may not trust that it will happen the next time.

Multi-Step Visuals

This visual provides a sequence of steps when performing an activity. This assists children with understanding the order of events, and reminding them to perform each individual task. We often create these for a multi-step task like potty time.

This potty chart was created by one of our RBTs for a Spectrum Autism Services client.

Items like the one above can be purchased on sites like Amazon, of which we are an affiliate: https://amzn.to/2E9N9Wi

Daily Calendar

Oftentimes children with ASD experience anxiety about what activities are to come during the day. A great way to combat this emotional upheaval is through a visual daily calendar of events.  

In our command center created for a client (showed above), our RBT included a daily schedule, the time at which that activity would begin, screen time reinforcement, a behavior modification tracking system, and cute little holders for additional tools. By generating an organizational system that works for your child, they can feel better prepared to approach their day.

Creating a command center is a great idea, but you can also begin with a smaller task of making a simple daily calendar.

Visuals calendars are a great way to begin implementing routines, rules, and order of events.

We hope you find this helpful! If you have any additional comments or questions, feel free to ask below!

February 18th Employee Spotlight: Kristen Martin

Kristen Martin, B.S, RBT

This week we want to celebrate an amazing person who Spectrum feels privileged to call an employee!

Kristen’s career serving individuals with Autism began when her former foster son was diagnosed with Autism in 2013. Her passion was ignited and spurred a career in education.

During her undergraduate studies she served as an in-school tutor for children with cognitive and learning disabilities utilizing social and emotional interventions to improve classroom behavior.

In January 2018, Kristen moved from the school environment to in-home services working as an RBT. Kristen earned a Bachelor of Science in Elementary Education from Liberty University and has completed graduate coursework in School Counseling at NYU as well as Education Policy at American University.

Kristen’s specialties include early intervention, verbal behavior, educational advocacy, social skills training, and community awareness. She is currently enrolled at Pennsylvania State University working towards a Master’s in Education in Applied Behavior Analysis.

Thank you for all that you do for your kiddos and fellow employees, Kristen!