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Best Practices Fetal Alcohol Spectrum Disorder. Diagnostic Categories. Fetal Alcohol Syndrome (FAS) Partial FAS Alcohol Related Birth Defects (ARBD) Alcohol Related Neurodevelopmental Disorder (ARND). Visual Aids. 8:30am Café Get in line No side talking Be nice to café staff Eat
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Diagnostic Categories • Fetal Alcohol Syndrome (FAS) • Partial FAS • Alcohol Related Birth Defects (ARBD) • Alcohol Related Neurodevelopmental Disorder (ARND)
Visual Aids 8:30am Café • Get in line • No side talking • Be nice to café staff • Eat • Ask to dump tray • Line up 9:00am Group Behaviors • Review my star chart • Goals for the day 9:20am Prep for school • Grab school material • Line behavior • 9:30am In Class 7:30am Wake up/Clean up room • Make your bed • Fold your clothes 7:40am Hygiene • Get shower shoes • Line up for hygiene • Shower • Put clothes on • Brush teeth • Mouth wash 8:25am Prep for Breakfast • Line behavior
Environmental Strategies • Structure • Balance between “minimalist environment” and some stimulation. • Predictability • Assigned Seating • Alert in Advance of Schedule Changes • Consistent Consequences
Environmental Strategies • Recognize Retention Difficulties • Short Sentences • Teach 1 concept at time • Repeat What You Heard • Concrete Language • Multi-modality Instruction • Pictorial Cues of Tasks and Routines • Model Behavior
Environmental Strategies • Repetition • Repeat • Repeat • Repeat • Monitored Level of Stimulation • Logical Consequence • Frequent Short Breaks • Re-direct Behavior (change the subject) • Acknowledge anger, over-stimulation
Visual Aids Check List • Brush my teeth • Shower • Comb my hair • Change my clothes • Clean socks • Deodorant
Psychological Testing • Peabody Picture Vocabulary Test • The PPVT-IV provides an estimate of the client's verbal intelligence and has been administered to groups who had reading or speech problems, had mental retardation, or were emotionally withdrawn. • Vineland Adaptive Behavior Scales, (Vineland-II) • A leading measure of personal and social skills needed for everyday living. • WISC/WAIS
Lessons Learned • If they tell you they can’t do it, DO NOT accept that they can’t. • Fine and Gross Motor Skills • Combining shampoo bottles • Learning to tie shoe laces • Folding clothes • If they tell you “yes I understand” they probably don’t. • Concrete Thinking • The bubble