HELPFUL
HINTS WHEN WORKING WITH ALCOHOL AFFECTED STUDENTS*
adapted for
AE students by Spira and Evensen from O'Neal and Moreno Tips for
Teaching High Functioning Persons with Autism
1. AE students
experience difficulty with organizational skills regardless of intelligence
or age.
HELPFUL HINTS:
- - verbal
cues
- - clear visual
demonstrations
- - physical
cues
- - video-taping
sessions
- - scripted
role-playing
- - songs which
remind the student what to do next (lt's clean up time)
2. AE students
experience difficulties with abstract thinking and concepts.
HELPFUL HINTS:
- - avoid abstract
ideas when possible
- - when abstract
ideas are necessary use visual cues
- - simple
language
- - numerous/varied
examples from the student's environment
3. An increase
in unusual or difficult behaviors likely indicates an increase in
stress - sometimes a feeling of loss of control in a situation or
confusion.
HELPFUL HINTS:.
- - try saying,
"Do you have something to tell me? show me? ask me?"
- - allow the
student to go to a "safe place" and/or a "safe
person"
- - have the
student change activities
- - decrease
the demands placed upon the student
- - allow the
student some quiet time in a different area of the room
4. Do NOT take
misbehaviors personally.
5. Most students
with AE employ and interpret speech quite literally.
To decrease
confusion avoid:
- - names such
a Pal, Buddy, Wise guy, etc.
- - idioms
(save your breath, jump the gun, etc.)
- - sarcasm
6. Be concrete
when dealing with AE students.
HELPFUL HINTS:
- - provide
numerous examples from the student's natural environment
- - avoid vague
questions (Why?)
- - avoid essay
type questions. AE students rarely know when they have said enough
or if they are properly addressing the core of the question.
- - demonstrate
and role-play situations
7. AE students
sometimes experience difficulty learning a skill.
HELPFUL HINTS:
- - break the
skill into smaller steps
- - present
the skill in more than one way (visually. verbally, physically)
and use concrete, multi-modal examples
- - use simple
language
- - teach the
skill (i.e., describing) through a topic (i.e.,animals) that will
motivate the student
- - teach the
skill in the environment that the student is expected to perform
the skill
8. Creative
applications of behavior management techniques are some times effective.
Employ Integrated Environmental Learning (IEL) techniques to assist
in making certain the student understands the expected skills. Further,
it is important to keep the individual's ability/developmental level
in mind.
9. Consistent
treatment and expectations from all people involved in the student's
program is vital. Solicit involvement from parents / guardians,
village elders, etc.
10. Positive
involvement from the adults in the child's home setting should be
attempted.
HELPFUL HINTS:
- - send notes
home
- - telephone
- - make home
visits
- - to adults
and share positive behaviors the student exhibits in class
- - invite
the adult to participate in classroom activities. The visit should
be structured so the adult can achieve positive interaction with
his/her child.
Fetal Alcohol
Syndrome:
What Schools
Can Do
1. Establish
an FAS/FAE TaskForce
- To be a resource
center for school
- To formulate
FAS prevention activities
- To coordinate
in service training on FAS
- To develop
school policy on FAS
- To formulate
plans for helping children with FAS/FAE
2. Set up an
FAS/FAE Support Team
- To accept
referrals on suspected children
- To develop
a therapeutic plan for each child
- input from
all school personnel involved
- review school
records
- refer for
psychologic testing
- possible
parent conference
- To be a support
team for school personnel
3. Refer child
suspected of FAS for psychologic testing
- Standardized
IQ test
- Standardized
Achievement test
- Vineland
Adaptive Behavior Scale
- Achenbach
Child Behavior Checklist (Teacher, Child, Parent)
4. Select a
personal advocate for child suspected of FAS
- To befriend
child as an advocate
- To receive
input from child re: perceived injustices, misperceptions, confusion,
concerns
- To receive
input from teachers and staff with complaints (and compliments)
about child
- To mediate
between child and teachers, child and other children
5. Talk it
over with parents
- Not a formal
conference, just the advocate
- Discuss school's
concerns
- Discuss psychological
testing globally
- Discuss possible
role of FAS/FAE
- Recommend
referral to dysmorphologist and/or discussion with family doctor
- Be supportive
and non-definitive
6. Develop
a therapeutic plan
- Reduction
of "challenging" deficits
- Work around
cognitive deficits
- Foster success
somewhere
- Enhance self-esteem
- Develop social
skills
- Supervise
behaviors closely
- Develop appropriate
job skills
Ann Pytkowicz
Streissguth Ph.D.
Professor,
Department of Psychiatry & Behavioral Sciences
University
of Washington
Seattle,
WA 98195
04/29/91
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