Tuesday, April 22, 2025

Family Resources for Board of Developmental Disabilities Services

 Did you know we have a Family Resources tab on our website? This is our go-to place for providing information to families and districts regarding helpful resources that can be accessed online or even locally in the Dayton Miami Valley region. 

When you click on the tab, there are several sections including:
  • Online Resources (topics include: New Autism Diagnosis, Puberty & Sex Ed, Girls on the Spectrum, Wandering & Elopement, and Healthcare)
  • Local Resources (topics include: Local Support Groups, Mental Health & Behavioral Support, Wrap Around Services & Case Management, Medical Support, County Boards of Developmental Disabilities, Recreation Programs, Social Skills Groups, and Childcare/Respite Care)
  • Websites
  • Online Courses


Today we are going to highlight some of the resources included in our Family Resources Tab for Local Board of Developmental Disabilities Services:



Board of Developmental Disabilities Services


    Do you know of other great local resources to share with families in the Dayton Miami Valley region? Contact Allison Officer at allison.officer@mcesc.org and we will add it to our tab! 

    Tuesday, April 15, 2025

    A-LIST Spotlight: Intervention Specialist Katie Wood at Primary Village South in Centerville

    It has been such a pleasure to work with Intervention Specialist Katie Wood at Primary Village South in Centerville. She jumped right into the coaching process and took our ideas in stride, even the ones that seemed a bit out there at first! She is reflective, open-minded, and collaborative when it comes to problem-solving. These are all excellent strengths for an intervention specialist and definitely make the coaching process rewarding for all involved! In addition to her ability to implement our interventions with fidelity, we were impressed with Katie's calm classroom environment, facilitation of AAC, and use of technology. She was also an excellent team leader for her fellow low-incidence teachers and for her paraprofessionals. We are so excited to showcase some of the supports Katie shared with us for today's A-LIST Spotlight!




    Structured Work

    • 3 Tier Work System: I use structured work systems throughout the school day with my students. I often use structured work systems to promote independence and instill a sense of accomplishment. The structured work systems also allow students to see an “end goal” during work and track what tasks they’ve completed, as well as what they still need to do. I use the structured work systems as an “independent work” center, as well as an IEP Goal center.




    Reinforcement Supports:

    • Work Contracts: I pair work contracts with almost every single task my students complete in my classroom. I’ve found that pairing an incentive with tasks helps motivate my students and increases engagement and attention. Students know that once they earn all 3 tokens for task completion, they receive the incentive chosen on their work contract. This has been an extremely helpful tool this school year. Work contracts can be personalized for each student based on their motivations and interests.


    • Token Boards: Token boards provide a visual and tangible way for students to track their positive behaviors and earn rewards. Students can earn tokens for demonstrating desired behaviors, such as following directions and task completion. Once a student collects a certain number of tokens, they can exchange them for a predetermined incentive. This encourages motivation and reinforces positive behavior.

    • Visual Countdowns: I use visual countdowns in my classroom and across the school day with my students. Visual countdowns can be helpful prior to transitions inside and outside of the classroom, especially for students who struggle with transitioning from preferred to non-preferred activities. I occasionally pair the countdown with a timer once the countdown is complete. I also use the small visual countdown as an individual student tool in moments where students may be expected to wait or complete a task. This tool helps students with predictability and expectation.


    Choice Boards:

    • Self-Regulation Choice Board: I created this choice board for students to use in moments of frustration and dysregulation. It can be difficult for students to communicate their thoughts and emotions when they become dysregulated, so this tool works well, helps students communicate how they are feeling, and promotes independence and self-regulation skills.


    • Unstructured Play Choice Board: I created this choice board for some students who were struggling to make appropriate choices during unstructured play (free play, recess, etc.). Students are expected to make a choice on their board and know that when they are finished with a choice, the visual needs to be moved and replaced before they can move on to their next activity choice.


    • Problem-Solving Choice Board: My student teacher created this choice board for students who struggle to problem-solve conflicts with peers (yelling at, crying, etc.). Students are encouraged to choose a replacement behavior in order to problem-solve conflicts that may arise.


    Visual Schedules:

    • Individual Traveling Schedules: Because my students spend parts of their day transitioning between various classrooms, I utilize traveling schedules with some of my students. Traveling schedules allow students to access their daily schedule from anywhere in the building.


    • Visual Task Schedule: This schedule helps students visualize the steps needed to complete a task. I use this visual task schedule for fine motor activities or other activities that have multi-step directions. At this point in the year, most of my students are able to sit down at a table and follow these visual directions independently.


    • Location-Based Schedules: I use location-based schedules during center rotations in my classroom. Each student has their own schedule, and each center is color-coded for students to easily transition from one activity to the next.




    Transition Supports:

    • Classroom Doorbell: We use our classroom doorbell during transitions within the classroom. Students know that when they hear the doorbell sound, it is time to finish up what they are doing and transition to their next center or activity. I often pair a verbal or visual countdown with the doorbell chime for students who need extra reminders.


    • Transition Choice Board: I created this choice board for students who struggle with transitions outside of the classroom. Students are encouraged to choose and focus on 1-3 positive behaviors to demonstrate during transitions outside of the classroom. Pre-correcting transition behaviors has helped a lot of my students demonstrate successful transitions throughout the school day.



    A special thank you to Katie for sharing all of the fabulous supports she uses for her students for today's A-LIST Spotlight! Your students are lucky to have you and we feel so fortunate to have you as an A-LISTer!

    Tuesday, April 1, 2025

    Family Resources for Recreation Programs and Social Skill Groups

    Did you know we have a Family Resources tab on our website? This is our go-to place for providing information to families and districts regarding helpful resources that can be accessed online or even locally in the Dayton Miami Valley region. 

    When you click on the tab, there are several sections including:
    • Online Resources (topics include: New Autism Diagnosis, Puberty & Sex Ed, Girls on the Spectrum, Wandering & Elopement, and Healthcare)
    • Local Resources (topics include: Local Support Groups, Mental Health & Behavioral Support, Wrap Around Services & Case Management, Medical Support, County Boards of Developmental Disabilities, Recreation Programs, Social Skills Groups, and Childcare/Respite Care)
    • Websites
    • Online Courses


    Today we are going to highlight some of the resources included in our Family Resources Tab for Recreation:

    Summer Programs


    Resources for Funding Summer Activities


    Sports & Recreation Programs



      Social Skills Groups



        Do you know of other great local resources to share with families in the Dayton Miami Valley region? Contact Allison Officer at allison.officer@mcesc.org and we will add it to our tab! 

        Tuesday, March 18, 2025

        Medical Resources for Families

         Did you know we have a Family Resources tab on our website? This is our go-to place for providing information to families and districts regarding helpful resources that can be accessed online or even locally in the Dayton Miami Valley region. 

        When you click on the tab, there are several sections including:
        • Online Resources (topics include: New Autism Diagnosis, Puberty & Sex Ed, Girls on the Spectrum, Wandering & Elopement, and Healthcare)
        • Local Resources (topics include: Local Support Groups, Mental Health & Behavioral Support, Wrap Around Services & Case Management, Medical Support, County Boards of Developmental Disabilities, Recreation Programs, Social Skills Groups, and Childcare/Respite Care)
        • Websites
        • Online Courses


        Today we are going to highlight some of the resources included in our Family Resources Tab for Local Medical Resources: 



        Mental Health & Behavioral Support


        Wrap Around Services/Case Management


        Medical Support


          Do you know of other great local resources to share with families in the Dayton Miami Valley region? Contact Allison Officer at allison.officer@mcesc.org and we will add it to our tab! 

          Tuesday, March 4, 2025

          Communication Corner: Why PECS Still Works


          Do people still use the Picture Exchange Communication System (PECS)? This was once a popular evidence-based communication intervention but it seems to be a thing of the past. But don’t throw away your PECS manual! There may be a student who still needs this approach. In this post, our Speech and Language Pathologist, Carol Dittoe, will give her feedback on the use of PECS.


          As the speech pathologist on the Autism and Low Incidence Coaching Team (ACT), Isometimes asked about my thoughts on the use of PECS.  I want to be clear that PECS is a specific and trademarked system that follows a very detailed protocol that requires training from a Pyramid Educational Consultant. I have been through the formal training but I have also adapted it when needed (so I can no longer officially call it PECS). For more information visit the official PECS website  In today's Communication Corner, I will provide my thoughts about the use of PECS which are based on many years of experience and observations.



          • PECS is more than just using Pictures. PECS is the use of picture EXCHANGE. The E in PECS means exchange. Sometimes when you start with an AAC device, especially a dynamic device, the student focuses on the technology only and does not acknowledge the communication partner.  If the learner is able to see and manipulate a picture, they can develop joint attention by exchanging the picture with a partner to gain the desired item. If they love technology, use picture exchange to request the iPad. 


          • PECS is not always my first option for Augmentative and Alternative Communication (AAC). It is not a prerequisite of AAC. It depends on the needs of the learner. If the learner has good joint attention and is already showing some use of pictures to communicate, I will move on to an AAC device or a static picture-supported communication system that is much more robust.  If the learner does not demonstrate joint attention and does not engage with pictures for communication, PECS is a great way to teach these foundational skills.


          • The first phase of PECS is to teach the initiation of a picture exchange. I love the focus on initiation and feel it is important to avoid developing prompt dependency. You are not supposed to use any verbal prompting. You are to entice the learner rather than prompt them. The use of a second person acting as the physical prompter during Phase 1 is not the same as facilitated communication (if you are doing it correctly). Some people have expressed concern that having a physical prompter is taking away the learner’s autonomy. In my experience with PECS, I am following the lead of the learner by watching for their initiated reach and using physical prompting to shape the reach for an item down to the picture to facilitate the picture exchange. Typically, I only need to use physical prompting for the first few requests before the learner understands how to give the picture to the communication partner to obtain the desired item. The goal is to fade any prompting as quickly as possible.



          • Typically, when using PECS, I focus on the first 3 phases to focus on the development of joint attention, initiation, persistence, and picture discrimination. Here are the first 3 phases of PECS:

          1. Teaching the exchange with a single picture

          2. Teaching the exchange with a single picture, adding distance, and generalizing the skill across people and environments

          3. Teaching picture discrimination between 2 or more pictures (I spend a lot of time at this phase to continue generalizing across settings and people for a variety of items)


          • The strategies in these first 3 phases will make sure the learner takes the responsibility of exchanging the request with the right communication partner. Have you seen a student using a device and repeatedly hitting the button without getting the attention of anyone? It’s almost as if they think it is a magical button that will get them what they want (who needs people?) Even if a team is not using PECS, I may refer them to some of the strategies from PECS to teach initiation, joint attention, and traveling. Traveling is when the learner must travel to get the picture and then travel to give the picture to the right person. This is an important skill weather your student is using pictures or a device. You want to make sure the student is exchanging information with a partner and not just interacting with a device.



          Nancy Cera
          Brookville Elementary, Brookville


          • When teams are struggling to teach picture discrimination, I often refer them to the PECS manual Phase 3 for some great ideas for teaching, assessing, and reinforcing picture discrimination. Picture discrimination is critical if you plan to use any kind of picture-supported communication. 


          Amy D'amico
          Learning Center North, MCESC

          Watts Middle School, Centerville

          • Phase 4 of PECS is sentence structure. This is where you add the “I want__”. Once I have developed strong joint attention and the learner can discriminate between many pictures across environments, I may start to transition to other more robust systems and introduce core words


          Sara Moore
          Bell Creek Intermediate, Bellbrook


          • While I am a big fan of teaching core words, some students need to start with more concrete language using highly motivating nouns for exchange. The first 3 phases of PECS will focus on the use of highly preferred items. These nouns are considered fringe words (ball, chip, iPad) and are used in a very concrete way to teach the power of pictures for communication. Core words are introduced in phases 4-6 and can be more abstract but are used more frequently in our language and can be combined to have many different meanings. (I, want, see). Descriptive words are also introduced in Phase 4. 


          • If you believe your student needs more of a Gestalt language approach, you can use the strategies of PECS to teach the foundational skills (exchange, initiation, traveling, discrimination) while introducing core words. I like the use of Aided Language Stimulation, a strategy that focuses on the frequent modeling of words on a core board without expecting the learner to respond. This can be done on a static core board or an AAC device. This combination goes against the PECS protocol but if you are not formally using PECS, you can still use many of the PECS strategies to meet the needs of your student. 


          Remember, any approach you take to developing functional communication must meet the specific and unique needs of the learner. Get to know your student and ask yourself the following questions to determine if your student would benefit from the strategies of PECS:

          • Do they struggle with joint attention and initiation?

          • Are they highly distracted by technology only focusing on the device and not the partner? 

          • Are they destructive by often throwing or pounding on a device? 

          • Are they unable to use pictures in a meaningful way or discriminate between pictures?

          • Do they rely on others to initiate the use of the device and travel with the device to get the message to the right person?


          There are so many factors to consider when choosing the communication mode and strategies to try. Collaboration between the classroom team, SLP, family, and outside therapy is needed. The most important thing is that you try something! You can visit these resources to get more information and assistance when assessing your student’s communication and AAC needs:



          PECS is an evidence-based practice. Here is a link to ASHA’s AAC Evidence Map and PECS Evidence-Based Practice Review


          Tuesday, February 11, 2025

          A-LIST Spotlight: Intervention Specialist Heidi Horner from Miami County ESC

          Miami County ESC Intervention Specialist Heidi Horner at Cookson Elementary in Troy has been nominated to our A-LIST because stepping into her classroom is like entering a realm of exceptional evidence-based practices! Throughout her coaching journey with the ACT Team, Heidi has consistently shown an admirable willingness to embrace constructive feedback and transform new ideas into her own wonderful classroom practices. What truly stands out is her infectious positive attitude and her remarkable ability to collaborate with her classroom staff and the families she so passionately serves. With her students always at the forefront of her mind, Heidi tirelessly strives to meet their needs, never backing down from a challenge. She is constantly engaged in problem-solving, and we are particularly impressed with her initiative to support students in a deeply individualized way, ensuring that both she and her staff are truly addressing their needs. Heidi's leadership style and dedication to teaching deserve not only to be celebrated but also to be wholeheartedly recognized! Congratulations, Heidi!



          We reached out to Heidi so that she could share some of her fabulous best practices for today's feature. Keep reading to see Heidi's classroom in action!

          Transition Supports

          Heidi supports her students by providing a variety of visual and sensory supports during transitions. She includes these transition supports next to her classroom door for easy access when entering and leaving the room. Some of her sensory supports include a weighted shopping cart and a weighted bookbag (panda bag).



          For visual supports, she uses a location-based schedule where students match an icon to a corresponding picture by placing it in the pocket or sticking it to the velcro. Another visual support is her ziplock bag of walking feet which can build positive momentum and keep a student moving forward as the feet are laid out.





             



          Restroom Transition

          One important transition for students each day is using the restroom which requires leaving the classroom and traveling in the hallway. Near the door, Heidi has several restroom supports including a switch for every student to push that says "I need toilet" to reinforce communicating for the restroom as well as a social story.


          Communication Supports

          In addition to the switch for asking for the restroom, Heidi has many other communication supports in her classroom including requesting boards (see reinforcement below) and picture supports.


          Communicating with families is also an important part of Heidi's classroom. She sends home this communication sheet daily.


          Academic Supports

          Heidi serves a diverse group of students with various needs. She provides many different types of academic supports such as her 1:1 teacher area where she can work on individualized goals and her adapted calendar books with cute sign in activity for Morning Meeting. In her classroom, Heidi uses the Unique Learning System curriculum to provide modified access to content standards for her students.

                     


               



          Structured Work Stations

          Another way Heidi meets the unique learning needs of each student is through the use of structured work stations. Heidi shared "I like individual stations because it allows for more personalization. It allows students to have their things all in one space. Oral sensory necklaces, noise canceling headphones, choice board with individualized reinforcements, mailboxes, and anything specific to that child that needs to be kept in "their space". I use the Reinforcement Inventory Checklist as a reference for each student's choice boards. I give parents the Reinforcement Inventory Checklist on Open House night, so that parents can fill it out at the beginning of the year. I keep the checklist in their individual IEP binders to reference when I want to change up their choice boards."






          For her structured work stations, student task boxes are all numbered or lettered. The date is recorded on the "Mastered Task Box List" when a student has mastered the task. Students keep the same tasks in their 1,2,3's for one week. We switch them out at the beginning of each week.


          She has even incorporated portable structured work stations that can be taken to general ed classrooms for inclusion, to specials, or to related service sessions.





          Teaming with Paraprofessionals

          Another area in which Heidi excels is collaborating and communicating with her paraprofessionals. She has a great prep station for upcoming materials. Heidi shared, "y paras can always check the SPED prep station for "projects" that need to be completed (such as laminating or making copies), in the mornings during our planning/prep time before the students arrive."

          Her paras also have their own "Support Sessions" table where they are in charge of weekly activities. Next to the 'Support Sessions" table, they keep a weekly checklist for the "must dos" for the week. "Must dos" are the assignments that all students must complete each week. The "must dos" this year are the weekly craft, the weekly scholastic magazine, and one Moncure letter book.




          Classroom Organization

          One way that Heidi stays organized is through using color-coding. Heidi shared, "I used color coding this year. Each student's IEP binder, seat at circle, colored popsicle stick for their bird sign-in, and any other time that it makes sense to color code. ie. Student "A' is blue. His IEP binder is green, his cube chair is blue, his bird popsicle stick is blue, etc. If I am passing out trays for sand or something like that he would get a blue tray, etc."




          Reinforcement

          Heidi has some wonderful reinforcement systems in place including:
          • Interest specific token boards
          • Rules at group to earn Happy Chappy and the communication book to make a choice of what color/smell they like.
          • Choice board for reinforcement motivation (interest specific for each student based on answers from the Reinforcement Inventory Checklist)
          • All Done Bin and Waiting Mats
          • Edible reinforcement compartments for steps of transitioning on to the bus









               



          Sensory Supports

          Last but not least, Heidi supports her students' sensory regulation through proactive supports such as her heavy work station and classroom sensory area and reactive supports like her calm down choices and corresponding book.






          A very special thank you to Heidi for welcoming us into her classroom and being such a wonderful partner to the ACT team. We are excited to share these ideas with additional educators!