Transitioning Back To School During COVID: Using Visuals And O Ther .

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Transitioning Back to School During COVID:Using Visuals and Other Evidence-basedStrategies for Children with AutismBy: Amy Moore Gaffney, M.A., CCC-SLP, Educational Consultant forIndiana Resource Center for Autismiidc.indiana.edu/ircaTo say that schools have changed a lot in the past few months is an understatement. And, as aresult, our students need to learn new rules and routines before they can start learning aboutacademics. At the beginning of each school year, you typically teach this information. This year,it is much more important that you teach and practice rules and routines to protect the health ofour students, ourselves, and the community. This will take time. You may find that you don’tfocus on academics during the first week or two of school as much you have during the past.This is good.“If you spend the first week of school directlyteaching, modeling, and practicing routines,challenges in the classroom will dramatically decrease.”Kathleen QuillThe following supports will help ALL students from preschool through high school.These supports are evidence-basedThese supports increase learningThese supports reduce anxiety

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismSkills to TeachThere are four skills that students must learn to use across the school day: social distancing,wearing a mask, how and when to wash hands, and keeping hands to self.How to Social DistanceIt is generally accepted that in indoor settings, students should stand sixfeet away from each other. Students can be taught to distance themselvesusing boundary markers, hula hoops, or using outstretched hands as aninformal measurement.The following resources provide information on social distancing: getting-sick/socialdistancing.html s-SocialDistancing-A-Story-For-Children-5668223 %20People%20Space%20When%20Talking.pdf g%20People%20Space.pdfHow to Wear a MaskThe mask should completely cover the nose and mouth with the elasticstraps tucked behind the ears. It is important to teach students, “I wear amask to protect you; you wear a mask to protect me."Mask protocol and the importance of masks are discussed here: getting-sick/diycloth-face-coverings.html for-Children-During-COVID-19.aspx g-A-Mask-Storyfor-Children-5463572 https://www.youtube.com/watch?v iE6L-4tO-rs https://www.youtube.com/watch?v OLO1GNXKmNESkills to Teach 1/2Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismHow to Wash Your HandsExperts suggest that you scrub your hands for at least 20 seconds. It isimportant to teach students to watch all parts of their hands. For example,the most used part of the hand—the thumb—is also the least washed. Thefollowing resources teach handwashing: ng.html 9-visuals-and-socialnarratives.html shing%20%28Clipart%29.pdf shing%20%28Photos%29.pdf ashing.pdfDon’t TouchPeople should avoid touching their face without first washing their hands.To prevent the spread of germs and COVID-19, avoid touching surfacesthat can be touched by a variety of people, such as doorknobs, light switch,keyboards, etc.In addition, students should be encouraged not to toucheach other—no high fives or holding hands. gettingsick/prevention.html getting-sick/howcovid-spreads.html https://www.youtube.com/watch?v 8uOMXmlsglsSkills to Teach 2/2Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismRoutines and Six Strategies for Teaching ThemThe following are routines that children need to learn to stay safe and be active learners. Sixevidence-based strategies are highlighted that can be used to teach them.A table indicates for each routine which of the 6 strategies are effective. A brief description ofideas as well as multiple examples is included for each of the recommended strategies.The Six Strategies1. Schedule / To Do Lista. The schedule visually tells what activities will occur and their order. Theschedule helps the student move from one task to the next.b. The to do list visually tells what tasks the student needs to complete and in whatorder to complete them.c. A student will benefit from a combination of a schedule and to do lists. Forexample, the student’s schedule may indicate that the day begins with Morning.The to do list contains all of the tasks that should be completed during MorningWork time.2. Physical Structurea. Physical structure refers to the way furniture and materials are arranged to helpstudents understand what happens each area.3. Social Narrativea. Social narratives are stories that use words and sometimes pictures to explain avariety of social situations. These can be read over and over. Often written in firstperson, the social narrative typically tells the reader what to expect to do, whatothers will do, and how people will react. The social narrative is written positivelyto encourage the person to do what is expected.4. Video Modelinga. Video modeling is a visual teaching strategy that demonstrates a skill, routine, orbehavior to a person. The person will often re-watch the video in order to put thetarget skill, routine, or behavior into practice.5. Signs / Cardsa. Signs or cards visually present information to support comprehension. Thesevisuals are static, allowing for multiple opportunities to reference to supportrecall.6. Reinforcementa. A preferred item is provided following a desired behavior to increase thelikelihood that the behavior will occur again.Routines 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismRelated ResourcesThe Indiana Resource Center for Autism website offers free edit-and-printWord documents of visual supports and social narratives, along withexamples of visual schedules and structure that can be found COVID-19 specific visual supports and social narratives can be found -and-social-narratives.htmlRelated Resources 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismArrivalThe recommended strategies for this routine are:1. Schedule / To Do List4. Video Modeling2. Physical Structure5. Signs / Cards3. Social Narrative6. ReinforcementSchedule / To Do ListWhen the student arrives, he may need a To Do List oftasks to complete, especially if there is a change in theroutine. This may include using hand sanitizer when heenters the room or hanging up his backpack in a newlocation.Physical StructureRopes and guides may be used to divide the hallway tokeep students lined up in orderly queues or out of restrictedareas.Social NarrativeA narrative can explain expectations such as how todistance when walking, which path to take, how to greetothers, where to put belongings, etc.Video ModelingA video demonstrates which door to enter, the proper wayto walk in the building, the path to take and what she willpass on the walk to her classroom, how to greet others,and where to put belongingsArrival 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismSigns / CardsUse visual signs to indicate which door to enter, which sideof the hall to walk on, and a reminder to social distance andto wear a mask.ReinforcementA reinforcement system lets the student know he hasfollowed the routine, used appropriate behavior, completedarrival tasks independently, etc.Arrival 2/2Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismBathroomThe recommended strategies for this routine are:1. Social Narrative3. Signs / Cards2. Video Modeling4. ReinforcementSocial NarrativeThis narrative can explain expectations such as where tostand and wait, how many people are allowed in thebathroom, reminder to wash hands for 20 seconds, etc.Video ModelingA video can show all of the steps of the bathroom routine,from where and how to stand in line, to demonstrating goodbathroom behavior, the hand washing routine, and leavingthe bathroom appropriately.Signs/CardsPost the handwashing routine above each sink, place asign on the paper towels to remind students how many totake, etc.ReinforcementA reinforcement system lets the student know he hasfollowed the routine and used appropriate behavior.Bathroom 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismBusThe recommended strategies for this routine are:1. Physical Structure4. Signs / Cards2. Social Narrative5. Reinforcement3. Video ModelingPhysical StructurePlace tape on the floor or seats to show students how tospace themselves apart. Using a rope or tape acrossseats where students should not sit can also be helpful.Social NarrativeThis narrative can explain where to stand and wait forothers to get on the bus first, where to sit, what to touch,when to wear masks, etc.Video ModelingA video can show all of the expectations for good busbehavior, such as how to get on while socially distancing,where to sit, and how to wear masks on the bus.Signs / CardsSigns or cards list bus rules, including sitting down, nottouching others, wearing a mask, etc.ReinforcementA reinforcement system lets the student know he hasfollowed the routine and used appropriate behavior.Bus 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismCleaning WorkspaceThe recommended strategies for this routine are:1. Schedule / To Do List4. Signs / Cards2. Social Narrative5. Reinforcement3. Video ModelingVisual Schedule / To Do ListGive student a To Do list of the steps to clean theworkspace.Social NarrativeThis narrative explains why it is important to clean theworkspace, how to clean it, and when this should be done.Video ModelingA video can easily show how to complete the steps toclean the workspace, including how many wipes to use,how long to wipe, and what area to clean.Take 1 wipeSigns / CardsPost visuals to tell students how many wipes to take, wherecleaning materials are kept, how much hand sanitizer touse, etc.ReinforcementA reinforcement system lets the student know he hasfollowed the routine and used appropriate behavior.Cleaning Workspace 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismCommon AreasThe recommended strategies for this routine are:1. Physical Structure4. Signs / Cards2. Social Narrative5. Reinforcement3. Video ModelingPhysical StructureMark spaces on the ground to indicate where students canstand. Space seats apart to add distance.Social NarrativeThis narrative explains rules in the common area, such ashow to use the area, when and how a mask must be worn,socially distancing, some areas that can no longer beaccessed, etc.Video ModelingA video can show the expectations while in common areas,such as what social distancing looks like, where to stand,etc.Signs / CardsPost signs to tell students to social distance, wear masks,and where it is ok to stand.ReinforcementA reinforcement system lets the student know he hasfollowed the routine and used appropriate behavior.Common Areas 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismDismissalThe recommended strategies for this routine are:1. Schedule / To Do List4. Video Modeling2. Physical Structure5. Signs / Cards3. Social Narrative6. ReinforcementSchedule / To Do ListA dismissal to do list of tasks is essential becausedismissal procedures are likely to have changeddramatically. The list may include using hand sanitizerwhen leaving the room, which folder to put in the backpack,etc.Physical StructureRopes and guides can be used to divide the hallway tokeep students lined up in an orderly manner. They mayalso be used to mark restricted areas.Social NarrativeThis narrative should explain the expectations such as howto distance when walking out of the building, which path totake, how to say good-bye to others, etc.Video ModelingA video can demonstrate how to follow a dismissal to dolist, pack a backpack, how to exit the classroom andbuilding, and how to walk to the bus.Dismissal 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismSigns / CardsVisual signs indicate which door to exit through, which sideof the hall to walk on, how to social distance and when towear a mask.ReinforcementA reinforcement system lets the student know he hasfollowed the routine, used appropriate behavior, completeddismissal tasks independently, etc.Dismissal 2/2Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismiPad / Computer UseThe recommended strategies for this routine are:1. Social Narrative3. Reinforcement2. Video ModelingSocial NarrativeThis narrative can explain when to use the iPad/computer,the importance of using hand sanitizer before and/or afteruse, what programs the student will use, where the studentshould sit with the iPad, etc.Video ModelingA video can demonstrate how to use the iPadappropriately, how to log on to the iPad/computer, how toturn off the computer or charge the iPad, etc.ReinforcementA reinforcement system lets the student know he hasfollowed the routine, used appropriate behavior, and usedappropriate behavior with technology.iPad / Computer Use 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismLunchThe recommended strategies for this routine are:1. Schedule / To Do List4. Video Modeling2. Physical Structure5. Signs / Cards3. Social Narrative6. ReinforcementSchedule / To Do ListA schedule will guide the student through the lunch timeactivities, that may include, getting lunch box, lining up,going to cafeteria, sitting in the assigned seat, eating,throwing away trash, lining up, and going to classroom.Physical StructureRopes and guides can be used to divide the hallway tokeep students lined up in orderly queues to go through thelunch lines or out of restricted areas. Place table andchairs apart for social distancing.Social NarrativeThis narrative can explain how to wear a mask, when totake off the mask, how to make a lunch choice, where tosit, etc.Lunch 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismVideo ModelingA video can show the student which path to take to thecafeteria, which doors to enter and exit, how to go throughthe line and make choices, where to sit, how to throw awaytrash, etc.Signs / CardsPost visual signs to indicate which door to enter or exitthrough, where to stand in line, food choices, cafeteriarules, and a reminder to social distance and wear a mask.ReinforcementA reinforcement system lets the student know he hasfollowed the routine, used appropriate behavior, and usedgood manners.Lunch 2/2Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismManaging SuppliesThe recommended strategies for this routine are:1. Social Narrative3. Signs / Cards2. Video Modeling4. ReinforcementSocial NarrativeThis narrative should explain the expectations such as theimportance of not sharing supplies, when to sharpen apencil, what supplies I should have, what to do if I can’t findsomething, etc.Video ModelingA video can provide a tour of the classroom, focusing onwhere supplies are kept, how to sharpen a pencil or whereto find extra paper.Signs / CardsLabel drawers and baskets so students can easily seewhere school supplies are kept. Post a desk map to showstudents how to keep their materials organized.ReinforcementA reinforcement system lets the student know he hasmanaged his school supplies appropriately, such as havinga sharpened pencil ready for writing.Managing Supplies 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismNurse’s OfficeThe recommended strategies for this routine are:1. Physical Structure4. Signs / Cards2. Social Narrative5. Reinforcement3. Video ModelingPhysical StructurePlacement of chairs and dividers can be used to spaceapart students.Social NarrativeThis narrative can explain when to go to the nurse’s office,what to do when entering the nurse’s office, and what thenurse will do if you are ill.Video ModelingA video can show how to enter the nurse’s office andcheck-in, where to sit, and how the nurse will assess helpthe student.Please Knock to EnterSigns / CardsPost signs to indicate which door to enter and exit through,where to stand, wear a mask, and the rules for the nurse’soffice.ReinforcementIf a student must go to the nurse’s office on a regular basis,a reinforcement system lets the student know she hasfollowed the routine and used appropriate behavior.Nurse's Office 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismPassing Time / Walking in the HallThe recommended strategies for this routine are:1. Physical Structure4. Signs / Cards2. Social Narrative5. Reinforcement3. Video ModelingPhysical StructureRopes and guides may be used to divide the hallway to keepstudents moving in orderly queues or out of restricted areas.Social NarrativeThis narrative can explain expectations, such as the length of thepassing period, which side of the hall to walk on, how the hallwaymay sound or feel, how to wear a mask, and how to sociallydistance. The narrative can also what the student can do during thistime, such as refilling a water bottle, going to locker, going to therestroom, etc.Video ModelingA video can show the student how to navigate the hallway, wheresome important places may be, such as his locker or the bathroom,etc.Signs / CardsPost visual signs to indicate which side of the hall to walk on, rulesabout standing in the hallway, reminder to social distance and towear a mask.ReinforcementA reinforcement system lets the student know he has followed theroutine, used appropriate behavior, and got to class on time.Passing Time / Walking in the Hall 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismPlaygroundThe recommended strategies for this routine are:1. Social Narrative3. Signs / Cards2. Video Modeling4. ReinforcementSocial NarrativeThis narrative should explain the expectations for what todo on the playground, when the class will go out to theplayground, if a mask should be worn, etc.Video ModelingA video can show where the playground is, whatequipment and activities can be used on the playground, ifa mask should be worn3Signs / CardsPost visual signs to indicate how many students can be ona piece of equipment, a stop sign to indicate an area isclosed, etc.ReinforcementA reinforcement system lets the student know he hasfollowed the rules and played safely on the playground.Playground 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismSmall GroupThe recommended strategies for this routine are:1. Schedule / To Do List4. Video Modeling2. Physical Structure5. Signs / Cards3. Social Narrative6. ReinforcementSchedule / To Do ListGive the student a list of small group activities, such asusing hand sanitizer, getting supplies, watching a video,reading a story, cleaning his workspace before leaving, etc.Physical StructureSpace out chairs for social distancing. Use tape to definestudent work area.Social NarrativeThis narrative should explain where the group will work,when to use hand sanitizer, where to sit, the importance ofpersonal space, group rules, and wearing a mask.Video ModelingA video can demonstrate group activities, what the spacelooks like, how to use a to do list for the group, etc.Small Group 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismSigns / CardsPost visual signs to indicate where materials are kept; usename tags for seats, etc.ReinforcementA reinforcement system lets the student know he hasfollowed the routine, used appropriate behavior, such asstaying in his designated space.Small Group 2/2Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismSpecialsThe recommended strategies for this routine are:1. Schedule / To Do List4. Video Modeling2. Physical Structure5. Signs / Cards3. Social Narrative6. ReinforcementSchedule / To Do ListGive the student a list of what activities, including usinghand sanitizer, getting supplies, watching a video, readinga story, cleaning his workspace before leaving, etc.Physical StructureSpace out chairs for social distancing. Use tape to definestudent work area.Social NarrativeThis narrative can explain when to use hand sanitizer,where to sit, the importance of personal space, the routinefor the special, and wearing a mask.Video ModelingA video can show the student activities that may be done inthe class, what the space looks like, how to use the to dolist for the class, etc.Specials 1/1Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID:Using Visuals and Other Evidence-based Strategies for Children with AutismSigns/CardsPost visual signs to indicate where materials are kept. Usename tags or shapes to indicate where students should sit,etc.ReinforcementA reinforcement system lets the student know he hasfollowed the routine, used appropriate behavior, such asstaying in his designated space or wearing a mask.Specials 2/2Indiana Resource Center for Autismiidc.indiana.edu/irca

Transitioning Back to School During COVID: Using Visuals and O ther Evidence-based Strategies for Children with Autism By: Amy Moore Gaffney, M.A., CCC-SLP, Educational Consultant for

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