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 Aids7:30am 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

 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

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and has been administered to groups who had reading or speech problems, had mental retardation, or were emotionally withdrawn.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