The Gold Standard for Intervention Planning The Ziggurat Model and The Comprehensive Autism Planning System (CAPS) capture the three keys in designing and implementing a comprehensive intervention plan: Characteristics • The Underlying Characteristics Checklist (UCC) helps you see the ASD. • *Individual Strengths and Skills Inventory (ISSI) shows you an individual’s strengths and skills. *ISSI is found in The Ziggurat Model. Intervention • The Ziggurat Model shows you how to design interventions using evidence-based strategies. Implementation • The Comprehensive Autism Planning System (CAPS) shows you how to effectively incorporate comprehensive interventions into a student’s day. A Comprehensive Planning Process for Students with Autism Spectrum Disorders and Related Disabilities: The Ziggurat Model and Comprehensive Autism Planning System Autism Asperger Publishing Company Autism Asperger Publishing Company P.O. Box 23173 Shawnee Mission, Kansas 66283-0173 877-277-8254 • www.asperger.net A Comprehensive Planning Process for Students with Autism Spectrum Disorders and Related Disabilities: The Ziggurat Model and Comprehensive Autism Planning System Autism Asperger Publishing Company Autism Asperger Publishing Company P.O. Box 23173 Shawnee Mission, Kansas 66283-0173 877-277-8254 • www.asperger.net ©2008 Autism Asperger Publishing Company P.O. Box 23173 Shawnee Mission, Kansas 66283-0173 877-277-8254 • www.asperger.net All rights reserved. No part of the material protected by this copyright notice may be reproduced or used in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without the prior written permission of the copyright owner. Articles in Appendix A reprinted with permission. Table of Contents The Importance of and Need for Comprehensive Planning for Students with Autism Spectrum Disorders........................................................... 1 Overview of the Ziggurat Model and the Comprehensive Autism Planning Systems (CAPS)......................................... 2 The Ziggurat Model............................................................................................. 3 The Comprehensive Autism Planning System............................................ 6 Summary.................................................................................................................. 7 Applications....................................................................................................................... 8 School ...................................................................................................................... 8 Home......................................................................................................................... 8 Employment and Higher Education Settings............................................... 9 Mediation................................................................................................................ 9 Methods of Implementation.......................................................................................10 Individual-Focused...............................................................................................10 Systems-Focused .................................................................................................11 Training Parameters......................................................................................................14 Global Training....................................................................................................14 Specific Training..................................................................................................15 Assessment.......................................................................................................................16 Summary...........................................................................................................................16 References.........................................................................................................................17 Appendix A: Published Articles on the Ziggurat-CAPS Process......................19 Appendix B: Sample Assessment Instruments......................................................37 The Importance of and Need for Comprehensive Planning for Students with Autism Spectrum Disorders S tudents with autism spectrum disorders (ASD) have historically been among the most challenging students to teach due to their unique characteristics. As the prevalence of ASD continues to increase, the pressure on professionals to meet the complex needs of these students has increased in equal measure. Despite the efforts of educational professionals, the potential of these students is often not realized. This occurs for a myriad reasons, including failure to identify students with ASD early on, lack of one methodology that is appropriate for all students on the autism spectrum, use of individual interventions that do not match student needs, and failure to develop a comprehensive plan that addresses the multiple and complex needs of the individual on the spectrum (National Research Council, 2001; Tsatsanis, Foley, & Donebower, 2004). What is needed to ensure the best possible services for individuals with ASD is a framework for incorporating best practices that match student needs. Two recent models, The Ziggurat Model (Aspy & Grossman, 2007, 2008) and the Comprehensive Autism Planning System (CAPS; Henry & Myles, 2007), developed by researchers and practitioners, offer the solution to this long-standing dilemma by allowing educational teams to efficiently and effectively determine the needs of the individual with ASD, select interventions that match his or her individual needs, and develop a daily plan that indicates when and by whom the interventions are to be used. Despite the efforts of educational professionals, the potential of students with ASD is often not realized. This manual offers an overview of the Ziggurat Model and CAPS followed by a description of how they can be applied in various settings, an overview of training parameters, and how the process can be used for one student or adopted by an entire system. The manual ends with a brief overview of assessment instruments that can be used to assess the impact of the Ziggurat Model and CAPS on an individual and on a system. 1 Overview of the Ziggurat Model and the Comprehensive Autism Planning Systems (CAPS) The Ziggurat Model and the Comprehensive Autism Planning System (CAPS) provide a unique process and framework for designing comprehensive interventions for individuals of all ages with ASD. T he Ziggurat Model and the Comprehensive Autism Planning System (CAPS) provide a unique process and framework for designing comprehensive interventions for individuals of all ages with ASD. They are valuable resources for school professionals who must remain in compliance with federal, provincial, and/or state guidelines. Specifically, recent trends in special education emphasize the use of scientifically based research approaches. In addition, there is a strong push for incorporating positive behavioral interventions and supports (PBIS) based on a functional behavioral assessment. The Ziggurat Model and CAPS are consistent with these practices. Both also emphasize a proactive, positive approach to programming by requiring reinforcement and antecedent-based interventions. Finally, the Ziggurat Model and CAPS promote collaboration and communication among parents and professionals, leading to broad-based, comprehensive outcomes. The Ziggurat Model and CAPS are compatible with current educational mandates and trends, including • No Child Left Behind • Response to Intervention (RtI) • Positive behavioral interventions and supports (PBIS) In the following, we will take a brief look at each of the two models. 2 The Ziggurat Model The Ziggurat Model is a comprehensive intervention and assessment tool that is designed to address the true needs or underlying deficits in individuals with ASD that result in social, emotional, and behavioral concerns. The centerpiece of the Ziggurat Model is the Intervention Ziggurat. The Intervention Ziggurat contains five levels that make up a hierarchical structure: (a) sensory and biological needs, (b) reinforcement, (c) structure and visual/tactile supports, (d) task demands, and (e) skills to teach. Starting with the foundation level – Sensory Differences and Biological Needs – each level represents an area that must be addressed in order for an intervention plan to be comprehensive. Further, each level contributes to the effectiveness of the other levels. The key premise of the Ziggurat Model is that underlying needs and characteristics related to ASD must be addressed. The key premise of the Ziggurat Model is that underlying needs and characteristics related to ASD must be addressed. Intervention Ziggurat Skills to Teach Address skill deficits • • • Social Restricted patterns Communication • Sensory • Cognitive • Motor • Emotional Task Demands Ensure appropriate level of task demand • • • Social Restricted patterns Communication • Sensory • Cognitive • Motor • Emotional Structure and Visual/Tactile Supports Create predictability • Preparation for change • Provide routine • Walk through new activities Use visual supports • Video • Create stories and cartoons • Visual schedules and checklists • Graphic organizers Reinforcement Provide reinforcement • Contingent on expected behavior • Frequent and consistent • Self-selected • Gradually decrease use Provide range of reinforcers • Concrete, activities, privileges • Use of restricted interests • Pair social reinforcement with tangible Sensory Differences and Biological Needs Provide a sensory diet Monitor and address environmental stressors • Sound, light, proximity/personal space, textures • Movement needs Monitor and address • Appetite/hunger • Arousal/activity level (e.g., fatigue, hyper) • Medical needs 3 To date, no other model specifically matches student needs and characteristics to intervention. As a result, programs for individuals with ASD focus on strategies that a teacher, facilitator, job coach, and so forth, knows rather that strategies that target underlying deficits that can have a negative life impact. To that end, the Ziggurat Model includes two assessment tools – the Underlying Characteristics Checklist (UCC; High-Functioning and Classic) and the ABC-Iceberg. To date, no other model specifically matches student needs and characteristics to intervention. The UCC provides a snapshot of how ASD is expressed for an individual. It is comprised of eight areas. The first three represent the autism spectrum triad – social, restricted patterns of behavior interests and activities, and communication. Characteristics often associated with ASD are addressed in the next four areas: sensory differences, cognitive differences, motor differences, and emotional vulnerability. Finally, the eighth underlying area is known medical and other biological factors. Together, these categories represent a comprehensive empirical investigation of the characteristics of individuals with ASD. G IONIN UNCT F IGH F ___ UCC-H ECKLIST-H.D. ______ __ __ Y: S CH . Grossman, Ph TED B MPLE yG RISTIC E CO Barr ______ ., and RACT ______ G CHARuth Aspy, Ph.D ______ ______ RLYIN UNDE ______ ______ ______ ______ : DATE LETED COMP ______ : ____ DATE W-UP _ ______ ____ BY: __ rh the pe ork wit e d/or w ho is th know an dual w rs who NT: e indivi E he th M ot e SS of SSE includ ctive IAL A perspe am may G INIT er, the , the te ers. LETIN ; howev Additionally disord COMP vidual ectrum timal. S FOR an indi N op the be by is IO tism sp T ed UC a team with au describe mplet s as co to al INSTR e. n ng be du at ki vi ri lum C may al. Wor by indi approp Notes co The UC gs, etc. benefici lopmentally hibited se the in is ex U tt s . se cu be al y, fo ve nc vidu at may son of C as de freque the indi stics th the UC ply to indicate aracteri focus of ples, or ently ap s or ch at curr c exam havior items th e specifi -Up ribes be id sc LL ov A de em Follow tail, pr beside Each it check more de place a stics in Please aracteri ch d an ___ havior otes ssmates ______ hen cla Y N date: __ gnize w ow-up not reco r up” d Foll • Does me, she et he Projecte Y se or “s corrected at ho s if they are tea being parent g the • After ively asks her Item gnizin identify lty reco ts of others Area repetit y curately difficu gh still angr ays, she can acout of 10 times 1. Has ings and thou pl 4 le rs s) ro feel he es • In lindn gs of ot lin db fee in e (m th ______ : ______ FOLLO L NAME The second assessment tool is the ABC-Iceberg, which incorporates a traditional functional behavior assessment (FBA) and helps to illustrate behavior patterns, as illustrated on the following page. SOCIA ers’ hair SOCIA L pe t • Sniffs contac Y or eye rsonal Uses po If item ning pe hers 2. ai nt ai anges. ot culty m cate ch udes on to indi Has diffi ysically intr below. 3. ph ptors or trated space, as illus r descri n, he rt m T: fu add p colu MEN -Up llow-u mn to SSESS Follow the Fo es colu -UP A ges in LLOW the Not rted n chan s. Use tely repo FOR FO d explai • Accura e was being IONS ked item an T ec k C ch U ec sh un e ch that INSTR d and st week ugh th ssmates Notes checke teased la ays, she hen cla ke thro Y w ri e st iz s, Review gn pl ie not reco r up” • In role w accurately er appl e • Does no long home, sh “set he e can no others’ Y tease or g corrected at rents if they ar identify 6 out of 10 bein pa ing the • After ively asks her Item y cogniz others tif feelings re en tit y id pe lt Area y re curatel times y difficu thoughts of gr ac times as n an H ca ll sti 1. and s, she t of 10 ay gs ou pl 4 in le el rs s) ro fe • In of othe lindnes gs lin db fee in (m the s t 2. ntac eye co Also contained within the model is the Ziggurat Worksheet – the mechanism by which priorities for the individual with ASD are established and where student/individual/client underlying characteristics are matched to team-identified interventions on each of the five levels: (a) sensory and biological needs, (b) reinforcement, (c) structure and visual/tactile supports, (d) task demands, and (e) skills to teach. or onal ng pers aintaini on others culty m udes Has diffi ysically intr ph space, Uses po 3. iff nger sn • No lo . Follows others r respecting rules fo space of personal others Y • Sniffs ir peers’ ha opied © 2008 4 AAPC ed, in ts reserv All righ slation. g tran cludin No part of this form m otoc ay be ph ed. produc rwise re or othe ABC-I Antecedent(s) Behavior Consequence(s) 1 3 4 2 • n • • n • • n • • n • • n • Specific Behaviors 5 Underlying Characteristics # # # # # Ziggurat Worksheet BEHAVIOR/AREAS OF CONCERN FOR SPECIFIC INTERVENTION PLAN (Operationalized Behaviors) n n n Sensory/Biological 2. Intervention: 1. • For specific interventions, transfer behavior concerns from the ABC-I • For global interventions, list prioritized areas of Reinforcement concern # # # # • For specific interventions, transfer descripbehaviors from the ABC-I Underlying Characteristics tion of Addressed: Sensory/Biological Needs PRIORITIZED UCC ITEMS # # # # Reinforcement Intervention: 3. • For specific interventions, list UCC items from the bottom of the ABC-I. • For global interventions, list prioritized items from UCC categories listed under “areas of concern” CHECK ALL THAT APPLY A 6. B C Three points of intervention – antecedent, behavior, and consequence Underlying Characteristics Addressed: Structure & Visual/Tactile Support Intervention: Underlying Characteristics Addressed: 4. For each level of the Ziggurat, select prioritized UCC items to address (from the list above) Structure & Visual/Tactile Supports Task Demand Intervention: Underlying Characteristics Addressed: Task Demands Intervention: All fiveSkill levels of the Ziggurat are represented 5. Create and describe interventions for each level that address operationalized behaviors and prioritized underlying characteristics (specific intervention) or prioritized underlying characterisitcs (global intervention) Underlying Characteristics Addressed: Skills to Teach 5 The Comprehensive Autism Planning System The CAPS is unique in that it clearly delineates what supports are needed for each activity. Once the Ziggurat Worksheet is completed, information is ready to be transferred into the Comprehensive Autism Planning System (CAPS). According to National Association of State Directors of Special Education’s (NASDSE) in Forum (Müller, 2006), CAPS is designed to provide an overview of a student’s daily schedule by time and activity, as well as the supports she needs during each period. Following the development of the student’s IEP, all educational professionals who work with the student develop the CAPS. Thus, the CAPS allows professionals and parents to answer the all-important question for students with an ASD: What supports does the student need for each activity? The CAPS is unique in that it clearly delineates what supports are needed for each activity. Often, teachers know that priming, a visual schedule, or a self-regulation strategy is needed, but have no specific sense of when that particular support is needed. In addition, the CAPS includes space for making notations about data collection and how skills are to be generalized to others settings. Finally, the components that make up the CAPS are developed from evidence-based best practices for students with ASD. Comprehensive Autism Planning System (CAPS) Child/Student: ____________________________________________________ Time 6 Activity Targeted Skills to Teach Structure/ Modifications Reinforcement Sensory Strategies *ss=state standard Communication/ Social Skills Data Collection Generalization Plan Summary Together, the Ziggurat Model and CAPS provide a proactive, positive, evidence-based approach to developing programs for individuals with ASD. One of the many strengths of this process is its collaborative nature. Parents and professionals work together to determine individual needs and characteristics through completion of the UCC, match these needs and characteristics to interventions using the Ziggurat Worksheet, and integrate interventions into the individual’s day using the CAPS. This process ensures that high-quality instructional and behavioral supports are provided throughout the day using research-based interventions implemented by qualified personnel. In addition, the Ziggurat Model and CAPS establish procedures whereby student progress is continuously monitored using meaningful data. Together, the Ziggurat Model and CAPS provide a proactive, positive, evidencebased approach to developing programs for individuals with ASD. Overall, these comprehensive planning tools: • ensure that individual needs are met throughout the school day; • recognize the complex needs of students with ASD; • provide an individualized, systematic, yet flexible program; • facilitate transition from one grade/one job/one placement to the next; and • identify professional development needs. Planning and implementation using this process ensures that more time is spent on providing instruction and fostering independence for individuals with ASD and less time is spent addressing behavioral issues that often result from not having supports in place and not understanding individual needs. Appendix A includes two brief articles that provide further information on the Ziggurat Model and CAPS with a particular emphasis on their use in school settings. The articles are reprinted with permission. 7 Applications One of the many advantages of the Ziggurat and CAPS process is its broad application capabilities. O ne of the many advantages of the Ziggurat and CAPS process is its broad application capabilities. These models have the flexibility to (a) be used across the spectrum to meet the needs of those with a classic presentation of ASD characteristics as well those who are identified as higher-functioning; (b) be used effectively for planning in a myriad environments, including school, home, and work and higher education settings; and (c) serve as mediation tools. School Multidisciplinary school teams, including parents, can use the models to plan thorough, individualized programs for students with ASD and related disabilities. In addition, the Ziggurat Model and CAPS can serve as a functional behavioral assessment (FBA) that links together student core deficits, behavior, and interventions. On occasion, programs or school districts employ or contract with experts in ASD. These autism consultants, special education directors, advocates, behavior specialists, and psychologists may all use the approach for program evaluation, development, and improvement. This may prevent the need for mediation (see below). Home The models also work well in the home setting. For children receiving intensive home programs, they can be used to ensure that multifaceted needs are addressed and that interventions are tied to student characteristics to promote generalizable outcomes. Further, parents can use the process to structure after-school and weekend hours to boost interactions among siblings and promote acquisition of daily living and other skills that foster independence. 8 Employment and Higher Education Settings As students with ASD and related disabilities transition to adulthood, the Ziggurat Model and CAPS can help supervisors, fellow employees, instructors, and professors understand their needs and, therefore, can help ensure that worksites and college, university, or technical programs are tailored to meet their unique needs. In addition, the models can facilitate selfawareness and help an individual with ASD obtain the supports he needs. Thus, the Ziggurat Model and CAPS can also serve as self-determination tools. Mediation The Ziggurat Model and CAPS can also be used to mediate differences among those who are planning programs for individuals with ASD and related disabilities. These tools are ideal for this sensitive and often challenging task because (a) the focus is entirely on the student and her needs; (b) they delineate the entire program in such a manner that all concerned are aware of the student’s needs, understand which interventions are necessary to address those needs, and know when the interventions will be used; and (c) the process requires input from all parties and disciplines to develop the individual’s program. 9 Methods of Implementation Implementation of the Ziggurat Model and CAPS can be individual- or systems-focused. I mplementation of the Ziggurat Model and CAPS can be individual- or systems-focused. The former occurs when training options are limited, when one professional or a small group elects to use the process for a particular individual who may be experiencing problems in her current setting, or when a team who receives training decides to use the Ziggurat Model and CAPS with all individuals on its caseload. Systems-focused implementation occurs when an entire staff adopts the model after receiving intensive training on its use and support during initial implementation. Several variations of each have been used successfully, as briefly outlined below. Individual-Focused As the term implies, this approach provides instruction and support for teams, including parents, to design a comprehensive plan. It is often used with a student with challenging needs or a student around whom lack of agreement occurs among team members regarding the type of programming needed. Training. Two days of training by a facilitator who thoroughly understands and has used the process typically allows enough time for a team to learn the process while planning a program for a student. Training can also occur over a single day if participating teams comprise experienced educational professionals who have a high degree of expertise in ASD. However, the latter is not typically recommended because the Ziggurat Model and CAPS present a novel way of looking at ASD and intervention that requires teams to assimilate and accommodate “new” information. Training covers the use of the Ziggurat and CAPS models, including (a) completion of the Underlying Characteristics Checklist (UCC; High-Functioning and Classic), (b) interventions that can be used on each of the five levels of the Inter- 10 vention Ziggurat, (c) design of comprehensive interventions, and (d) how to implement the intervention using the CAPS. PowerPointTM slides on the model are available through the Autism Asperger Publishing Company when a textbook and manual are purchased (http://www.aapctextbooks.net). Systems-Focused Professionals undertaking systems-focused implementation have as a goal integration of the Ziggurat Model and CAPS into schools, school boards, districts, departments, cooperatives, agencies, communities, ministries, and so on. Adopted at this level, the Ziggurat Model and CAPS become a part of everyday functioning as programs for students/clients/ patients are automatically created in the same way that an individualized education program (IEP) is developed for each student with special needs in the United States. Indeed, the Ziggurat Model and CAPS may be used as part of the IEP planning process, rather than as an add-on. That is, rather than creating extra work, adopting this process makes IEP development and implementation much more effective and efficient. This process can occur in many ways, as illustrated below. Team training model. As its name implies, using this approach, teams in each school, district, and so on, receive two to three days of training on the comprehensive planning tools during which they complete an Underlying Characteristics Checklist, a Ziggurat Worksheet, and a CAPS for a specific student with special needs. Team members subsequently carry out the program they designed for a full academic year. During this time, they have access to a facilitator for brainstorming, updating the student’s program, and targeted professional development. At the end of the year, team members can take the process to other teams they serve, either by (a) providing the training themselves or (b) having outside facilitators do so. Several states and districts have adopted this model, as illustrated in the following. 11 Ohio Center for Autism and Low Incidence (OCALI) OCALI provides large-group training to teams serving individuals from ages 3 to 21 comprised of multiple disciplines, including, but not limited to, a general educator, special educator, parent, and administrator, who volunteer to learn the process. Each team is assigned an OCALI facilitator who has training and experience using the model. They meet with the facilitator monthly or bimonthly in person or using technology (i.e., WebEx, interactive video, Skype) for consultative support and professional development. At each meeting, team members are provided a brief inservice workshop on interventions that relate to each level of the Ziggurat and CAPS. Presentations can consist of the Autism Internet Modules (www.autisminternetmodules.org), DVDs, or traditional lecture formats. Team members with expertise in particular areas are encouraged to train their colleagues. Teams participate in an additional mid-year training on how to apply the Ziggurat Model and CAPS as an FBA tool. The Autism Programs at the University of New Mexico’s Center for Development and Disability (CDDC) The CDDC uses team training to address the needs of individuals with ASD post high school graduation. Following a two-day training on the Ziggurat Model and CAPS targeted to teams of Department of Health providers across the state, the CDDC provides six weeks of follow-up. Specifically, each team receives one and one-half to two hours of coaching, mentoring, and video feedback using a face-toface or telehealth/interactive video-facilitated meeting. The goal of this first meeting is for the CDDC facilitators to get to know the client via video, to get to know the team, and to introduce project logistics. CDDC staff visit the groups at their sites on a second visit to facilitate a team UCC and a global intervention plan for each team. The next six sessions focus on group coaching and mentoring around the client. Teams are asked to provide three videotapes over the six-week sessions to show progress on implementing their global intervention plan. The CDDC facilitator provides feedback, targeted professional development, and brainstorming based on the videotape. Department of Health providers can then serve as facilitators to support the use of the Ziggurat and CAPS models with others. The states of Kentucky and Illinois are using a similar process. Train-the-trainer model. Potential trainers are generally volunteers within a district, school, and so on, who are considered highly qualified in ASD and have some interest in providing training. They receive intensive training on the Ziggurat and CAPS models from individuals experienced in using the process as well as information on how to lead training. They are typically provided with training materials that provide consistent information to new trainees, making it simple and time efficient to conduct training. 12 Kansas The state of Kansas uses a train-the-trainer model. Individuals considered highly knowledgeable in ASD are recruited to participate in intensive three-day training. Potential trainers then conduct a book study focusing on the comprehensive training tools, coaching, and mentoring under the guidance of the Kansas Instructional Support Network (http://www.kansasasd.com/KSASD/Home.html). Trainers are then charged with supporting teams who attend intensive training and implement the Ziggurat Model and CAPS. Administrator-directed model. In this model, a school principal, head of school, school board, superintendent, district coordinator, and so on, leads implementation of the process for all of the students/clients under his or her supervision. This generally includes intensive training(s) on the comprehensive planning process, regular meetings during the process, access to targeted professional development using in-house or contracted professionals, and training to parents on the process. Ohio A group of principals who attended an intensive training on the Ziggurat Model and CAPS decided to use the process to address job targets for their staff. The group initiated a book study among teams in their school to introduce the process. Following the book study, the principals sponsored an intensive training for teams in their schools. A facilitator, employed by one of the state’s special education resource centers, provides ongoing support in each participating building. Preservice model. This model targets individuals training to be educational professionals. Coursework is built around the process typically using the Ziggurat Model (textbook edition, Aspy & Grossman, 2008), PowerPointTM slides, and supplemental materials provided by AAPC to textbook users (http://www. aapctextbooks.net). Arizona, Minnesota, and Kansas University training on comprehensive planning is provided to potential special educators. Coursework is presented around the models, and undergraduate or graduate students implement the Ziggurat Model and CAPS throughout their coursework and field placements. The three state universities in Arizona use this model. A similar pilot is taking place at universities in Kansas and Minnesota. 13 Training Parameters The majority of educators view comprehensive planning as important, but most find it difficult to implement. A ccording to Zionts, Shellady, and Zionts (2006), the majority of educators view comprehensive planning as important, but most find it difficult to implement. In the same manner, educators view it as important to know how to develop, select, adapt, and use strategies, evaluations procedures, planning tools, and management methods, yet they indicate that challenges exist in doing so (see Figure 1). As a result, according to Zionts and colleagues, these program essentials are not being used consistently. The authors cite many reasons, including lack of training, little buy-in by model users, and lack of support in implementation. 100 90 80 70 60 50 40 30 20 10 0 Important Difficult to Implement Comprehensive Planning Strategies and Materials Evaluation, Planning, and Management Procedures Figure 1. Teacher report of importance and difficulty of using effective practices. Training on the Ziggurat Model and CAPS and support for their use is key to effective implementation. Depth and length of training is dependent of the expertise of those implementing the process. Global Training Generally, two days of training is needed to familiarize implementers with the process. This two-day training (called the Global Training because it focuses on planning an entire program for an individual) presents an overview of each of the materials. Training also provides time and coaching for application of the process with one individual. 14 For team members who are novices at working with individuals with ASD, additional training sessions on interventions within each level of the Ziggurat Model and CAPS are needed. These can occur monthly in one- to three-hour segments depending on how much time is available. It is essential, however, that team members, in addition to understanding the Ziggurat Model and CAPS, have a working knowledge of the characteristics of ASD, evidence-based interventions, data collection, and data-based decision making. Further, a basic understanding of collaboration and effective communication skills can help facilitate team cohesion. Specific Training Many teams also benefit from an additional one- to two-day training on how to use the Ziggurat Model ABC-Iceberg as an FBA tool (also known as the Specific Training because it generally focuses on one specific issue [e.g., behavior, social] an individual is experiencing). Trainees typically need time to practice skills learned during the Global Training before they participate in the Specific Training. Buy-in by implementers, time to implement, and resources to facilitate Ziggurat Model and CAPS usage are essential for success. Teams using the process, as well as their administrators, must see it as essential for providing a successful program for an individual with ASD. If it is seen as an “add-on” or as unnecessary, the process will not be fully implemented, and therefore not be successful. Buy-in by implementers, time to implement, and resources to facilitate Ziggurat Model and CAPS usage are essential for success. Time for implementation and the need for resources are also important ingredients for success. Unless time is scheduled for a team to participate in the process, it will not be used as intended. Allocation of resources must be carefully considered, including the need for substitute teachers, additional compensation, childcare for parents, materials (such as a projection system to allow everyone on the team to see the worksheets as they are being completed), a quiet place to meet, in-common planning time, and so forth. Finally, methods for measuring change must be considered. How will data be collected to measure student academic or social change? work performance for the adult? systems changes for the school using the model? Answers to these changes and others are also essential to ensuring that the Ziggurat Model and CAPS remain a part of the system. 15 Assessment Multidisciplinary teams using the Ziggurat Model and CAPS focus on working together to help students with ASD meet their potential while complying with federal, state, and local mandates and upgrading their professional development. I mplementers often wish to use specific instruments to measure student progress and/or systems change. For districts, provinces, and schools that wish to introduce new or additional tools, Appendix B contains four measures that can be used or adapted for use. Measures include self-reports as well as observational tools. The Effective Programming Checklist is based on the work of Iovannone, Dunlap, Huber, and Kincaid (2003). This instrument can be used as a self-report or observational tool. The Effective Implementation and Support of an Educational Program for Autism Spectrum Disorders measure, a self-report, asks respondents about their current level of implementation and need for improvement, and is considered a systems-change measure. The Student Assessment provides basic demographic and skills information and can be used to measure skill acquisition and behavior change. Finally, Individual Training Needs, another survey, can be used to document the need for targeted professional development. Summary T he Ziggurat Model and CAPS are comprehensive planning tools that can help ensure that the complex needs of students with ASD are met. These tools incorporate best practices that match individual needs and promote the provision of an appropriate education across the day. Multidisciplinary teams using the Ziggurat Model and CAPS focus on working together to help students with ASD meet their potential while complying with federal, state, and local mandates and upgrading their professional development. 16 References Aspy, R., & Grossman, B. G. (2007). The Ziggurat model: A framework for designing comprehensive interventions for individuals with high-functioning autism and Asperger Syndrome. Shawnee Mission, KS: Autism Asperger Publishing Company. Aspy, R., & Grossman, B. G. (2008). Designing comprehensive interventions for individuals with high-functioning autism and Asperger Syndrome: The Ziggurat Model: Textbook edition. Shawnee Mission, KS: Autism Asperger Publishing Company. Henry, S. A., & Myles, B. S. (2007). The Comprehensive Autism Planning Systems (CAPS) for individuals with Asperger Syndrome, autism and related disabilities: Integrating best practices throughout the student’s day. Shawnee Mission, KS: Autism Asperger Publishing Company. Iovannone, R., Dunlap, G., Huber, H., & Kincaid, D. (2003). Effective educational practices for students with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 18, 150-165. Müller, E. (2006, December). State approaches to serving students with autism spectrum disorders. in Forum: Brief Policy Analysis. Alexandria, WV: National Association of State Directors of Special Education. Myles, B. S., Henry, S. A., Coffin, A. B., Grossman, B. G., & Aspy, R. (2007, September). The CAPS and Ziggurat Models: Planning a comprehensive program for students with autism spectrum disorders using evidence-based practices. Autism Advocate, 16-20. Myles, B. S., Grossman, B. G., Aspy, R., Henry, S. A., & Coffin, A. B. (2007). Planning a comprehensive program for students with autism spectrum disorders using evidencebased practices. Education and Training in Developmental Disabilities, 42, 398-409. National Research Council. (2001). Educating children with autism. Washington, DC: National Academy Press. Tsatsanis, K. D., Foley, C., & Donebower, C. (2004). Contemporary outcome research and programming guidelines for Asperger syndrome and high-functioning autism. Topics in Language Disorders, 24, 249-259. Zionts, L. T., Shellady, S. M., & Zionts, P. (2006). Teachers’ perceptions of professional standards: Their importance and ease of implementation. Preventing School Failure, 50(3), 5-13. 17 18 Appendix A PUBLISHED ARTICLES ON THE ZIGGURAT-CAPS PROCESS 19 B?>C;867C 1H1A4=30B<8C7<H;4B?73B70F=074=AH<B0<H18G;4A2>558=<B10AAH66A>BB<0=?730=3ADC70B?H?73 CWT 20?B IXVVdaPc <^ST[b ?[P]]X]VP2^\_aTWT]bXeT?a^VaP\U^aBcdST]cbfXcW 0dcXb\B_TRcad\3Xb^aSTabDbX]V4eXST]RTQPbTS?aPRcXRTb In recent years, far-reaching changes have occurred in the special education system (which was framed by the Individuals with Disabilities Education Act (IDEA) of 1975), beginning with the 2001 No Child Left Behind (NCLB) Act, which was designed to increase student achievement through accountability and scientifically based instruction provided by highly qualified and effective teachers (U.S. Department of Education, 2002). Compatible with NCLB are the (a) Response to Intervention (RTI) movement, which emphasizes data-based decision making and problem solving, evidence-based interventions, student performance and continuous progress; and (b) Statewide Positive Behavior Supports (SWPBS), whose goals are to support (a) students’ social and academic competence, (b) student behavior, (c) staff behavior and (d) decision making (Sugai & Horner, 2007). Fundamental to these recent educational mandates and movements are comprehensive planning, participation of all stakeholders, including parents, in program planning, program implementation, and monitoring of student progress (Mesibov & Shea, 2006; National Research Council, 2001). In addition to the aforementioned, parent involvement in planning their child’s education programs has become an integral part of all special education legislation and has itself become best practice (National Research Council, 2001). % 20 0dcXb\0Se^RPcTC78A3438C8>=!& To date, no system has existed that can accomplish these T allows users to see how “autism” impacts the everyday functionlofty goals. The purpose of this article is to introduce two linked ing of the individual on the autism spectrum. comprehensive planning models that meet the rigor required by NCLB, R RTI and SWPBS: the Ziggurat Model (Aspy & Grossman, 834=C85H8=6BCA4=6C7B)C748=38E83D0; BCA4=6C7B0=3B:8;;B8=E4=C>AH 2007) and the Comprehensive Autism Planning System (CAPS; The Individual Strengths and Skills Inventory (ISSI) accompanies Henry & Myles, 2007a). These two models represent a “design the UCC and parallels its first seven areas. The ISSI goes beyond and build” approach to comprehensive program planning for identifying the student’s special interests and ensures that children and youth with autism spectrum disorders (ASD) and underlying strengths and skills are incorporated throughout related disabilities. In effect, the use of these models results in the student’s daily program. a transformation of a child’s individualized education program (IEP) into a multidimensional document that is useable by all C748=C4AE4=C8>=I866DA0C stakeholders. More specifically, this article (a) briefly The Intervention Ziggurat, the centerpiece of the describes the program planning frameworks and Ziggurat Model, is comprised of evidenced-based how they converge to build a complete B:8;;BC>C4027 levels structured into a hierarchy: program that directly addresses the 1. Sensory Differences and Biological Needs individual’s underlying characteristics, C0B:34<0=3B (c.f., Baranek, 2002; Di Martino, Melis, and (b) shows how the models can be Cianchetti, & Zuddas, 2004). The impact applied in a classroom setting. BCAD2CDA40=3 of each of the seven sensory systems on E8BD0;C02C8;4BD??>ACB the student with ASD is considered in this section of the Ziggurat. In A48=5>A24<4=C addition, biological considerations, such as medication, allergies and sleep needs, are B4=B>AH38554A4=24B0=318>;>6820;=443B The Ziggurat Model is factored into this model. a guide for designing FWPc8bcWT IXVVdaPc <^ST[. 3 4 5 1 2 ),*85(7KH)LYH/HYHOVRIWKH,QWHUYHQWLRQ=LJJXUDW 2. Reinforcement (c.f., comprehensive interventions for individuals with ASDs. The premise of this model Horner, Carr, Strain, Todd, & Reed, 2002). Student preferences is that underlying needs and characteristics related to ASDs are identified and integrated into the Ziggurat framework. “Remust be addressed. The Ziggurat Model is designed to utilize inforcement is more than just a reward; it is a powerful tool for students’ strengths to address true needs or underlying deficits teaching and maintaining desirable academic, communicative, that result in social, emotional and behavioral concerns. The and social behaviors” (Downing, 2008, p. 45). Ziggurat approach centers on a hierarchical system, consisting 3. Structure and Visual/Tactile Supports (c.f., Nikopoulos & of five levels that must be addressed for an intervention plan to Keenan, 2004; Sansosti, Powell-Smith, & Kincaid, 2004). be comprehensive (see Figure 1). A discussion of components of Classroom layout, home base, visual schedules, choice boards, the model follows. boundary markers, communication systems, learning style, 34C4A<8=8=6=443B)C74 D=34A;H8=6270A02C4A8BC82B2742:;8BC The Underlying Characteristics Checklist (UCC) is an informal assessment designed to identify ASD characteristics for the purpose of intervention. The UCC is comprised of eight areas: social, restricted patterns of behavior interests and activities, communication, sensory differences, cognitive differences, motor differences, emotional vulnerability, and medical and other biological factors. It may be completed by parents, teachers or other service providers, individually or as a team. This form 0dcXb\0Se^RPcTC78A3438C8>=!& and modes of expressing and receiving language as well as academic/preacademic modifications are examples of interventions that address the need for predictability and challenges with communication. 4. Task Demands (c.f., Frederickson, Warren, & Turner, 2005; Vygotsky, 1978, as cited in Miller, 1993). Task demand interventions are designed to ensure that students are not required to participate in activities or complete assignments that exceed their abilities. A reduction of demands and the addition of supports are required to facilitate success. & 21 B?>C;867C 5. Skills to Teach (c.f., Barry et al., 2003). Finally, this Ziggurat area includes the skills, tasks and/or behaviors in which the student requires direct instruction in order to experience success. Each of the levels contributes to the effectiveness of the others. Thus, if all levels are not addressed, the intervention will not be as effective and skills will not develop. The Ziggurat Worksheet guides the development of a comprehensive intervention plan and is based on underlying needs from the UCC and strengths from the ISSI. This provides a safeguard from developing a plan that addresses only surface issues. The Ziggurat Worksheet promotes collaboration by helping parents and professionals to understand their part in the larger intervention picture. After completion of the worksheet, the team is ready to complete the CAPS. FWPc8bcWT2^\_aTWT]bXeT 0dcXb\?[P]]X]VBhbcT\ 20?B. Based on information from the Ziggurat Model, the CAPS is a list of student tasks and activities, the times they occur and a delineation of the supports needed for success (see Figure 2). Also, the CAPS includes data collection and generalization columns. The CAPS answers the question: What supports does the student need for each activity? C7420?B2>=C08=BC745>;;>F8=62><?>=4=CB) 1. Time. This section indicates the clock time of each activity that the student engages in throughout the day. 2. Activity. Activities include all tasks and activities throughout the day in which the student requires support. Academic periods, nonacademic times and transitions are all considered activities. 3. Targeted Skills to Teach. This may include IEP goals, state standards and/or skills that lead to school success for a given student. 4. Structures/Modifications. Structures/modifications can consist of a wide variety of supports, including visual supports, peer networks and instructional strategies. 5. Reinforcement. Student access to specific reinforcers as well as reinforcement schedules are listed here. 6. Sensory Strategies. Sensory supports identified by an occupational therapist or others are listed in this CAPS area. 7. Communication/Social Skills. Specific communication goals or activities as well as supports are delineated in this section. Supports may encompass language boards or augmentative communication systems. ' 22 8. Data Collection. This space is for recording the type of data as well as the behavior to be documented during a specific activity. 9. Generalization Plan. This section of the CAPS was developed to ensure that generalization of skills is built into the child’s program. When students transition to middle and high school, they may have as many as nine teachers in nine different classrooms. Despite their movement across classrooms, the activities in each class are similar: (a) independent work, (b) group work, (c) tests, (d) lectures and (e) homework. From this standpoint, the activities in English class and geometry are the same; therefore, the M(odified)-CAPS was developed (Sue Klingshirn, personal communication, April, 2006). For a high school student who spends extensive time in general education, each academic teacher shares the same document. 5a^\IXVVdaPcc^ 20?B)02PbTBcdSh A case study of Michael, a 16-year-old sophomore diagnosed with Asperger Syndrome, can be found at www.texasautism/ CaseExample.html. This website contains Michael’s Underlying Characteristics Checklist, Individual Strengths and Skills Inventory, Ziggurat Worksheet, and an M-CAPS for his general education classes and a traditional CAPS for PE. For Michael, implementation of the Ziggurat Model and CAPS resulted in (a) increased time in the general education setting, (b) greater access to the general education curriculum, (c) increased participation with peers and teachers, and (d) skill acquisition. Bd\\Pah The Ziggurat Model and CAPS provide a unique way to develop and implement a meaningful and comprehensive program for a student with ASD. The structure fosters consistent use of supports to ensure student success as well as data collection to measure that success. Use of information gathered through the Ziggurat and CAPS process may be used to develop a truly individualized educational plan based on individual assessment and evidencedbased practices. Use of these models ensures that underlying needs are addressed and provides checks and balances to ensure that the carefully designed plan is faithfully implemented. Compatible with current trends in education, including NCLB, RTI and SWPBS, the Ziggurat Model and CAPS are also easy to use. That is, the framework, designed to be user-friendly for all members of the multidisciplinary team, including parents (Henry & Myles, 2007b), does not require 0dcXb\0Se^RPcTC78A3438C8>=!& CX\T BT]b^ahBcaPcTVXTb 0RcXeXch CPaVTcTSBZX[[b c^CTPRW BcadRcdaT <^SXÀRPcX^]b ATX]U^aRT\T]c BT]b^ah BcaPcTVXTb B^RXP[BZX[[b 2^\\d]XRPcX^] 3PcP 2^[[TRcX^] 6T]TaP[XiPcX^] ),*85(7KH&RPSUHKHQVLYH$XWLVP3ODQQLQJ6\VWHP&$36:RUNVKHHW specialized training and can be used across student ages in a variety of settings. The end result is a program that addresses the student’s multifaceted strengths and needs. ABOUT THE AUTHORS Brenda Smith Myles, Ph.D., is chief of programs and development for the Ohio Center for Autism and Low Incidence (OCALI), an associate professor at the University of Kansas, and a member of ASA’s Panel of Professional Advisors. Shawn A. Henry is executive director of OCALI. Amy Bixler Coffin is the education autism administrator for OCALI. Ruth Aspy, Ph.D., and Barry G. Grossman, Ph.D., are licensed psychologists with the Ziggurat Group, which specializes in assessment and intervention for individuals with ASD. REFERENCES Aspy, R., & Grossman, B. G. (2007). The Ziggurat model: A framework for designing comprehensive interventions for individuals with high-functioning autism and Asperger Syndrome. Shawnee Mission, Kan.: Autism Asperger Publishing Company. 0dcXb\0Se^RPcTC78A3438C8>=!& Baranek, G.T. (2002). Efficacy of sensory and motor interventions for children with autism. Journal of Autism and Developmental Disorders, 32 (5), 397-422. Barry, T. D., Klinger, L.G., Lee, J. M., Palardy, N., Gilmore, T., & Bodin, D. (2003). Examining the effectiveness of an outpatient clinic-based social skills group for high-functioning children with autism. Journal of Autism and Developmental Disorders, 33 (6), 685-701. Di Martino, A., Melis, G., Cianchetti, C., & Zuddas, A. (2004). Methylphenidate for pervasive developmental disorders: Safety and efficacy of acute single dose test and ongoing therapy: An open-pilot study. Journal of Child and Adolescent Psychopharmacology, 14 (2), 207-218. Downing, J. (2008). Reinforcement. In S.A. Henry and B.S. Myles (Eds.), The Comprehensive Autism Planning Systems (CAPS) for individuals with Asperger Syndrome, autism and related disabilities: Integrating best practices throughout the student’s day. (pp. 45-56). Shawnee Mission, Kan.: Autism Asperger Publishing Co. Frederickson, N., Warren, L., & Turner, J. (2005). “Circle of friends”: An exploration of impact over time. Educational Psychology in Practice, 21, 197-217. ( 23 B?>C;867C Henry, S.A., & Myles, B.S. (2007a). The Comprehensive Autism Planning Systems (CAPS) for individuals with Asperger Syndrome, autism and related disabilities: Integrating best practices throughout the student’s day. Shawnee Mission, Kan.: Autism Asperger Publishing Co. Henry, S.A., & Myles, B.S. (2007b). Parents’ guide to the Comprehensive Autism Planning Systems (CAPS) for individuals with Asperger Syndrome, autism and related disabilities. Shawnee Mission, Kan.: Autism Asperger Publishing Company. National Research Council. (2001). Educating children with autism. Washington, DC: National Academy Press. Nikopoulos, C.K., & Keenan, M. (2004). Effects of video modeling on social initiations by children with autism. Journal of Applied Behavior Analysis, 37, 93-96. Sansosti, F.J., Powell-Smith. K.A., & Kincaid, D. (2004). A research synthesis of social story interventions for children with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 19 (4), 194-204. Horner, R.H., Carr, E.G., Strain, P.S., Todd, A.W., & Reed, H.K. (2002). Problem behavior interventions for young children with autism: A research synthesis. Journal of Autism and Developmental Disorders, 32 (5), 423-446. Sugai, G., & Horner, R. (2007, March 9). Statewide positive behavior supports and response to instruction: Lessons being learned. 4th Annual Conference on Positive Behavior Supports, Boston, Mass. Mesibov, G.B., & Shea, V. (2006). Evidence-based practice, autism and the TEACCH program. Manuscript in preparation. U.S. Department of Education. (2002). No Child Left Behind: A desktop reference. Washington, DC: Education Publications Center. Miller, P. (1993). Theories of developmental psychology (3rd ed.). New York: W.H. Freeman & Co. 03E4AC8B4<4=C You want your child to learn to play Sardines. Not smell like one. +PVTQFWEKPI1OGIC%WTGVJGQPN[ WNVTCHTGUJ CNNPCVWTCNRWTGHKNVGTGFQOGICQKNCXCKNCDNGKP#OGTKEC +VµUEQNFGZVTCEVGFUQKVJCUCDUQNWVGN[PQHKUJVCUVGQTUOGNN OCMKPIKVFGNKIJVHWNN[GCU[VQFTKPMQTOKZKPCPFGXGPGCUKGT VQNKXGYKVJ9JCVµUOQTG1OGIC%WTGKUVJGQPN[HWNNURGEVTWO QOGICUWRRNGOGPVQPVJGOCTMGV PQVCUKPINGOQNGEWNG JCUDGGPUMKOOGFQTDQKNGFCYC[CPFVJG QPN[ QOGIC DTCPFYKVJCFCKN[FQUG VURUOI'2#&*# UGVCVVJGGHHKECE[NGXGNUWUGFKPYQTNFYKFGOGFKECN UVWFKGUVJGXGT[QPGUVJCVJCXGIQVVGPVJGTGUWNVUYGCNNHKPFUQRTQOKUKPI (QTOQTGKPHQTOCVKQPQTVQRNCEGCPQTFGTIQVQQOGICEWTGEQO 1OGIC%WTG'XGT[NKVVNGDKVJGNRU &T#PPG/CTKG%JCNOGTU/&&T$Q/CTVKPUGP/& (QWPFGTU#ODQ*GCNVJ..%1URTG[(. %QPVCEVWUVQNNHTGG " ! 24 0dcXb\0Se^RPcTC78A3438C8>=!& Education and Training in Developmental Disabilities, 2007, 42(4), 398 – 409 © Division on Developmental Disabilities Planning a Comprehensive Program for Students with Autism Spectrum Disorders Using Evidence-Based Practices Brenda Smith Myles University of Kansas Barry G. Grossman and Ruth Aspy The Ziggurat Group Shawn A. Henry and Amy Bixler Coffin Ohio Center for Autism and Low Incidence Abstract: This article outlines two compatible models of planning and implementing programs for students with autism spectrum disorders (ASD). The Ziggurat Model begins the process with an assessment of student strengths and concerns related specifically to ASD and identifies interventions across five tiers that match these strengths and concerns: (a) sensory and biological, (b) reinforcement, (c) structural and visual/tactile supports, (d) task demands, and (e) skills to teach. Content from the Ziggurat Model is then placed with the Comprehensive Autism Planning System (CAPS) to allow the student’s day to be operationalized and matched to student goals, state standards, and related benchmarks. This article overviews this process and offers a brief case study as an example. As educators and parents strive to develop meaningful educational opportunities for individuals with autism spectrum disorders (ASD), it is important to begin with a thorough understanding of the student’s needs, especially those related to the underlying characteristics of ASD. Next, a comprehensive daily schedule for the student is critical. A schedule should embed the supports needed for success as well as continual development of student skills and measurement of those skills with a vision of how this will affect the student now and in the future (Mesibov & Shea, 2006; National Research Council, 2001) This is achieved through well-organized planning with clearly defined objectives and goals. Far-reaching changes have occurred in the educational system in recent years, beginning with the No Child Left Behind (NCLB) Act. This legislation was designed to increase student achievement through accountability and scientifically based instruction provided by highly qualified and effective teachers (U.S. Department of Education, 2002). Compatible with NCLB are the (a) Response to Instruction (RTI) movement, which emphasizes data-based decision making and problem solving, evidence-based interventions, student performance, and continuous progress; and (b) Statewide Positive Behavior Supports (SWPBS), whose goals are to support (a) students’ social and academic competence, (b) student behavior, (c) staff behavior, and (d) decision making (Sugai & Horner, 2007). Fundamental to these recent educational mandated movements is comprehensive planning, program implementation, and monitoring of student progress. To date, no system has existed that can accomplish these lofty goals. The purpose of this article is to introduce two linked comprehensive planning models that meet the rigor required by NCLB, RTI, and SWPBS: the Ziggurat Model (Aspy & Grossman, 2007) and the Comprehensive Autism Planning System (CAPS; Henry & Myles, 2007). Figure 1 depicts the process of comprehensive planning using the Ziggurat Model and CAPS. Correspondence concerning this article should be addressed to Brenda Smith Myles, Ohio Center for Autism and Low Incidence, 5220 N. High Street, Building C1, Columbus, OH 43221. What Is the Ziggurat Model? 398 / The Ziggurat Model is a guide for designing comprehensive interventions for individuals Education and Training in Developmental Disabilities-December 2007 25 Figure 1. The process of comprehensive planning for students with autism spectrum disorders using the Ziggurat Model and CAPS. with ASD. The premise of this model is that underlying needs and characteristics related to the autism spectrum must be addressed. Therefore, the Ziggurat Model is designed to utilize students’ strengths to address true needs or underlying deficits that result in social, emotional, and behavioral concerns. The Ziggurat approach centers on a hierarchical system, consisting of five levels that must be addressed for an intervention plan to be comprehensive (see Figure 2). When designing a comprehensive program, it is essential to consider the context of the underlying autism spectrum disorder. This is overlooked all too often. Targeting underlying needs leads to interventions that are more proactive and fundamental. In comparison, interventions that are solely designed to address surface behavior without consideration of the underlying ASD are potentially less effective and less likely to result in sustained behavior change. As mentioned earlier, the process of intervention design should begin with an assessment of the presenting characteristics of ASD (see Figure 1). A thorough assessment of underlying characteristics helps parents and professionals to plan a program that takes into account the individual’s strengths and needs. Further, assessment of underlying characteris- Figure 2. The five levels of the Intervention Ziggurat. Planning 26 / 399 tics provides insight into which skills should be taught and how to design instruction in order to facilitate learning and bring about meaningful and long-lasting change. The Underlying Characteristics Checklist (UCC) offers a comprehensive perspective as a basis for program planning. The Underlying Characteristics Checklist The UCC is an informal assessment designed to identify ASD characteristics for the purpose of intervention. There are two versions of the UCC, one intended for use with individuals who are high functioning (UCC-HF), including those with Asperger Syndrome (AS), and one for use with those with a more classic presentation (UCC-CL) in cognition and speech-language skills. The UCC is comprised of eight areas. The first three represent the autism spectrum triad, social, restricted patterns of behavior interests and activities, and communication. Characteristics often associated with ASD are addressed in the next four areas: sensory differences, cognitive differences, motor differences, and emotional vulnerability. The eighth underlying area is known medical and other biological factors. Based on the results of completing the UCC, a comprehensive intervention plan is developed that targets ASD characteristics by incorporating each of the five levels of the Ziggurat. The UCC may be completed by parents, teachers, or other service providers, individually or as a team. The Individual Strengths and Skills Inventory The Individual Strengths and Skills Inventory (ISSI) was designed to accompany the UCC. The ISSI parallels the first seven areas of the UCC. The purpose of this tool is to ensure that underlying strengths and skills are incorporated in the intervention design process. For example, one student may have a strength in imitation whereas another has an intense interest in and knowledge of animals. These assets can easily become keys to addressing underlying skill deficits. An example of a completed ISSI is provided in the case example of Michael. 400 / The Intervention Ziggurat The Intervention Ziggurat (IZ) is the centerpiece of the Ziggurat Model and is the framework on which comprehensive interventions are built. The IZ is comprised of five critical levels structured into a hierarchy: Sensory Differences and Biological Needs, Reinforcement, Structure and Visual/Tactile Supports, Task Demands, and Skills to Teach (see Figure 2). The first level, Sensory Differences and Biological Needs, addresses basic internal factors that impact functioning. The second level addresses motivational needs prerequisite to skill development. The third level draws on individuals’ strength of visual processing and addresses their fundamental need for order and routine. The final two levels of the IZ emphasize the importance of expectations and skill development in light of the characteristics of individuals with ASD. The IZ helps parents and educators avoid overlooking critical areas that impact the effectiveness of any intervention plan. Each of the levels is essential and contributes to the effectiveness of the others. Thus, if needs on all levels are not addressed, the intervention will not be as effective and skills will not develop. The following is a brief discussion of the five levels of the Intervention Ziggurat. Sensory differences and biological needs. The first level of the IZ represents what is, in one sense, the basis of all behavior— biology. Consideration of biological factors is especially important in the case of ASD due to the strong genetic and neurological underpinnings of this disorder. Unmet sensory and biological needs will result in changes in behavior, highlighting the importance of including strategies to address these needs. While sensory differences and biological needs are not included as symptoms of ASD in the current diagnostic manual (Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association [APA], 2000), they often present some of the greatest challenges for individuals on the spectrum. For example, anxiety (Pfeiffer & Kinnealey, 2003), distractibility, overactivity, impulsivity, perseveration, delayed receptive and expressive language skills, poor social skill development, and poor eye contact have all been Education and Training in Developmental Disabilities-December 2007 27 related to impaired sensory functioning (Stackhouse, Graham, & Laschober, 2002). Research exists on sensory interventions for individuals with ASD. In 2002, Baranek identified 22 studies conducted on sensory and motor interventions. Additional studies have been conducted since then (cf., Kaplan, Clopton, Kaplan, Messbauer, & McPherson, 2006). Much of the research on biological interventions has centered on the use of medications. There is support for three classes of drugs, including antidepressants (cf., Namerow, Thomas, Bostic, Prince, & Monuteaux, 2003); antipsychotics (cf., Erickson, Stigler, Posey, & McDougle, 2005); and stimulants (cf., Di Martino, Melis, Cianchetti, & Zuddas, 2004). Reinforcement. All intervention plans ultimately target the development or increase of a behavior or skill. This goal can only be accomplished by incorporating reinforcement into the comprehensive plan. Without reinforcement, there is no intervention. Because of its fundamental nature, reinforcement is included as the second level of the Intervention Ziggurat. It may be necessary to think creatively about reinforcement for students with ASD. While social opportunities are often reinforcing for typically developing students, these may be some of the most challenging situations the same is usually not the case for students with ASD for whom social competence presents challenges. In seeking to identify effective reinforcers, it is often helpful to consider the student’s preoccupations (Sakai, 2005). Indeed, research has found that activities or objects related to obsessions are often more effective reinforcers than food (cf., CharlopChristy, Kurtz, & Casey, 1990) for individuals on the autism spectrum. The principles of effective reinforcement are well established in the research literature. At times there seems to be an unfortunate tendency within the education system towards “stinginess” in providing reinforcement. Hesitation to deliver reinforcers may be related to a concern about “fairness”; that is same-aged peers have already mastered the skills andtherefore, are not reinforced for exhibiting them. However, these and similar concerns are short-sighted and unfair to the student with ASD, who will only gain new skills when effective reinforcement systems are in place. Other students may suffer as well due to the time spent addressing behavioral difficulties in the classroom that would be prevented if replacement behaviors were mastered. Effective intervention programs deliver reinforcement for positive behaviors and limit access to reinforcement of problem behaviors (cf., Horner, Carr, Strain, Todd, & Reed, 2002). Structure and visual/tactile supports. The third level of the IZ is a direct response to the core characteristics of ASD. That is, individuals with ASD function best when predictability is established across the school day, including schedules, routines, environments, behavioral and academic expectations, and interpersonal interactions. If changes in routine occur, preparation for such change should be incorporated into the intervention plan. In addition, verbal communication deficits are primary characteristics of ASD, leading to a disadvantage in the school setting where most communication takes place through talking and listening. In contrast, visual processing is often a strength for students with ASD; therefore, visual supports are critical aspects of intervention plans. Tactile supports are an additional alternative to verbal communication and should be considered, especially for students with a vision impairment. The areas of structure and Visual/Tactile Supports often overlap. Visual supports such as pictures, written schedules, and task strips may be used as tools to clarify the structure of an activity. For example, visual schedules have been shown to be effective for improving the speed of transitions (cf., Dettmer, Simpson, Myles, & Ganz, 2000); decreasing behavior problems during transition (cf., Dooley, Wilczenski, & Torem, 2001); increasing on task behavior (cf., Bryan & Gast, 2000); and enhancing independence (c.f., Pierce & Schreibman, 1994). There is substantial research support for other visual strategies, such as Social StoriesTM (cf., Sansosti, Powell-Smith, & Kincaid, 2004) and video modeling (cf., Nikopoulos & Keenan, 2004). Task demands. Task Demands with the IZ include academic demands but go beyond, to include social, communication, organizational, sensory, and other demands. For example, recess may be exceedingly difficult given social and communication requirements (e.g., Planning 28 / 401 Figure 3. Three levels of task demands and applications. From The Ziggurat Model: A Framework for Designing Comprehensive Interventions for Individuals with High-Functioning Autism and Asperger Syndrome (p. 77), by R. Aspy & B. Grossman, 2007, Shawnee Mission, KS: Autism Asperger Publishing Company. Copyright 2007 by AAPC. Reprinted with permission. join activities, initiate conversations, resolve peer conflict). For the purpose of designing quality interventions, expectations must be reasonable; that is, an individual must be capable of succeeding either independently or with assistance. This is known as the zone of proximal development (ZPD; Vygotsky, 1978, as cited in Miller, 1993). The ZPD refers to skills that can only be accomplished with assistance. By acknowledging and carefully adjusting task demands, we can often prevent problems. Thus, it is essential to match the demand of a task to the ability of a student. The ZPD represents an optimal level for new learning (challenging with assistance). As depicted in Figure 3, there are three levels of Task Demands: easy, challenging/emerging, and too demanding. Tasks that are too easy are appropriate when independent function is desired; however, it must be kept in mind that skills will not expand. At the other extreme, if a task is too demanding, the individual will fail or become overwhelmed and quit. Behavior problems are often observed when task demands exceed the student’s ability. In either case, skills will not expand. One aspect of intervening at the Task Demands level, therefore, is to identify skill deficits to target for skill development. Once deficits have been identified, decisions can be made on how to match demands to ability. For example, a team may recognize that because a student lacks the skills to negotiate peer con- 402 / flict, he will be provided a trained peer “buddy” during group activities until he is able to master strategies for compromise. Numerous evidence-based interventions reduce demands. For example, peer networks (cf., Kamps, Dugan, Potucek, & Collins, 1999), circle of friends (cf., Frederickson, Warren, & Turner, 2005), and peer buddies (cf., Laushey & Heflin, 2000) have been found to be beneficial in promoting social skills. Skills to teach. The first four levels of the Ziggurat set the stage for skill acquisition. It is possible to resolve many behavior concerns using strategies on the first four levels without ever teaching skills. Indeed, many improvements may be seen as a direct result of attending to an individual’s biological needs, providing meaningful reinforcers, addressing the need for structure and predictability, and carefully matching demands to ability. Comfortable with behavior gain, intervention teams may overlook this crucial last level. However, such a “partial” approach to intervention will have negative long-term outcomes because it does not allow for independence or promote generalization or growth. It is for this reason that the authors view Skills to Teach as the ultimate goal of any intervention plan. Several approaches to teaching skills to individuals with ASD have been supported in the literature, including priming (cf., Zanolli, Daggett, & Adams, 1996); formal social skills Education and Training in Developmental Disabilities-December 2007 29 groups (cf., Barry et al., 2003); and pivotal response training (PRT; cf., Koegel, Carter, & Koegel, 1998). Ziggurat Worksheet The Ziggurat Worksheet guides the team through the development of a comprehensive intervention plan. With a new understanding of the student’s needs based on completion of the UCC and the information on strengths and current skill level provided through completion of the ISSI, the team is now prepared to design an intervention plan that is targeted to the individual student. Areas of the UCC are prioritized and specific UCC items are selected. All interventions incorporated into the plan must address underlying needs from the UCC. This provides a safeguard from developing a plan that addresses only surface concerns or from recycling interventions that have been used with other students with ASD without careful consideration of the specific student. Further, the Ziggurat Worksheet promotes collaboration by helping parents and professionals to understand their part in the larger intervention picture. An intervention plan is truly comprehensive when interventions address each of the five levels of the Intervention Ziggurat, three points of intervention—antecedent, behavior, and consequence—and when each intervention strategy addresses underlying characteristics from the UCC. The Ziggurat Worksheet provides a structure for verifying that the intervention plan is indeed comprehensive. Interventions that are not comprehensive leave unnecessary “holes” where difficulties may occur and begin to undermine the effectiveness of the intervention techniques that are put into place. After completion of the Ziggurat Worksheet, the team is ready to complete the CAPS. While the Ziggurat Worksheet allows a team to know that the intervention plan is thorough and targeted, the CAPS provides a structure for implementation. What Is the Comprehensive Autism Planning System (CAPS)? CAPS provides an overview of a student’s daily schedule by time and activity and specifies of supports that he needs during each period. Thus, the CAPS enables professionals and parents to answer the fundamental question: What supports does the student need for each activity? Once a multidisciplinary team, including the parents, has identified the student’s needs through completion of the UCC (CL or HF) and ISSI and has developed interventions across the six areas of the Ziggurat that match the student’s UCC- and ISSI-identified strengths and concerns, the team is ready to complete the CAPS. That is, based on information developed using the Ziggurat Model, the CAPS is a list of a student’s tasks and activities, the times they occur, along with a delineation of the supports needed for success. In addition, the CAPS includes a place for recording the results of ongoing data collection and consideration of how skills are to be generalized to others settings. Components of CAPS The CAPS contains the following components: 1. Time. This section indicates the clock time of each activity that the student engages in throughout the day. 2. Activity. Activities include all tasks and activities throughout the day in which the student requires support. Academic periods (e.g., reading), nonacademic times (e.g., recess, lunch) as well as transitions between classes are all be considered activities. 3. Targeted Skills to Teach. This may include IEP goals, state standards, and/or skills that lead to school success for a given student. 4. Structure/Modifications. Structures/modifications can consist of a wide variety of supports, including placement in the classroom, visual supports, peer networks and instructional strategies (e.g., priming, self-monitoring). 5. Reinforcement. Student access to specific types of reinforcement as well as reinforcement schedules are listed here. 6. Sensory Strategies. Sensory supports and strategies identified by an occupational therapist or others are listed in this CAPS area. 7. Communication/Social Skills. Specific com- Planning 30 / 403 munication goals or activities as well as supports are delineated in this section. Goals or activities may include (a) requesting for help, (b) taking turns in conversation, or (c) protesting appropriately. Supports may encompass language boards or augmentative communication systems. 8. Data Collection. This space is for recording the type of data as well as the behavior to be documented during a specific activity. Typically, this section relates directly to IEP goals and objectives. 9. Generalization Plan. Because individuals with ASD often have problems generalizing information across settings, this section of the CAPS was developed to ensure that generalization of skills is built into the child’s program. When students transition to middle and high school, the daily structure of school changes. Students may have as many as nine teachers in nine different classrooms. Despite their movement from classroom to classroom, the activities in which the students participate in each academic class is similar, however. That is, in each class students are likely to be required to participate in (a) independent work, (b) group work, (c) tests, (d) lectures, and (e) homework. From this standpoint, the activities in English class and geometry are the same. Due to the fundamental differences between the structure of elementary school and middle/high school, the CAPS must be modified accordingly. The Modified Comprehensive Autism Planning System (M-CAPS) is an effective means of communicating to educators who teach academic subjects the types of supports that students need during each activity (Sue Klingshirn, personal communication, April, 2006). The multidisciplinary team that plans the program for a high school student with ASD who spends extensive time in general education classrooms develops the student’s program using the M-CAPS. As a result, each of the student’s academic teachers shares the same document. The M-CAPS used in biology is the same as the M-CAPS used in sociology. Likewise, the supports for a given student are the same. 404 / Case Study for Michael: From Ziggurat to CAPS Michael is a 16-year-old young man diagnosed with AS. He lives with his mother and two younger brothers; one is diagnosed with attention deficit hyperactivity disorder (ADHD) and obsessive-compulsive disorder, and the other has learning disabilities. Michael is currently taking medication. Although Michael’s mother noticed already when he was 3 years old that he was developing differently from his same-age peers, it was not until Michael turned 6 that he was diagnosed with AS. Throughout elementary school he received special education services including speech and language therapy focused on pragmatic language, and social skills and occupational therapy. After transitioning to middle school, Michael no longer received direct therapy services. Michael is currently in the second quarter of his sophomore year of high school. He attends all general education classes, including biology, history, English literature, algebra, composition, and physical education (PE). His schedule also includes a daily support period where he is given assistance with organizational skills and social skills. Michael is motivated by things, not by people. He does not process what is said to him as well as when things are presented to him visually, and he has difficulty reading facial expressions and body language. Although he is very bright, Michael receives mostly C’s on his report card due to the fact that 25% of grades for all academic classes are based on homework assignments that he often forgets to record in his planner, and therefore fails to complete and turn in. In addition, he does not bring home materials needed to complete assignments. Michael prefers looking at sports magazines over interacting with peers. Due to excellent rote memory skills, Michael can quickly memorize the most recent statistics of any Major League baseball player and can easily recall those statistics in conversation. Michael excels in math and in history; however, he struggles in literature and composition class. His fine-motor skills are delayed, and writing is laborious for him. He also has difficulty interpreting concepts covered in his literature class. Both subject-area teachers re- Education and Training in Developmental Disabilities-December 2007 31 Figure 4. Michael’s ISSI. From The Ziggurat Model: A Framework for Designing Comprehensive Interventions for Individuals with High-Functioning Autism and Asperger Syndrome by R. Aspy & B. Grossman, 2007, Shawnee Mission, KS: Autism Asperger Publishing Company. Copyright 2007 by AAPC. Reprinted with permission. port that he is anxious in their classes. Michael also has difficulty tolerating mistakes. He often gets upset when he receives a poor grade on a test and frequently argues with his teachers over the reasoning behind the grade. Over the past several weeks, Michael has Planning 32 / 405 Figure 5. Michael’s UCC-HF (partial view only). From The Ziggurat Model: A Framework for Designing Comprehensive Interventions for Individuals with High-Functioning Autism and Asperger Syndrome (p. 77), by R. Aspy and B. Grossman, 2007, Shawnee Mission, KS: Autism Asperger Publishing Company. Copyright 2007 by AAPC. Reprinted with permission. become increasingly anxious in PE class where the noise level is often extremely loud. When participating in team contact sports, he removes himself from the game and sits on the 406 / sidelines. When his teacher approaches him to discuss the situation, Michael frantically tells him that his peers are intentionally trying to hurt him. In such situation, Michael’s be- Education and Training in Developmental Disabilities-December 2007 33 Figure 6. Michael’s Ziggurat Worksheet (Task Demands and Skills to Teach only). From The Ziggurat Model: A Framework for Designing Comprehensive Interventions for Individuals with High-Functioning Autism and Asperger Syndrome (p. 77), by R. Aspy and B. Grossman, 2007, Shawnee Mission, KS: Autism Asperger Publishing Company. Copyright 2007 by AAPC. Reprinted with permission. Figure 7. Michael’s M-CAPS (partial only). Planning 34 / 407 Figure 8. Michael’s CAPS for physical education. havior typically is to leave the gym. His teacher thinks that Michael is a “sore loser.” Michael’s multidisciplinary team, including his parents, met to develop his program. They completed a UCC-HF (see Figure 4 for a portion of Michael’s UCC) and ISSI (see Figure 5). Using information from these activities, Michael’s team completed the Ziggurat Worksheet (see partial copy in Figure 6). Finally, they created a M-CAPS for his general education classes (see partial copy in Figure 7) and a traditional CAPS for his PE class (see Figure 8). Summary The Ziggurat Model and CAPS provide a unique way to develop and implement a meaningful program and comprehensive for a student with ASD. The structure fosters consistent use of supports to ensure student success as well as data collection to measure that success. Compatible with current trends in education, including NCLB, RTI, and SWPBS, the Ziggurat Model and CAPS are also easy to use. References American Psychiatric Association. (2000). Diagnostic and statistical manual for mental disorders (4th ed., text revision). Washington, DC: Author. Aspy, R., & Grossman, B. G. (2007). The Ziggurat model: A framework for designing comprehensive interventions for individuals with high-functioning autism and Asperger Syndrome. Shawnee Mission, KS: Autism Asperger Publishing Company. Baranek, G.T. (2002). Efficacy of sensory and motor 408 / interventions for children with autism. Journal of Autism and Developmental Disorders, 32, 397– 422. Barry, T. D., Klinger, L. G., Lee, J. M., Palardy, N., Gilmore, T., & Bodin, D. (2003). Examining the effectiveness of an outpatient clinic-based social skills group for high-functioning children with autism. Journal of Autism and Developmental Disorders, 33, 685–701. Bryan, L. C., & Gast, D. L. (2000). Teaching on-task and on-schedule behaviors to high-functioning children with autism via picture activity schedules. Journal of Autism and Developmental Disorders, 30, 553–567. Charlop-Christy, M. H., Kurtz, P. F., & Casey, F. (1990). Using aberrant behaviors as reinforcers for autistic children. Journal of Applied Behavior Analysis, 23, 163–181. Dettmer, S., Simpson, R. L., Myles, B. S., & Ganz, J. B. (2000). The use of visual supports to facilitate transitions of students with autism. Focus on Autism and Other Developmental Disabilities, 15, 163– 169. Di Martino, A., Melis, G., Cianchetti, C., & Zuddas, A. (2004). Methylphenidate for pervasive developmental disorders: Safety and efficacy of acute single dose test and ongoing therapy: An openpilot study. Journal of Child and Adolescent Psychopharmacology, 14, 207–218. Dooley, P., Wilczenski, F. L., & Torem, C. (2001). Using an activity schedule to smooth school transitions. Journal of Positive Behavior Interventions, 3, 57– 61. Erickson, C. A., Stigler, K. A., Posey, D. J., & McDougle, C. J. (2005). Risperidone in pervasive developmental disorders. Expert Review of Neurotherapeutics, 5, 713–719. Frederickson, N., Warren, L., & Turner, J. (2005). “Circle of friends”—an exploration of impact over time. Educational Psychology in Practice, 21, 197–217. Education and Training in Developmental Disabilities-December 2007 35 Henry, S. A., & Myles, B. S. (2007). The Comprehensive Autism Planning Systems (CAPS) for individuals with Asperger Syndrome, autism and related disabilities: Integrating best practices throughout the student’s day. Shawnee Mission, KS: Autism Asperger Publishing Company. Horner, R. H., Carr, E. G., Strain, P. S., Todd, A. W., & Reed, H. K. (2002). Problem behavior interventions for young children with autism: A research synthesis. Journal of Autism and Developmental Disorders, 32, 423– 446. Kamps, D. M., Dugan, E., Potucek, J., & Collins, A. (1999). Effects of cross-age peer tutoring networks among students with autism and general education students. Journal of Behavioral Education, 9, 97–115. Kaplan, H., Clopton, M., Kaplan, M., Messbauer, L., & McPherson, K. (2006). Snoezelen multi-sensory environments: Task engagement and generalization. Research in Developmental Disabilities, 27, 443– 455. Koegel, R. L., Carter, C. M., & Koegel, L. K. (1998). Setting events to improve parent-teacher coordination and motivation for children with autism. In J. K. Luiselli & M. J. Cameron (Eds.), Antecedent control: Innovative approaches to behavioral support (pp. 167–186). Baltimore: Paul H. Brookes Publishing Company. Laushey, K. M., & Heflin, L. J. (2000). Enhancing social skills of kindergarten children with autism through the training of multiple peers as tutors. Journal of Autism and Developmental Disorders, 30, 183–193. Mesibov, G. B., & Shea, V. (2006). Evidence-based practice, autism and the TEACCH program. Manuscript in preparation. Miller, P. (1993). Theories of developmental psychology (3rd ed.). New York: W. H. Freeman & Company. Namerow, L. B., Thomas, P., Bostic, J., Prince, J., & Monuteaux, M. (2003). Use of citalopram in pervasive developmental disorders. Developmental and Behavioral Pediatrics, 24, 104 –108. National Research Council. (2001). Educating children with autism. Washington, DC: National Academy Press. Nikopoulos, C. K., & Keenan, M. (2004). Effects of video modeling on social initiations by children with autism. Journal of Applied Behavior Analysis, 37, 93–96. Pfeiffer, B., & Kinnealey, M. (2003). Treatment of sensory defensiveness in adults. Occupational Therapy International, 10, 175–184. Pierce, K. L., & Schreibman, L. (1994). Teaching daily living skills to children with autism in unsupervised settings through pictorial self-management. Journal of Applied Behavior Analysis, 27, 471– 481. Sakai, K. (2005). Finding our way: Practical solutions for creating a supportive home and community for the Asperger Syndrome family. Shawnee Mission, KS: Autism Asperger Publishing Company. Sansosti, F. J., Powell-Smith. K. A., & Kincaid, D. (2004). A research synthesis of social story interventions for children with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 19, 194 –204. Stackhouse, T. M., Graham, N. S., & Laschober, J. S. (2002). Occupational therapy intervention and autism. In R. L. Gabriels & D. E. Hill (Eds.), Autism –From research to individualized practice (pp. 155–177). Philadelphia: Jessica Kingsley Publishers. Sugai, G., & Horner, R. (2007, March 9). Statewide positive behavior supports and response to instruction: Lessons being learned. 4th Annual Conference on Positive Behavior Supports, Boston, MA. U.S. Department of Education. (2002). No Child Left Behind: A desktop reference. Washington, DC: Education Publications Center. Zanolli, K., Daggett, J., & Adams, T. (1996). Teaching preschool age autistic children to make spontaneous initiations to peers using priming. Journal of Autism and Developmental Disorders, 26, 407– 422. Planning 36 / 409 Appendix B Sample Assessment Instruments 37 38 SPP *Comprehensive Planning Tools (CPT) Individualized Supports and Services No evidence of comprehensive planning tools Comprehensive planning tools exist but not implemented Uneven implementation of CPT CPT are used regularly Components Circle the rubric number and rank the implementation level. *Only for teams trained in Comprehensive Planning Tools: Ziggurat Model and CAPS. E I O E=emerging, I=intermittent, O=often Effective Programming Checklist Notes This document was designed as a tool to assist educators and parents in assessing and designing an effective educational program for students with autism spectrum disorders. The topics emphasized are based upon the National Research Council’s Committee recommendations and organized based upon an article entitled “Effective Educational Practices for Students with Autism Spectrum Disorders” (Iovannone, R., Dunlap, G., Huber, H., & Kincaid, D., Focus on Autism and Other Developmental Disabilities, 2003, 18(3), 150-165). This tool’s predecessor, developed by Laura Maddox, utilized adaptations of the Consultation Checklist from the Kentucky Autism Training Center (http://louisville.edu/education/ kyautismtraining). Office of Exceptional Children, Ohio Department of Education Ohio Center for Autism and Low Incidence 39 Visual Supports Prompting Adult over- or under-uses prompts Adult uses narrow scope of prompts (reactive) General prompts are used to achieve positive behavior, as well as correct inappropriate behavior (proactive/reactive) Clear continuum (least-most invasive) of individualize prompts exists, including natural prompts, fading, etc. None is present Visual is present but rarely used Visual is present but not individualized Visual is used to support learning and communication Individualized Planning None is evident No evidence of individualization exists Some evidence of ongoing individualization is present Program includes IEP, preferences, etc., data, and individualized plans for meaningful activities IEP/IFSP IEP/IFSP does not reflect student current strengths/ needs. IEP/IFSP is carried over from previous year(s) w/no data support IEP/IFSP is written to fit current needs IEP/IFSP is objective and complete; addresses student needs w/assessment No schedule is posted Classroom schedule is posted Individual schedule w/o modifications is evident Individual schedule is used regularly Components Individualized Student Schedule Individualized Supports and Services SPP Circle the rubric number and rank the implementation level. E I O E=emerging, I=intermittent, O=often Effective Programming Checklist Notes 40 Does not provide instructions or relies on other sources to provide instructions Uses unclear or verbose instructions Uses clear instruction relevant to task or activity Uses clear, concise instructions relevant to task; individualized to needs of the student Active Engagement Systematic Instructions 0-25% of time 26-50% of time 51-75% of time 76-100% of time Structured Planning No written daily teacher plan exists Written plan is not specific to IEP goals and objectives Written plan incorporates individual objectives, lacking details such as implementer, location, time, etc. Written daily plan links student objectives with general education curriculum/daily schedule, and is detail specific Data Collection Systematic Instruction None Infrequent data are collected Data are collected monthly, not used for individual programming Data are collected weekly, graphed, and used for individualized programming Components Motivation/Reinforcement Individualized Supports and Services SPP Motivation/reinforcers not evident Focus is on extinguishing inappropriate behavior Mix of positive and negative reinforcement of behaviors exists Interests/reinforcement used to support learning and communication E I O Notes 41 Team roles are not defined/distributed General roles are defined but do not provide opportunities for generalization, distribution of responsibilities Team members know roles and responsibilities Team members plan together and roles are defined for staff members, peers, target student Team meetings are scheduled to meet minimal legal requirements Regular team meetings are scheduled but perceived to be unproductive; attendance is inconsistent Regular team meetings occur with consistent attendance; agenda and data are not included Regular team meetings occur with consistent attendance and clearly defined agenda; pertinent data utilized to facilitate changes in student programming; changes are presented to all team members to enhance consistency and delineate roles Clearly Defined Roles/ Expectations Scheduled Meetings Components Consistency Systematic Instruction SPP Team members are not informed about individualized plans, purposes of activities and procedures used General explanation of procedures provided Team members are informed of plans, purpose of activities and procedures; consistency is not monitored Team members are informed and updated regularly; team leader monitors consistency E I O Notes 42 Physical structure is not evident Limited structure is evident; prompting is usually necessary; distractions are evident Student exhibits some understanding of boundaries; distractions are evident Student predicts and anticipates requirements of setting Student is physically prompted through environmental and activity processes Student shows some understanding of environmental/activity changes; no evidence of self-management strategies being used Self-management strategies are used inconsistently Student independently plans for/regulates environmental change No sensory-based or emotional regulation strategies are observed Equipment/supplies/strategies for sensory and emotional regulation are present but rarely used or used inconsistently/inappropriately General sensory-based interventions/emotional regulation strategies are used for the whole class, but not specific to student or activity Student-specific sensory/emotional regulation strategies are appropriately incorporated into activities when needed Comprehensible Classroom Self-Management Sensory/Emotional Regulation Components Clear Curriculum Environmental/Program Structure SPP Activities do not reflect clear goals Activities are carried over from previous year(s) w/no data support Activities are written to fit current needs Objectives are clear and functional and activities are meaningful E I O Notes 43 Nonverbal communication is misunderstood/ interpreted inconsistently Team members discuss possible student communication attempts; no consistent knowledge of student’s communication repertoire Student’s communication repertoire is shared inconsistently among team members Student’s communication repertoire is documented regularly and shared among team members Communication skills are not addressed Communication skills are addressed on IEP, no specific programming Communication skills are addressed on IEP, few planned opportunities are present for student to practice Specialized communication curriculum utilized to address social engagement skills; many opportunities are present for student to practice and generalize Knowledge of Communication Skills Communication Instruction Components Communication System Communication Skills SPP Student does not have a conventional communication system Student uses a communication system during certain times of the day Student uses a conventional communication system to express basic wants and needs Student uses a communication system throughout the day that allows him to effectively express and understand communication; communication opportunities are integrated into daily activities E I O Notes 44 Social skills are not addressed Social skills are addressed on IEP; no specific programming evident Social skills are addressed on IEP; few planned opportunities are present for student to practice Specialized social skills curriculum utilized to address social engagement skills; many opportunities are present for student to practice and generalize Social Skills Instruction Absence of written design AND implementation of behavior plan Written design created; only reactive strategies addressed Written design created by educational team; proactive strategies incorporated, but not fully implemented Written design by educational team; proactive strategies are designed and full implementation of program Absence of FBA List of target behaviors with subjective data (descriptions, notes) Individual target behavior defined with objective data FBA completed Written Plan Functional Behavior Assessment (FBA) Functional Behavioral Approach Components Peer Interactions Social Skills SPP Student has no opportunities for interactions with peers Student has limited opportunities for interactions with peers Student has planned activities with peers without planned goals Student has planned activities with peers and goals for interactions E I O Notes 45 Family Role Evaluation Plan has never been reassessed Plan is sporadically reassessed Plan is reassessed at regular intervals without input from entire team Plan is reassessed at regular intervals with input from entire team Data Collection Family is not involved in planning and implementation of educational program Family is notified of decisions made regarding student’s educational program Family attends planning meetings and is provided information about child’s program Family is active on the educational team, including decision making, planning, and implementation; receives training Replacement behavior(s) for target behavior(s) not evident Replacement behavior for target behavior exists; plan or procedure is not evident Replacement behavior for target behavior identified; design of plan present; implementation in place w/o data Replacement behavior for target behavior identified; design of plan present; implementation in place with data Family Involvement Components Variety of Strategies Functional Behavioral Approach SPP Only reactive strategies exist Several strategies identified, not based on FBA Proactive/teaching/consequence strategies selected based upon FBA with inconsistent implementation Consistent implementation of variety of individualized proactive/teaching/ consequence strategies based upon FBA E I O Notes Effective Implementation and Support of an Educational Program for Autism Spectrum Disorders Adapted from Effective Implementation and Support of Illinois Educational Program for Autism (adapted from EBS Self-Assessment Survey, version 2.0; Sugai, Horner, Todd, Educational and Community Support, University of Oregon; http://www.pbssurveys.org). School: ______________________City: ___________________ Date: ____/____/____ Staff Completing: ______________________Title:_____________________________ If school observation, observer:____________________________________________ Definitions: Current status = Perceived status of the feature as of the day the rating takes place: In Place = Perceived to be 100% in place, Partially In Place = Perceived to be 50-99% in place, Not in Place = Perceived to be 0-49% in place. Priority for Improvement = Perceived status of the importance or impact of implementing the feature as it relates to the student and/or team’s process: High = Perceived priority of extreme to total importance to implementation feature, Medium = Perceived priority of moderate importance to implement feature, Low = Perceived priority of minimal to no importance to implement feature. 46 SchoolWide Systems Current Status: Level of Implementation In Partial Not in Place in Place Place Feature Schoolwide is defined as involving all students, all staff and all settings. 1) There is agreement schoolwide on strategies and practices involving students with autism spectrum disorders (ASD). 2) Resources are available for materials and curriculum. 3) School staff have had an opportunity to attend workshops on many aspects of educating children with ASD. 4) Staff have opportunities to participate in ongoing training in and out of school. 5) Parents are a formal part of the planning, evaluation and support process. 6) A team and system exists for behavior support planning and problem solving. 7) All staff are involved directly or indirectly in supporting students with ASD. Need for Improvement High Medium Low Non-Classroom Setting Systems Current Status: Level of Implementation In Partial Not in Place in Place Place Feature Non-classroom settings are defined as particular times or places where supervision is emphasized (e.g., hallways, cafeteria, playground, bus). 1) Strategies and supports for students with ASD are utilized in non-classroom settings. Need for Improvement High Medium Low 47 Non-Classroom Setting Systems (continued) Current Status: Level of Implementation Feature In Partial in Not in Non-classroom settings are defined as particular Place Place Place times or places where supervision in emphasized (e.g., hallways, cafeteria, playground, bus). 2) Supports are utilized to assist students with ASD in transitioning from place to place. 3) Behavior plans are in place and generalized to non-classroom settings. 4) Typical students in non-classroom settings have received training on how to interact with students with ASD in non-classroom settings. 5) Physical features are modified to limit (a) unsupervised settings, (b) unclear boundaries and traffic patterns, and (c) ability of students with ASD to inappropriately leave school or non-classroom settings. 6) Scheduling of student movement is designed to increase consistency and reduce problems with high noise, confusion, crowding, and other occurrences that could be problematic for students with ASD. Need for Improvement High Medium Low Classroom Systems Current Status: Level of Implementation In Partial in Not in Place Place Place Feature Classroom settings are defined as instructional settings in which teacher(s) supervise and teach groups of students. 1) Specific classroom areas are clearly defined. 2) Classroom expectations and routines are clearly defined. 3) Classroom expectations and routines are taught directly. 4) Expected student behaviors are clearly defined. 5) Expected student behaviors are taught directly. 6) Students with ASD receive direct instruction in math, reading, and written language. 7) Students with ASD receive direct instruction on social skills and communication. 48 Need for Improvement High Medium Low Classroom Systems (continued) Current Status: Level of Implementation In Partial in Not in Place Place Place Feature Classroom settings are defined as instructional settings in which teacher(s) supervise and teach groups of students. 8) Classroom teachers fully participate in planning for support and in assisting with accommodations for students with ASD. 9) Related service personnel work closely with classroom staff at all levels of support. 10) Structured reinforcement is built into classroom schedule. 11) Instruction for students with ASD uses grade-level curriculum. 12) Learned skills are being practiced to maintain skill. 13) Instruction for students with ASD is designed to allow for maximum interaction with typical students. Need for Improvement High Medium Low Individual Student Systems Current Status: Level of Implementation In Partial in Not in Place Place Place Feature Individual student systems are defined as specific supports designed for the individual student with ASD. 1) Student has individual workspace designed according his/her needs. 2) Student has an individual daily schedule placed for use throughout day. 3) Changes in student’s schedule are planned for and on schedule prior to the change. 4) Student’s instruction includes grade-level instruction with modifications and supports individually designed. 5) Student can access sensory supports and breaks as needed. 6) Student has a reinforcement system that is used and understood by student, other students, and all staff. 7) Student’s communication system is available at all times. Need for Improvement High Medium Low 49 Individual Student Systems (continued) Current Status: Level of Implementation In Partial Not in Place in Place Place 50 Feature Individual student systems are defined as specific supports designed for the individual student with ASD. 8) Student’s communication system is understood and used by all staff and other students. 9) Task organizers are used to maximize understanding throughout day. 10) Assessments are conducted regularly to identify problem behaviors. 11) Behavior Support Team includes an individual skilled at conducting functional behavior assessments for students with ASD. 12) Family members and/or community members are involved with planning, evaluation, and support. 13) School includes formal opportunities for families to receive training on behavioral support and home strategies. Need for Improvement High Medium Low 51 Echolalia Understood only by familiar people Other (specify) Student Gender Entering kindergarten What percent of time does the student spend in general education? (5,6) % Entering postsecondary education Entering preschool Entering employment Entering high school No Other (specify) Augmentative communication device Does the student participate in alternate assessment? (3) Yes Entering middle school F Understood by unfamiliar people M OCALI Staff Time 7 Time 8 Changing NA residence Short Sentences phrases Institution Time 6 Team Member (specify) Time 5 If the student has a major transition next year, which describes the transition: One word Two words If the student is verbal, communication can best be described as (check all that apply): Group Home Student DOB Time 4 Sign language Foster Care Natural Home Student Residence Team Time 3 If the student is nonverbal, communication Gestures, eye gaze, A form of picture methods can best be described as (check all pulling toward objects, communication that apply): body position Student ID Student Name Parent/Caregiver Assessment Baseline 1 Time 2 Period Form Completed By Date STUDENT ASSESSMENT OHIO CENTER FOR AUTISM AND LOW INCIDENCE 52 Sensory issues Vocational/prevocational skills Learning challenges Self-care/adaptive skills Challenging behaviors Leisure skills Toileting/bathroom/hygiene Socialization Communication skills Fine-/gross-motor skills Feeding/eating/nutrition Areas No Difficulty Mild Difficulty Moderate Difficulty Severe Difficulty Please select the descriptor that best describes the student’s life skills and behavioral issues. Place an X in the column that matches the correct rating. 53 3 3 3 Cheats Steals Abuses alcohol, drugs Never Sometimes Frequently Note. *=State Performance Plan Indicators. Difficulty following routines Difficulty with transitions Destroys property 3 3 Respects adults in authority Bolts or runs Refuses to follow rules Refuses requests Refuses consequences Tantrums/meltdowns Self-stimulatory behaviors Aggressive behavior toward others Aggressive behavior toward self Verbally aggressive Externalized Behaviors Repetitive behaviors SPP* COMMUNITY Always Never Sometimes Frequently Always HOME Never Sometimes Frequently Always SCHOOL/WORK SITE DIRECTIONS: Please indicate the frequency with which the following occur in the community, home, and school. 54 SPP* 7 7 7 7 7 7 Withdrawn Limited motivation 7 Distorted thoughts Depressed Avoids others Internalizing Behaviors Anxious Does not respond 7 emotionally like peers to adverse situations Unaware of danger Laughs inappropriately Easily frustrated Inattentive Easily distracted Seeks attention inappropriately Difficulty with selfcontrol Hyperactive Externalized Behaviors (cont) Lacks social inhibition 7 Never Sometimes Frequently COMMUNITY Always Never Sometimes Frequently HOME Always Never Sometimes Frequently SCHOOL Always 55 7 Is not accepted by other children Has limited value for friendships 7 7 7 7 7 7 Has few or no friends Social Relationships Difficulties initiating conversations Does not know how to ask for help Does not know when to ask for help Difficulties maintaining conversations 7 Difficulty communicating Problems reading others’ intentions Problems understanding nonverbal communication Unresponsive to others 7 7 SPP* Lacks social reciprocity Communication Never Sometimes Frequently COMMUNITY Always Never Sometimes Frequently HOME Always Never Sometimes Frequently SCHOOL Always 56 Uses visual schedule independently (if needed) Uses communication system with peers and adults across settings throughout the day School/Work/Daily Living Behaviors Attends school/work regularly Works independently Parent participates as equal partner in educational decisions Seizures Poor self-help skills Poor leisure skills Motor issues Feeding problems Toileting problems Sensory challenges Other 8 SPP* Never Sometimes Frequently COMMUNITY Always Never Sometimes Frequently HOME Always Never Sometimes Frequently SCHOOL Always 57 Completes tasks independently Completes tasks with supports School/Work/Daily Living (cont) Follows directions independently Follows directions with supports Follows same routine as peers with supports Follows same routine as peers independently Participates in discussions Transitions between activities and environments independently Transitions between activities and environments with supports Pays attention SPP* Never Frequently COMMUNITY Sometimes Always Never Frequently HOME Sometimes Always Never Frequently SCHOOL Sometimes Always 58 Sometimes Frequently Always COMMUNITY/WORK SITE Never Never Frequently HOME Sometimes Always Never Sometimes SCHOOL Frequently Always Note. For students ages 16 and older, please attach a copy of the student’s IEP goals and transition services (SPP 13). Completes homework on time Participates in work 14 experiences (high school only) Engages in transition 13 experiences as dictated on the IEP Earns passing grades/ satisfactory work evaluation Engages in expected behavior with adult support Needs individualized classroom/work/ home support Needs individualized behavioral supports Performs commensurate with ability Passes quizzes and tests School Behaviors (cont) SPP* Individual Training Needs Adapted from Illinois Technical Assistance Center, 2007; http://tac.uiuc.edu; used with permission. Assessment Period Student Name Baseline 1 Time 5 Time 1 Time 6 Time 2 Time 7 Time 3 Time 8 Time 4 Time 9 Name and Position Please check the appropriate column below for each area of training need. RESPONSE Need High Somewhat Strength Somewhat High Training Needs Introduction to autism Introduction to Asperger Syndrome Comprehensive planning Assessment for identification Assessment for program planning Developing, selecting, adapting, and using strategies and materials Developing, selecting, adapting, and using management procedures Developing, selecting, adapting, and using evaluation procedures Visual supports Circle of Friends Communication systems Social skills and related issues Home and community living Literacy Parent-professional partnerships Using assistive technology Peer programs Data collection Sensory interventions Reinforcement Functional behavior assessment Behavior intervention plans Applied behavior analysis Curriculum modifications Paraprofessional training Supervising paraprofessionals TEACCH model Transition from early intervention to preschool Transition from preschool to elementary school Transition from elementary to middle/high school Transition to adulthood Classroom structure Behavior management strategies Other: Other: 59 Autism Asperger Publishing Company P.O. Box 23173 Shawnee Mission, Kansas 66283-0173 877-277-8254 • www.asperger.net The Gold Standard for Intervention Planning The Ziggurat Model and The Comprehensive Autism Planning System (CAPS) capture the three keys in designing and implementing a comprehensive intervention plan: Characteristics • The Underlying Characteristics Checklist (UCC) helps you see the ASD. • *Individual Strengths and Skills Inventory (ISSI) shows you an individual’s strengths and skills. *ISSI is found in The Ziggurat Model. Intervention • The Ziggurat Model shows you how to design interventions using evidence-based strategies. Implementation • The Comprehensive Autism Planning System (CAPS) shows you how to effectively incorporate comprehensive interventions into a student’s day. A Comprehensive Planning Process for Students with Autism Spectrum Disorders and Related Disabilities: The Ziggurat Model and Comprehensive Autism Planning System Autism Asperger Publishing Company Autism Asperger Publishing Company P.O. Box 23173 Shawnee Mission, Kansas 66283-0173 877-277-8254 • www.asperger.net
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