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Topic “Home and activities for living”  

Encouraging eye gaze communication (no tech)

Helping a child to use/begin to use an eye gazing to communicate choices or an action they would like you to do - with pictures and (optionally) a perspex eye gaze frame (i.e. sheet of clear plastic you hold up between you and the child to fix communication pictures on).

 

Encouraging looking at an appropriate picture

In this situation you know what the child wants - e.g. they want the mirror chimes, or they want you to spin them, but they are not looking at the appropriate picture or picture symbol. This can happen if the child is new to this communication method, or you've put pictures in a different position on the frame in front of the child, or you are presenting new picture symbols.

Try

Strategies for eliciting single words/short phrases/gestures

Activity name/materials Instructions Comments

Wrong picture names!

Materials:

Set of pictures of everyday objects - these should be cards that the child knows the names of

Select a picture on an eye gaze frame

Activity/strategy name and materials required How to do the activity Key principles for doing the activity and comments
Picture pairs

Plastic perspex sheet with hole in the middle, around 40cm x 30cm (e.g "E-tran frame");

Two sets of everyday picture cards - or whatever the student is interested in.

  1. Start with using just one picture at a time;
  2. Have the two sets of pictures face up;
  3. Take one picture and put it on the frame in one of the four corner positions;
  4. Show the student its matching card;
  5. Ask the student to find the matching card on the frame (e.g. "Where's the banana?");
  6. If they look at it, confirm what they have looked at ("Yes! The banana!"), and pair it with the other one, and put it in a "done" pile. To make it more fun, you could pretend to eat it (or whatever is relevant for the picture you have used).

If the student has difficulties, you can try pointing it at each position on the frame - starting from their top left and working across and down - say "is it here" at each position ("no!") - until you get to the right position, say "yes" "here's the....". Say "look at the....", then ask them and say "where was the....?" - taking your eyes slowly to the position - trying to take the student's eyes with you. When you get there, take it off, pretend to eat it (for example) and then put it on the "done" pile with the other card.

More ideas about this here from Call Scotland

Going further

When a student can do this with one picture, try adding more pictures on the frame (distractor pictures). Start with two, then three/four (one on each corner), then gradually up to seven (each corner and the middle of each side except the bottom side. Put the target card - the one you are working on - in one of the positions you are using.

Find the picture/item

Plastic perspex sheet with hole in the middle, around 40cm x 30cm (e.g "E-tran frame");

Two sets of everyday picture cards - or whatever the student is interested in.

If the student has difficulties, you can try pointing it at each position on the frame - starting from their top left and working across and down - say "is it here" at each position ("no!") - until you get to the right position, say "yes" "here's the....". Say "look at the....", then ask them and say "where was the....?" - taking your eyes slowly to the position - trying to take the student's eyes with you. When you get there, take it off, and pretend to eat it/drive it etc.

More ideas about this here from Call Scotland

Going further

When a student can do this with one picture, try adding more pictures on the frame (distractor pictures). Start with two, then three/four (one on each corner), working up to seven (each corner and the middle of each side except the bottom side. Put the target card - the one you are working on - in one of the positions you are using.

Confirmation using a "special spot"

Plastic perspex sheet with hole in the middle, around 40cm x 30cm (e.g "E-tran frame");

Two sets of everyday picture cards - or whatever the student is interested in.

The idea of this activity is for the student to learn how they can confirm a choice. It is necessary to have some way of them confirming a choice because:

  • They may look at the picture they want to communicate for a short period of time;
  • They may gaze to several pictures;
  • They may gaze at you to confirm a choice, or they may gaze for you to say something.

All these will make it difficult to be sure what they are trying to communicate.

The "special spot" (which could for example be a red circle stuck in the bottom middle of the frame) can be a point that a student to look to to:

  • confirm a selection;
  • to indicate starting or stopping the current communication exchange.

More ideas about this here from Call Scotland

Responds to why questions

Activity/strategy name and materials required How to do the activity Key principles for doing the activity and comments
Emotions picture cards

Picture cards with emotions

Optional - choice of pictures showing possible reasons - for example a picture of a boy who has fallen over to go with a picture of a boy who is crying.

  1. Look at an emotion picture card - discuss what is happening, for example, "Look... the boy is crying.";
  2. Ask 'Why is he crying?' and give a model answer for example "because he is sad", "because he fell over".
Why is it....

One or more pictures showing scenes - for example someone running away, a hot beach.

Or...

Pictures in a book.

A desirable and a non-desirable toy

Two toys one desirable and one not.

Responds to what questions

Activity/strategy name and materials required How to do the activity Key principles for doing the activity and comments
Familiar picture books
  • A familiar picture book;
  • If required, a symbol card to represent 'what' (for example a question mark).
  1. Ask "what" questions about familiar pictures in books. For example, ask 'What is this?';
  2. Model the answer if the child has difficulty answering, for example "What's this?". You could also use a "what" symbol card when you ask questions - pointing to it when you use the word 'what'.

WARNING: it can become a habit to keep asking a child "what's that" whenever you see a picture (a phenomenom that might be called "What's that-ing") - so use in moderation - and, in other situations, try leaving long pauses for a child to tell you about a picture rather than asking a specific question.

When the child is able to understand this question, you could try taking it in turns so that they get a go at asking you "what's that?".

Silly questions

One or more of these:

  • own photos from school or home;
  • pictures of things.

... and if required:

"What" symbol card

Responds to who questions

Activity/strategy name and materials required How to do the activity Key principles for doing the activity and comments
Familiar picture books
  • A familiar picture book;
  • If required, a symbol card to represent 'who' (for example a question mark next to a picture of a face).
  1. Ask 'who' questions about familiar pictures in books. For example, ask 'Who is this?';
  2. Model the answer if the child has difficulty answering, for example "This is Sam". You could also use a "who" symbol card when you ask questions - pointing to it when you use the word 'who'.

Teach these concepts using repeated phrases and matching them as much as possible with the relevant symbol.

Allow thinking time.

Reward any attempts.

Photos of people

One or more of these:

  • own photos from home or school;
  • picture cards with people on.

...and if required:

  • a symbol card to represent 'who' (for example a question mark next to a picture of a face).

You may need to give the child a language model before he/she can ask a 'who' question.

Who is around?

A situation where there are other people - for example in class, in the playground.

"Who" symbol card if required.

Starts to greet familiar people using a reward chart system

Activity/strategy name and materials required How to do the activity Key principles for doing the activity and comments
Says ‘Hello’ to 3 familiar people
  • Digital camera
  • Velcro
  • Laminated sheet of paper
  • Stickers
  • Laminated symbols for  ‘Hello’

If you don't already have a symbol for "hello" you can find one in the Commtap Symboliser.

 

  1. Agree with 3 familiar people that the child is going to start greeting them by saying ‘Hello’.
  2. Explain to the people you have selected that the child is learning to greet another person and there are a number of steps to this.
  3. Explain that the child will get a sticker reward for starting to say ‘hello’.
  4. Ask the people you have selected to respond to the child’s greeting by making eye contact and saying ’hello’ with a welcoming gesture.
  5. The steps for greeting include:
    • Stopping
    • Looking
    • Gesturing
    • Handing over a symbol of ‘Hello’
    • Saying/signing ‘Hello’
  6. Take photos of the people you want the child to greet and laminate.
  7. Put the photos on a laminated sheet of A4 paper using velcro.
  8. Next to each photo velcro on a laminated symbol of ‘Hello’.
  9. As you approach the target person they need to stop and get down to make eye contact with the child and say and gesture ‘hello’. It is best to use just one word.
  10. Help the child identify the person in the photos by pointing to the photo.
  11. You model saying ‘Hello + name + welcoming gesture. As you do this point to the person’s photo and then point to the ‘hello’ symbol.
  12. Support the child to do the same if needed.
  13. The child gets a sticker for stopping / looking / gesturing / saying ‘Hello’ verbally.
  14. As the child learns the routine slowly give fewer and fewer prompts for greeting targeted adults.
  15. Keep giving stickers for as long as the child needs this reinforcement.

The length of these instructions show that this is quite a difficult routine to learn!

The object of the activity is give the child conventional politeness.

Allow time to develop this skill.

 

To make eye contact

Activity/strategy name and materials required How to do the activity Key principles for doing the activity and comments
Gain visual attention

Use something that the person may be visually attracted by, for example:

  • Flashing light;
  • Any favoured object;
  • Hair band with a visually interesting item e.g. Christmas bands.
  1. Work in an environment that has as little visual distraction as possible.
  2. Talk to the person and attract their attention by moving around the flashing light or other object.
  3. Once the person is looking at the item establish visual tracking (move it around a little so that they can follow it with their eyes).
  4. When visual tracking is established bring the item up towards your eyes so that the person is looking towards your eyes.
  5. If the person makes eye contact then give lots of verbal encouragement by saying "hello" smiling etc.

Remember that although the room needs to have little visual distraction the light needs to be sufficient to allow clear eye contact to be made e.g. a low light sensory room may not be so good for this activity.

Use two key word instructions in everyday activities

Activity/strategy name and materials required How to do the activity Key principles for doing the activity and comments
Making a cup of tea - telling you what to do

Kitchen with everything appropriate for making a cup of tea. You don't need to have them out and ready though - finding the stuff can be part of the activity.

1. Sit in the kitchen at an empty table and say you want to make a cup of tea - but you don't know what to do (or have forgotten what to do);

2. See if the person suggests getting something - e.g. teabag or cup.

If the person suggests something, e.g. teabag, ask where you can find it. See if they can tell you - e.g. "cupboard" - but if not, give then some suggestions - e.g. "in the cupboard or in the fridge?" - have a look in the fridge if they suggest that.

If the person doesn't suggest anything, give a funny choice, e.g. shall I get a cup or a paint brush - if they suggest "paint brush", get one and then look really confused when you have it - see if they can correct you, or if there is not paint brush to find, look equally confused. Get a cup even if they don't prompt you to get one (as if you've suddenly remembered!)

3. As you go along, try to get the person to extend the language - but don't try to get them to repeat, also try to avoid asking leading questions (for example avoid asking "shall I stir the tea now?"). For example if you have a tea bag and a cup, and they say "cup", indicating that you put something in the cup, put something else in the cup - e.g. a pen. If they then say teabag, do something with the teabag - but don't put it in the cup. At this point they may try to put the two words together, e.g. "teabag...cup". If not, you can give them a choice. Try the following:

"teabag in the cup or pen in the cup" (you might get a response of "teabag" in which case put it somewhere - not in the cup);

or

"teabag in the cup or pen in the bag"

or

"pen in the bag or teabag in the cup" (easiest because the target phrase is last).

If the person is not familiar with making a cup of tea already, you should spend some time doing this - talking them through what you are doing as you make the tea.

The key principle here is to give the minimum amount of prompting. You will need to adjust the level of prompting so that the person is a little bit challenged by the task - but not so much that there are long pauses (what constitutes a long pause will vary from person to person).

As far as possible, you are trying to literally do what the person says - so if they say something that's potentially ambiguous, choose a more amusing interpretation of what they have said. The idea is that this activity should be really fun, and also prompt the person to try and add more information and be more accurate.

Everyday activities

Whatever is required for the activity. Activities could include:

  • Cleaning;
  • Shopping;
  • Cooking;
  • Washing up;

Number action rhymes

Below are some action number rhymes which you can use to develop children’s understanding of numbers and also encourage them to initiate and continue the song/interaction with you.

Remember to sing these songs a few times with your child and show them how to move their hands/body by modelling it yourself. 

Developing attention and listening skills through motivating activities

Activity/strategy name and materials required How to do the activity Key principles for doing the activity and comments
Sensory Play

- Sensory toys and materials for messy play (e.g. trays with sand/ cornflour and water/jelly).

- The best toys are those that the child can manipulate easily to produce a result.

1. Guide your child's hands and visual attention to toys/trays of material(s) that they can touch and look at.

2. Let your child explore the toys/materials in the tray and encourage them to investigate all their properties, stimulating all of the child's senses as far as possible (colour, smell, texture).

3. You may need to draw the child's attention back to the activity if the child becomes distracted. Use your voice to regain their attention (e.g. a drawn out "ohhhh!", or an intake of breath).

Do not continue with something the child has lost interest in, but wait a while before introducing another object.

Turn taking games

- Ball / dark cloth

- Your voice - to sing simple nursery rhymes that have an element of anticipation built in such as "Round and round the haystack, like a little mouse, one step, two step and into his little house".

This is a fun activity for you and the child to enjoy together.

Use plenty of facial expression and your voice to gain and keep the child's attention.

Games and activities to help develop social skills

It can be difficult for some children to identify and understand social cues. To help develop the social growth of these children, there are lots of fun ways to help improve their social skills.

Make a choice between snacks

Activity/strategy name and materials required How to do the activity Key principles for doing the activity and comments
Snacks

A small choice of snack items to choose from - in small pieces - for example banana, apple, orange, crisps (the idea of having the items in small pieces is that it gives lots of opportunities to practice the request);

Something uninteresting - e.g. a piece of paper;

Pictures of the food items.

  1. Introduce the food items by saying and signing the word for each item;
  2. Check for which items the person is interested in having: offer some of the food items for them to take. Re-inforce the language by saying and signing (at the same time) the food items that the person takes;
  3. (Initially) use a forced alternative (see right) to give them a choice. E.g. "banana or orange", say and sign each option, and indicate the item as you do so. See the comments on the right for using forced alternatives;
  4. Always respond to what you think someone has communicated (see right for developing this);
  5. Wait, to give the person an opportunity to make a request spontaneously, if they don't you can continue from step 3 (offering forced alternatives).

Key strategies - you may need to come back to these as and when necessary:

Introduce each food item;

Check which ones the people are interested in;

Demonstrate the asking for and getting of an item - e.g. with another member of staff;

Wait - give time for the person to respond or initiate;

Offer a "forced alternative", e.g. "apple or orange?" - swap around the order in which you give the alternatives to check that the person is not just saying the last thing you say;

Make it difficult for the person to communicate by pointing by having the choices close together and out of reach - so if they point you actually don't know which one they pointed to;

Be sensitive to if the person is getting frustrated - think of ways to help them get it right first time - e.g. by reducing the choice down to one item (temporarily).

Using forced alternatives:

Always give the person the thing they said/signed for. If they are having difficulties with this - for example they always say the last thing in the alternative, try the following:

Have one of the forced alternatives being something uninteresting (e.g. the piece of paper);

Have the last alternative as something the person doesn't want (if the person always says the last thing);

Give more emphasis to the desired item, e.g. "Banana or paper?", you could also try only signing the desired item. Over time, reduce the difference in emphasis.

Improving clarity

Sometimes the person may say/sign what they want, but you don't feel it is clear enough (perhaps you can understand it in this context but might not be able to in another situation). To try and improve this, you can try:

Saying 'pardon?' or something equivalent;

Look confused and say, for example '(Do you mean) apple or banana?' (saying and signing these) - this will often encourage the person to produce a clearer version;

Simply re-inforce with the clear version, e.g. you say "Oh, banana" (saying and signing it then passing it over);

Try to avoid simply asking the someone to repeat after you as there is no communication and it's not a natural way to communicate - by asking someone to repeat you have shown them that you have understood, and so this is now a different repetition activity (and perhaps a bit insulting!) - it also has the danger that it could reduce the accuracy of what they originally said or signed as they didn't get a direct result from this.

Make a choice at snack time

Activity/strategy name and materials required How to do the activity Key principles for doing the activity and comments
Snack activity

Food items - in small pieces - which the children like, for example banana, apple, orange, crisps;

Something uninteresting - e.g. a piece of paper;

Pictures of the food items.

  1. Introduce the food items by saying and signing the word for each item;
  2. Check for which items the child is interested in having: offer some of the food items for the child to take. Re-inforce the language by saying and signing (at the same time) the food items that the child takes;
  3. (Initially) use a forced alternative (see right) to give the child a choice. E.g. "banana or orange", say and sign each option, and indicate the item as you do so. See the comments on the right for using forced alternatives;
  4. Always respond to what you think the child has communicated (see right for developing this).
  5. Wait, to give the child an opportunity to make a request spontaneously, if they don't you can continue from step 3 (offering forced alternatives).

Key strategies - you may need to come back to these as and when necessary:

Introduce each food item;

Check which ones the child is interested in;

Demonstrate the asking for and getting of an item - e.g. with another member of staff;

Wait - give time for the child to respond or initiate;

Offer a "forced alternative", e.g. "apple or orange?" - swap around the order in which you give the alternatives to check that the child is not just saying the last thing you say;

Make it difficult for the child to communicate by pointing by having the choices close together and out of reach - so if they point you actually don't know which one they pointed to;

Be sensitive to if the child is getting frustrated - think of ways to help them get it right first time - e.g. by reducing the choice down to one item (temporarily).

Using forced alternatives:

Always give the child the thing they said/signed for. If they are having difficulties with this - for example always say the last thing in the alternative, try the following:

Have one of the forced alternatives being something uninteresting (e.g. the piece of paper);

Have the last alternative as something the child doesn't want (if the child always says the last thing);

Give more emphasis to the desired item, e.g. "Banana or paper?", you could also try only signing the desired item. Over time, reduce the difference in emphasis.

Improving clarity

Sometimes the child may say/sign what they want, but you don't feel it is clear enough (perhaps you can understand it in this context but might not be able to in another situation). To try and improve this, you can try:

Saying 'pardon?' or something equivalent;

Look confused and say, for example '(Do you mean) apple or banana?' (saying and signing these) - this will often encourage the child to produce a clearer version;

Simply re-inforce with the clear version, e.g. you say "Oh, banana" (saying and signing it then passing it over);

Try to avoid simply asking the child to repeat after you as there is no communication and it's not a natural way to communicate - by asking the child to repeat you have shown them that you have understood, and so this is now a different repetition activity - it also has the danger that it could reduce the accuracy of what the child originally said or signed as they didn't get a direct result from this.

 

Request a desired item

Activity/strategy name and materials required How to do the activity Key principles for doing the activity and comments
Snack time
  • Choice of food items in small pieces - e.g. pieces of banana, orange or crisps - which the person is interested in having;
  • Something not interesting to the person - e.g. a piece of paper;
  • Pictures of each item (e.g. a picture of a banana, a crisp and a piece of paper).
  1. Offer a choice of food items, or a choice of a food item and the "boring" item (if the person doesn't mind which food item they get);
  2. Ask them what they want giving a choice, e.g. "Would you like some banana or a crisp?" (Stress the underlined words and also sign them);
  3. Respond to what you understand the person has communicated - giving them that item.

See the comments on the right as to how to respond to some typical situations.

What to do in common scenarios

The person points at or tries to take the item.

Hold or place the items in such a way that they can't easily take them and so that even if they point it is not clear which one they are choosing (once you know - and the person knows you know - which one they want simply now asking them to repeat what you had hoped they would have requested is much less powerful for learning).

The person always asks for the last thing you said (e.g. always asking for a crisp):

Try reversing the order of the choice you give them;

If they don't seem to care which one you give them, give them a choice of a desirable item and a boring item - saying the boring item last - then respond to their request for the boring item. To stop frustration, you might need to quickly follow this up with another go where you only offer them one item (the desirable item);

Encourage them to point to a picture to show you which one they want - then reinforce this by signing and saying the word.

General strategies

Model the asking and requesting with someone (e.g. other staff) to show what you are hoping people to do.

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