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Decreasing the Amount of Prompts or Reinforcement Over Time with Children with Autism

Tara Warwick, OTD, MS, OTR/L

February 20, 2013

Question

Over time, how do you decrease the amount of prompts or reinforcement given to children with autism?

Answer

Even though you have decreased the challenging behavior, it does not mean you stop there.  You also want to think about how we can decrease the amount of help or prompts we are providing the child.  We are always thinking about what is that next level that we need to get to with the child.  How can we get them a little bit more independent?  How do we reduce the frequency of the reinforcement. 

Reinforcement is something that you are always going to have at some level.  We all do.  But how can we mature it over time?  Maybe we have gotten to the point where they do not need a Skittle every time they take five steps down the hallway.  Now they are going to get a star when they get from their classroom to music, and then when they go from music to recess, they get another star, and so on.  By the time they have all five stars, it has been three or four class periods.  With an older child, we might use a point system.  They work on getting points and over time, it takes them longer to get whatever the reinforcement is that they want. 

We also should think about if we need to increase the variety of reinforcers.  If you are working with one of those children who really only have one reinforcer, you need to work on getting them more reinforcers.  One of the ways I do this is I combine them.  I work with children who have only one reinforcer.  We have to use that reinforcer to teach them how to use other reinforcers.  If it is iPad, then I might let them play on the iPad while I am playing music in the background.  Now they are starting to pair this iPad with music, and eventually maybe the music will be enough of a reinforcer.  Then I can gradually decrease the iPad because now the music is reinforcing as well.  Maybe it is while they are watching a favorite movie, we are also playing with a toy or Play-doh.  I am pairing something enjoyable with something else, which might in turn make that other thing enjoyable as well. 


tara warwick

Tara Warwick, OTD, MS, OTR/L

Dr. Tara Warwick is an occupational therapist and the co-owner of Blue Sparrow, a national training and consulting therapy firm, and Today’s Therapy Solutions, an Oklahoma-based pediatric therapy company. She has over 20 years of experience working with children with disabilities across all settings. A graduate of the University of Oklahoma, Tara obtained her bachelor’s degree in occupational therapy in 2000, her master’s degree in Rehabilitation Sciences with an emphasis in pediatrics in 2005, and her Post-Professional Occupational Therapy Doctorate in May 2021. Tara spends her days providing in-home therapy to children, conducting training and consultations for schools on challenging behavior and autism, and consulting with other therapy companies on practice management. Tara’s areas of intervention expertise include behavior management, sensory processing, self-care training (potty training, eating/feeding, dressing, play, etc.), assistive technology, and home programming. Tara enjoys thinking outside the box and developing creative ways to help her business run more efficiently and effectively.

 


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