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Functional Communication

The document describes functional communication training, which is designed to reduce problem behaviors in individuals with autism by teaching them to communicate their needs and wants in a socially appropriate way. It involves identifying the purpose or function of problem behaviors, teaching alternative communication to serve the same function, reinforcing the communication, and ignoring problem behaviors. An example is given of using objects to help a student communicate about his school day. Research shows functional communication training can decrease problem behaviors and increase communication skills.

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0% found this document useful (0 votes)
619 views10 pages

Functional Communication

The document describes functional communication training, which is designed to reduce problem behaviors in individuals with autism by teaching them to communicate their needs and wants in a socially appropriate way. It involves identifying the purpose or function of problem behaviors, teaching alternative communication to serve the same function, reinforcing the communication, and ignoring problem behaviors. An example is given of using objects to help a student communicate about his school day. Research shows functional communication training can decrease problem behaviors and increase communication skills.

Uploaded by

Maria
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TARGET:TEXASGUIDEFOREFFECTIVETEACHING

FUNCTIONALCOMMUNICATIONTRAINING

FUNCTIONALCOMMUNICATIONTRAINING

CHARACTERISTICSOVERVIEWCHART
VerbalSkills GradeLevels CognitiveLevel AreasAddressed
7Nonverbal 7PK 7Classic 7(Pre)Academic/Cognitive/Academic
7Mixed 7Elementary 7High 7AdaptiveBehavior/
Functioning DailyLiving
7Verbal 7Middle/High 7Behavior
7Communication/Speech
7Social/Emotional

BRIEFINTRODUCTION

Themajorityofstudentswithautism(AU)experiencesocialandcommunicationchallengesthat
requiredirectintervention.Strategiesthatarepositiveandfitwithinthechildstypical
environmentshavebeenshowntoincreasestudentskillsinthisarea.

DESCRIPTION

Functionalcommunicationisapositivebehaviorsupport(PBS)interventiondesignedtoreduce
problembehaviorsbyreplacingthemwithmeaningfulorfunctionalcommunicationwhether
verbalorgestural.Inotherwords,ratherthanstudentshavingatantrumordisplayingother
disruptivebehaviorswhenfrustratedatnotgettingtheirneedsmet,theycommunicatetheir
needsinamoresociallyacceptablewaythroughtheuseofwords,alternativecommunications
systems,suchasthePictureExchangeCommunicationSystem(PECS),orgestures,suchas
pointing.

Theemphasisofthecommunicationisonfunctionalityasopposedtoform.Functionalcommunication
trainingreliesonanaccurateunderstandingofthefunctionbehindtheproblembehavior(attention
seeking,accesstopreferreditems,escape/avoidance,etc.)inordertoeffectivelyeliminateit.

TexasStatewideLeadershipforAutism Updated12/31/2009 1

TARGET:TEXASGUIDEFOREFFECTIVETEACHING
FUNCTIONALCOMMUNICATIONTRAINING

STEPS

Thefollowingstepsshouldbeusedwhenimplementingafunctionalcommunicationapproach.

1. Identifywhythebehaviorisoccurringoftheproblembehaviorthrough(a)interviewwith
thestudent,teachers,andparents;(b)observationofthestudentonseveraloccasionsina
varietyofsettings;and(c)collectionofdataregardingthefrequencyandspecific
circumstancesunderwhichthebehavior/soccur.Atthispointahypothesisisformedabout
thecauseorfunctionofthebehavior.

2. Matchthefunctionofthebehaviortothemessageofthealternativecommunicationthat
willbetaught.Forexample,ifthefunctionofastudentstantrumisdeterminedtobe
escape/avoidance,offerthestudentaneffectivewaytosignaltheneedforabreak.

3. Prompttheuseofthecommunicationandreinforcethedesiredbehaviorwiththedesired
outcome(attention,accesstopreferreditems,breaks).UseABA/PBSandotherstrategiesto
supportthecommunicationofindividualswithautism(seeAppliedBehavior
Analysis/PositiveBehaviorSupports,EnvironmentalSupports).

4. Ignoretheproblembehaviorandprompttheuseoftheappropriatecommunication.

BRIEFEXAMPLE

Andrewisa10yearoldwithautismwhohasfewverbalskillsandcommunicatesbyusing
objectsinsteadofpictures.Hisspeechlanguagepathologistandparentswantedtoprovide
additionalcommunicationoptionsforhimathomeandatschool.Andrewsspeechlanguage
pathologistcreatedaWhatDidYouDoinSchoolToday?packetthatcontainedactualitems
representingAndrewsday.Attheendoftheday,Andrewandhisparaprofessionalreviewed
thepacket,andwhenAndrewgothome,hisparentsandhewereabletocommunicateabout
thedayseventsbyreferringtotheobjectsinthepacket.OneofAndrewsWhatDidYouDoin
SchoolToday?packetsappearsonthenextpage.

TexasStatewideLeadershipforAutism Updated12/31/2009 2

TARGET:TEXASGUIDEFOREFFECTIVETEACHING
FUNCTIONALCOMMUNICATIONTRAINING


FromSavner,J.L.,&Myles,B.S.(2000).MakingvisualsupportsworkinthehomeandcommunityforindividualswithAsperger
Syndromeandautism.ShawneeMission,KS:AutismAspergerPublishingCompany.Reprintedwithpermission.

RESEARCHTABLE

Number Ages Sample Area(s)Addressed Outcome


of (year) Size
Studies
35* 415 121 Functionalcommunicationtraining,reductionof +
problembehaviors,pictureschedules,Picturelabels,
gesturalcommunication,selfinjury,taskcompletion,
escape
*Note:Includesmetaanalysis,butdoesnotincludeotherinterventionsidentifiedsimplyas
behavioralintheresearcharticleeventhoughtheyusedthefunctionalcommunicationtraining
steps.

STUDIESCITEDINRESEARCHTABLE

1. Olive,M.,Lang,R.,&Davis,T.(2008).Ananalysisoftheeffectsoffunctionalcommunication
andavoiceoutputcommunicationaidforachildwithautismspectrumdisorder.Research
inAutismSpectrumDisorders,2(2),223236.
Thepurposeofthisstudywastoexaminetheeffectsoffunctionalcommunicationtraining

TexasStatewideLeadershipforAutism Updated12/31/2009 3

TARGET:TEXASGUIDEFOREFFECTIVETEACHING
FUNCTIONALCOMMUNICATIONTRAINING

andaVOCA(VoiceOutputCommunicationAid)onthechallengingbehaviorandlanguage
developmentofa4yearoldgirlwithautism.Theparticipantsmotherimplemented
modifiedfunctionalanalysis(FA)andinterventionproceduresathome.Amultipleprobe
designacrossactivitieswasusedtoanalyzeinterventioneffectiveness.Functional
CommunicationTrainingswithaVOCA(VoiceOutputCommunicationAid)successfully
decreasedchallengingbehaviorandincreasedVOCAuse.Asecondaryanalysisrevealed
increasedpronounuse.

2. Casey,S.D.,&Merical,C.L.(2006).Theuseoffunctionalcommunicationtrainingwithout
additionaltreatmentproceduresinaninclusiveschoolsetting.BehavioralDisorders,32,46
54.
Thepremisebehindfunctionalcommunicationtrainingistoreplacemaladaptivebehaviorswitha
communicativeresponsethatiseitherverbalorgestural.Suchresponsesarethefunctional
equivalentofthemaladaptiveorselfinjuriousbehaviorexceptthattheyaremoresocially
acceptable.Inorderforthistobesuccessful,thecommunicativeresponsemustbereinforced
heavilywhilethemaladaptiveorselfinjuriousbehaviorisreinforcedminimally,ifatall.One11
yearoldstudentparticipatedinthisstudy.Resultsshowedadecreaseinmaladaptiveorself
injuriousbehaviors.

3. Drager,K.,Postal,V.,Carrolus,L.,Castellano,M.,Gagliano,C.,&Glynn,J.(2006).Theeffect
ofaidedlanguagemodelingonsymbolcomprehensionandproductionintwopreschoolers
withautism.AmericanJournalofSpeechLanguagePathology,15,112126.
Two4yearoldswithautismparticipatedinthisstudytodeterminetheefficacyofAided
LanguageModeling(ALM;PictureCommunicationSystemsandnaturallanguagestrategies)
toimprovereceptivelanguagesymbolcomprehensionandproduction.Resultsindicated
thatALMisaneffectiveinterventiontoincreasebothsymbolcomprehensionand
production.Theeffectsweremaintainedoverthe37sessionsofthestudy.

4. Mancil,G.R.,Conroy,M.A.,Nakao,T.,&Alter,P.(2006).Functionalcommunicationtraining
inthenaturalenvironment:Apilotinvestigationwithayoungchildwithautismspectrum
disorder.EducationandTreatmentofChildren,29,615633.
Thisstudyexaminedfunctionalcommunicationtrainingforone4yearoldboyover60
sessions.Resultsdemonstratedareductioninmaladaptiveordisruptivebehaviors,an
increaseincommunication,andareductioninresponsetimetodistracters.

5. Martin,C.A.,Drasgow,E.,Halle,J.W.,&Brucker,J.M.(2005).Teachingachildwithautism
andseverelanguagedelaystoreject:Directandindirecteffectsoffunctionalcommunication
training.EducationalPsychology,25,287304.
Thestudyexaminedtheeffectsofdirectfunctionalcommunicationtraining,involving
prompting,differentialreinforcement,anderrorcorrectionprocedures,inteachinga10
yearoldchildwithautismtorejectitemsbytouchinganicon.Resultsindicatedthatthe
trainingwassuccessfulatreplacingpushingawaywithtouchinganicontorejectitems,butit
hadvariableeffectsontheotherbehaviorsservingarejectingfunction.

TexasStatewideLeadershipforAutism Updated12/31/2009 4

TARGET:TEXASGUIDEFOREFFECTIVETEACHING
FUNCTIONALCOMMUNICATIONTRAINING



6. Schindler,H.,&Horner,R.(2005).Generalizedreductionofproblembehaviorofyoung
childrenwithautism:Buildingtranssituationalinteractions.AmericanJournalonMental
Retardation:110(1),3647.
Theeffectsoffunctionalcommunicationtrainingonthegeneralizedreductionofproblem
behaviorwiththree4to5yearoldchildrenwithautismandproblembehaviorwere
evaluated.Interventionsincorporatingfunctionalcommunicationtrainingreducedproblem
behaviorinonesetting.

7. Bopp,K.D.,Brown,K.E.,&Mirenda,P.(2004).Speechlanguagepathologistsrolesinthe
deliveryofpositivebehaviorsupportforindividualswithdevelopmentaldisabilities.
AmericanJournalofSpeechLanguagePathology,13,519.
Thismetaanalysisof14studieswith19participantswithautismexaminedtheefficacyof
functionalcommunicationtrainingwithalternativeoraugmentativecommunicationaswell
astheuseofvisualssuchaspictureschedules.Allofthestudiesshowedpositiveresultsin
reducingdisruptiveorproblematicbehaviorsandimprovingcommunication.However,there
werenoreportsofgeneralizationormaintenance.

8. Polirstok,S.R.,Dana,L.,Buono,S.,Mongelli,V.,&Trubia,G.(2003).Improvingfunctional
communicationskillsinadolescentsandyoungadultswithsevereautismusinggentle
teachingandpositiveapproaches.TopicsinLanguageDisorders,23,146153.
Thestudyexaminedthetherapeuticinterventionprogramforyoungadultswithsevere
autismattheOasiInstituteinTroina,Sicily.Theprogram,whichintegratesgentleteaching,
humanisticappliedbehavioranalysis,andfunctionalcommunicationtraining,valueshuman
interactionsandprovidesopportunitiestoacquirefunctionalskillsthrougherrorlesslearning
activities.Eighteenadolescentswithautismparticipatedinthestudy.Resultsofan18month
studyindicatedsignificantimprovementsinfunctionalcommunicationskillsandan
accompanyingreductioninmaladaptive/stereotypicbehaviorsintheenvironmentusing
gentleteachingandpositiveapproaches.

9. Delprato,D.J.(2001).Comparisonsofdiscretetrialandnormalizedbehavioralintervention
foryoungchildrenwithautism.JournalofAutismandDevelopmentalDisorders,31,315325.
Thestudyexaminedaseriesof10controlledstudiesinwhichtraditionaloperantbehavioral
procedureswerecomparedwithmorerecentlydevelopednormalizedinterventionsfor
teachinglanguagetoyoungchildrenwithautism.Inalleightstudieswithlanguagecriterion
responses,normalizedlanguagetrainingwasmoreeffectivethandiscretetrialtraining.
Furthermore,inthetwostudiesthatassessedparentalaffect,normalizedtreatmentyielded
morepositiveeffectthandiscretetrialtraining.Therewere63participantsinthese10
studies.

TexasStatewideLeadershipforAutism Updated12/31/2009 5

TARGET:TEXASGUIDEFOREFFECTIVETEACHING
FUNCTIONALCOMMUNICATIONTRAINING

10. Braithwaite,K.L.,&Richdale,A.L.(2000).Functionalcommunicationtrainingtoreplace
challengingbehaviorsacrosstwobehavioraloutcomes.BehavioralInterventions,15,2136.
Thestudyexaminedtheeffectivenessofaninterventionthatincludedextinctionand
functionalcommunicationtrainingtoreducemultiplycontrolled,selfinjurious,and
aggressivebehaviorsina7yearoldboywithautisminaschoolsetting.Analysisof
behavioralantecedentsandconsequencessuggestedthatselfinjuryandaggressionserved
thedualbehavioraloutcomesofescapefromdifficulttasksandaccesstopreferredobjects.
Treatmentconsistedofteachingtheboyanalternaterequest,whilechallengingbehaviors
wereconcurrentlyplacedonextinction.Acquisitionofthealternaterequestswasassociated
withadecreasetozerolevelsofselfinjuryandaggressionacrossthetwobehavioral
outcomes,whichwasmaintainedwhena5seconddelaywasimplemented.Resultsshowed
thatchallengingbehaviorswithdifferentbehavioraloutcomescanbereplacedwith
functionallyequivalentcommunication.

11. Buffington,D.,Krantz,P.,McClannahan,L.,&Poulson,C.(1998).Proceduresforteaching
appropriategesturalcommunicationskillstochildrenwithautism.JournalofAutismand
DevelopmentalDisorders,28,535547.
Fourchildrenwithautism,ages46years,participatedin72sessionsdesignedtoincrease
appropriateuseofgesturalcommunicationwithverbalandnonverbalprompting.All
participantsincreasedtheirrateofappropriateresponses,andgeneralizationwasreported
acrossotherenvironments.

12. Lalli,J.S.,Casey,S.,&Kates,K.(1995).Reducingescapebehaviorandincreasingtask
completionwithfunctionalcommunicationtraining,extinction,andresponsechaining.
JournalofAppliedBehaviorAnalysis,28(3),261268.
Theeffectsoffunctionalcommunicationtraining,extinction,andresponsechainingon
participants(10,13,15yearsofage)escapebehaviorbyevaluatingtheeffectsofresponse
chainingfollowingtheimplementationoffunctionalcommunicationtraining.Participants
weretaughtanescaperesponseandthenaresponsechainingproceduretoincreasetheir
participationinthetask.Resultsshowedthatthetreatmentreducedratesofaberrant
behaviorandthatthechainingprocedurewaseffectiveindecreasingtheavailabilityof
escape.

13. Carr,E.G.,&Kemp,D.C.(1989).Functionalequivalenceofautisticleadingandpointing:
Analysisandtreatment.JournalofAutismandDevelopmentalDisorders,19,561578.
Alessdesirableformofrequesting,leadingwasaddressedbystrengtheningamore
desirableformofrequesting,pointing.Thestudywasconductedwith4children(aged3and
5yrs)withautism.Interventionincludedverbalandphysicalpromptingofthepointing
responseaswellastangiblereinforcementforchildinitiatedinstancesofthatresponse.
Verbalrequestingwasalsotaughttoaccompanythepointing.Followingintervention,
generalizationwasobserved.

TexasStatewideLeadershipforAutism Updated12/31/2009 6

TARGET:TEXASGUIDEFOREFFECTIVETEACHING
FUNCTIONALCOMMUNICATIONTRAINING

REFERENCES

Bopp,K.D.,Brown,K.E.,&Mirenda,P.(2004).Speechlanguagepathologistsrolesinthe
deliveryofpositivebehaviorsupportforindividualswithdevelopmentaldisabilities.
AmericanJournalofSpeechLanguagePathology,13,519.

Braithwaite,K.L.,&Richdale,A.L.(2000).Functionalcommunicationtrainingtoreplace
challengingbehaviorsacrosstwobehavioraloutcomes.BehavioralInterventions,15,21
36.

Buffington,D.,Krantz,P.,McClannahan,L.,&Poulson,C.(1998).Proceduresforteaching
appropriategesturalcommunicationskillstochildrenwithautism.JournalofAutismand
DevelopmentalDisorders,28,535547.

Carbone, V., Lewis, L., SweeneyKerwin, E., Dixon, J., Louden, R., & Quinn, S. (2006). A
comparison of two approaches for teaching VB functions: Total communication vs.
vocalalone.JournalofSpeechLanguagePathologyandAppliedBehavioralAnalysis,1,
181191.

Carr, E. G., & Kemp, D. C. (1989). Functional equivalence of autistic leading and pointing:
Analysisandtreatment.JournalofAutismandDevelopmentalDisorders,19,561578.

Casey,S.D.,&Merical,C.L.(2006).Theuseoffunctionalcommunicationtrainingwithout
additionaltreatmentproceduresinaninclusiveschoolsetting.BehavioralDisorders,32,
4654.

Delprato,D.J.(2001).Comparisonsofdiscretetrialandnormalizedbehavioralinterventionfor
youngchildrenwithautism.JournalofAutismandDevelopmentalDisorders,31,315325.

Drager,K.,Postal,V.,Carrolus,L.,Castellano,M.,Gagliano,C.,&Glynn,J.(2006).Theeffectof
aidedlanguagemodelingonsymbolcomprehensionandproductionintwopreschoolers
withautism.AmericanJournalofSpeechLanguagePathology,15,112126.

Lalli, J. S., Casey, S., & Kates, K. (1995). Reducing escape behavior and increasing task
completionwithfunctionalcommunicationtraining,extinction,andresponsechaining.
JournalofAppliedBehaviorAnalysis,28(3),261268.

Mancil,G.R.,Conroy,M.A.,Nakao,T.,&Alter,P.(2006).Functionalcommunicationtrainingin
thenaturalenvironment:Apilotinvestigationwithayoungchildwithautismspectrum
disorder.EducationandTreatmentofChildren,29,615633.

Martin,C.A.,Drasgow,E.,Halle,J.W.,&Brucker,J.M.(2005).Teachingachildwithautismand
severelanguagedelaystoreject:Directandindirecteffectsoffunctionalcommunication
training.EducationalPsychology,25,287304.

TexasStatewideLeadershipforAutism Updated12/31/2009 7

TARGET:TEXASGUIDEFOREFFECTIVETEACHING
FUNCTIONALCOMMUNICATIONTRAINING

Olive,M.,Lang,R.,&Davis,T.(2008).Ananalysisoftheeffectsoffunctionalcommunication
and a voice output communication aid for a child with autism spectrum disorder.
ResearchinAutismSpectrumDisorders,2(2),223236.

Polirstok, S. R., Dana, L., Buono, S., Mongelli, V., & Trubia, G. (2003). Improving functional
communication skills in adolescents and young adults with severe autism using gentle
teachingandpositiveapproaches.TopicsinLanguageDisorders,23,146153.

Schindler,H.,&Horner,R.(2005).Generalizedreductionofproblembehaviorofyoungchildren
with autism: Building transsituational interactions. American Journal on Mental
Retardation:110(1),3647.

RESOURCESANDMATERIALS
CenterontheSocialandEmotionalFoundationsforEarly
Learning:www.vanderbilt.edu/csefel/briefs/wwb11.html
Thissiteprovidespracticalinformationonfunctionalcommunicationskillsusedwithyoung
childrenwithAU.

FunctionalCommunication
Training:www.asatonline.org/resources/procedures/functional2.htm
ThiswebsitediscusseshowtoteachfunctionalcommunicationskillstostudentswithAU.

Durand,V.M.(2002).Severebehaviorproblems:Afunctionalcommunicationtraining
approach(Treatmentmanualforpractitioners).NewYork:GuilfordPress.
Thisarticleoffersinformationonteachingfunctionalcommunicationskills.

Preis,J.(2007).Strategiestopromoteadaptivecompetenceforstudentsontheautism
spectrum.SupportforLearning,22,1723.
Thisarticleoffersinformationonteachingfunctionalcommunicationskills.

GENERALRESOURCES
AutismInternetModules(AIM)www.autisminternetmodules.org
TheAutismInternetModulesweredevelopedwithoneaiminmind:tomake
comprehensive,uptodate,andusableinformationonautismaccessibleandapplicableto
educators,otherprofessionals,andfamilieswhosupportindividualswithautismspectrum
disorders(ASD).WrittenbyexpertsfromacrosstheU.S.,allonlinemodulesarefree,andare
designedtopromoteunderstandingof,respectfor,andequalityofpersonswithASD.
Currentmodulesare:
o AssessmentforIdentification

TexasStatewideLeadershipforAutism Updated12/31/2009 8

TARGET:TEXASGUIDEFOREFFECTIVETEACHING
FUNCTIONALCOMMUNICATIONTRAINING

o HomeBase
o PeerMediatedInstructionandIntervention(PMII)
o PictureExchangeCommunicationSystem(PECS)
o PivotalResponseTraining(PRT)
o PreparingIndividualsforEmployment
o Reinforcement
o RestrictedPatternsofBehavior,Interests,andActivities
o SelfManagement
o SocialSupportsforTransitionAgedIndividuals
o StructuredTeaching
o StructuredWorkSystemsandActivityOrganization
o SupportingSuccessfulCompletionofHomework
o TheIncredible5PointScale
o TimeDelay
o TransitioningBetweenActivities
o VisualSupports

InteractiveCollaborativeAutismNetwork(iCAN)http://www.autismnetwork.org
iCANoffersfreeonlineinstructionalmodulesonautismspectrumdisorder(ASD).Modules
havebeendevelopedintheseareas:
o Characteristics
o Assessment
o AcademicInterventions
o BehavioralInterventions
o CommunicationInterventions
o EnvironmentalInterventions
o SocialInterventions

IndianaResourceCenterforAutism(IRCA)http://www.iidc.indiana.edu/irca/fmain1.html
TheIndianaResourceCenterforAutismstaffseffortsarefocusedonprovidingcommunities,
organizations,agencies,andfamilieswiththeknowledgeandskillstosupportchildrenandadultsin
typicalearlyintervention,school,community,work,andhomesettings.
o IRCAArticleshttp://www.iidc.indiana.edu/irca/ftrainpapers.html
o IRCAModules http://www.iidc.indiana.edu/irca/fmodules.html

TexasStatewideLeadershipforAutismwww.txautism.net
TheTexasStatewideLeadershipforAutisminconjunctionwiththenetworkofTexas
EducationServicecenterwithagrantfromtheTexasEducationAgencyhasdevelopeda
seriesoffreeonlinecoursesinautism.Pleasecheckthetraining
page,www.txautism.net/training.html,forupdatelistsofcourses,coursenumbersand
registrationinformation.Currentcoursesincludethefollowing:
o Autism101:TopTenPiecestothePuzzle
o Autismo101:Las10piezasprincipalesdelrompecabezas
o AspergerSyndrome101Online

TexasStatewideLeadershipforAutism Updated12/31/2009 9

TARGET:TEXASGUIDEFOREFFECTIVETEACHING
FUNCTIONALCOMMUNICATIONTRAINING

o AspergerSyndrome101Online
o NavigatingtheSocialMaze:Supports&InterventionsforIndividualswithAutism
SpectrumDisorders
o Communication:ThePowerofCommunicationforIndividualswithAutism
SpectrumDisorders
o Communication:ThePowerofCommunicationforIndividualswithAutism
SpectrumDisorders

TexasStatewideLeadershipforAutism Updated12/31/2009 10

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