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The Judge Rotenberg Center is dedicated to teaching and training students an effective means of functional communication. Approximately 25% of the student population are considered non-verbal and have difficulty expressing their basic wants and needs. The Photocard Exchange System is a highly effective form of communication used at JRC that allows the student to request items by exchanging a photocard or a series of photocards with the teacher in order to gain access to rewards. The goal is to teach the student to communicate his/her needs—at first by using the photocard system, and eventually by using spontaneous speech.

This system is taught to the students in phases starting with a single photocard exchange all the way up to the exchange of a complete sentence. Each student on the Photocard Exchange System at JRC has an individually designed communication book containing specific photocards that represent items/activities that the student is likely to wish to request.

The student’s daily work on computers in the classroom is used to help teach the use of the Photocard Exchange System. When the student completes an academic task on the computer, a reward menu screen appears. Using this menu, the student chooses an item; the student is also taught to make the corresponding exchange using his photocards book. In addition to the classroom training, breakfast is sometimes used to teach the student how to use his/her photocards to request things. The students sit at a table with a photocards easel that contains photocards representing all the food items that they may request for breakfast. The student is taught to request each item using the appropriate photocard. Each initiation of communication throughout the day and in every setting is utilized to successfully teach the student how to independently and effectively communicate using the photocards.

For more information about JRC’s curriculum to teach nonverbal students how to request things, see below.


CURRICULUM FOR TEACHING MANDING AND PREREQUISITE SKILLS

Matthew Israel
July 16, 2005

This curriculum has three sections:

  1. Prerequisite Skills. These are certain preliminary skills, such as following directions, good sitting, working consistently and nonverbal that are, to a greater or lesser extent, prerequisite to learning other important skills. It is not clear whether these skills need to be taught serially or whether they can be taught simultaneously.
     

  2. Learning to Mand by pointing with a pictorial menu or by exchanging a card. The skills in this section should, for the most part, be taught serially, with the student learning each skill before advancing to the next skill.
     

  3. Learning to Mand by Asking for the Desired Item. The skills in this section, also, should, for the most part, be taught serially, with the student learning each skill before advancing to the next skill.

The steps listed in this curriculum represent a first draft attempt to analyze what the major component skills are that may need to be taught and what is the order in which it would be best to teach these skills. Each of the below steps may, however, need to be further divided into substeps in order to most efficiently teach the skill in question. And steps will no doubt need to be added that are not presently included. It is also possible that we may find that one or more of the steps listed below can be omitted without major problems. I have tried to indicate cases where a step might be skipped if needed. For each step a target rate correct should be set that will constitute adequate mastery of the skill.

I. Prerequisite Skills

Some of these skills may not be able to be taught effectively unless we have authority to use some minor physical aversives, such as the cheek snap or the spank on the leg or unless we are able to control major problematic behaviors such as aggression. Consequently, a supervisor may decide to defer teaching some of these skills until such procedures are available or until major problematic behaviors are under control.

Step 1. Following Directions.

The teacher gives the student certain directions, prompts him/her to show the behavior in question (see below for specific prompting scheme), and then rewards the student for following them and, if needed, administers a punishment if the student refuses. The directions are as follows:

Stand up
Sit down
Come here
Pick up the [nerf] ball
Put the ball in the box
Give me the [nerf] ball 

General procedure for teaching skills in this step and for teaching similar skills.

The basic approach to behavioral teaching is to follow the ABC paradigm, which is:

Antecedent(Stimulus)-àBehavioràConsequence

The direction “Come here” is the Antecedent or stimulus. The student’s response of coming in response to that command is the Behavior and the Consequence is the teacher’s approval plus, perhaps, some other reward(s) such as a token, a bit of food, applause, praise, etc.

In order for the ABC scheme to work, the student must first be motivated to obtain the Consequence. Therefore if you are using bits of food as the consequence (which is recommended) you must make sure that the student is hungry. For students who are going to work seriously on such skills as following directions, they should not be served their normal breakfast and should earn their breakfast in small bits of food in the course of this training exercise.

If the student is adequately motivated (e.g., hungry) and if the reward is well chosen (e.g, bits of food that that the student likes), then providing the food reward after student executes the desired behavior will make the behavior of coming to you, when you give the direction “Come here, please,” more likely in the future. Another way of putting this result is that the reward procedure will increase the probability of the behavior occurring in the future—i.e., it will strengthen or accelerate the behavior.

Still another way of characterizing the result of a trial in which the behavior of coming here is rewarded after the direction “Come here, please,” is given, is this: the procedure has the effect of imparting some stimulus control to the direction “Come here, please” when you give it in the future. Each trial on which the behavior is rewarded just after you give that direction imparts a little more stimulus control, or a little more strength to the behavior. Eventually we strengthen the behavior so much that it reaches a point (a kind of threshold point) at which the behavior is shown as soon as you say “Come here, please.” 

At first, however, the student may not show the behavior at all when the procedure is initially used. In other words at that point the behavior may have no strength or so very little strength that it cannot be displayed. So, to help evoke the behavior, we have give it some outside assistance. For example, in the teaching procedure described below, the outside help or prompt that we use is twofold: (1) a hand signal that the teacher gives when giving the command; and (2)a push on the back that an aide gives to the student from behind, forcing him to walk forward toward you after you have said, “Come here, please.” We call this bit of outside help a prompt.

The prompt, combined with whatever low strength the “Come here” command may have, now evokes the behavior. We immediately reward it. As a result, the command acquires a little bit more stimulus control and the behavior a little bit more strength. Because of these changes, on the next trial the behavior may not need enough outside help (prompting) to be evoked. So we try to see if a slightly smaller prompt will now be sufficient to evoke the behavior. If it does, we reward the behavior. If it does not, we make the prompt a little stronger so that it will once again evoke the behavior and we reward it when it is evoked.

Thus the process is to gradually diminish the amount of prompt as the behavior grows stronger. We call this “fading the prompt” over successive training trials. Eventually we hope to reach a point where no outside prompting is required at all.

When using this strategy of prompting and then fading the prompt across a series of training trials it is important to try to select a prompt that can be faded in gradual stages. Physical prompts are often of this type.

In summary, when teaching a skill such as responding appropriately to “Come here, please!” there will be the need to use partial prompts that can be, hopefully, faded from trial to trial as the behavior strengthens. For each behavior of this type that we want to teach, we need to define what constitutes a full prompt and what the graded series of diminishing prompts will consist of.

For example, I suggest below some specific prompting steps that might be used as you teach a student to respond appropriately to the command, “Come here, please.” The table below not only shows the stages of the fading of the prompt but also provides a place where the teacher can record how much prompt was required on each trial.

Here are the recommended teaching procedures for teaching the student to respond appropriately to “Come here, please!”

  1. Student must be hungry for some food item that teacher possesses.

  2. The food item should be divided into very small portions to avoid satiating the student too quickly.

  3. The teacher has an aide to assist him/her with the prompting. Teacher is standing in front of the student and facing him, with an aide standing behind the student, facing his back.

  4. The teacher says, “John, come here, please!” and gives the come-here hand signal continuously until student starts to walk toward her/him on his own.

  5. Aide waits 5 seconds.

  6. If John does not come forward toward the teacher, the aide gives a full physical prompt by pushing him/her continuously from the rear (on the shoulder blades) toward the teacher until he/she is within a few feet of the teacher.

  7. As soon as student starts walking toward the teacher, in response to the command, Teacher stops hand-signaling, says “Good coming here,John!” applauds and gives a small food reward when the student reaches her.

  8. On each of the later trials the aide waits the 5 seconds for an unprompted response, before giving a prompt.

  9. If the student fails to start walking toward the teacher within the 5 seconds, the push-prompting should be used. A table such as the following could be used to record what stages of prompting are required. The teacher circles what prompts were needed to evoke the behavior.

    On later trials, the push prompting that may be needed during the early trials is, hopefully, gradually diminished (“faded”) until it is no longer given at all. Then the hand signaling is also gradually diminished to zero.

    The following table can be used to show what level of prompting was required on successive trials. The teacher puts a check mark beside the row that shows the prompting level that was required. An exception is row 3 where the teacher puts a number rather than a check mark, the number showing how many times the student had to be prompted on that trial.

PROMPTING LEVEL REQUIRED    trials-

1

2

3

4

1.      Full push prompt req’d throughout the action

 

 

 

 

2.      Push prompt required at start and at ___ stages during.(enter # of times->)

 

 

 

 

3.      Full push prompt required at start only.

 

 

 

 

4.      Hand against back (no pushing) required only.

 

 

 

 

5.      Hand touching clothes req’d only

 

 

 

 

6.      No push prompting required, but continuous hand signal still required throughout

 

 

 

 

7.      No push prompting req’d; hand signal req’d only at start

 

 

 

 

8.      No push prompting; hand (not arm) motion only req’d

 

 

 

 

9.      No push prompting; finger (not arm) motion only req’d

 

 

 

 

10.No push prompting and no hand prompting req’d

 

 

 

 

A major problem with this type of training scheme is that some students may become too prompt-dependent. For these students, the beginning of the prompt functions as a signal that allow the student to get started. As a result the student never gets started until a prompt is delivered. If this is still happening between step 9 and 10, you may have to try punishing the behavior as a refusal. After waiting the 5 seconds, say, “No refusing!” in a loud enough tone to be aversive. If necessary, shout it close enough to the ear to be a little frightening. Then try again. This may or may not help, but is probably worth trying.

Charting.

We need to develop a way to use precision teaching to record this type of “controlled operant” (as opposed to “free operant”) behavior. Possibilities:

  1. We can record number of trials offered by the teacher during a certain period of time and determine this rate

  2. We can record number of unprompted responses by the student during the same period of time, record both the number of unprompted and of prompted responses, and plot the rates.

  3. Another problem is measuring the progress during the period when the prompt is being faded. Here perhaps we could just give each trial a number that corresponds to the amount of prompt the student requires, where the number is taken from the chart above.  Using the successive timings type of chart, we could plot the number instead of the rate for each trial. This would not give us a rate but might be better than nothing.

We will need to develop comparable prompting and recording schemes for each of the other skills listed below.
 

Step 2. Good sitting.

The student learns to sit still for 30-60 seconds, with good posture, feet together, knees together, hands folded in lap and making eye contact with the teacher’s eyes. The teacher is sitting directly in front of the student.
 

Step 3. Working consistently at a transfer task.

The student is given a box with a hole in the cover.  His/her task is to transfer items from a bin into the box. The items can be nerf balls if there is danger of the student throwing the objects. We should consider developing a device that would measure the rate of work automatically.
 

Step 4. Working consistently at a task involving matching to sample (shape box).

The student transfers shapes from a bin into a shape box. This task is composed of three component substeps, each of which differs with respect to the number of shapes that are used. If the student can do step c below without having to go through steps a and b, then a and c can be safely omitted. The component steps are as follows:

Shape box with 2 shapes
Shape box with 3 shapes
Shape box with 4 shapes
 

Step 5. Sorting the shapes used with the shape box for 4 shapes.

The student is given a quantity of shapes that are to be sorted into separate piles according to their shapes. If the student can sort all four types of shapes (substep c below), he/she can skip substep a and b. Otherwise, the student should go through all of the steps:

  1. Sorting 2 of the shape-box shapes

  2. Sorting 3 of the shape-box shapes

  3. Sorting 4 of the shape-box shapes

 

Step 6. Nonverbal imitation

The student learns to imitate actions by the teacher such as: raising one hand; touching the nose; touching the head; clapping; raising two hands; standing up; sitting down

 

II. Learning to Mand by Pointing with a Pictorial Menu or by Exchanging a Card.
 

In this section, the curriculum steps take the student through the following subgoals:

  • The student learns to match photographs of the items that they will later be taught to request, or “mand.”

  • The student learns to associate the photograph with the object or activity that the photograph represents.

  • The student learns to request the item by doing the following:

    1. pointing to the picture in a pictorial menu, either on a computer, on a set of cards or on a printed menu; and by

    2. exchanging a card (to be called the “photocard”) containing a photograph of a wanted item with a teacher/aide;

In this section the student learns to exchange photocards for desired items. This goal is very similar to the goal of the PECS system.  The present curriculum differs from the PECS system in that I have tried, in designing it as well as in designing the other parts of this curriculum, to use certain principles of behavior analysis, programmed instruction, and precision teaching which are as follows:

  1. The terminal behavior to be taught (e.g., exchanging a communication card for a desired item) is analyzed and broken down into a set of discrete component skills.

  2. These component skills are arranged in a order that leads gradually, logically and cumulatively to the terminal behavior;

  3. The skills are then taught one at a time and not simultaneously. Until the student demonstrates fluency on the current skill he/she is working on, he/she is not permitted to start studying the next skill in the sequence.

  4. Mastery of each component skill is measured by using the tools of precision teaching.

  5. Whenever possible, the curriculum uses one behavior that has been taught to mastery, as a prompt to help evoke a new behavior that may be weak at first. When the new skill being taught becomes adequately strengthened,  the prompt is faded out or removed so that the new behavior will be under the appropriate stimulus control.


Step 1. Sorting the “target items” that the student will be eventually taught to mand.

The student will be given a group of 50 objects. The group will consist of 5 duplicates of 10 different “target items.”  His/her job is to separate (sort) each type of object into its own pile. The objects to be used will be the same objects that he/she will be learning to request later in the series by pointing, exchanging cards, and by vocalizing. Five of these items should be items that the student is not likely to want (e.g., paper plate, paper napkin, toothpick, empty paper cup, plastic fork, plastic knife, plastic spoon) Five of them should be items that he/she is likely to want if hungry or thirsty (e.g. piece of banana, dried fruit, chocolate soy milk, etc.) This step is comprised of the following eight substeps. If the student can do the last of the substeps (substep h) correctly and at the mastery fluency, he/she can omit the first seven substeps (substeps ag). If not, start the student at substep a and advance through all the substeps.

  1. Sorting 2 types of objects

  2. Sorting 3 types of objects

  3. Sorting 4 types of objects

  4. Sorting 5 types of objects

  5. Sorting 6 types of objects

  6. Sorting 7 types of objects

  7. Sorting 8 types of objects

  8. Sorting 9 types of objects

  9. Sorting 10 types of objects
     

Step 2. Sorting photocards that represent the 10 target items.

The student will be given a thoroughly shuffled and mixed up deck of photocards.. Each deck will be composed of 5 identical photos of each of the 10 “target items.”. Five of these sets will be for desired items and five of the sets will be for undesired items. All of the items chosen to be included (i.e., represented by photos/drawings) should be items that are small enough that it will be possible to place the item, together with other 9 items on the desk in front of the student.
 

Step 3. Matching-to-Sample photographs displayed on the computer

The pictorial menu that is used at  the end of each sequence in this software should be modified so that it has a special pictorial menu that contains photographs of the 10 target items. This menu should replace the menu that we previously have been using for the basic skills series. If the student needs prompting to point to one of the desired items in this menu, the teacher may give the student this prompt.

The student should go through Chapters 1-10 in the Basic Skills Series. Immediately following Chapter 10, I would like to try inserting a new chapter in which the images to be matched are the photographs of the 10 target items listed above. I would like to see if the students can master this skill at that point; however, if they cannot do so, we may need to insert the present chapters that involve matching letters and numbers (which are currently numbered Chapters 11-25?) between Chapter 10 and the new to-be-developed chapter in which the items to be matched are the photographs of the 10 target items. The chapters to be done are the following:

Chapter 1-3-student learns to touch a shape on a computer screen, moving through the sequence of the shape being stationary to the shape being in up to 9 locations.

Chapter 4-10-student learns to match shapes on a computer screen. On the first chapter within this group, size color, shape, and “oddity” all function as prompts to help the student match shapes successfully. On each successive chapter, however, one of these prompts is withdrawn until the student is using shape alone to get the correct answer.

Chapter 11-13-student match characters on a computer screen, to include uppercase and lowercase letters of the alphabet and numbers.

Chapter 14-This is a new to-be-created chapter in which the student will be matching-to-sample the same 10 photographic images of the target items. Once the student has mastered this new Chapter 14, he/she may advance to Step 3.

Teaching procedures to use:

The teacher/aide should use the level of prompting that is needed to help the student get the answer right and should gradually diminish the level of prompting until the student is doing the task correctly. If student correctly matches, he/she will receive a small piece of the real item. If the student makes an error, he/she should receive some immediate mild punishment. If a normal sounding “No, that is wrong!” is effective, that is fine. If it is not effective, the teacher/aide may need to use a loud “No,” and possibly even a loud no that is given close enough to his/her ear to be aversive.
 

Step 4: Tacting the 10 photographs from dictation on the computer (receptive vocabulary).

The names of the 10 target items are presented by the computer, and the student is asked, on each trial, to select the photograph of that item (e.g., “Point to the banana”). The choices will be drawn from the set of photographs of the ten target items.
 

Step 5: Using the computer pictorial menu to point to a photograph to ask for a reward.
[Basic Skills Chapters 15-26 (formerly chapters 14-25)]

At this point the teacher should try to get the student to select a photo from the  pictorial menu that is used with the Basic Skills program without a full physical prompt and eventually without any physical prompt at all. This training can take place as the student does Chapters 15-16 (previously numbered as Chapters 14-25). These are the chapters in which the student matches Boardmaker icons and other photographs on the computer.


Step 6:  Matching the photocards to the target items using, as a prompt, the student’s skill in matching-to-sample the photocards.

Student should be given the same deck of photocards described in Step 2 above. The cards should be shuffled well so that they are not in any particular order. In front of the student should be placed 10 (transparent if possible) plastic containers each of which contains one of the 10 target items. Attached to the back of each container, and sticking up above the top of the container should be a photocard that is a representation of the item that is to be placed (sorted ) into that container. The student’s job is to take the top photocard in the deck, and place it in the container that contains the real item that is the subject of the photograph on his/her card. The student is aided by the fact that each container has, attached to its rear wall and sticking up above the container, a photograph of the item that is in the container. By simply matching the card in his/her hand with the same card that is sticking up above the container that contains the photographed item, the student should be able to place the card from the deck into the appropriate clear container.  Then the student does the same thing with the next photocard in the deck, and so on. The containers should be large enough so that the cards, when placed in them, do not obscure the real items that they contain.
 

Step 7: Matching the photocard to the real item without any match-to-sample prompting.

This step is identical to the preceding step (6) except that there is no photo/drawing attached to the container to assist the student to get the correct answer. Teaching procedures are the same as in Step 3.
 

Step 8: Matching a real item to the associated photocard.

This is a reversal of the procedure in the preceding Step 7. Now the 10 plastic containers will each contain a photo of one of the10  different items.  The photos will be attached to the back of the containers as in step 4 above. The student is given a mixed group of the target objects. There are more than one instance of each object in the group. The student’s job is to take each of real objects and place it in the correct container. Teaching procedures are the same as in Step 3.
 

Step 9: Manding by matching a photocard to real item. (“What do you want?” part 1)

The teacher places 5 photocards in a line on the desk in front of the student. Four of these will be photographs of items that are nonedible and for which he/she has no apparent need. For example, one could be a photograph of an empty cup, one of a napkin, one of a plastic spoon, and one of a plastic knife. The fifth should be a photo of a food item that the student is likely to want (e.g., a piece of banana). For each trial, the photocards are arranged in a different order so that they do not appear at the same positions each time. On each trial the teacher/aide says, “What do you want?” The student picks up one of the photocards and places  it on top of the container that contains the item he/she wants. The teacher gives the student whatever item he/she has placed the photocard on top of. After the student is selecting the desired item consistently, the teacher changes the item that is functioning as the desired item. Teaching procedures can be the same as in Step 3 above.
 

Step 10: Manding by handing the photocard to the teacher (“What do you want?” part 2)

This step is identical to Step 7 except that the teacher now intercepts the photocard before it gets to be placed in the bin that has the real item and gradually requires the student to simply give the teacher the photocard instead of placing it in one of the bins. Teaching procedures are the same as in Step 3 above.
 

Step 11: Manding by handing the picture to the teacher with an enlarged set of choices with the target group of items (“What do you want?” part 3)

After the student is doing step 8 consistently, requesting the desired item by giving the appropriate card to the teacher, gradually enlarge the choices to 6 cards, in which there are now two desired items. Once the student is consistently choosing either of the two desired items, gradually continue the expansion of the number of choices until there are 10 choices in front of the student, five of which are “desired” items, with the position of the items continuing to be altered from trial to trial.
 

Step 12: Manding by handing other photocards to the teacher (other than those that show the 10 target items).

[Further curriculum steps need to be written for expanding the number of photocards the student is able to use for choosing what he/she wishes. These steps will use some of the same procedures described above. In the course of these steps the student will learn to (1) select and exchange the new photocards  from a set that is placed in front of him/her on the desk, that is displayed on a bulletin board, or that is contained in a book of photocards; and (2) to point to these new photos when they appear on a pictorial menu on a computer screen or on a bulletin board, or on a cardboad pictorial printed menu.].

 

C. Learning to Mand by Naming the Desired Item

Step 1. Echoing the names of the target items.

The ten names of items are used. The teacher says a name and the student is required to repeat the word after hearing it from the teacher. If the student answers incorrectly, the teacher uses the punishment procedure suggested in sectionA4 above. If the student gives no answer, the teacher uses a minimal echoic prompt. For example, the teacher uses the prompt progression “B”à ”Ba”à”Ban”à ”Bana”à ”Banan”à ”Banana”  .:
 

Step 2. Tacting the target items

The ten real items that are used in Section A are also used in this step. The ten items are placed in front of the student. The teacher points to, or picks up, one of the ten items and says, “What is this?” The student responds by naming the item correctly. If the student answers incorrectly, the teacher uses the punishment procedure suggested above in step A4 and then give as small an amount of echoic prompting as possible. For example, use the prompt progression “B”à ”Ba”à”Ban”à ”Bana”à ”Banan”à ”Banana”  . If the student gives no answer at all, the teacher uses as small an amount of echoic prompt as possible. The goal is for the student  to tact each of the ten items with the need for any echoic prompting. If the student answers correctly, without requiring an echoic prompt, the teacher gives the student praise, a token, and the item that the student just tacted.
 

Step 3. Manding with the help of a tactual prompt and with minimal echoic prompting.

The teacher places one of the desired items in front of the student. The teacher says “What do you want?” If the student gives no response, the teacher points to the banana to prompt a response. If still there is no response, the teacher gives a minimal echoic prompt for “banana.” If the student answers correctly, he gets a bite of the item he just named. If the student answers incorrectly, he is handed whatever item that he has just named

The teacher now puts another desired item in front of the student and says “What do you want?”. The teacher repeats the procedure, prompting with as minimal an echoic prompt as is needed. If the student gives the correct name, the student gets praise, a toke and a bit of the item. If the student gives the name of one of the other items that are in the set, the teacher gives the student that item.

The procedure is repeated until all 5 of the desired items have been used as tactual prompts. The cycle is then repeated, going through the 5 desired items again , but in a different order. The cycles continue until the student is able to answer consistently with the name of the desired item that is on display, and without the need for any echoic prompting.
 

Step 4. Manding without the help of a tactual response as a prompt and with no echoic prompting. 

No items are present. The student is asked, “What do you want?” If the student answers with the name of one of the desired (or undesired) items, the teacher gives him/her the item he just manded. If he/she gives no answer, the teacher, after waiting for a period of time, prompts with the name of one of the desired items, using as minimal an amount of echoic prompting as possible.

Then the teacher again says, “What do you want?” If the student gives the name of any item (desired or undesired) the teacher gives the student the item in question. If the student give no answer, the teacher, after waiting for a period of time, prompts with the name of one of the other desired items, using as minimal an amount of echoic prompting as possible. If the student keeps asking for the same thing, prompt the student to ask for something different by briefly flashing a look at a different desired item.

The teacher repeats the procedure. If the student gives no answer, the teacher uses a minimal echoic prompt for one of the other desired items (not the two that he/she has used in the first two trials). Eventually the teacher has used all five of the desired items as the word that the teacher prompts echoically.

In the course of doing this, if the teach withholds his/her echoic prompt for a long enough time, some students may vocalize one of the names of the items without echoic prompting. If he/she does so, the teacher of course gives the student the item he/she has just named.

It is also possible that other types of prompting could be used instead of echoic prompting. For example, the teacher might quickly flash the picture of a possibly desired item or the item itself. In any case, this step not considered mastered until the student (1) is able to mand without any prompting whatsoever; and (2) is able to mand any items that he/she wants, and not just the “target items that were used during the teaching process.”


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