Association for Behavior Analysis International

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33rd Annual Convention; San Diego, CA; 2007

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Symposium #488
Establishing Self-Care Routines for Children with Autism: Toileting and Menstruation
Tuesday, May 29, 2007
10:30 AM–11:50 AM
Mohsen AB
Area: AUT; Domain: Applied Research
Chair: Rena J. Sorensen-Burnworth (Cincinnati Children's Hospital Medical Center)
Abstract: This symposium addresses toilet training and menstruation issues for children with autism. Toilet training and managing menses are critical life skills; incontinence and poor hygiene impede an individual’s quality of life by restricting socialization opportunities and educational, vocational and residential placements. Selected presentations include an overview of the literature for teaching self-care routines to children with autism and developmental disabilities, assessment and intervention for a child resistant to bowel movement training, communication training for toileting, and an intervention for teaching menstruation management. All presentations are data driven, provide protocol explanation and include samples of applied case studies.
 
Self-Care Training for Persons with Developmental Disabilities: A Critical Analysis of the Literature.
KIMBERLY ANN KROEGER (Kelly O'Leary Center for Autism Spectrum Disorders), Rena J. Sorensen-Burnworth (Cincinnati Children's Hospital Medical Center)
Abstract: The current presentation will describe the current state of the literature regarding self-help skills, reviewing data driven protocols and state of the art for intervention. The presentation will cover the following: history and review of self-help skills as they apply to the developmental disability population, standard treatment procedures and interventions, and specialized interventions for treatment-resistant individuals or behaviors. Included studies will be reviewed and considered based upon common procedural methodology and behavior analytic data-collection and intervention procedures.
 
Assessment and Intervention for Bowel Movement Training the Resistant Child with Autism.
RENA J. SORENSEN-BURNWORTH (Cincinnati Children's Hospital Medical Center)
Abstract: The current presentation will describe an antecedent assessment and treatment development designed to reduce bowel movement accidents in a child with autism living at home. The individual was successfully trained for urination; however, he remained incontinent for bowel movements despite several attempts to train. A medical evaluation revealed impaction; however, effective management of this condition did not assist with toilet training. An informal antecedent analysis was used to determine the necessary conditions to occasion bowel movements for this individual. Based on this analysis, a treatment protocol utilizing antecedent manipulations and reinforcement procedures were used to treat the behavior. Stimuli that that occasioned bowel movements were initially paired with the bathroom and were systematically faded until a typical toileting routine could be established. Bowel accidents reduced to near zero levels. Frequency data on accidents and successful toileting and the specific components of treatment and fading will be displayed and discussed. The presenter will stress the importance of antecedent analysis of bowel movement accidents before implementing a treatment protocol in individuals who are resistant to bowel movement training.
 
“Potty, Please:” Teaching Children with Autism to Communicate.
THADDEUS NESTHEIDE (Cincinnati Children's Hospital Medical Center), Kristn Dawn Currans (Cincinnati Children's Hospital Medical Center), Rena J. Sorensen-Burnworth (Cincinnati Children's Hospital Medical Center)
Abstract: Toilet training children by schedule training can often lead to prompt dependency where the child waits to be cued to initiate the toileting routine. This is especially evident in community or unfamiliar environments. Often cues take the form of an adult providing a reminder or scheduled sitting times. A protocol for increasing independent communication for toileting was implemented and empirically evaluated. The protocol consists of blocking access to the toilet and prompting appropriate communication. Prompts were systematically faded. Protocol explanation is provided and sample cases highlighted. Data demonstrate successful communication initiations for toileting.
 
Menstruation Training an Adolescent with Autism.
NICOLE M. BING (Cincinnati Children's Hospital Medical Center), Rena J. Sorensen-Burnworth (Cincinnati Children's Hospital Medical Center)
Abstract: The current presentation will describe and review a skills training program for menstruation training for a young adolescent with autism living at home. In preparation for menstruation, a skills training protocol consisting of a social story and positive practice were utilized to teach the necessary skills for independent use of sanitary napkins. Task analysis data demonstrate acquisition of the skills. Skill fading included working on the skills during an isolated practice time 2-5 times per week to all-day practice once per week to practicing all day, every day for a full week, prior to onset of menstruation. When the adolescent began menstruation, skills were successfully generalized. Task analysis data on skill acquisition prior to menstruation and generalization of skills during menstruation will be displayed and discussed. The presenter will stress the importance of pre-planning and skill training prior to menstruation.
 

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