Read time: 5 minutes

For some of our children/adults, clothing in general may present discomfort. With the pandemic we are facing today, it may be necessary for your child or adult to wear a mask while out in public. In this article we will teach you 5 steps to help your child/adult tolerate wearing a mask while out in public.

Allow the child/adult to become familiar with the mask by playing with it, modeling how it is used on a favorite stuffed animal or on yourself. We want our child/adult to know that there is nothing scary about the mask!
As part of the teaching process, we can use a social story if the child/adult understands the concept. We would not solely suggest this as the only method but it may be helpful if the child/adult understands the information being provided. A link to a social story about wearing masks can be found here: Wearing a Mask Social Story
When the child/adult has become more familiar with the mask, begin requiring that the child/adult wear the mask and time how long they are able to tolerate it. This will be our starting point! If the child/adult takes it off after 1 minute, we may need to start at 45 seconds and provide praise and lots of reinforcement once you hit 45 seconds when you practice.
We will then start increasing the time required to wear the mask. If we had 3 successful times of tolerating the mask at 45 seconds, we can then move onto 1 minute, then 3 minutes, then 5 minutes, then 10 minutes and so on while doing other things at the same time (i.e. reading a book, playing with blocks, going for a walk). Our mission is to increase the time gradually and successfully while making the process for the child/adult less aversive. This is a procedure we call shaping. Think of it as creating the shape of a clay bowl: we must work on the small steps over and over again until we can achieve our biggest goal.
The next step will be to test in the natural environment. Take your child/adult to a place where a mask may be required (i.e. grocery store). Remind the child/adult of the expectations before arriving and remind them of what was practiced at home. If the child/adult does not tolerate the mask in a public place, we may need to take a few steps back and test again to see where we need to work on and try again.

Additional COVID-19 social stories: Autism Little Learners

We hope these steps are useful to you in these times! If you have any questions, please email me at amarilys@amabehavioralconsulting.com

Read Time: 5 minutes

Teaching activities of daily living are one of my favorite areas to teach as a behavior analyst. With each daily living skill I teach, I am able to provide each learner with a skill that they will be able to perform for the rest of their lives. We are able to teach a range of daily living skills from riding a bike, to getting dressed, to learning how to dial a caregivers phone number to making food for themselves.

As behavior analyst, we individualize our teaching procedures for each of our learners. We will talk about the three primary ways we teach a long list of steps like teaching activities of daily living.

Selecting a teaching technique varies greatly by the learner. It is important to consider the following:

How many steps does the learner already know?
Will the child need to access to reinforcement quickly (i.e. a break, praise, etc)?
How strong are the child’s motor skills (as this will influence how much prompting will be required)?

The first technique is forward chaining. In forward chaining, we teach each learner to complete the very first step of the task and help them through the rest of the steps in the task. Once the first step has been acquired, the second step is taught. When the second step is acquired, the third step is taught and so on. For example, when teaching a child to comb their hair, the first step would be to teach him/her to pick up the hair brush and prompt through the rest of the steps. Once the child has acquired picking up the hair brush on their own, we would then require the learner to pick up the brush (step 1) and place the brush on their head (step 2) and so on until we are able to require them to complete the entire task.

The second technique is backward chaining. In backward chaining we only require the learner to complete the final step of the task. Similar to forward chaining the learner is taught one step at a time and then required to complete the acquired step and the previous step in the routine. When teaching shoe tying, the learner would be helped through the entire task and then required to complete the last step (i.e. pulling the loops to complete the tie). Once this final step is mastered, the learner would be required to make the loops and also pull the loops to complete the tie. The same sequence would continue until the learner knows all of the steps.

The final technique used is called total task chaining. In this technique the learner is taught the entire task receiving assistance as needed. This technique is great to use if the learner already knows some of the steps and may only need a little assistance. When teaching to make a PB and J sandwich, the learner may know how to gather the ingredients to make the sandwich but may need assistance with spreading the peanut butter and jelly and putting the ingredients away. In this example, the person assisting would refrain from prompting the learner in the areas they know and assist in the steps the learner has not yet acquired.

Our learner in this video, learned to complete his shoe tying task using forward chaining in which we taught the first steps of the chain and continued to add on to the task as he acquired the steps. In a very short period of time, our lovely guy was asking for the rest of the steps to complete the task on his own! We are so proud of him! You may also be able to hear his brother providing him with positive reinforcement by cheering him on!

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Teaching Your Child/Adult to Tolerate Wearing a Mask

Teaching Your Child To Be More Independent