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shorten this info please: In developing a comprehensive plan for Mary Poppins (MP) to address her recent diagnosis of autism spectrum disorder (ASD), it is crucial to implement strategies that are applicable across various environments, and emphasize the fading of supports as success criteria are met. Program Implementation Across Environments General Strategy Application: Encourage consistency across environments such as home and therapy settings by using the same prompt words and visual aids to signal behavior expectations like “stop” or “stay close.” Educate all caregivers, including siblings and parents, on these signals and their significance, and encourage them to consistently use these cues. This can help MP apply her learning across different contexts and make transitions between environments smoother. Involvement of Family: Since MP lives in a multilingual home, it is essential that any interventions, like AAC device use, incorporate Spanish alongside English. Providing multi-language communication options can foster a more inclusive environment and helps bridge cultural and linguistic gaps. Family members should be involved in sessions to learn the functions of the AAC device and practice role-playing scenarios where MP makes requests or expresses needs. Behavioral Interventions: Use culturally-relevant reinforcement. For example, praise or activities that are more meaningful to MP’s family context can help maintain motivation for new skills and behaviors. Address elopement by establishing clear rules about staying close and reinforce walking alongside caregivers with immediate positive reinforcement, such as access to a favored activity like playing with blocks after a successful outing. Plan for Fading Supports Initial Support and Gradual Reduction: Start with higher levels of support and structure, including visual aids for comprehension and AAC devices for communication. As MP meets her milestones, gradually reduce prompts and increase her independence. Implement a systematic fading plan for assistance with tasks such as transitioning or following safety instructions. Phased reductions can include moving from full prompts to partial or gestural prompts, and then to natural cues. Reinforcement Systems: Shift from tangible reinforcers, such as stickers or tokens, to more social reinforcers like verbal praise or high-fives as MP begins to follow instructions independently. Use a schedule that gets progressively less frequent (e.g., from giving a reward every time MP behaves appropriately, to only providing it intermittently). Monitor and Adjust: Regularly assess MP’s progress using the VBMAPP and adapt the support plan as necessary based on data from her assessments. If MP regresses or requires additional support in a new environment, temporarily reintroduce some supports and then fade them again as MP adapts. By applying consistent, culturally-sensitive strategies across environments and carefully planning the reduction of supports, MP can achieve greater independence while minimizing challenging behaviors like elopement and tantrums. Engaging MP’s family by fostering understanding and cooperation will also be vital in ensuring that intervention strategies are applied effectively in the context of her multilingual and familial environment.
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