Step By Step 17dialectical Behavioral Training



Step By Step, Inc. Provides community support services to individuals with intellectual disabilities, behavioral health difficulties, autism spectrum disorders and physical disabilities through multiple Pennsylvania counties in the Northeast, Lehigh Valley, Southeast and Greater Pittsburgh areas.

  1. Step By Step 17dialectical Behavioral Training Techniques
  2. Dialectical Behavioral Therapy Workbook Pdf
  3. Dialectical Behavioral Therapy Pdf
  4. What Is Dialectical Behavioral Therapy

During the last 20 years, a variety of terms have been coined to describe those life skills that allow individuals to self-care and function independently in society. Amongst these terms, you will find independent living skills, daily living skills, functional curriculum, functional skills, life skills and survival skills.

Training Formalized staff and parent trainings can be provided on topics related to the needs of individuals with autism spectrum disorders or other neurological disorders, as well as children presenting with serious behavioral challenges. About Dialectical Behavior Therapy (DBT) Dialectical Behavior Therapy (DBT) is an evidenced-based therapy designed to treat people who experience suicidal thinking and behaviors that are disruptive such as maladaptive coping skills and self harm. Step 3: Once you have defined the behaviors to increase, rewards, and consequences, now is the time to ascribe value to each behavior. For example, you may decide that “John will follow directions from his parents the first time they are given, and within 2 minutes” is worth 1 point.

Although they may not describe the exact same set of skills, they all describe sets of skills that empower us to become independent adults successfully functioning in our communities.

Kids learn many of those skills through observation and imitation. But the reality for children with disabilities (cognitive, developmental, physical, sensory) may be different.

Life skills training is vital for them. Skills that most kids learn through observation may need to be specifically trained in kids with disabilities.

Table of Contents:

  • Life Skills: Activities of daily living (ADLs) definition
  • Why are ADLs so important
  • Life Skills Training, Autism and/or Learning Disabilities
    -Importance of life skills training for kids with disabilities
    -Factors that may be affecting the acquisition of independent living skills
  • How can I teach my kid with autism and/or a learning disability independent living skills?
    -Chaining Methods
    -Prompting Strategies
    -Additional Tips
  • Independent Living Skills Checklist

Life Skills: Activities of daily living definition.

Activities of daily living (ADLs) are those things we normally do in daily living including any daily activity we perform for self-care such as feeding ourselves, bathing, dressing, grooming, work, homemaking, and leisure. The ability or inability to perform ADLs can be used as a very practical measure of ability/disability in many disorders.
Source: MedicineNet

The concept of ADLs was coined by Sidney Katz, the American scientist and educator who developed the Index of Independence of Activities for Daily Living.

ADLs can may be split in two categories: Basic ADLs and Instrumental ADLs.

Basic ADLs

Basic ADLs are the self-care skills that are fundamental for your everyday life functioning.

These activities would include:

  • Dressing
  • Feeding
  • Bathing/Showering
  • Personal Hygiene
  • Toileting

Instrumental ADLs (IADLs)

IADLS are skills that are not necessary for fundamental functioning but empower you to function independently in the community.

Examples of activities that would fall in this category would be the ones related to:

  • Home maintenance
  • Transportation/Mobility
  • Money management
  • Personal safety and health care
  • Community participation
  • Communication and interpersonal relationships
  • Leisure and recreation

Why are Activities of Daily Living Important?

Activities of daily living:

  • Allow us to take care of ourselves
  • Empower us to participate independently in society
  • May be a factor in medical decision making
  • May serve as a guidance as to the level of support/ assistance an individual needs
  • Lack of performance may highlight areas that need training/instruction

Step By Step 17dialectical Behavioral Training Techniques

Life Skills Training, Autism and/or Learning Disabilities

Importance of life skills training for kids with disabilities

Why is it important to trained kids with autism or learning disabilities in independent living skills?

Skills that most kids learn through observation may need to be specifically trained in kids with disabilities.

Even autistic teens with good cognitive abilities present in approximately 50% of cases a daily living skills deficit.

Research on life skills training and intervention for students with learning disabilities suggests that:

  • Life skills are appropriate for all students
  • Life skills should be part of the school curriculum
  • Vocational training is an important skill to cover
  • Life skills are best taught in the natural context
  • Life skills should be addressed daily
  • Parental understanding of life skills instruction can be advantageous
  • Challenges to teaching life skills do exist
  • Transition planning is important to overall quality of life

Source: Life Skills Curricula for Students with Learning Disabilities: A Review of the Literature – Mary E. Cronin

Factors that may be affecting the acquisition of independent living skills in kids with autism and/or learning disabilities

What may be interfering with the development of those independent living skills?

Some of the reasons behind this reality may be:

  • A deficit in attention skills
  • Interfering behaviors
  • Sensory issues
  • Lack of motivation, not understanding the social motivations for self-care
  • An absence of prerequisite skills
  • Motor skills issues

Some other times, us parents are unintentionally depriving them of learning opportunities by:

  • Being overprotective
  • Underestimating their skills
  • Going the easy route and doing everything for them

How can I teach my kid with learning disabilities or autism new independent living skills?

Kids with learning disabilities or autism may need to be specifically trained to learn new skills. Chaining is an instructional method very appropriate to teaching life skills.

What is a Chaining Method?

A new skill can be looked at as a chain of individual tasks or steps in a sequence Each step of the sequence will be reinforced and trained individually. There are several types of chaining methods depending on what step of the routine you start training.

Types of Chaining Methods

Forward Chaining.

Every step in the chain is taught in the naturally occurring order. Success on the first step is reinforced (for example, praised), and training proceeds to the next step only when the first step has been successfully trained.

Total-Task Chaining.

This is a variation of the previous method. In this method, the complete chain is taught in every session

Backward Chaining.

The training starts with the last step of the sequence. It only moves to the next step once the last step has been successfully trained.

If you wish to read more on Chaining Methods (step-by-step examples) please, check my post: Teaching Life Skills in Special Education: Chaining

Prompting Strategies

In order to train each step of the chain we may need to use different promoting strategies (listed from most invasive to less invasive):

  • Physical prompts – physically guiding your kid through the response
  • Modeling – we model the step/ behavior that we want to teach
  • Gesture prompts – gesturing or pointing to the correct response
  • Verbal prompts –
  • Visual prompt –pictures or texts that support learning the sequence.

Additional Tips When Using Prompts to Support Instruction

When using prompts to support instruction it is important to:

  • Use the least invasive level of prompting required, and
  • Remove the prompt as soon as possible in order to allow the independent accomplishment of the steps.

Dialectical Behavioral Therapy Workbook Pdf

Pdf

Dialectical Behavioral Therapy Pdf

Independent Living Skills Checklist

If you are looking for inspiration on what life skills you could be considering teaching to your child, you are welcome to download our own checklist that includes 100+ life skills.

This is not a checklist by age. I find those checklists a bit overwhelming as they remind me of all the milestones that we have missed. Instead, it is a general list of skills that are important and that we need to keep in mind when we choose what skills to target.

For us, parents of kids with special needs, our choices will be influenced by factors like:

  • Skills already acquired
  • Skills they will have more opportunities to practice and maintain
  • Areas where they have more learning difficulties
  • “Easy wins”
  • Skills that will have more impact on their independence

Download your Independent Life Skills Checklist below:

Other resources for parents with kids with autism or special needs

What Is Dialectical Behavioral Therapy

  • Autism Elopement Prevention: 30 Tips to Prevent Autism Wandering
  • Autism & Head Banging: How to Prevent it or Minimize Harm
  • Music Therapy & Autism: How to Improve 18 Valuable Skills
  • Autism & Anxiety: Triggers & Calming Strategies