1. SART: Strategy Assessment and Revision Tool A Tool for Evaluating, Revising, or Creating Plans PART FOUR A division of the ESC of Central Ohio linking research to real life. Co-Developers Wendy Szakacs OCALI Regional Consultant Chris Filler OCALI Program Director Lifespan Transitions Center

2. Consideration of the Incredible 5-Point Scale Person Josh Environment Workshop Some verbal Communication Behavior Assessment Anxiety reactions – “Fight or Flight” Difficulty recognizing internal emotions

3. Consider the “Incredible 5-Point Scale” Controls emotional reactions Student participates Identifies problem Enhances alternative, positive behaviors

4. RatingDescriptionWhat to try 5 HAVE TO BE DONE! Have to leave the room Go to Sensory Room. Do calming sequence 4 Dizzy; can’t workTake a breather – walk around area for a few minutes 3 Stomach ‘tight’, ‘upset’ or ‘hurt’ Deep breaths 2 “Buzzing” in my upper arms Squeeze a fidget 1 Chilling out; able to pay attention; able to work Keep it going Josh’s Incredible 5-Point Scale

5. Five Point Scale Visual/Tactil e: Yes! Sensory: Can include sensory based interventions Positive Reinforcement: Uses desirable outcomes as part of the focus Individualized, Motivating: Each scale is designed for the specific person Teaches What To Do Yes, the scale should help identify the issues and suggest alternative s Predictable and Consistent Although it can be modified, the scale is familiar and unchanging Implemented with Consistency The strategy emphasizes the need for all to use consistently

6. Josh’s SART YES?NO?MAYBE? 5 Point Scale

7. Consideration of Hand Over Hand Prompting Individual Molly Environment Day Program A few spoken words Behavior Assessment “Difficulty completing tasks” Yelling, kicking, biting is communication and VERY Sensory sensitive

8. Hand Over Hand A Physical Prompt: Adult guides hand of individual to complete an action or task Goal: Staff will assist Molly in learning how to complete work task independently

9. Hand over Hand Prompting Visual/Tactile: To an extent, but is not static. May not be clear as only prompting, not demonstrating Sensory: Can violate a person’s personal space Positive Reinforcement: Not Required as part of the strategy Individualized, Motivating: Possibly, but does not take into consideration individualization as a necessary part of the strategy Teaches What to Do: Yes Predictable and Consistent: Can be if the facilitator assures it is provided under the same conditions each time Reliable implementation: Can be if the support staff carefully evaluates how and when the strategy is implemented

10. Molly’s SART YES?NO?MAYBE? Hand Over Hand Prompt

11. Hand over Hand Prompting Revised Visual/Tactile: Create a picture sequence of task Sensory: Hand UNDER Hand. Stand to side if possible- Do not ‘trap’ Positive Reinforcement: Extra time with favorite staff after task completed Individualized, Motivating: Add music during task. Sing steps maybe? Teaches What to Do: Yes Predictable and Consistent: Yes. Make sure everyone knows the Plan! Reliable implementation: Yes. Start with same person. Make sure everyone knows how to implement

12. Consideration of Verbal Prompting and Instruction Individual Marcus Minimal Communication – Few Words Environment Day Program Community Exploration Behavior Assessment Yells, Throws Items, Pinches sometimes when getting on van/going in new community setting Anxiety. Not sure what to expect. Schedule Changes.

13. Verbal Prompting and Instruction Verbal Prompting Instruction: Support Person telling individual what to do and how it can be done. Goal: Staff will assist Marcus to move calmly to and from van to new environments

14. VERBAL Prompting & Instruction Visual/Tactile: Nope Sensory: May be difficult to tolerate if he has auditory sensitivity Positive Reinforcement: Not generally considered as part of verbal prompting Individualized, Motivating: Possibly. Could consider the individual's communication style Teaches What to Do: Yes! Predictable and Consistent: Could Be. If everyone uses the exact same words/process Reliable implementation: Could Be. If the support staff carefully evaluate how and when the strategy is implemented

15. Marcus’ SART YES?NO?MAYBE? Verbal Prompting

16. Verbal Prompting and Instruction Revised Visual/Tactile: Create a visual schedule / picture sequence. Visual Choices Sensory: Well Paced Language. Initial activities are short Positive Reinforcement: High Fives! “Nice Choice’! “So glad you are joining us!” Individualized, Motivating: High Interest Activities Only (to start) Teaches What to Do: Yes. Predictable and Consistent: Same Schedule, Same Plan, Same Approach. Practice with Marcus Reliable implementation: Train Staff Intensely.