HANDSinAutism.IUPUI.edu | [email protected]
TRAINING FOR SUCCESS INWARSAW COMMUNITY SCHOOLS:
AN APPLICATION OF THE HANDS IN AUTISM® MODEL
HANDSinAutism.IUPUI.edu | [email protected]
HANDS in Autism® Interdisciplinary Training & Resource Center and Model
oWho we areoThe Curriculum, Framework, & Process
The Warsaw StoryoHistorical engagementsoRepresentative program/case example
Reflections and lessons LearnedoSchool/district level contextoDistrict and school perspectives on collaboration
Q&A
LEARNING OBJECTIVES
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HANDSinAutism.IUPUI.edu | [email protected]
OUR MISSIONS
Provide unique learning opportunities towards improving understanding of the process and increasing skills in working with individuals with autism and a range of other developmental and behavioral challenges through hands-on and interactive experiences towards effective implementation.1
HANDSinAutism.IUPUI.edu | [email protected]
Build bridges of information, resources and collaboration across family, educational, medical and community systems.
2
HANDSinAutism.IUPUI.edu | [email protected]
Building local capacity through continuous learning and demonstrations of effective implementation of the following:1. Evidence-based practices supporting individuals with autism
spectrum disorder (ASD) and other neurodevelopmental and behavioral disorders across home, school, medical and other community settings.
2. Regional community networks composed of diverse, interdisciplinary stakeholders bridging across systems and settings with a focus on shared responsibility for positive individual and family outcomes.
VISION OF THE HANDS IN AUTISM® CENTER
HANDSinAutism.IUPUI.edu | [email protected]
OUR RANGE OFOPTIONS
Level 4: Individualized programming
Level 3: Intensive Training/Consultations
Level 2: General Training/Consultations
Level 1: Dissemination
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CUSTOMIZABLE TO NEEDS(INFORMED AND FLEXIBLE RE: ROLES, LEVEL)
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IMPACT OF OURCOLLABORATIONS
HANDS IMPACT
Across
Across 92 Counties
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WHAT DOES THE RESEARCH SAY?
“When a student fails to learn,
it is often because the student’s abilities and
the instructional programdo not match.”
(Yell, et. al, 2005)
HANDSinAutism.IUPUI.edu | [email protected]
THE HANDS MODEL(THE “HOUSE”)
TRAINING CURRICULUM (EBPS), FRAMEWORK (SYSTEMATIC &
COMPREHENSIVE), & PROCESS(BST)
Fidelity of implementation
towards local capacity and sustainability
HANDSinAutism.IUPUI.edu | [email protected]
FOLLOWING THE EVIDENCETraining Curriculum
Steeped in Evidence-Based Practices• Module-specific content
• eLearning materials for independent review and practice• Guiding worksheets for analyses and use
• How-to videos, informational handouts, and resources• Visuals and supports to support implementation
• Data tools for ongoing progress monitoring
HANDSinAutism.IUPUI.edu | [email protected]
FOLLOWING THE EVIDENCE
Training FrameworkComprehensive Models vs.
Single Strategy Interventions
• Fosters use of a data-drive decision-making process
• Increases sustainability of practice• Integration of EBPs and other
strategies in practice• Provides context to assimilate with
current practices• Supports successive
accommodation of new learning
HANDSinAutism.IUPUI.edu | [email protected]
FOLLOWING THE EVIDENCE Training ProcessBuilding on principles of adult
learning through use of established Behavioral Skills
Training (BST) processes
Figure 1. Increased knowledge, skill, and use in the classroom by training style (Joyce & Showers, 2002).
HANDSinAutism.IUPUI.edu | [email protected]
HANDS IN AUTISM® MODEL3 Core Components Together:
Comprehensive Curriculum• Module-specific content
Hands-on Training Process• BST training process
Structured Framework• Comprehensive training and
service framework
HANDSinAutism.IUPUI.edu | [email protected]
PROGRAM LEVEL PROCESS• Pre-Post-Follow up Measurements
• District needs assessment• Primary measures for knowledge, application, implementation• Ongoing measures for satisfaction and directed feedback• Starting Unit/Modules Identified
• Information and Program Preview Coordination• Teamed logistics (times, flow)• Review of Pre-data• Roles for HANDS and District Admin and Staff• Consenting across families, staff, students
• Ongoing evaluation for iterative process (satisfaction, module checklists for directed feedback)
• All levels engaged--3-7 year process for systems change
HANDSinAutism.IUPUI.edu | [email protected]
GENERAL PROGRAM INTERVENTION FLOWTraining Process
Web calls (supplemented with
visit training activities)
Videos, demonstrations, scheduled times
during visits
Opportunity for practice, feedback, and debrief specific
to the module
Coaching implementation with
added students, contexts, and modules
Booster and refine implementation of module in practice
across other contexts
Self-assess ongoing with HW and practice to
maintain fidelity and integrity of modules
HANDSinAutism.IUPUI.edu | [email protected]
TRAJECTORY IN REVIEW: WARSAW COMMUNITY SCHOOLS*ADDED/NEW
Interactive workshops (school, medical, community)
Setting-based consultationGateway student
District needs assessment
Collaborative ClassroomLakeview MS (Year 1 intensive students)
Intensive week-long Team (HS, MS, district) participation
Collaborative Classroom: Warsaw HS (Year 1); MS (Year 2)
Setting-Based ConsultationsIntensive week-long selected personnel (elementary)
Interactive workshops & conference (families/school)
Collaborative Classroom: HS (Year 2); MS (Year 3)
Intensive student consultationSetting-Based ConsultationsIntensive week-long selected personnel (elementary)
Interactive workshops & conference (transition/families/community/school)
Collaborative Classroom: HS (Year 3; 2nd class-year 1); MS (Year 4)
Intensive consultation (booster)
Setting-Based ConsultationsIntensive week-longselected personnel (transition/altern ed)
In planning:
Pre-ETS Services
Local Community Cadre Summit
2011-2014
2015
2016
2017
2018
2019
2020
HANDSinAutism.IUPUI.edu | [email protected]
PROGRAM IMPACT: WARSAW COMMUNITY HIGH SCHOOL
• Program Profile• HS programming—3 CR• Multiple classrooms—focus on one• Ratio staff/student
• Program Challenges• Students inclusive of one from residential placement• Buy in at program, school, board levels• Teacher change
• Program Successes…
HANDSinAutism.IUPUI.edu | [email protected]
SCHOOLWORK™: MEASURING PROGRAM LEVEL IMPACT
CONSIDERATION OF FACTORS:
• Mastery criterion• Pre (Blue)/Post (Turq)• Maintenance (fall follow-
ups)• Generalization (areas not
yet instructed)• Barriers (intensive
student focus, teacher change)
HANDSinAutism.IUPUI.edu | [email protected]
16 year old with ASD within self-contained classroom Prior to enrollment, ABA center-based intervention only Multiple evaluations and placements (last 2017.18 at Damar residential) Target behaviors: Vocal and physical aggression, property destruction, elopement Limited social engagement or functional communication Limited tools for self-calming and self-regulationCPI involvements average 8-43 minutes/incident, multiple incidents per day
STUDENT LEVEL IMPACT:STUDENT PROFILE
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Behavioral changesSkills changes Incident reporting
STUDENT LEVEL IMPACT: ONGOING DATA COLLECTION
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REFLECTIONS AND LESSONS LEARNEDDISTRICT, SCHOOL, TRAINER PERSPECTIVES
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HANDSinAutism.IUPUI.edu | [email protected]
Background/Role Classroom level barriers challenges successes
Lessons learned
SCHOOL-LEVEL PERSPECTIVE
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Background/Role District level context (e.g., size, staffing, sped population, community) Data/costs relevant to students with ASD and related challenges or Sped in
general (e.g., due process, costs) School level context (e.g., size, staffing/admin, sped classrooms, community) Related contextual factors (e.g., suspension/expulsion rates, HS grad rates)
Goals for HANDS collaboration Schools/programs chosen for involvement (Lakeview and HS)Barriers/challengesSuccesses
Lessons learned
DISTRICT ADMINISTRATION PERSPECTIVE
HANDSinAutism.IUPUI.edu | [email protected]
Application of field and research trends and federal guidelines for evidence-based practice (EBP)
Practical understanding and use through training of a process Fidelity of implementation (vs. awareness/knowledge) leads to: Effective staff, student and program outcomes Efficiency in programming (e.g., less staff need)
Multiple exemplars highlight effectiveness for ALL students leading to broader application and generalization across students and settings
Longer-term sustainability of practice through full team involvement “Pay me now or pay me later”—costs add up (staff needed, retention, injury; student
consultation, placement)
Added benefits: Access to just in time consult when onsite Ongoing access to HANDS support (email, calls) Website subscriptions for added HANDS resources Ongoing online teaming collaboration and sharing of resources (i.e., Canvas)
TRAINER PERSPECTIVE: BENEFITS TO INVESTMENT
HANDSinAutism.IUPUI.edu | [email protected]
4QUESTION & ANSWER
DISTRICT, SCHOOL, TRAINER PERSPECTIVES
HANDSinAutism.IUPUI.edu | [email protected]
Naomi Swiezy, Ph.D., HSPPDirector
317.274.3935317.274.3558 (fax)[email protected]
Obstacles should be seen as problems to be resolved to achieve high targets…
-Fullan, Cuttress, & Kilcher, 2005
…special thanks to Amy Hobbs, Maria Demopoulus and the entire Warsaw Community School team for believing in the vision.