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5/6/14 Thinking Outside the…Bag! Coaching in Natural Environments Please Call 1-­‐866-­‐842-­‐5779 Enter Code: 463 661 9330# Webinar provided by the Integrated Training Collabora?ve with funding support from the Virginia DBHDS. Cori Thinking Outside the…Bag! Coaching in Natural Environments Corey Herd, Ph.D. CCC-­‐SLP 1 5/6/14 Cori Phone Are Muted Use Chat to Ask ?s Great Idea! Type message in box (lower right corner) Click into box, type message, press enter
Test Chat Now Ask Questions in Chat Throughout Session 2 5/6/14 View Slides in Full Screen Mode locate this buPon on bar below slides click to view slides in full screen Esc. Key to Return to Normal View Complete a Survey 3 5/6/14 Thinking Outside of the…BAG!
Coaching in Natural Environments
Corey L. Herd, Ph.D. CCC-­‐SLP Communica?on Sciences and Disorders Waldron College of Health and Human Services Radford University Are YOU ready to think outside
of YOUR bag?
To ensure that you will enjoy and learn from today, you will
need:
!  Something to write with (anything will do!)…
!  Something to write ON (preferably on material that you
can read☺)…
!  Your own ideas about “what works” and what doesn’t…
!  The willingness to consider how important your “bag of
tricks” is when providing services to your families…
4 5/6/14 To what extent do you
rely on your “bag of
tricks” to get you through
a visit with a family?
1
Not at all;
2 I don’t even bring a bag
3 Occasionally
4 5 It’s the only way
to get anything done
Natural Environments
•  IDEA Part C (2004):
#  Settings that are
typical for infants
and toddlers without
disabilities or delays
5 5/6/14 Most frequently identified natural
environment location for families is in
their homes (NEILS, 2007)
What are some of
the routines that a
child and his/her
family engage in on an
everyday basis?
Which of those routines
might serve as meaningful and functional
opportunities for learning?
Share your best idea in CHAT 6 5/6/14 A Process…not a place
Consider this…
•  Knowledge and skills are best developed under
conditions that are authentic and reflect the reality
and demands of daily living. (Brown, Collins, Duguid,
1989)
•  Real activities and
purposeful interactions
help children become
more effective communicators.
(Bricker, 1986)
7 5/6/14 And this…
A child needs repeated
opportunities to
experience a desired
behavior
•  within the context of an
activity
•  across different
activities
•  Ukrainetz (2006) But what about our bags of toys?!
Fact or Fiction?
The toy bag/toys are used for direct instruction; the materials in
the natural environment are for generalization of outcomes.
Some homes have nothing-no materials or activities or everyday
routines-with which to address outcomes.
Parents WANT us to bring toy bags/toys into the home. The
children LOVE our toys!
The use of a toy bag is an addiction and we depend on those toys to
do our jobs.
8 5/6/14 The toy bag carries our toys…
and a message…
“Your stuff isn’t good enough.”
Intervention only occurs during the
visit.
10 Step Program to
Decreasing Your Toy Bag
Dependence!
FACETS: http://facets.lsi.ku.edu/
9 5/6/14 1. Conduct a functional assessment of the
home/natural environment.
Time to share via chat Let’s chat! 10 5/6/14 2. Use social and daily routines that are
already occurring to join the caregiver
and child upon your arrival. Share 1 rouWne or acWvity 3. Plan activities for
your next visit
before leaving.
Get ready to chat 11 5/6/14 4. Plan a special activity with the caregiver.
Chat Time 5.  Organize a play
date with other
children and
caregivers.
Time to share 12 5/6/14 6. Ask the child to show you/get toys or
preferred objects from another room
in the house. Follow the child’s lead
and move into other rooms of the
house.
If you are STILL feeling the
need to carry a bag into the
natural environment…
7. Fade your
dependence by
decreasing the size
of the bag over
time.
13 5/6/14 8. Demonstrate the use of a toy that
includes opportunities to practice a skill.
Then look around the home for toys or
other materials that might provide
additional practice for the same skill.
9. Use “hybrid approaches”:
!  Forgetfulness is
always an option!
!  Provide a choice.
!  Sabotage the bag.
14 5/6/14 10. Leave the toy bag by the door and
join the child’s activities. Use the toy
bag only when and if needed.
So…FACT or FICTION???
The toy bag/toys are used for direct instruction; the materials in
the natural environment are for generalization of outcomes.
Some homes have nothing-no materials or activities or everyday
routines-with which to address outcomes.
Parents WANT us to bring toy bags/toys into the home. The
children LOVE our toys!
The use of a toy bag is an addiction and we depend on those toys to
do our jobs.
15 5/6/14 Coaching the Caregivers
5 considerations for
working with the
ADULTS!
(Knowles, 1995)
Agree on priorities and clarify roles.
16 5/6/14 Join in; try not to take over. Nice chaXng with you. Encourage the
caregivers to identify
opportunities that
they already enjoy! From there, build on
the caregiver’s
strengths within
those routines and
activities.
17 5/6/14 Provide specific and meaningful
feedback.
Sharing roadblocks THE RELATIONSHIP DOES MATTER!
18 5/6/14 My challenge to you:
Go into your next visit and “forget” your
toys in the car. Ask the family what they
were just doing and simply join in.
How many ideas (strategies) can you come
up with during your visit to address just
one of the family’s outcomes?
things you learned in today’s webinar.
strategies you will put to use in your
own practice.
idea that you want to learn more
about in the near future.
19 5/6/14 Corey L. Herd, Ph.D. CCC-SLP
Communication Sciences and Disorders
Waldron 111 Box 6961
Waldron College of Health and Human Services
Radford University
Radford, Virginia 24142
540-831-7637
cherd@radford.edu 20