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Ziggurat Model: A Functional Approach to Autism Planning. Overview of the Ziggurat Model and the Comprehensive Autism Planning System (CAPS) Educators Summer Symposium - 2009 Breakout session presented by Brittany Schmidt Center for Disabilities, ASD Program. What IS a Ziggurat ?.

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ziggurat model a functional approach to autism planning

Ziggurat Model: A Functional Approach to Autism Planning

Overview of the Ziggurat Model and the Comprehensive Autism Planning System (CAPS)

Educators Summer Symposium - 2009

Breakout session presented by

Brittany Schmidt

Center for Disabilities, ASD Program

slide3

zig⋅gu⋅ratnoun (among the ancient Babylonians and Assyrians) a temple of Sumerian origin in the form of a pyramidal tower, consisting of a number of stories and having about the outside a broad ascent winding round the structure, presenting the appearance of a series of terraces.

do i have to learn one more intervention
Do I have to learn one more intervention??

No!

  • The ZM (Ziggurat Model) is a format for taking the information you know about characteristics, organizing your observations then taking intervention ideas and organizing the above into a comprehensive plan that has, at the core, the characteristics of the individual.
introduction
Introduction
  • Doctors Barry Grossman and Ruth Aspy
  • www.texasautism.com
  • The Ziggurat Model (ZM) is a unique process and framework for designing a comprehensive intervention plan.
  • An essential strength and underlying feature of the Ziggurat is that it is designed to address true needs or underlying deficits of students with autism spectrum disorders (ASD).

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

components of the ziggurat model
Components of theZiggurat Model
  • Five levels in a hierarchical structure
    • Sensory Differences and Biological Needs
    • Reinforcement
    • Structure and Visual/Tactile Supports
    • Task Demands
    • Skills to Teach
  • Three Assessment Tools
    • The Underlying Characteristics Checklist (UCC) (this one will be covered today)
    • Individual Strengths and Skills Inventory (ISSI)
    • ABC-Iceberg (ABC-I)
  • The Ziggurat Worksheet (so will this one)

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

strengths of the ziggurat model
Strengths of the Ziggurat Model
  • Outlines evidence-based practices
  • Incorporates a functional behavioral assessment
  • Emphasizes a proactive, positive approach
  • Incorporates ongoing assessment
  • Promotes collaboration and communication among parents and professionals

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

intervention ziggurat iz
Intervention Ziggurat (IZ)
  • IZ facilitates the development of targeted, comprehensive positive interventions

Incorporates five critical levels:

1. Sensory Differences and Biological Needs

2. Reinforcement

3. Structure and Visual/Tactile Supports

4. Task Demands

5. Skills to Teach

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

slide9

Intervention Ziggurat

SEE HANDOUT

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

sensory differences and biologic needs
Sensory Differences and Biologic Needs
  • Sensory differences are not currently included as core symptoms of ASD.
  • Impact of sensory differences to the individual pose some of the greatest challenges.
  • Motor differences (muscle tone, oral-motor, repetitive movements, motor planning)
  • Biologic Needs (hunger, pain, illness, sleep)
  • Field of OT - Sensory Systems & Sensory Integration: (proprioceptive, vestibular, tactile/touch, visual/sight, auditory/sound, gustatory/taste)
sensory biologic continued
Sensory/Biologic - continued
  • Modifying the environment to ensure physical health and comfort and optimal sensory arousal level may be critical to the success of an intervention program.
reinforcement
Reinforcement
  • Defined as “a situation or event that follows a particular behavior, resulting in an increased likelihood that a behavior will recur in the future” (Bregman & Gerdtz, 1997, p. 611)
  • Provided that a consequence is desirable, the behavior will be displayed more in the future
  • Essential to process of acquiring new skills

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

structure and visual tactile supports
Structure and Visual/Tactile Supports
  • Based on core characteristics of HFA/AS
    • Intense drive to find order and make sense of their world
    • Tend to conceptualize ideas and experiences in a visual way
  • Visual information may be used to address a variety of needs
    • For instance, visual supports shown to improve communication skills (Thieman & Goldstein, 2004)

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

task demands or removing obstacles
Task Demands (or; “removing obstacles”)
  • Is it appropriate to expect John to be able to sit in a classroom for 45 minutes?
  • What are the social demands for Maria at work?
  • Can Marty copy information from the board?
  • Does Miguel have the skills to handle a field trip to the art museum?

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

skills to teach
Skills to Teach

Autism spectrum disorders are lifelong conditions that require intervention throughout the lifespan. Only when the sensory system is calm, reinforcement is available, the environment is made predictable through structure and visual/tactile supports, and task demands are carefully designed can skills be effectively taught and demonstrated.

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

interdisciplinary approach
Interdisciplinary Approach
  • Implementation may require the expertise or participation of several people
  • One of the benefits of using Ziggurat Model
  • Provides a big picture and brings service providers together so all working towards a common goal
  • Helps all players see how they are contributing to overall process

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

moving from assessment to intervention design
Moving From Assessment to Intervention Design
  • • Assessment Tools
  • – Underlying Characteristics Checklist (UCC)
  • – Individual Strengths and Skills Inventory (ISSI)
  • – ABC-Iceberg (ABC-I)
  • • Comprehensive Intervention Planning
  • – Ziggurat Worksheet (ZW)
  • • Incorporates the five levels of the Intervention Ziggurat
  • • Addresses underlying needs identified with the UCC
  • • Includes three points of intervention (A-B-C)
  • • Implementation
  • – Implement intervention
  • – Evaluate outcomes

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

why use the ziggurat model
Why Use the Ziggurat Model
  • The five tiers of the Intervention Ziggurat and the three points of intervention (A-B-C) are based on an understanding of the characteristics and needs of individuals with HFA/AS.
  • Use of ZM (UCC, ISSI, ABC-I, and ZW) facilitates the identification of needs and provision of comprehensive treatment through an interdisciplinary approach.

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

why use the ziggurat model19
Why Use the Ziggurat Model
  • The Ziggurat Model is not a set of intervention techniques. It is a framework for decision making.
  • The model does not describe how to intervene. It describes how to design an intervention using a set of evidence-based strategies.

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

strengths of the ziggurat model20
Strengths of the Ziggurat Model
  • Provides a process and framework for designing an intervention
  • Addresses characteristics of ASD
  • Emphasizes and enhances evidence-based strategies
  • Facilitates comprehensive intervention design

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

strengths of the ziggurat model21
Strengths of the Ziggurat Model
  • Incorporates assessment
  • Emphasizes a positive approach
  • Facilitates the design of proactive interventions
  • Facilitates interdisciplinary interventions
  • Prevents a “band-aid” approach to intervention
  • Prevents punitive approaches

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

ucc cl and hf
UCC – CL and HF
  • Informal assessment tool designed by Aspy and Grossman designed to identify characteristics across a number of domains.
  • It is not designed for diagnosis.
  • The results are used to develop a comprehensive intervention incorporating each of the five levels of the Ziggurat.
slide23
UCC
  • Completed by parents and staff.
  • Completion of the UCC is an intervention in itself!
    • Increased awareness of the characteristics and the impact on the individual leads to decreased frustration on the part of the team.
ucc cl or hf
UCC-CL or HF
  • CL = Classic
  • HF = High Functioning
general intervention plan
General Intervention Plan

UCC/ISSI

Intervention Ziggurat (Ziggurat Worksheet)

specific behavioral concerns
Specific Behavioral Concerns

UCC/ISSI

ABC-I

Intervention Ziggurat (Ziggurat Worksheet)

using the ucc
Using the UCC
  • Video

Which UCC will you use? CL or HF?

  • Continue the video
designing a general or global program
Designing aGeneral or Global Program
  • Users first prioritize concerns from several areas identified on the UCC using the guiding questions on the Global Intervention Plan Instructions
  • Using guided questions on the Global Intervention Plan Instructions, specific items are then selected from the prioritized UCC areas

©2008 Ruth Aspy, Ph.D., & Barry G. Grossman, Ph.D.

general intervention plan29
General Intervention Plan

UCC/ISSI

Intervention Ziggurat (Ziggurat Worksheet)

global intervention plan establishing priorities
Global Intervention Plan – Establishing Priorities
  • From the list of UCC concerns select items to address for intervention.
  • These items are transferred to the Ziggurat Worksheet.
establishing priorities
Establishing Priorities
  • Which UCC’s have the greatest impact?
    • Difficulty understanding non-verbal communication may be more fundamental and important than understanding jokes.
  • Which UCC’s address more pivotal underlying needs?
    • Think about the ultimate goal of intervention. Short and long-term goals be developed.
intervention design helper
Intervention Design Helper
  • A simple worksheet you can choose to use if the Global Intervention Plan isn’t needed or desired.
general intervention plan33
General Intervention Plan

UCC/ISSI

Intervention Ziggurat (Ziggurat Worksheet)

intervention ziggurat ziggurat worksheet
Intervention Ziggurat/Ziggurat Worksheet
  • Facilitates the development of targeted, comprehensive positive interventions.
  • Incorporates the five critical levels, structured in a hierarchy.
  • The first three levels depict internal and environmental factors.
    • Sensory/Biologic
    • Reinforcement
    • Structure and Visual Tactile Supports
slide35
IZ

BASE/1st Level: Sensory Differences and Biologic Needs

  • Addresses basic internal factors that impact all functioning.

2nd Level: Reinforcement

  • Addresses motivational needs prerequisite to skill development.

3rd Level: Structure and Visual/Tactile Supports

  • Draws on the strength of visual processing and addresses the need for order and routine that is fundamental to individuals with ASD.
top two levels
Top Two Levels

The top two levels of the IZ focus on understanding expectations in light of the characteristics of individuals with an ASD and targeting appropriate skills to develop.

Task Demands and Skills to Teach

specific behavioral concerns37
Specific Behavioral Concerns

UCC/ISSI

ABC-I

Intervention Ziggurat (Ziggurat Worksheet)

the abc iceberg the abc i
The ABC-Iceberg (The ABC-I)
  • A behavioral assessment approach using the Ziggurat Model
  • Incorporates the relationship between the characteristics of autism spectrum disorders and behavior

Aspy and Grossman (2008)

iceberg analogy
Iceberg Analogy
  • Way of describing critical aspects of objects or circumstances that are not apparent without careful observation.
  • TEACCH applied this analogy to aid in the understanding of behaviors observed in individuals with an ASD.
  • Interventions based on the iceberg concept are designed to address underlying deficits or characteristics associated with autism.
abc i model applied to meltdowns
ABC-I Model Applied to Meltdowns

Aspy and Grossman (2008)

caps shawn henry and brenda smith myles
CAPSShawn Henry and Brenda Smith Myles
  • The Comprehensive Autism Planning System (CAPS) is designed to provide an overview of a student’s daily schedule by time and activity as well as the supports that he/she needs during each period.
  • Following the development of the student’s IEP, all educational professionals who work with the student develop the CAPS.
continued
continued
  • Thus, the CAPS allows professionals and parents to answer the all-important question for students with an ASD: What supports does the student need for each activity?
  • The CAPS is a list of a student’s daily tasks and activities, the times they occur, along with the all-important delineation of the supports needed to support student success.
  • In addition, the CAPS includes space for making notations about data collection and how skills are to be generalized to others settings.
slide44
CAPS
  • The CAPS is founded on the recognition that students with an ASD have complex needs in multiple areas.
  • It is individualized.
  • Comprehensive: takes into account all activities of the day to ensure that supports are integrated throughout.
  • Flexible: can be used with students from preschool to college at home and school.
addressing current mandates and trends
Addressing Current Mandates and Trends
  • Accountability
    • AYP
    • Targeted skills to teach
    • Data collection across the day
    • IEP goals as well as state standards
  • Scientifically based instruction
    • Instruction embedded with the necessary supports to ensure progress
    • RtI/evidenced based interventions
    • Student performance
    • Continuous progress monitoring
components
Components
  • Time, Activity, Targeted Skills to Teach
  • Structure/Modifications
  • Reinforcement
  • Sensory Strategies
  • Communication Social Skills
  • Data Collection
  • Generalization Plan
ziggurat and the caps
Ziggurat and the CAPS
  • Begins with the completion of the UCC and ISSI.
  • Information obtained is incorporated into the CAPS to ensure that the student’s needs and interventions are addressed throughout the day with data collection and a plan for generalization built in.
handouts
Handouts
  • Blank CAPS
  • Completed CAPS
  • CAPS with visual support examples shown