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Posted June 21, 2021

Behavioural Skills Training (BST)

Adrian Polidano

The Ultimate Training Technique!

Written by Grandview Kids Autism Therapy Assistant Samantha


Do you ever wonder what the process is on how we train staff and parents in Applied Behaviour Analysis (ABA)? Well, the most likely answer is by using a technique called Behavioural Skills Training or BST.

Behavioural Skills Training is broken down into four parts: instruction, modelling, practice/rehearsal and feedback.

Instruction

Instruction refers to telling the parent or trainee what to do and explaining why we do it. Too often, people stop at this step or do not explain the why behind our actions. Adequate training involves more than just the explanation! Parents and trainees need to understand the reasoning behind why we do certain things instead of just telling them, “you need to do it this way.”

Modelling

Modelling refers to the clinician modelling or showing the parent/trainee what to do. This step should be completed in the natural environment with the client or your child when possible. For example, if a clinician is training you on effectively transitioning your child into the school, the clinician would model the skill during a regular transition. This allows you to see the skill in action! However, if modelling in the natural environment is not possible, you can perform role-play scenarios!

Practice/Rehearsal

Practice makes perfect! This is the most important step, as this is where the trainee or parent gets to practice the skill they just learned. Similar to the modelling step, this step should also be completed in the natural environment when possible. It allows trainees to experience it like they would in a real situation.

Feedback

Feedback is when the clinician gives the trainee or parent some immediate feedback on what they did correctly and what they need to improve. Feedback should be immediate, so the trainee can fix it right away and keep practicing! This also allows the parent or trainee to ask questions if they need clarifications.

Other Uses of BST:

Behavioural Skills Training can also be effective for teaching skills to children! Some examples of skills that can be taught using BST are:

  • Accepting outcomes of games (winning/losing appropriately)
  • How to interrupt a conversation
  • Safety skills (e.g., what to do if you are lost)

Understanding your child’s behaviour

Written by Grandview Kids Autism Therapy Assistants Dana and Yogeetha


Parents and caregivers are encouraged to seek the support of a professional trained in Applied Behaviour Analysis (ABA) if their child is engaging in challenging behaviour that is causing harm to themselves or others and/or maybe impacting their ability to access various environments experiences.

Behaviour is anything a living thing does… eating…. breathing…. walking…. reading…. crying… these are all human behaviours. Unfortunately, many parents struggle to manage challenging behaviour with their child (example: kicking, hitting, yelling). As a parent, you may be thinking, should I ignore the behaviour and hope it stops? Should I use time-outs? Why isn’t my discipline working?

Here are some tips to guide and assist with better understanding your child’s challenging behaviour. 

The ABC’s of Behaviour

All behaviours have a function or reason for occurring. Collecting ABC data and reviewing the findings will help modify our approach to change the behaviour.

Scenario: Billy is at the grocery store with his parents. He asks for a candy bar. His parents say “no” as he will be having dinner soon. Billy throws a tantrum by crying and flopping on the floor.  To stop the tantrum, the parents give him a candy bar.

A is the antecedent. This refers to what happens BEFORE the behaviour occurs.

Example: Billy asks for candy bar.

B is the behaviour. This refers to any action that can be SEEN or HEARD following the antecedent. What is the child doing?

Example: Billy throws a tantrum by crying and flopping to the floor.

C is the consequence. This refers to what happens AFTER the behaviour occurs. 

Example: Billy is given the candy bar. Billy stops crying.

Remember all behaviours have a function! What is maintaining the behaviour or keeping it going? In order to answer this question, we will look at the 4 functions of behaviour: 

1. Access to tangibles

Wanting to gain access to a specific item or activity. 

Example: Child may cry and scream as a way of requesting or wanting access to the iPad. If crying/screaming allows the child to access the iPad, this behaviour may continue to occur.  

Tips:
  • Teach an appropriate way to request by labelling or pointing to the item
  • Model appropriate requesting

2. Attention

Wanting to gain someone’s attention or seeking social interaction.  

Example: Child may cry whenever the parent is on the phone. If the parent stops and attends to the child after exhibiting this crying behaviour, then crying may continue to occur in the future.

Tips:
  • Teach a more appropriate way to gain attention by tapping on one’s shoulder or saying one’s name
  • Provide positive attention throughout the day

3. Escape/Avoidance

Wanting to escape/avoid an undesirable task or demand. 

Example: The child may run away or avoid doing homework by putting their head down on the table. If the task is removed after the child engages in these behaviours, these behaviours may continue to occur when the demand is placed.

Tips:
  • A child may be trying to escape/avoid a certain task because it may be too difficult. Providing easier tasks can help mitigate escape/avoidance behaviours.
  • A child may also lack motivation for completing a certain task, so finding ways to make it fun and exciting can be helpful.
  • Always follow through with demands!

4. Sensory/ Self-stimulatory behaviours

Performing actions and behaviours that feel good to oneself which does not have any motivating external factors.

Example: Child rocking back and forth, engaging in hand flapping, hitting one’s head.

Tips:
  • Replace inappropriate behaviour with appropriate/functional behaviour. Ex. Reinforcing clapping hands vs. hand flapping.
  • Reinforce absence of behaviour or when the child engages in a behaviour that is incompatible with the problem behaviour (behaviours that can’t occur simultaneously). Ex. Reinforcing hands on lap vs. hand flapping.

Identifying the ABC’s of behaviour and the four functions of behaviour can provide us with a better understanding and insight into why a child behaves the way they do. This can also allow us to prevent future occurrences of problematic behaviours and increase socially appropriate behaviours.

Written by Grandview Kids CEO, Lorraine Sunstrum-Mann


Grandview Kids is grieving with Muslim staff, colleagues, clients and families.

In the wake of the horrific hate-filled murders in London, Ontario, Grandview stands beside and with Muslims across Canada in denouncing the hatred and racism directly.

Hopes, prayers, and tears will not address anti-Muslim racism.

I have pondered what I can possibly do as one person to make a difference. I have decided that I can continue to choose love over hate. I commit to denouncing racism when confronted by it, calling out racist jokes or comments, not looking the other way, noticing hatred and calling it out, standing with and for equity deserving communities.

No one is born hating. It is learned. It is radicalized. How does a 20-year-old become so filled with hatred? Certainly not overnight. I cannot imagine that there are not people who saw this hatred being fuelled and looked away. I will not look away.

I had the pleasure of serving on the PCMCH Board with Javeed Sukhera MD Ph.D., who is a Paediatric Psychiatrist out of London, Ontario. He is Muslim. He has educated me. Today he asks us not to look away from the hatred that lives within our midst. Do not give it oxygen; starve it with love and suffocate it with compassion. 

Madiha was pursuing her Ph.D. in Geo-environmental Engineering at Western University. Through her writings, she aimed to promote a positive image of the Muslim community, particularly in North America and inspire and motivate the Muslim Youth. Her son now lies in a hospital bed, facing a future without his family. May her writings pave the way for him to see her dream realized: love and compassion.

– Lorraine Sunstrum-Mann, Grandview Kids CEO

Written by Grandview Kids Student Occupational Therapist, Rosetti


Is your family looking to purchase an accessible vehicle?

There are a lot of options out there, and deciding on one can be very overwhelming. This post is a great starting point in helping your decision-making process and is written to help you and your family narrow down your options.

Illustration of a kid boy in a wheelchair using a lift on a vehicle.

Rear or side entry?

The size of your family may be the deciding factor. Side entry vans can seat 5 passengers and the wheelchair user, whereas a rear entry van can seat 4 passengers and the wheelchair user.

Rear entry vans are easier to access in parking lots, driveways and garages since it does not require any space on the side of the vehicle to enter. Side entry vans are easier to access at curbs and street parking.

When entering a side entry van, the wheelchair requires more maneuvering to turn and face the front of the vehicle. With a rear entry van, the wheelchair requires less maneuvering as the wheelchair user enters straight in and exits straight out of the vehicle.

A side-entry van is closer to the ground, making navigating speed bumps and rough terrain more challenging. In contrast, rear entry vans are higher off the ground and make navigating speed bumps and rough terrain easier.

Rear entry vans do not have trunk space but can accommodate 2 wheelchairs.

Side entry vans have a trunk space and can accommodate a hitch.

Fold-Up vs In-Floor Ramps

Once you have decided between rear and side entry, it is time to consider what type of ramp to install. Rear entry vans can only accommodate a fold-up ramp.

There are manual and power options with both styles of ramps. It should be noted that with the power option, there is a manual override option should there be any technical difficulties or malfunctions.

The fold-up ramp is typically a bi-fold style. It unfolds and is lowered onto the floor. When it needs to be stored, it folds up and blocks the doorway but leaves the window visible. If you choose to access the door, you must unfold the ramp.

In floor ramps do not block the doorway as the ramp is stored within the floor of the vehicle.

Funding

Purchasing a vehicle, whether it be new or used, is a large enough purchase. Van conversions are a large expense, but there are funding options available for many families.

March of Dimes’ Home and Vehicle Modification Program offers up to $15,000 for van conversions. This amount cannot be applied to the purchase of the vehicle itself. It is important to note that conversions must be newly installed on a new or up to 3 year old vehicle. A used vehicle must have less than 60,000 km.

Holland Bloorview’s Family Support fund offers up to $1,500 for children under the age of 19 and have had a clinical appointment with Holland Bloorview within 2 years of the date on the application. 

Easter Seals offers up to $3000 annually. The amount funded varies based on the cost of the item and the availability of Easter Seals funds.

Families can claim the purchase of a modified vehicle on their annual tax return as a medical expense. The provincial limit is $7,456. Similarly, GST/HST that was paid or is owed on the modifications of a converted van can be reimbursed.

Other funding options:

  • For the Love of a Child
  • Jordan’s Principle
  • Toyota Mobility Programs
  • Standard bank loans
  • Local service clubs, such as Lion’s or Rotary
  • Crowd funding sources, such as GoFundMe

Written by Grandview Kids Recreation Therapists, Julia and Alicia


Whether it’s indoors or outside in the sun, the role of a sibling during play is extremely important to your child’s social development. In a time of limited social opportunities, siblings act as social partners and an opportunity for those important reciprocal interactions. Use this resource to find new ways to foster play between siblings at home with the toys and equipment that you may already have. It features helpful tips and activity examples in 4 different categories; turn-taking activities, pretend/imaginative play activities, manipulatives, and active games. The resource offers progressive steps in each category to enhance the social and play skills your child is developing. Sibling play has the ability to not only promote growth in a child’s ability to engage with others outside of the home, but it also enhances the life-long relationship between siblings themselves.

A sibling relationship is one of the first relationships your child will develop across the life-span. Sibling relationships are unique with differing effects on a child’s development and perception of the world. Siblings function as social partners and an opportunity to develop experience with reciprocal interaction, communication, and conflict resolution skills.

McHale, Updegraff & Feinberg, 2017

Tools for Success

  1. Encourage communication between siblings; have your child prompt their sibling to play: “come play with me”, “your turn”, sign “play”, or point to the activity
  2. Incorporate different types of activities to hold their interest, and understand when it is time to take a break (short activities, under 5 minutes are a good starting point)
  3. Provide each sibling with the chance to choose an activity
  4. Encourage parallel (side by side) play as much as possible to build tolerance of another child in their play area
  5. Make sure the activity matches the skill level of each participating child (a task that is too easy or too difficult with not be successful)
  6. Modify materials/set up when required if there is a large gap in abilities or ages (Example: smaller/larger blocks, different options for arts & crafts materials, implementation of movement breaks, etc)
  7. Celebrate all wins; encourage siblings to provide praise to each other (Example: high fives, or “Good Job”)
  8. Incorporate your child’s interests in the activities you choose, follow their lead as much as possible
  9. Choose activities where they work together to achieve a common goal (example: building one block tower vs. building independent towers side by side)
  10. If helpful, provide a schedule or timer for each set of planned activities

Finding ways for siblings to connect and engage with each other is crucial to the development of an enjoyable play experience and ongoing relationship. This resource will provide activity ideas and tips for facilitating sibling play and the development of this relationship.

Practice Activities

Turn-taking Activities

Step 1: Games requiring a tool e.g. Critter Clinic or anything with a set of keys, Don’t Break the Ice, Cariboo, pin the tail on the donkey, piñata, T-Ball, bowling (one ball), Operation

Step 2: Slot Games or games with multiple pieces. E.g. Kerplunk, Piggy Bank, Pop The Pig, Jenga, crocodile dentist, Sneaky Snacky Squirrel

Step 3: Games with rules or competition e.g., Connect 4, Guess Who, snakes and ladders, Monopoly, battleship, I Spy, Trouble

Pretend/Imaginative Play Activities

Step 1: Toys or Action Figures e.g. Potato Head, cars and trucks, farm animals, sea creatures, Paw Patrol, Barbies/LOL Dolls, superheroes

Step 2: Role-Playing e.g. build a fort and playhouse, doctor/patient, vet clinic, construction site, play-dough restaurant, tea party

Step 3: Games with rules or competition e.g. charades, Pictionary, sculptionary, Cranium, Cadoo

Manipulatives

Step 1: Parallel Play – have both children completing their own activities with their own pot, e.g. beading, play-dough, Mag-formers

Step 2: Associative Play – have each child complete their own activity, but pull from the same pot, for example build LEGO but have all the LEGO in one bucket

Step 3: Cooperative Play – complete an activity together e.g. build one tower together, work on a puzzle together, use a gears board

Active Games

Step 1: Structured games with both children playing actively e.g. obstacle course, dance videos, freeze dance, yoga, scavenger hunt

Step 2: Leader games e.g. Simon Says, follow the leader, Action If, trick shot basketball or bowling (take turns making up trick shots that the other person must complete)

Step 3: Competitive Games e.g. musical chairs, hide/seek, Activity Bingo, tag variation.

May 19, 2021

Infrastructure Ontario and Grandview Kids have invited three teams to respond to a request for proposals (RFP) to design, build and finance the Grandview Children’s Treatment Centre Redevelopment project.

The three teams were shortlisted based on criteria identified in a request for qualifications process that began in September 2020. Selection criteria included design and construction capability, experience, qualified personnel and financial capacity to undertake a project of this size and scope.

The shortlisted teams and their prime team members are:

CHILDREN’S FIRST CONSORTIUM
  • Applicant Lead: Amico Design Build Inc. (50%), Sacyr Construction S.A (50%)
  • Design Team: H.H. Angus and Associated Limited, Parkin Architects
  • Construction Team: Amico Design Build Inc. (50%), Sacyr Construction S.A (50%)
  • Financial Advisor: Stonebridge Financial Corporation
ELLISDON INFRASTRUCTURE HEALTHCARE
  • Applicant Leads: EllisDon Corporation
  • Design Team: Montgomery Sisam Architects Inc.
  • Construction Team: EllisDon Corporation
  • Financial Advisor: EllisDon Capital Inc.
GRANDVIEW CONNECTION GROUP
  • Applicant Lead: Pomerleau Inc.
  • Design Team: Stantec Consulting Ltd., Stephenson Engineering Limited, Quasar Consulting Group Inc.
  • Construction Team: Pomerleau Inc.
  • Financial Advisor: Pomerleau Inc.

Teams will now begin preparing proposals that detail how they will deliver the project. Once submissions are received, Infrastructure Ontario and Grandview Kids will evaluate the proposals, select a preferred team and then negotiate a final contract. A successful bidder is expected to be announced in spring 2022. A fairness monitor will oversee the entire procurement process.

Infrastructure Ontario and the Ministry of Children, Community and Social Services are working with Grandview Kids on the project.

More details about the project are available on Infrastructure Ontario’s Grandview Children’s Centre redevelopment webpage.

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