Telehealth Practices for trauma free ABA ACT Functional Communication Training One of my favorite topics that I did further training in
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What is telehealth?
Working remotely with clients
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What is dignity?
The state or quality of being worthy of honor or respect
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What does ACT stand for?
Acceptance and commitment training
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What is differential reinforcement?
Reinforcing one response or responses while extinguishing to reduce another response
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What is selective mutism?
An individual who exhibits the inability to speak in certain situations. May not make eye contact,or will show awkward body and language when in an uncomfortable situation or environment
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What are some ways to prepare your session?
Checking your background and environment for no distractions and an area with privacy, test audio/video, have all materials ready
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What is ableism?
Discrimination and social prejudice against people with disabilities or who are perceived as having a disability
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What are the 6 components of a hexaflex?
committed action, present moment, values, defusion, acceptance, and self as context
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What is FCT?
focus on increasing functional communication skills in replace of challenging behaviors
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What is the difference between selective mutism and autism?
One is an anxiety disorder whereas the other is a developmental disorder.
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What is communicating with client/family before starting telehealth?
Think of new goals specifically geared towards telehealth, discuss with client or family length of time of session, what device family will be using, how involved the parent/caregiver wants to be, will there be incentives at home for the client to receive.
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What not to do to reinforce ableism?
Using restraint when not necessary.
Making a child with autism look everyone in the eye to seem more "neuro typical"
Using reinforcers without a reinforcement assessment.
Using baby language with a child.
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What is defusion?
Putting distance between self and emotions. Not as rigid with rules, more accepting of others rules and flexibility
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What is a detailed functional assessment of the difficult behavior?
the first step in FCT
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What is false?
Children with selective mutism have a speech problem
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What is reinforcement during telehealth?
funny hats or masks, cause and effect toys, fun sounds, change in voice to make client laugh or do a little victory dance, cute little video
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What is making the client feel important and valued?
Have client participate in decision making.
Use least restrictive procedures.
Become familiar with client's forms of communication.
Open communication with client.
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What are some examples of values?
family, friends, work, exercising, pets, vacations
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What are some of the different forms of communication?
sign language, gestures, pecs, communication device, and vocalization.
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What are some positive ways to work with a child with selective mutism?
Building a rapport with the child, "broadcasting" the environment, using happy medium language, build in incentives to reward communication, provide a compassionate, positive environment.
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What is the reason we are having to do telehealth COVID 19?
Runny nose, fever, body aches, no taste or smell, vomiting tired
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What are ways of reengaging the client if your therapy is at a standstill?
Reengage in pairing activities.
Always remember consent before starting an activity.
Perform a new preference assessment.
Focus on communication.
Consider if the function of behavior is correct
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One of the 3 psychologists who developed ACT
Steven Hayes
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What is continuous reinforcement?
Reinforcing every instance of the targeted communicative response. The reinforcement schedule you should use when introducing FCT.
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What is selective mutism compared to traumatic mutism?
This form of mutism usually speaks in at least one setting. Is a means of avoiding anxious feelings caused by expectations and social situations.
This form of mutism develops suddenly and occurs in all situations and environments.






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