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<strong>Supporting</strong> <strong>Individuals</strong> <strong>Using</strong> <strong>Picture</strong> <strong>Communication</strong> Symbols<br />

by Brenda Fossett, Special Education Teacher of the Deaf<br />

British Columbia Provincial School for the Deaf<br />

Symbol and Behavioural Assessment<br />

Goals of symbol assessment<br />

From Augmentative and Alternative <strong>Communication</strong> - Management of Severe <strong>Communication</strong><br />

Disorders in Children and Adults, Beukelman & Mirenda, 1998<br />

• “to select the types of symbols that will meet the individual’s current communication<br />

needs and match his or her current abilities”<br />

• “to identify symbol options that might be used in the future”<br />

Preparation<br />

From Augmentative and Alternative <strong>Communication</strong> Disorders in Children and Adults,<br />

Beukelman and Mirenda, 1998<br />

• identify 10 functional items with which the individual is familiar<br />

• reach a consensus on the items<br />

• compile symbols for the items, including miniature objects, black and white and colour<br />

photographs, black and white and colour symbol sets<br />

Assessment formats<br />

From Augmentative and Alternative <strong>Communication</strong> - Management of Severe <strong>Communication</strong><br />

Disorders in Children and Adults, Beukelman & Mirenda, 1998<br />

• functional use format<br />

• receptive labeling and yes/no formats<br />

• alternative visual-matching format<br />

• question and answer format<br />

• requesting format<br />

Matching tasks<br />

• real item to object<br />

• real item to photograph<br />

• real item to black and white symbol<br />

• real item to colour symbol<br />

Considerations<br />

• visual acuity<br />

• symbol size<br />

• background/foreground<br />

• visual processing<br />

• 3 dimensional vs 2 dimensional<br />

• photographs vs symbols<br />

• colour vs black and white<br />

October 1998 <strong>Supporting</strong> <strong>Individuals</strong> <strong>Using</strong> <strong>Picture</strong> <strong>Communication</strong> Symbols Page 1


Goals of behavioural assessment<br />

• to determine who the individual is<br />

• to define the behaviour<br />

• to identify setting events and antecedents<br />

• to identify the maintaining consequences or motivation for the behaviour<br />

Assessment tools<br />

Personal Profile Preference Inventory - CBI Consultants, 1994<br />

• assists in identifying the person’s<br />

• preferences and strengths<br />

• preferred activities and environments<br />

• learning style<br />

• assets and deficits in his/her social network<br />

• helps to formulate the “big picture” of the person’s life<br />

Motivation Assessment Scale - Durand & Crimmins, 1992<br />

• a 16 item questionnaire that assesses four main motivators of behaviour<br />

• tangibles<br />

• attention/social interaction<br />

• escape/avoidance<br />

• sensory<br />

Functional Analysis Interview - O’Neill, Horner, Albin, Storey and Sprague, 1990<br />

• to understand the structure and function of the behaviour in order to teach and develop<br />

alternatives<br />

Functional Analysis Observation - O’Neill, Horner, Albin, Storey and Sprague, 1990<br />

• to gather information regarding the frequency of behaviour, the times of day and settings<br />

when behaviour does/does not occur and to record consequences<br />

Scatter Plot - Touchette, MacDonald and Langer, 1985<br />

• to get a visual picture of the pattern of behaviour<br />

<strong>Set</strong>ting Events Checklist - Gardner, Cole, Davidson and Karan, 1986<br />

• to identify setting events that may be influencing the behaviour<br />

Behaviour as <strong>Communication</strong> - Considerations When Designing Supports<br />

Personal profile<br />

• systems that match the individual’s learning style<br />

• systems that use the individual’s strengths and abilities<br />

Motivation of behaviour<br />

• tangible - design systems to support the individual in having his/her needs or wants met<br />

• escape - design systems to allow the individual to ask for breaks, make choices, predict<br />

upcoming events<br />

• attention - design systems to promote social integration<br />

October 1998 <strong>Supporting</strong> <strong>Individuals</strong> <strong>Using</strong> <strong>Picture</strong> <strong>Communication</strong> Symbols Page 2


• sensory - design systems to allow the individual times to engage in sensory behaviours or<br />

to ask for sensory breaks<br />

Schedule Systems<br />

What are schedule systems?<br />

• a way of representing an activity or sequence of events<br />

• a collection of objects, photographs or symbols that represent activities<br />

• can be set up for an entire classroom, a small group or individuals<br />

• can be general or specific<br />

• a way to help upcoming events and make choices<br />

Why use schedule systems?<br />

• to develop expressive and receptive communication skills<br />

• to help individuals anticipate upcoming events<br />

• to provide individuals with an understanding of upcoming events<br />

• to decrease challenging behaviours by allowing for prediction and choice making<br />

What can schedule systems provide?<br />

• communication - receptive and expressive<br />

• anticipation and security<br />

• structure and organization<br />

• order and sequence<br />

• an ability and opportunity to make choices<br />

• motivation<br />

What can schedule systems teach?<br />

• communication skills<br />

• time concepts<br />

• time vocabulary<br />

• use of time pieces<br />

• pre/early literacy skills<br />

What do schedule systems look like?<br />

Object cue systems<br />

• boxes are placed on shelf, left to right<br />

• representational objects are place in boxes<br />

• the individual works through the sequence<br />

• as activities are completed, the objects are placed in a finished box<br />

• photographs or symbols may be paired with the objects<br />

Considerations<br />

• does not allow for portability<br />

• it is sometimes difficult to locate objects<br />

• for those who cannot process photographs or symbols, this is an important<br />

communication tool<br />

October 1998 <strong>Supporting</strong> <strong>Individuals</strong> <strong>Using</strong> <strong>Picture</strong> <strong>Communication</strong> Symbols Page 3


Wall systems<br />

• representational photographs or symbols are sequenced, left to right or top to bottom<br />

• photographs or symbols may be hung on hooks or attached with velcro<br />

• at the end of each activity, photos or symbols are turned over or placed in finished box<br />

Considerations<br />

• not fully portable<br />

• good for those who require large displays<br />

Single page books<br />

• representational photographs or symbols are sequenced in a mini photo album<br />

• at the end of each activity, photos or symbols are turned over<br />

Considerations<br />

• portable - the book can be placed in a fanny pack<br />

• does not show a full sequence; can only show one activity at a time<br />

Binder systems<br />

• plastic pages for slides used to house two inch square symbols<br />

• as activities end, symbols are turned over<br />

• velcro strips are placed on front and inside covers of binder<br />

• symbols or photographs are attached with velcro<br />

• the schedule is shown on the front cover; extra symbols are housed inside the binder<br />

Considerations<br />

• portable<br />

• plastic pockets may be difficult for those with fine motor problems<br />

• binders can become cumbersome<br />

The Portacom System<br />

• worn around the user’s waist<br />

• made of velcro sensitive material<br />

• includes a zippered pocket for placing symbols when activity is finished<br />

Considerations<br />

• designed by a mom of deaf, autistic twins<br />

• lightweight<br />

• hands free<br />

• can also house other visual supports<br />

Incorporating Behavioural Support in Schedule Systems<br />

• Premack principle - preferred activity following a less preferred activity<br />

• choice making - allowing students to exercise control over their day<br />

• time pieces - showing when transitions will occur<br />

October 1998 <strong>Supporting</strong> <strong>Individuals</strong> <strong>Using</strong> <strong>Picture</strong> <strong>Communication</strong> Symbols Page 4


Developing <strong>Communication</strong> Skills<br />

Difficulties in developing signed or spoken communication skills experienced by individuals<br />

with developmental disorders<br />

• processing transient forms of communication (speech/sign)<br />

• articulation<br />

• forming signs correctly<br />

• shifting and reestablishing attention<br />

• attending to speech while blocking out background noise<br />

• recall<br />

Benefits of using picture communication symbols<br />

• visually non-transient<br />

• easily understood by the community at large<br />

• assists in focusing attention<br />

• decreases frustration<br />

• easily individualized<br />

Developing communication skills<br />

• establishing a communicative environment - Goossens, Crain and Elder<br />

• engineering the classroom environment to support aided AAC in daily activities<br />

such as circle time, mealtime, food prep, story time, etc.<br />

• communication overlays/grids<br />

• pre-made (Goossens et al)<br />

• self made<br />

• strategic placement in environment<br />

• topic specific communication binders<br />

• identifying topics<br />

• selecting vocabulary<br />

• organizing grids/table of contents<br />

• the <strong>Picture</strong> Exchange <strong>Communication</strong> System (PECS) - Frost and Bondy, 1994<br />

• to teach initiation of interaction to individuals with autism<br />

• training Process<br />

• phase I - the physical exchange<br />

• phase II - expanding spontaneity<br />

• phase III - picture discrimination<br />

• phase IV - sentence structure<br />

• phase V - responding to “What do you want?”<br />

• phase VI - responsive and spontaneous commenting<br />

• errorless learning techniques<br />

• using PECS for receptive communication<br />

• managing PECS<br />

• topic specific books<br />

• PECS books<br />

October 1998 <strong>Supporting</strong> <strong>Individuals</strong> <strong>Using</strong> <strong>Picture</strong> <strong>Communication</strong> Symbols Page 5


<strong>Supporting</strong> home/school communication<br />

• home/school daily schedules<br />

• home/school daily schedules with self evaluation<br />

Behavioural Support Strategies<br />

<strong>Communication</strong> function of behaviour<br />

• tangible<br />

• introduce PECS during activities when behaviour tends to occur<br />

• choice boards to delineate choices<br />

• involve the individual in scheduling<br />

• escape<br />

• Break boards<br />

• attention/social interaction<br />

• communication books<br />

• PECS<br />

• teach peer tutors to use communication supports<br />

• teach individual to play games using PCS<br />

<strong>Supporting</strong> social/behavioural understanding<br />

• consequence maps<br />

• Show the individual two possible “roads” of behaviour and the consequences of<br />

each<br />

• imagery scripts<br />

• walk an individual through a situation, supporting them in making appropriate<br />

choices<br />

• social stories - developed by Carol Gray<br />

• incorporates specific language and writing styles<br />

• written in first person to support individual in understanding social situations and<br />

their role<br />

Literacy Development<br />

The major goals of a literacy program<br />

From Bringing It All Together - A Program for Literacy<br />

Purpose of writing<br />

• a way of recording<br />

• experiences<br />

• information<br />

• imagination<br />

• in order to<br />

• inform<br />

• instruct or direct<br />

• entertain<br />

October 1998 <strong>Supporting</strong> <strong>Individuals</strong> <strong>Using</strong> <strong>Picture</strong> <strong>Communication</strong> Symbols Page 6


Organization of texts<br />

• format<br />

• orientation<br />

• concept<br />

• organizational pattern of various forms of text<br />

• sequence<br />

• components of stories, poems, etc.<br />

Comprehension<br />

• text has meaning<br />

• connect illustrations to text<br />

• relate information from books to our experiences<br />

• make judgments<br />

• predict<br />

• infer<br />

• summarize<br />

Vocabulary<br />

• sight vocabulary<br />

• learning the print form of already known words<br />

• meaning vocabulary<br />

• learning the meaning, sound and visual form of new words<br />

Decoding and encoding<br />

• learning the correspondence between pronunciation and spelling<br />

Difficulties in developing literacy skills<br />

Purpose of writing<br />

• attaching language to thoughts and experiences<br />

Organization of texts<br />

• organizing ideas or information<br />

• organizing words into sentences<br />

Comprehension<br />

• difficulty relating to text, due to limited background experience<br />

• difficulty relating to text due to different perceptions of experiences<br />

• difficulty processing the language level of the text<br />

Vocabulary, decoding and encoding<br />

• difficulty acquiring sight vocabulary due to visual processing difficulties<br />

• difficulty developing a meaning vocabulary due to auditory or language processing<br />

difficulties or hearing loss<br />

Why do <strong>Picture</strong> <strong>Communication</strong> Symbols support literacy development?<br />

• PCS are non-transient, supporting those with auditory processing difficulties<br />

• PCS make a variety of classroom reading activities more accessible to visual learners<br />

How can <strong>Picture</strong> <strong>Communication</strong> Symbols support the development of literacy skills?<br />

Purpose of writing<br />

• expression of ideas, experiences and information<br />

October 1998 <strong>Supporting</strong> <strong>Individuals</strong> <strong>Using</strong> <strong>Picture</strong> <strong>Communication</strong> Symbols Page 7


Organization of texts<br />

• organize ideas and thoughts prior to writing<br />

• provide a framework for grammar<br />

• assist in categorizing parts of stories<br />

Comprehension<br />

• allows for access to print<br />

• enables students to demonstrate their understanding of print<br />

Vocabulary, decoding and encoding<br />

• provides a visually non-transient equivalent to print and through the air language<br />

Strategies for supporting students in developing literacy skills<br />

Purpose of writing<br />

• topic specific grids<br />

• organize information<br />

• brainstorming<br />

• keep focus<br />

• blank comic strips or thought bubbles<br />

• use of symbolized text in daily living activities<br />

Organization texts<br />

• colour coded symbols and similarly coded writing forms<br />

• symbolized organizers<br />

• PECS style writing boards<br />

• IntelliKeys with PCS overlays<br />

Comprehension<br />

• symbolized stories<br />

• activities incorporating the matching of symbols to text<br />

• activities incorporating the matching of symbolized text to illustrations<br />

• comprehension checking activities that do not require through the air language<br />

• story organizers to assist students in summarizing text<br />

Vocabulary, decoding and encoding<br />

• communication environments<br />

• Velcro books<br />

• symbol supported games (bingo, concentration)<br />

• symbolized seat work (matching, crossword puzzles, fill in the blank)<br />

• symbolized picture dictionaries<br />

Adapting and Modifying Classroom Activities for PCS Users<br />

Discussion/brainstorming activities<br />

• topic specific grids<br />

• errorless<br />

• grids that require decision making<br />

• discussion guides/overviews<br />

October 1998 <strong>Supporting</strong> <strong>Individuals</strong> <strong>Using</strong> <strong>Picture</strong> <strong>Communication</strong> Symbols Page 8


Research projects<br />

• PCS graphic organizers<br />

• writing forms<br />

• IntelliKeys/overlays<br />

Novel studies<br />

• transcription<br />

• synopsis of chapters<br />

• adaptation of assignments<br />

Daily writing activities<br />

• morning letter<br />

• symbolized<br />

• cloze<br />

• IntelliKeys with alphabet overlay<br />

• IntelliKeys with PCS overlay<br />

• journal<br />

• PECS style writing board<br />

• IntelliKeys with PCS overlay<br />

Incorporating PCS into Self Help and Daily Living Skills<br />

Dressing, self care routines, bathing<br />

• mini schedules<br />

• communicative environment<br />

Grocery Shopping<br />

• PCS lists<br />

• communication grids<br />

• PECS<br />

Cooking<br />

• symbolized recipes<br />

• communicative environment<br />

• PECS<br />

Restaurants<br />

• ordering forms<br />

• PECS<br />

• communication grids<br />

Chores<br />

• mini schedules<br />

• communicative environment<br />

October 1998 <strong>Supporting</strong> <strong>Individuals</strong> <strong>Using</strong> <strong>Picture</strong> <strong>Communication</strong> Symbols Page 9


References and Resources<br />

Beukelman, David R. and Pat Mirenda. (1998). Augmentative and Alternative <strong>Communication</strong>:<br />

Management of Severe <strong>Communication</strong> Disorders in Children and Adults. Baltimore, MD: Paul<br />

H. Brookes Publishing.<br />

Durand, V. Mark. (1990). Severe Behavior Problems: A Functional <strong>Communication</strong> Training<br />

Approach. New York: Guilford Press.<br />

Frost, Lori A. and Andrew S. Bondy. (1994). The <strong>Picture</strong> Exchange <strong>Communication</strong> System<br />

Training Manual. Cherry Hill, NJ: Pyramid Educational Consultants.<br />

Goossens, Carol, Sharon Sapp Crain, and Pamela S. Elder. <strong>Communication</strong> Displays for<br />

Engineered Preschool Environments, Books 1 and 2. Solana Beach, CA: Mayer-Johnson.<br />

Goossens, Carol, Sharon Sapp Crain, and Pamela S. Elder. <strong>Communication</strong> Displays for<br />

Engineered Training Environments, Books 1, 2, 3 and 4. Solana Beach, CA: Mayer-Johnson.<br />

Goossens, Carol, Sharon Sapp Crain, and Pamela S. Elder. Engineering the Preschool<br />

Environment for Interactive Augmentative <strong>Communication</strong>. Solana Beach, CA: Mayer-Johnson.<br />

Goossens, Carol, Sharon Sapp Crain, and Pamela S. Elder. Engineering the Training<br />

Environment for Interactive Augmentative <strong>Communication</strong>. Solana Beach, CA: Mayer-Johnson.<br />

Gray, Carol. The Original Social Story Book. Arlington TX: Future Horizons.<br />

Gray, Carol. New Social Stories. Arlington TX: Future Horizons.<br />

Gray, Carol. Comic Strip Conversations. Arlington TX: Future Horizons.<br />

Hodgon, Linda A. (1995) Visual Strategies for Improving <strong>Communication</strong>, Volume 1: Practical<br />

Supports for School and Home. Troy, MI: Quirk Roberts Publishing.<br />

Johnson, Terry D. and Daphne R Luis. (1990). Bringing It All Together: A Program for Literacy.<br />

Richmond Hill, ON: Scholastic Canada.<br />

Musselwhite, Caroline and Pati King-DeBaun. (1996). Emergent Literacy Success: Merging<br />

Technology and Whole Language. Park City, UT: Creative Communicating.<br />

October 1998 <strong>Supporting</strong> <strong>Individuals</strong> <strong>Using</strong> <strong>Picture</strong> <strong>Communication</strong> Symbols Page 10

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