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Problem Statement<br />

<strong>Social</strong> <strong>Skills</strong> <strong>Training</strong> <strong>for</strong> <strong>Adolescents</strong> <strong>with</strong> <strong>Developmental</strong> Disabilities<br />

Results of an Intervention Promoting Conversational Interactions<br />

on the Job and in the Community<br />

Research Completed and Reported on by<br />

Dr. Marilyn Banks<br />

2008<br />

Young adults <strong>with</strong> mild and moderate developmental disabilities do not initiate conversations and<br />

frequently exhibit inappropriate behaviors that make them lonely on the job and in the community.<br />

Problem Description<br />

In this writer’s setting, it was noticed that young adults did not initiate conversations and frequently<br />

exhibited inappropriate behaviors that presented them from being fully integrated on the job.<br />

Problem Documentation<br />

Graduates of the Community Based <strong>Skills</strong> <strong>Training</strong> program were observed in a follow-up study, and<br />

it was found that the graduates were working fine, had kept their jobs, but at e lunch and took breaks alone<br />

(Banks, 1998; Chadsey-Rusch, Destanfo, O’Reilly, Gonzalez, & Collett-Klingenberg, 1992a).<br />

When a pilot study was conducted, it was found that he student workers viewed themselves as<br />

lonely on the job and that their parents and others viewed the student workers as largely incapable of social<br />

communication and integration (Banks, 1999). When Students were videotaped in mock break-time situations,<br />

<strong>—</strong> <strong>—</strong>


it was found that most of the students remained passive during conversations and did not initiate greetings,<br />

comments or questions. Structured observations of students during work periods showed<br />

that students initiated conversations regarding needs <strong>for</strong> more materials and help in per<strong>for</strong>ming tasks, but little<br />

non-task-related conversation was observed.<br />

When parents were interviewed, some expressed that they thought that these students were incapable of learning<br />

skills that would improve social competence. The student workers did not initiate greetings to their supervisors<br />

and others and only responded when others greeted them. It was observed that others often talked <strong>for</strong> them and<br />

did not expect them to initiate conversations.<br />

The pilot study revealed that workers <strong>with</strong> disabilities did not have a repertoire of appropriate initiations<br />

and behaviors, but that they needed to be taught greetings, introductions, probing get-acquainted questions,<br />

compliments, and comments (Banks, 1999).<br />

Although inclusion is now being practiced in school settings, many students <strong>with</strong> disabilities still eat lunch<br />

<strong>with</strong> similar students. Their social contacts are teachers, paraprofessionals, and peers <strong>with</strong> disabilities. This<br />

limits their chances to build a foundation <strong>for</strong> social integration in the work world. Although all workers <strong>with</strong><br />

disabilities have unique needs, conversational interactions <strong>for</strong> job-related needs and social needs seem to be<br />

universal. The intervention strategy was specifically designed to:<br />

(a) Give the student workers <strong>with</strong> disabilities a repertoire of acceptable<br />

subjects <strong>with</strong> which to initiate conversations rather than being passive observers.<br />

(b) Extinguish behaviors that interfere <strong>with</strong> successful social integration.<br />

(c) Provide opportunities <strong>for</strong> social integration and use of skills learned.<br />

(d) Provide opportunities <strong>for</strong> workers <strong>with</strong> disabilities to build friendships on the job.<br />

The question to be answered was: If workers <strong>with</strong> disabilities were given opportunities to integrate on<br />

the job, would they initiate more conversations and would they express that they had more friends after<br />

the intervention?<br />

Settings and Participants<br />

There were seven participants in the pilot study who were mildly or moderately disabled high school<br />

students ages 20-22 years. The students were in their last year of job skills training and were being<br />

prepared to enter the world of work. All of the students were participating in the Students in Educational<br />

Transition <strong>for</strong> Supported Employment (S.E.T.S.) and met in a classroom setting each morning be<strong>for</strong>e<br />

<strong>—</strong> <strong>—</strong>


going out <strong>for</strong> five-hour unpaid work sessions in the community. Students were trained daily by certified<br />

special education teachers as well as co-workers at the various businesses. The businesses were well-<br />

known retail, food service and factory situations.<br />

Measurements Employed<br />

The Worker Loneliness Questionnaire was administered to find out how students viewed<br />

themselves at work and how they described their leisure pursuits. This questionnaire consists of six<br />

questions on Aloneness factors, seven questions on <strong>Social</strong> Dissatisfaction, and seven questions on<br />

Interest and Leisure Pursuits.<br />

The Checklist of Adaptive Living <strong>Skills</strong> was filled out by parents, job partners, and job trainers<br />

be<strong>for</strong>e and after the intervention. All students were videotaped in a mock-break time situation <strong>with</strong> co-workers<br />

who did not have disabilities. The videotaping took place be<strong>for</strong>e students had lessons in conversational<br />

initiations and they<br />

were not told the purpose of the video. Co-workers were told not to prompt the students but to have get-<br />

acquainted-type conversations. The co-workers were not told that the facilitator was looking <strong>for</strong> initiations<br />

on the part of the student workers. The co-workers who were chosen <strong>for</strong> the first taping were not friends of<br />

the students and were not necessarily the same co-workers chosen <strong>for</strong> the final taping five months later. The<br />

criterion <strong>for</strong> mastery of initiations was five unsolicited initiations or comments on the part of the student in a<br />

five-minute period.<br />

Methods<br />

The facilitator developed self-managed check sheets that were designed to cover conversational subjects.<br />

These sheets were used to guide weekly lessons and contained picture cues and simple words telling the<br />

students what to do in order to start a conversation. Students engaged in role-playing <strong>with</strong> one another and<br />

the teachers in order to have guided practice <strong>for</strong> each lesson. Students were instructed to carry the sheets <strong>with</strong><br />

them to work and to circle a number on the sheet each time that they successfully started a conversation on a<br />

designated subject. The skill sheets covered such subjects as such as finding out the names of co-workers, being<br />

the first to say hello, talking about the weather, talking about pets, and other subjects that were found to be<br />

talked about at work (Chadsey-Rusch & Gonzalez, 1988).<br />

<strong>—</strong> <strong>—</strong>


Results<br />

The post-test filming showed the range of initiations from 1 to 19.3 and the median score was 7.3.<br />

Although subjects did very little initiating at the baseline, they had no trouble replying to questions asked<br />

of them. The results suggest that these student workers <strong>with</strong> disabilities had less trouble responding to<br />

conversations than initiating conversations. During the post-test interviews, co-workers were directed to<br />

allow the students to “talk as much as possible and to refrain from prompting them or asking them too many<br />

questions.” The decrease in mean replies after intervention (27.87 to 12.32 on two trials) suggests that this<br />

technique was effective. This also agrees <strong>with</strong> the research that shows that others often talk <strong>for</strong> people <strong>with</strong><br />

disabilities and that co-workers need to be in<strong>for</strong>med of the kind of support needed by peoples <strong>with</strong> disabilities<br />

(Mank et al., 1999). Frea et al. (1997) suggested that people <strong>with</strong> disabilities should not be allowed to escape<br />

social demands. This escape often takes place through passive involvement in conversations.<br />

The results on the Co-Worker Involvement Index showed a mean pretest score of 7.00 (SD = 1.04) and<br />

the mean on the post-test score was 11.08 (SD = 2.8). One student stayed the same and one student lost a point.<br />

All other students gained between one and eight points.<br />

The Checklist of Adaptive Living <strong>Skills</strong> yields levels of Sensitivity, Insight, and Communication. The<br />

Communication portion was of particular interest in this study because that is the portion that measures the<br />

action the individual takes as a result of applying the first two skills of Sensitivity and Insight. The mean score<br />

on the pretest <strong>for</strong> Communication was 18.5 (SD = 6.52) and the mean score on the post-test was<br />

23.9 (SD = 8.34). All students met the expected outcome <strong>for</strong> this measure. The parent post-test indicated that<br />

all parents of the participants viewed their young adults as having made gains in the social awareness area as a<br />

result of the intervention.<br />

Discussion<br />

When the results of all of the measures used in this research are considered, it shows an overlap of<br />

interactions needed to teach non-work-related conversation to people <strong>with</strong> disabilities. It shows that it is best<br />

<strong>for</strong> training to take place in “real time” and in “real places” in order <strong>for</strong> cognitive approaches to be effective.<br />

A support network was <strong>for</strong>med between the parents, the teacher, and the co-workers that created the right<br />

atmosphere <strong>for</strong> social success (O’Conner, 1983). This ecological approach is consistent <strong>with</strong> Greenspan’s model<br />

that shows correlation between personal competencies and community adjustment outcomes (Black et al., 1997).<br />

These personal affect the quality-of-life <strong>for</strong> special students after graduation and help them <strong>for</strong>m stable social<br />

<strong>—</strong> <strong>—</strong>


elationships that are not necessarily dependent on cognitive competence alone. I.Q. is not a predictor of the<br />

number of friendships a person might develop (O’Conner, 1983).<br />

Recommendations<br />

The recommendations are that specific conversational interaction training be included as a part of<br />

instruction in special education career preparation classes beginning in middle school. It is apparent from this<br />

research that people <strong>with</strong> developmental disabilities can benefit from a repertoire of conversations that will help<br />

them successfully<br />

integrate on the job and in the community. This solution could be furthered by educating parents as to the need<br />

<strong>for</strong> fostering conversational skills at an early age and the need to have high expectations <strong>for</strong> their children.<br />

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NOTE: This short paper was written as a synopsis of the extensive research that took place over<br />

a three-year period <strong>for</strong> an applied dissertation at Nova Southeastern University. This 117-page<br />

dissertation titled, The Eagle Project: Increasing Conversational Interaction <strong>Skills</strong> <strong>for</strong> Student<br />

Workers With <strong>Developmental</strong> Disabilities (Banks 2001) can be ordered in its entirety directly<br />

from the author:<br />

Dr. Marilyn Banks<br />

2304 Reubens Run<br />

Marietta, GA 30064<br />

A fee of $75.00 includes shipping and handling.<br />

This short paper is reproduced and distributed <strong>with</strong> the author’s permission by The Attainment<br />

Company, Inc.<br />

<strong>—</strong> <strong>—</strong>

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