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ADOS-2 Toddler Module 1 Guide

Module 1 ADOS2 Guide

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Diane Pacella
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100% found this document useful (2 votes)
730 views5 pages

ADOS-2 Toddler Module 1 Guide

Module 1 ADOS2 Guide

Uploaded by

Diane Pacella
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Module 1 Guide

Communication Sample: ____________________________________________________________

1) Free Play - Adjustment


Items Needed (Set-up before arrival): Table: PNP, Textured block, Book, Toy phone, 2 pieces of yarn ; - Type of play
Floor: Music box, Doll, JIB, Dump truck, 8 Letter blocks, Ball, 2 pairs of matching balls, 2 identical - Interests
cars, 4 plastic utensils & plates - Spontaneously
Instructions: Tell caregiver you want to give child a few minutes to adjust to the room by playing alone. Allow engagement:
the child to play while asking the caregiver about typical play. Purpose &
- Allow child to play alone for 3 min. Join play and direct his attention to the various toys available. method
- Discreetly remove the cause and effect toys to probe for functional play with remaining toys.
- If after 2 min. the child is not interested, ask the caregiver to initiate play.
- If no luck, try later and introduce activity by saying “Time to see the toys!” Do not rate until the child is comfortable.
Observations:

Giving

Showing/seek enjoyment

Functional Play

Symbolic Play

Repetitive Behaviors

2) Response to Name - Hierarchy of


Items Needed: Any Module 1 Toy Auditory
Instructions: When engaged in another toy, move 3-5 ft behind child & call name. Stimuli: Who &
Call the child’s name UP TO four times. If child makes an appropriate vocal response without making eye contact How?
with you upon one of the first TWO presses, start the task over with four new tries.
Ask parent to call child’s name up to TWO times.
Ask parent to say other words or make a familiar noise up to TWO times.
Ask parent to do whatever is necessary, including touching.
Note: Can be done during free play.
Examiner: Parent name: Parent other: Parent touch:

Observations:

3) Response to Joint Attention - Shift in gaze


Items Needed: Remote controlled Bunny or Car vs. gaze & point
Instructions: Seat the child with a book or object. Choose a toy. Place the toy 65° to the front and right
of the child, about 4-5 feet away. (The toy should not be placed higher than the child) Stand in front of the child,
spatially between the child and the toy.
Call the child’s name (or touch – get their attention) If possible, wait until child is looking at you before beginning. (Up to 5 attempts
to get attention before beginning presses.)

(Name), look!

(Name), look at that!

(Name), look at that! With point Activate Turn toy off for 5 seconds for requesting.

Notes: If no response, place the toy in front of the child and activate, waiting for their response. It is allowable to touch the child during
this task for attention, but not to orient their gaze.
Observations:
Requesting
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Module 1 Guide
4) Bubble Play
Items Needed: Bubble gun/wand & bubble juice - Joint Attention
Instructions: Seat the child with a book or toy. Standing 5 ft from and to the side of the child, start blowing object-person-object
bubbles (not talking). Continue >5 sec. after the child sees them. Pause, allowing for requesting.
- Make a routine where bubbles are blown, repeat a few times. If child does not request, hold bubble toy and dangle it to see if
child will move your hand. Or give the child the toy. Always keep fluid out of reach so she has to request fluid.
Observations:

Joint Attention

Shared Enjoyment

Gesture

Requesting

Sensory

Motor

5) Anticipation of a Routine with Objects


Items Needed: Balloon or C/E Toy (PNP, JIB) - Anticipation/Initiation
Instructions: Balloon: Slowly and deliberately blow up balloon. Allow child to touch. “Ready… of repetitive action
set…go!” and let go. Wait for child to retrieve it. - Joint Attention
If child does not get the balloon, gesture and vocally encourage child. (object-person-object)
If still no response, retrieve it yourself and blow up again, hold above head, ready set go, release,don’t talk
Wait for the child to request. Repeat a few more times in slow steps (exaggerate each step).
Other toy: Activate the toy in front of the child and make a positive response. Wait for reaction. Repeat.
Notes: Allow child on parent’s lap if afraid. Three total attempts if not interested
Observations:

Joint Attention

Shared Enjoyment

Gesture

Requesting

Sensory

Motor

6) Responsive Social Smile - Response to


Items Needed: n/a purely social
Instructions: While playing, call name and smile at child. Use any visual, verbal or vocal means, but not overture
touching. Pause between presses.
Parent attempt: Is there something you do at home without touching him that makes him smile? Can you show me?
Notes: Initiate when not already smiling. Look for a clear change, without laughing.

Examiner: Parents talk/smile: Parent w/ touch:

Observations:

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Module 1 Guide

7) Anticipation of a Social Routine - Anticipation of


Items Needed: Baby Blanket - Request for
Instructions: - Participation in a
- Peekaboo: From a foot away, hold up blanket and say “Where is (name)?” Pull down blanket and Social Routine
say “Peekaboo”! Repeat once. Hold blanket and pause, waiting for response. If child acts, repeat (initiation, gaze, affect,
and then hold the blanket out towards the child. If no response, try once more. vocalizations, gestures)
- Tickling: From two feet, approach the child with hands raised saying “Here comes the tickle
bug…” and tickle from legs to stomach. Repeat. Then, hold up hands but pause and wait for response (see if child looks
expectantly at hands). Repeat once more.
- Swinging: Approach child with arms out. Jump him up and down, counting “one, two three” and then swing him around when
you say “three.” Put child down, approach, and repeat. After second time, approach with arms extended and wait for response.
Observations:

Facial Expressions

Shared Enjoyment

8) Functional and Symbolic Imitation


Items Needed: Frog, car, cup, airplane, flower, block (place holder)
- Imitation with
Instructions: placeholder
- Teaching trial 1: - Social awareness
o Look, it’s a frog/car. Make the frog hop and say “Ribbit, ribbit.” - Shared enjoyment
o Give the frog to the child and say, You do it. If child imitates, clap/cheer, begin imitation trial phase 1
o If child does not imitate action, proceed to teaching trial 2.
- Teaching trial 2:
o Model frog a second time
o Physically help child imitate (hand over hand). Clap and cheer. Proceed to teaching trial 3.
- Teaching trial 3:
o Demonstrate frog moving, give it back to child. If imitates independently, proceed with imitation trials.
o If child still does not imitate, discontinue this item.
- Imitation trials, phase 1:
o It’s a cup/flower/plane. Demonstrate the action.
o Give the child the object and say, “You do it.” If correct, proceed to phase 2.
 If not, repeat(2) with same object. If correct, proceed to phase 2.
 If still not, repeat (3) with same object. If correct, proceed to phase 2.
 If still not, present next object- 3 demonstrations per object until success. When child successfully imitates, proceed to
phase 2. If all 4 objects have been modeled and no successful imitations, discontinue.
- Imitation trials, phase 2:
o SAME CONCEPT. Pick up block and say, “Now THIS is a cup/flower/plane.” Demonstrate same action but with block.
o Give block to child and say, “You do it.” If correct, proceed to phase 3.
 If not correct, repeat (1, 2, 3 times)
 If still not after 3, go back to phase 1 with new object.
- Imitation trials, phase 3:
o NEW CONCEPT. Pick up block and say, “NOW it’s a flower/plane.”
o Give block to child and say, “You do it.”
Teach:
Frog/Car ___ (Hand-over-hand) ____ (Frog/Car again) ____
Imitate:
Cup ____ (cup repeat 1) _____ (cup repeat 2) _____ (cup repeat 3) _____
SAME: Block ___(block repeat 1) ____(block repeat 2) ____(block repeat 3) _____
NEW : Block ___(block repeat 1) ____(block repeat 2) ____(block repeat 3) _____

Flower __ (flower repeat 1) __ (flower repeat 2) ___ (flower repeat 3) ____


SAME: Block ___(block repeat 1) ____(block repeat 2) ____(block repeat 3) _____
NEW: Block ___(block repeat 1) ____(block repeat 2) ____(block repeat 3) _____

Plane ___(plane repeat 1) ____ (plane repeat 2) ___ (plane repeat 3) _____
SAME: Block ___(block repeat 1) ____(block repeat 2) ____(block repeat 3) _____
NEW: Block ___(block repeat 1) ____(block repeat 2) ____(block repeat 3) _____

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Module 1 Guide

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Module 1 Guide
9) Birthday Party
Items Needed: Baby, plate, fork, knife, cup, napkin, Play-Doh, 4 “candles”, blanket - Symbolic Play
Instructions: - Functional Play
- Look, here’s the baby. - Interest & Ability
- Say, “It’s the baby’s birthday! Let’s have a party for the baby!” to join in “script”
- Make a cake with play-doh, allow child to help “Here’s the birthday cake.”.
- Say, “Here are the candles!” Put in one candle, give one candle to the child and set the rest within reach for the child to put in,
help if necessary.
- Light with a match and shake out, saying “Hot!” and mildly concerned face
- “ What should we do now?” If not answer, “Let’s sing happy birthday!” end of song: clap and cheer
- If the child does not blow out candles, “What should we do next?” if still doesn’t blow out, “Let’s blow out the candles!”
- (1) Hold doll in front of candles, “What’s next?” (2) Open mouth (3) Get ready to blow (4) Blow out candles. Look at the
child with anticipation between each step.
- Say “The baby is hungry!” see if child responds, Then, “The baby wants some birthday cake!” see if response, Then, “Let’s
feed the baby!” while demonstrating. Make noises when the child feeds – have cup available if the child wants to give the baby
a drink. If not, suggest it: “The baby is thirsty.”
- Place napkin on the table. Knock over the cup by accident. Say, “Oh no! I spilled the juice! What a mess! What should we
do?” Wait, if no response ask, “Will you help me clean up?” if no response, hand child the napkin. If still no response, pretend
to wipe up the spill.
- Say, “Okay, the party’s over! Now what will the baby do? The baby is tired” and place the blanket on the table. If no response
say “Time for bed” If no response, cover the doll, pat it and say “Night, night baby!”

Notes: If the child has an aversion to birthday parties, use other routines such as: picnic, tea party, going to McDonald’s, etc.
Observations:

Doll as inanimate object

Spontaneous Contribution

Gestures

10) Snack
Items Needed: Two kinds of cookies or crackers in clear containers with lids that are hard to open. - Preferences
Instructions: “Its time for a snack!” Place napkin in front of child. Put one of each snack on the towel - Use of gaze,
saying, “We have …. Or …. I have some more over here, so let me know if you want more.” gesture, reaching,
- After the child has eaten the snacks, hold both containers out of reach and ask “What do you facial expressions,
want?” vocalizations to
- If no response, identify the contents of each container and ask “What do you want?” If the child request.
requests by ANY means, give a snack. If they cannot request and are becoming frustrated, ask the
caregiver which and give the child that container and wait to see if they request help.
- After they eat another, repeat. Continue until the child has had enough.
Observations:

Requests Preference/Help

Sensory

Gesture

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Common questions

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Anticipation of routines enhances a child's engagement by establishing a predictable sequence that the child can follow and respond to. For instance, during a watching activity with a balloon or cause-and-effect toy, the guide instructs to exaggerate each step, such as inflating a balloon and saying "Ready… set…go!", to encourage the child to anticipate the next step and participate actively. This structured repetition helps the child develop a sense of expectation, prompting them to engage more spontaneously in the activity .

The Module 1 Guide suggests a structured methodology for encouraging symbolic and functional imitation, employing teaching trials with progressive steps. Initially, an adult models the action, such as making a frog hop, and prompts the child to imitate. If unsuccessful, physical assistance is provided, followed by further modeling. The child is then given opportunities to imitate with different objects across multiple items until successful. The methodology progresses to imitating a new concept with the same object in subsequent trials, transitioning from guided to independent imitation .

Scripted play scenarios such as a birthday party are utilized to enhance children's social skills and symbolic understanding by providing structured, familiar social contexts that promote role-play and interaction. The guide uses materials like dolls, play-doh cakes, and candles to create a relatable party scene where children are encouraged to imitate adult actions, like blowing out candles or singing. These scenarios enable children to practice turn-taking, social communication, and symbolic gestures, reinforcing their understanding of social roles and sequences in daily life .

The guide employs games and routines to develop gesture-based communication and requesting abilities by integrating interactive elements that prompt children to use gestures purposefully. For instance, during bubble play, caregivers pause to encourage children to gesture for more bubbles. Similarly, in snack activities, children are encouraged to gesture or use vocal requests to obtain their preferred snack. These interactive scenarios provide a natural context for gestural communication, enabling children to practice indicating desires and participating in social exchanges effectively .

Anticipatory action is used effectively in the Module 1 Guide to foster child responsiveness by creating a sense of expectation in social routines. For example, during peekaboo, caregivers pause after saying "Where is (name)?" to allow the child to anticipate the "Peekaboo!" reveal, encouraging visual engagement and participation. Similar anticipatory techniques are used in routines like tickling or swinging, whereby gestures like raised hands or a counting sequence create cues for children to anticipate and respond accordingly, enhancing their active participation in social exchanges .

Shared enjoyment plays a crucial role by fostering positive interactions and reinforcing desirable behaviors during activities. For instance, during bubble play, shared enjoyment is encouraged by blowing bubbles and observing the child's reaction, creating opportunities for joint attention and communication. Similarly, activities like tickling during anticipation routines are designed to elicit shared laughter and enjoyment, reinforcing social bonds and encouraging repeated participation .

The guide addresses social smile responses by instructing caregivers to engage with the child using visual, verbal, or vocal means without physical touch, aiming to elicit a smile from the child. It emphasizes observing for a clear change in the child's facial expressions as a response to a purely social overture. Caregivers are encouraged to demonstrate activities or gestures that typically make the child smile at home, ensuring adaptability to the child’s preferences and maintaining engagement in a familiar context .

Caregiver involvement is a critical component of the Module 1 Guide's structured play strategies as it provides emotional security and enhances child engagement through familiar interactions. Caregivers participate by initiating play if the child shows no interest and are advised to engage in strategies familiar to the child, like calling their name during free play. Their involvement ensures activities are personalized to the child's preferences, providing a bridge between structured exercises and spontaneous play, which enhances learning outcomes and nurtures a stronger caregiver-child bond .

The Module 1 Guide suggests facilitating functional and symbolic play by discreetly removing cause and effect toys during playtime to probe for functional play with the remaining toys. It encourages the use of teaching trials where an adult models an action with a toy, like making a frog hop and saying "Ribbit, ribbit," and then prompting the child to imitate the action. If the child does not imitate, further prompting and assistance, such as hand-over-hand guidance, are utilized. Successful imitation leads to a progression through imitation trial phases using different objects until the child can independently imitate the actions .

The Module 1 Guide supports joint attention development through activities like using a remote-controlled bunny or car. The guide instructs placing the toy in a specific position relative to the child and prompting the child to look using verbal cues like "Look at that!" If the child does not respond, placing the toy directly in front of the child and activating it may help attract their attention. The guide also allows the caregiver to engage the child by touching them for attention but not directing their gaze, thus emphasizing joint attention skills .

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