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Using Visual Schedules

A visual schedule is a series of pictures, words or symbols that indicate a series of events or steps on how to complete daily activities (i.e., hand washing). This is something your child can follow throughout the day. A visual schedule works by breaking down tasks into more manageable steps. 

Visual schedules can help your child:
Follow a routine
Transition between activities
Develop new skills
Reduce dependence on caretakers when completing an activity
Increase on-task behavior
Decrease tantrums
Reduce anxiety

Pick a routine that you would like to address.
Start small using 2 or 3 simple steps in the routine.
Use pictures, words or symbols that your child understands and can interpret independently.
Place the schedule in a location that is easily accessible to you and your child, such as on the refrigerator, in the family room, on a closet door, or dresser drawer. 
Prior to using the visual schedule, make sure your child understands how to use it. Review the schedule and steps in the schedule with your child.
When your child begins to use the schedule, he/she may need verbal prompts on what to do. Try to minimize the verbal prompts as much as possible, as this will help foster independence.

Resources to help you create a visual schedule:

Christina Mullady, M.S.Ed, BCBA


Using Positive Reinforcement to Improve Your Child’s Behavior

Is Little Jimmy being loud when you are on the phone? Lilly didn’t clean up her toys when you asked? Does homework time equal argument time? Does it take countless reminders to get your child to do their chores? Using positive reinforcement techniques will motivate positive, prosocial, appropriate behaviors within your children during all of these situations.

We have all heard of that age old phrase “You get more flies with honey than with vinegar.” Your grandmother probably told you that when you were growing up. Your grandmother was correct! You do get better results when you are positive and giving praise, then when you are negative and punishing.

Positive reinforcement has been scientifically proven to increase the behavior that you want to see more often. Positive reinforcement is used in a multitude of ways throughout our everyday life, not just in Applied Behavior Analysis. For example, for adults, receiving a paycheck is positive reinforcement to continue to go to work.

Just as positive reinforcement works effectively with adults, it works equally as well with children. This is also true when they are behaving in a way that – on the surface – does not appear to deserve a reward.

Positive reinforcement doesn’t mean that your child needs to receive a special reward for everything they do. There are many different forms of positive reinforcement. Depending on your child and how motivating the reinforcer is, you can use a variety of positive reinforcers for multiple behaviors in the home. These reinforcers can also be doled out right away or staggered out over time, depending upon the behavior or “lesson” you are trying to teach.

For example, you might say “good job” or “thank you” to your child when they follow your directions the first time you say it. When they complete their homework without a fight, they earn 15 minutes of iPad time. However, if your child completes their chore chart for 5 days in a row, they may earn something “bigger”. This may mean a tangible, more motivating prize, such as a toy from a prize box or a movie night with the family.

Use positive reinforcement with your child every time you see something “good” happen. Focusing on the positive will help ensure that these desired behaviors occur more often. The change won’t happen overnight, but you will see results. Remember – “practice makes perfect”! The more you positively reinforce desirable behavior – the better your results you will be!


It’s a New Year! Time to Get Moving!

The New Year is here! It’s a great time to create healthy habits and make sure your child with autism is getting enough exercise – even during the COVID-19 pandemic.

Why Is Exercise Important to Your Child With Autism?

Our brains need physical activity to remain healthy!!  

Without enough exercise, you may notice that your child demonstrates increased irritability.  You may also notice a decrease in concentration and focus.  Moderate exercise for at least 20 minutes has been shown to increase the ability to focus and learn in the few hours after.

Exercise promotes better sleep!!  

All children need to sleep well.  During these challenging times, schedules may be off.  People are stressed.  Coping skills  may not be  as sharp.  Exercise helps with both falling asleep and staying asleep.

Here are some tips for encouraging exercise at home:

Make physical exercise a part of the daily routine!!

Dedicate blocks of time in the morning and afternoon for exercise.  If you don’t plan it – it probably won’t happen!

Let your child choose the activity!!

Give your child choices for exercise, both of which would be acceptable.  Example: “We are going for a walk.  Would you like to walk in the park or in our neighborhood?”  

Make it fun!!

Create a list of physical activities that your child enjoys so that exercise never feels like a chore. Tailor the activity list to your child’s interests

Start slowly and build up!!

For children who are not accustomed to regular physical exercise, aim for 20 minutes daily and gradually increase to 60 minute blocks of time – preferably outdoors.

Limit screen time!

While tablets, computers and television are useful for learning opportunities or as rewards, too much screen time can take away from time spent in active play.

Walk the walk!!

Kids are more likely to exercise when they see their caregivers being active. That doesn’t mean you have to do the same activities as your child, but modeling physical activity is an important motivator for kids. Instead of thinking of exercise as an extra thing you have to do, it can help to think of movement as one of the coping skills we can use to overcome difficulties.

Forget perfect!!

Any exercise is better than none, so don’t worry if your child doesn’t achieve the recommended 60 minutes a day.  Be realistic, do your best and have fun!


What’s App?! Apps to Entertain and Educate

Are you looking for a way to entertain and educate your children during the upcoming holiday vacation?

Here is a list of some great apps for kids and adults with developmental difficulties, including autism. These apps can help with communication, social skills and even problem solving.

Autism iHelp – Sounds

Category: Educational

Integrates auditory and visual stimuli and emphasizes connecting images with their accompanying sound.

Autism Read & Write Pro

Categories: Educational, Speech

Provides assistance for your child to identify things found at home, at school, and in other places. Helps children understand what they read, write, and learn in their own space and time.

Proloquo2Go – Symbol-Based AAC

Categories: Social Skills, Speech

Provides assistance to nonverbal children with autism featuring natural-sounding voice and speech which can be generated by simply tapping buttons with symbols or typing a word.

i Create… Social Skills Stories…-social-skills/id513666306?mt=8

Categories: Educational, Functional Skills, Behavioral Intervention, Social Skills

Designed for young children and individuals with developmental delays. It has a social story sample that serves as a guide. You can organize photos and pages in the book. This app helps children recall the events  of a story and enhances their social skills.

ABA Flash Cards & Games – Emotions

Categories: Educational, Social Skills

Provides children with a simple and fun way to recognize 100 emotions. Users are taught how to understand and respond to these emotions once they have been identified.

Daniel Tiger for Parents

Categories: Functional Skills, Entertainment, Educational

Helps children with autism learn life skills, such as sharing, trying new foods and working with emotions. 

I’m On It: Focus Timer for ADHD & ASD

Categories: Functional Skills, Behavioral Intervention

Timer app helps anyone who struggles with staying focused on tasks, particularly those with Attention Deficit Hyperactivity Disorder (ADHD, or ADD) as well as people working through the unique challenges of Autism Spectrum Disorder (ASD).

Sensory Light Box

Categories: Games, Entertainment

Free app that allows users to touch the screen to trigger a particle effect, spawn new particles, and have up to 10 touch points active simultaneously. It’s a great app that is made specifically for children on the autism spectrum.

First Then Visual Schedule

Categories: Behavioral Intervention, Health Manager

This app can help your child increase his/her independence and reduce anxiety through the use of visual schedules. Allows the user to add images, record voice and organize a schedule. 

Endless Reader

Promotes early reading habits in your child. The cute Endless monsters teach your child sight words and their usage in a fun filled environment.

Dino Tim

Exciting voiceovers help children learn shapes, colors, and numbers,  enhancing motor coordination and visual perceptions of colors & objects in motion.

Otsimo | Special Education AAC

Uses techniques designed around applied behavior analysis (ABA) and alternative and augmentative communication (AAC) to help children reach speech development milestones as well as achieve desired lifestyle skills, behaviors, and much more. With over 50 games that can be personalized to a child’s specific needs,  it provides progress reports along the way that show how far they’ve come since using the app.


It’s Cold Outside!

Tips to Help Your Child Dress for Cold Weather

Children diagnosed with ASD often need help preparing for any big change in their lives, and that includes a change in the weather.

Here are some quick tips to help make the seasonal transition more successful:

Put the Summer Clothes Away! 

Minimize the clothing options in your child’s drawers and closet.  Only allow access to the clothing you want them to wear.

Be a Good Role Model!

Modeling is so important!  Your child is always watching you and learning from what you do. Are you expecting your child to wear a hat, gloves and scarf? Then you need to  be wearing them too!

Have Fun With It!

Try making a game out of putting on all those clothes needed to go outside.  Singing a silly song can help. Use the song “Head, Shoulders, Knees and Toes,” as a checklist for gathering and putting on winter gear.  Sing together while identifying the items you need to keep warm: head (hat); shoulders (coat); knees (snow pants); toes (boots); eyes — looking at hands (gloves); ears (earmuffs); mouth and nose (scarf).

Identify a Reward That Motivates Your Child!

Use positive reinforcement when helping your child transition to cold weather clothing. We are all motivated differently.  Ideally, the reward  is delivered immediately after your child puts on that dreaded piece of clothing, so they learn that “when I put my jacket on, I get my favorite toy”. Informing your child first is also helpful (“first put your jacket on, then you can watch your video”).

Use Visuals! 

This may seem unnecessary if your child is already getting dressed independently, but using a visual task analysis (an ordered breakdown of each item they need to put on)  can help your child transition smoothly into a new season and new articles of clothing.

Pick Your Battles!

Try  not to make leaving the house in cold weather an all out struggle. Decide which clothing items are the most essential and move on. Does your child  really need mittens to get out the door, or is that something you can take with you, or store in your pocket for later?

Offer Choices!

Giving your child a sense of control over what they want to wear, by providing some choices, can really help avoid frustration. Mittens or gloves? Hood or hat? Turtleneck shirt or scarf?  Allowing your child to choose can result in positive results!

Keep Trying Until You Find What Works!

Every child is different and as parents, we learn what generates a positive or negative response from  our child.  Do your best to create routines that benefit your family. When it comes to winter clothing – experiment with fabrics, a variety of clothing sizes and styles. Your child will eventually let you know what works for them!


Tips for Helping Your Child with Autism Handle School Breaks

Transitioning Through School Breaks

It is the time of year for seasonal holidays and long breaks from school. The multiple days off from school can have a negative impact on students, especially those students with autism. To prevent regression during this time, here are a few tips to use at home over the holidays.

Maintain a Sleep Routine:

It can be difficult to stick to a bedtime schedule, but this is very important for your child. Setting an alarm daily as a reminder to start the nighttime routine will help ensure that your child is getting in bed at an appropriate and consistent time every evening. This will also prevent your child from having a difficult time adjusting to getting up early and going to bed on time when returning to school. Begin this strategy a few days before returning to school after the holidays.

Use Visual Schedules:

The use of a visual schedule, for the morning and bedtime routines, will not only help to ensure that your child remains on a consistent sleep and meal schedule, but will also promote a regular routine of engaging in academic activities and decreasing leisure screen time. Daily schedules help children maintain positive behavioral skills, such as sitting at a desk and completing academic tasks.

Maintenance Binder:

Some teachers will provide or will assist with developing a maintenance binder or a packet for the students to work on daily over the holiday break. The binder should include fun activities, as well goals and skills for maintenance. This will help to maintain academic skills and competencies to prevent regression in any of the goals learned so far this year. 

Designated Work Area:

Set a specific place where your child can focus and complete academic work without distraction. The work area should be clear from electronics, toys and other items that may distract your child.  The goal is to promote focus on the academic material. The work space  should be organized so that  academic materials can be safely stored and put away.

Use a Reward System:

Sticker charts and token boards are a great way to promote positive behavior while at home. Be specific about  the behavior you desire  – for example:  “follow daily schedule,” “be nice to siblings,” “help taking out the garbage”.  Provide small daily rewards, such as stickers, when your child engages in the behaviors you have targeted. It is important to remember that the reward should be something motivating to the child and not something they have free access to.

Encourage Children to Be Involved with Prep and Cleanup:

Small family gatherings provide great opportunities for your child to help with cleaning, cooking, and wrapping gifts.  When using a visual schedule, include time in the schedule for “helping mom or dad.” This is a fun way to share family time,  teach a new skill and reinforce positive behavior. 

Use Social Stories:

Social stories are an effective tool to use to explain the change in routines during the holidays.  Use social stories to explain who may be visiting for the holidays,  or plans for family travel.  Changes that we are all facing may best be explained through a social story.

Attached is a list of resources to use:

Social Stories websites and Apps

Social Stories for Kids With Autism – The Ultimate Guide

12 Computer Programs, Websites And Apps For Making Social Stories

Visual schedule Apps

Token Board Apps

Megan Killeen MS, BCBA, LBA is a Clinical Supervisor at Family of Kidz.


Supporting Siblings of Individuals with Autism and Their Parents

Having a brother or sister with an autism diagnosis can be filled with unique experiences that can both strengthen the sibling bond and challenge that relationship.  Some siblings may experience:

  • Embarrassment around peers
  • Jealousy regarding amount of time parents spend with their brother/sister
  • Frustration over not being able to engage or get a response from their brother/sister
  • Being the target of aggressive behaviors
  • Concern regarding their parents’ stress

 Explain autism to your child in a way they can understand

It is very important to make sure siblings understand what autism is.  You will be having this conversation a lot with your children and will need to adjust the information to fit ages, stages, and understanding.  They will need explanations that help them to understand why their brother or sister behaves differently than they do. For helping younger children understand, these resources may be helpful:

  • Ian’s Walk: A Story about Autism, by Laurie Lears
  • My Brother Charlie, by Holly Robinson Peete
  • Looking after Louis, by Lesley Ely
  • All About My Brother, by Sarah Peralta
  • Everybody is Different: A Book for Young People Who Have Brothers or Sisters With Autism, by Fiona Bleach
  • Leah’s Voice, by Lori Demonia

Additionally , Autism Speaks Siblings Guide to Autism  is an excellent resource for siblings trying to understand and connect with their brother or sister with autism, and to understand some of the struggles and concerns they may have as a sibling of someone with Autism.

Carve out time and attention so that your child doesn’t feel overshadowed by their sibling with autism.

Decide which  activities are important to you that  should be shared by the entire family and which  activities that do not have to be “the whole family”. Create some regularly scheduled special time for each child.   For example: Don’t feel guilt, if your child with ASD is not able to sit through a school assembly; don’t force him along to his siblings’ concert. It will be too stressful for everyone in the family.

Allow your child to express their feelings.                                                                                                              

It can be difficult to understand some of the behaviors demonstrated by individuals with Autism, such as aggression, self – injury or making noises other people their age may not. They may even ignore or reject attempts to play and engage with their brother or sister.  Let your child know that it is okay to be frustrated, angry, or stressed and that you can work on these feelings together.

Encourage and foster the sibling relationship.

Make sure your neuro-typical children understand their sibling’s abilities, preferences and interests, so that they can make positive connections.  Share what you have learned so that siblings can be mentors. Teach them how to provide praise and reinforcement when their sibling with autism does “the right thing” ~ such as paying attention to them or  following a direction.  Show them how to support their sibling with autism  when they have difficulty doing something.  When utilizing communication tools, such as PECS or sign language, include your child in the learning process so they can communicate and understand the communicative attempts of their sibling with autism.    

RESOURCES FOR SIBLINGS AND PARENTS   The Organization for Autism Research (OAR:

Brothers, Sisters, and Autism: A Parent’s Guide to Supporting Siblings 

Life as an Autism Sibling: A Guide for Teens

Autism, My Sibling, and Me (coloring book for young children)

SibTeen, an online Facebook group for teen siblings:

SibNet online forum for adults:


Organization for Autism Research (OAR). (2014). Brothers, sisters and autism: A parent’s guide to supporting siblings

Weiss, M. J. & Pearson, N. (2016). Clinical Corner: How to manage the impact of child with a disability on siblings. Science in Autism Treatment, 13(2), 22-26.

Home – Autism Society ( Sandra Harris, Ph.D., professor emerita at the Graduate School of Applied and Professional Psychology and executive director of the Douglass Developmental Disabilities Center at Rutgers University.

Spectrum | Autism Research News Siblings of children with autism have social, emotional problems BY JESSICA WRIGHT 11 OCTOBER 2018

Stacey Ratner, LBA/BCBA, SBL, SDL is the Chief Clinical Compliance Officer at Family of Kidz.


Tips to Help Your Picky Eater at Thanksgiving

Picky and preferential eating is a common issue for children diagnosed with ASD. The behavior of preferential eating can be very difficult for families to manage at mealtimes and may lead to more serious concerns such as nutritional deficiencies, under-eating, and over-eating. Developing healthy eating habits is important for children of any age.

Common signs of preferential eating:

  • Limited acceptance of food textures and tastes
  • Needing a specific presentation of food
  • Eating only small amounts
  • Gagging/vomiting when given a new food
  • Inappropriate mealtime behavior
  • Acceptance of specific locations or brands

Prior to starting any plan for food selectivity, it is imperative to rule out any medical conditions that may be influencing the child’s feeding difficulties. A few common medical concerns may include gastro-esophageal reflux disease (GERD) and/or food allergies or intolerances. It is also important to address and rule out any possible structural or motor issues that could be contributing to a child’s limited food repertoire. A pediatrician can assist in this area. After ruling out any underlying medical condition, families can set goals towards expanding their child’s food repertoire.

Breakdown mealtime into bites!

Families working with a picky eater may be looking for ways to make mealtimes less stressful. Using the principles of ABA, parents can help their child and work toward positive outcomes.

  • Offer broad choices of tastes and textures and allow your child to choose which one to try.
  • Utilize a visual display for expectations at the table and rewards for following those rules.
  • Stick to a predictable schedule for meals and snacks to ensure your child is hungry at mealtime.
  • Start with small bites and gradually increase the size as your child makes improvements in accepting foods. Starting with a “kiss” to the food can be the first step.
  • Utilize positive reinforcement for acceptance of each bite of food. Some children may be reinforced with smiles and praise. Others prefer music, time with a specific toy, or a few minutes away from the table. 
  • Use the most preferred reinforcers for the part of mealtime that your child struggles with the most, whether that is remaining seated at the table, bringing utensils to their mouth, chewing their food, or swallowing their food.

These are just a few suggestions for making mealtimes easier. The most important thing to remember is to remain patient. Children diagnosed with autism may be easily overwhelmed by new foods and textures. Allow many opportunities to experience different foods and remember that everyone has their own preferences. Consult with a professional for more helpful information.

Taylor Ricker, LBA/BCBA, is a Clinical Supervisor at Family of Kidz.


10 Tips for Navigating Family Events

Big gatherings might have slowed down for families during the pandemic. However, there are many that still get together for special occasions, such as birthdays, baby showers, bridal showers, Father’s Day, and Mother’s Day. Bigger holiday events like Thanksgiving, Hanukkah and Christmas are approaching quickly. While all these occasions are fun to look forward to, those with Autism Spectrum Disorder and their families can find them quite stressful. There are things your family can do to make these events go a little more smoothly, and less stressful!

Be aware of common stressors for individuals with ASD:

  • Sensory overload: new smells, new foods, bright lights, loud music, a lot of talking and singing
  • Fear of new places
  • Unfamiliar people
  • Unstructured time
  • Unplanned changes to routines
  • Transitioning from person to person or place to place

10 Tips on Navigating Family Events:

Talk to your family members before the event: 

Make your family aware of the things that may serve as a trigger for your child. That way all event participants can best  avoid triggering activities.

Talk to your child with ASD:

If your child understands verbal language and can communicate with you, talk to them weeks before and up until the day of the event. Tell them who they will see, what activities they can expect, and what food will be served. Example: “This month is Christmas, and we are going to Aunt Jackie’s house on that day. You will see your cousins, open gifts and eat a nicely cooked lasagna for dinner.”

Use social stories: 

Social stories about the event are great for children who need visuals to understand what is going to happen. The story can include what to expect on the day of the event, how the child is expected to behave and what they can expect from others in this social situation.

Use a visual or written schedule: 

The steps of the day can be shown through pictures or written out in a list. Example: First get in the car to drive to Grandma’s house next get out of the car and go into Grandma’s house, then play with your siblings and cousins.

Teach coping skills: 

Before the event, you can teach your child how to calm down if they feel overwhelmed. This might include going to a quiet space, taking deep breaths, closing their eyes, and counting to ten. If you notice your child becoming anxious or stressed, suggest that they use their coping skills and accompany them to another room to decompress, if needed.

Bring your child’s favorite item: 

A preferred item can help your child transition from home to an unfamiliar place. Your child’s favorite toy or their tablet/iPad can assist in the car ride to the designated location. Preferred items are also helpful when there are periods of waiting or downtime, such as before dinner is ready or time to open gifts.

Familiarize your child with the host’s house: 

Ask the host if you and your child may visit before the event. Familiarity can help your child to be comfortable in someone else’s home. If you are unable to visit before the event, ask the host to send pictures of different rooms in their home. 

Bring your child’s favorite food: 

Picky eaters may not eat what is being served.  Bring food from home for your child.

Provide verbal specific praise: 

Reassure your child that they are doing a great job! Tell them you like the way they are playing with the other children; how they are sitting nicely at the dinner table; and congratulate them for waiting to open their gift. Praise them for all they accomplish during this event!

Reward your child: 

Reward your child for displaying appropriate behavior throughout the day! A trip for ice cream is well-deserved after making it through an event that may have caused them anxiety.

Jennifer Roden, LBA-BCBA, is a Clinical Supervisor at Family of Kidz.


Autism Diagnosis: What’s Next?

With the prevalence of autism spectrum disorder (ASD) on the rise, more and more families are faced with what to do next. A new autism diagnosis can be life changing and every family handles the challenge differently. Just like every child with autism, a family’s journey is also unique. Here are some things to think about after the initial ASD diagnosis:

Take a few days to digest the information. Take deep breaths and go for a calming walk. You need time to plan how you will proceed.

Stay positive. Research has proven that Applied Behavior Analysis (ABA), in combination with other educational behavioral modifications, makes a big difference. Your loved one can make great strides with the right interventions.

Build your support system. Find people you trust and lean on them during this time. Invite friends and family to come with you to meetings. Let them help you conduct research and find resources for next steps. You will be surprised at the network of resources you already have at your fingertips.

Make time for your child and family.  It is important for your wellbeing. It is helpful to include siblings  in the diagnosis  process, as they will be affected.  Take some time to explain what is happening and how your family will proceed.  

Find reputable resources. Within your community, there are local and state organizations, autism associations and resources that are helpful. Be sure they are accredited and reliable.

Set goals. Start small, with weekly tasks you need to complete, and long-term goals for a successful future.

Maintain a record of all evaluations, reports, and documents related to your child’s diagnosis. Use a binder for hard copy documents,  electronic folder or both!

Here are some resources to help you  get started.  Feel free to contact  us for further guidance or information:

The First 100 Days: Autism Speaks

Find a Provider: BACB

Books for Siblings:

Kristen Schreck-Manny is the Director of Insurance Services at Family of Kidz.

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