ESDM
Environment Fidelity
All About Behvaiors
Structured Sessions
100

What is a theme?

The repeated action that the child and adult are doing together within the play routine

100

What should you do if a toy is broken or missing batteries?

Post a photo of the item in the "Maintenance chat" that it's broken/needs batteries and bring to the front desk when you have a chance.

100

Data collection is important because…

The data you collect each day shows BCBA and insurance if our interventions are working or if adjustments need to be made and continues to allow clients to access these services!

100

What is an "open room" in the SS app and what are they used for?

"Open Rooms" are 1:1 rooms that do not have a designated client scheduled to be in that room during that time frame. It can be used for clients are unable to be in their scheduled room, such as their room is occupied by another client that cannot transition or their 2:2 client pair is having difficulties sharing their space.

200

True/False: SSR = JAR

True

200

What are the seven sanitation items that belong in each bin, and where are the extra supplies kept on each floor?

Paper towel, tissues, disinfecting wipes, baby wipes, hand sanitizer, toy sanitizer, gloves.

Extra are kept in the hallway barn door closet on the 1st floor, and the diaper changing room on the 2nd floor.

200

Name two strategies to use when responding to aggression.

(1) Creating space for self and client, (2) prompting functional communication

200

What should you do if someone else is in your assigned room?

(1) Let them know you're scheduled in that room and ask if they are transitioning out, (2) Ask if you can join them in the room, (3) Find an "open room"

300

Where is the child’s focus during an SSR vs. an object-based JAR?

SSR = Child is focused on the adult 

Object-based JAR = Child is balancing attention to the adult and objects involved

300

What do you do if you have to leave a space and weren’t able to clean it up fully?

Post in the Non-Urgent Needs chat or All-Staff chat that you need support cleaning up.

300

What is the difference between a strategy and protocol?

Strategy - general best practice, can be used across clients

Protocol - individual to the client, implemented consistently across the team

300

Oh no, Structured Sessions App is not working! What are my next two steps?

(1) Inform COD and AOM so they can inform data team to work on a fix, (2) Use the "Centennial Backup Schedules" file to know what space your client is schedule for during that time. This can be found in the Drive or in the "files" section of All Staff chat.

400

Closing of a play routine should occur when…

Teaching opportunities are diminishing, the routine is becoming overly repetitive, the child is losing interest

400

What are two reasons why cleaning and sweeping up after clients during meal times is important?

(1) Cleanliness promotes a better therapeutic environment, (2) Clients may have behaviors of eating items off the floor, (3) Clients may have food allergies and our spaces need to be safe to use, (4) It teaches clients important skills they can utilize outside of Soar, (5) Item left on floor can become a slip hazard.

400

Your client is having difficulties with transitions upstairs and they have Speech/OT in 5 minutes. What should you do?

(1) Continue to follow the BIP, (2) Chat SLP/OT your location to make sure they can still start their session on time

400

True/False + Rationale: You are still following Structured Sessions to fidelity if your client is supposed to be in Centers from 2-2:30, but you arrived early at 1:52pm.

True! To support with transition challenges, staff/clients are given a +/- 10-minute grace period for transitions. Meaning if you arrive 10 minutes before your scheduled time or 10 minutes after your scheduled time, you are still in compliance of the Structures Session schedule.

**Note, this excludes OT/SLP sessions, and we must make sure we arrive on time for those therapies**

500

A client initiates a game of ring-around-the-Rosie and you two have repeated the same theme of holding hands and dropping to the ground every time you hear “all fall down!” across 3-4 rounds of the game. It’s time to vary…What can you do to vary the routine?

Introduce a new action (tip toe vs. stomp), new language (“we all GO TO SLEEP/STOMP OUR FEET”), adjust the sensory element (slow vs. fast, loud vs. quiet)

500

What are two strategies you can use to ensure the cabinets are put back in their correct color-coding spots before you leave the space?

(1) Start clean up well before the time to transition, (2) Utilize client programming such as first-then or color matching, (3) Using preferred activity to occupy client while you clean up if they do not have cleaning goals.

500

True/False + Rationale: My client is engaging in mouthing, a new behavior that the team has never seen before. I know that we have extra chewys at the center, I should grab one and introduce this as soon as I can.

False. This should be communicated to the child’s BCBA so they can collaborate with SLP/OT on appropriate alternatives. Mouthing ≠ Chewy

500

What is the importance of our structured sessions schedule?

(1) Allows clients to practice transitions and have predictability during their day in preparation for life skills beyond Soar. (2) Slowly and systematically increasing a client’s exposure to group instruction and peers.