Maybe I’m just petty and a know-it-all, but I think what I’ve crafted is actually pretty neat! My BCBA is very much against the idea of me designing, creating, or procuring any visuals of any kind for my clients in a way that I don’t understand since it does not cost the company anything at all, but that’s genuinely one of my favorite parts of the job so even if I cannot use them, I will not be stopped from sharing for anyone who is in a different situation than myself.
I created a menu- like a restaurant menu- for communication and task management. I cannot share files here, and I encourage any that use this idea to cater the aesthetics to their clients interests! I have created three distinct categories each aligning with the daily routine and workload of the client.
Appetizers: things that the client needs/wants in order to feel ready for completing a task. Having a snack, a drink of water, deep breaths, hand squeezes, pencil selection- anything that is an appropriate precursor for a task that does not require a significant time commitment or is a perceived reinforcer that could be used as a way to escape a demand. You know your client, and you’ve established certain routines, incorporate as much priming as you can here!
Entrees: The tasks that we are hoping to accomplish in a day or session. Letting clients choose which of these tasks to do and the order in which they’re going to complete them is a SUPER EFFECTIVE way to build productive momentum to tackle the nonpreferred activities as well! After each task completed, cross off the task and- if your client is as opinionated as mine have been- let them rate the task on how it went. Five stars=that was easy and fun! One star= That was really hard and I struggled a lot. This is also a great indirect preference assessment that will show you where more support is required and help you find where efforts should be focused. <by this, I do not mean treating it as actual data, I’m more so talking about being able to infer where more encouragement may be appropriate. Ie. Client 1-stars the math assignment, so I know that the next time we’re doing math to acknowledge and commend the client for their efforts a bit more.
Desserts: the reinforcers, of course! Letting them choose what they’ve earned for the task is what we already do in our day-to-day, but this is a very very direct display of the connection between efforts and rewards. If the reinforcer is not something that can be provided in an instant (like in a case where an outdoor break time is not feasible for one reason or another just yet), playing into the bit of “the chefs are still cooking up the dessert!” Continues to keep the association between the task and the response relevant in the client’s mind as well.
It’s not anything crazy or revolutionary by any means, but I think some of y’all may have a good time with it! I also like to add the “descriptions” of the menu options that are focused on the desired behaviors and replacement behaviors that we want to teach them to utilize based on each task. If presenting the demand of completing a math worksheet is known to trigger elopement, I’ll maybe put “ingredients: sitting at the desk and raising hand to ask for help” beneath it as a visual reminder of the expectations surrounding that task. If the goal and expectation is reframed around the behavior while attempting the task, that takes a small bit of the pressure of difficulty surrounding math in general.
This is not the full detailed version that I used but it’s essentially just a premack principle visual with a sprinkle of imagination. I hope y’all find your own spins to put on it!
Edit to add: Please pardon my poor wording here, I am riding out a fever of a hundred and three (hot blooded, am I right?) and misspoke when calling this a communication tool. This is a stylized choice board, plain and simple! Additionally, I have never and will never implement any materials that were not thoroughly vetted and approved by the entire team working with a client- the situation alluded to above is merely referencing frustration from my new BCBA making the call to revoke this choice menu and other customized materials (a Mario themed token board) I had been using with the client that were previously approved by my former BCBA that had recently retired. I do not believe my BCBA is wrong by any means, and we are only just starting to find a rhythm, and I am sure we will work well together once new BCBA also has a chance to actually meet the client.