How this guide works

Tasks: This is a list of the smaller steps involved in the activity. It breaks down the activity into more manageable parts.

Prompts: These are specific verbal or physical cues given by the caregiver to the child to initiate, guide, or reinforce the desired behavior.

Simple Prompts: This is a simplified version of the prompts.

Positive Reinforcers: This is a list of rewards or incentives used to encourage and reinforce the child’s positive behavior during the activity.

Strategies: These are general approaches or techniques used to achieve the desired outcome.

Checklist: This is a list of tasks or items to check off before, during, and after the activity.

Sensory: This is a list of any potential sensory issues that may arise during the activity that may be overwhelming for the child.

PECS: This stands for Picture Exchange Communication System and is a tool used to aid communication between a child with autism and their caregiver. In this case, we suggest using PECS images that focus on the specific actions involved in the activity.

Tasks:

  1. Changing into pajamas
  2. Brushing teeth
  3. Using the toilet
  4. Getting into bed
  5. Reading a bedtime story or listening to calming music
  6. Turning off the lights

Prompts:

  1. “Let’s go change into your pajamas.”
  2. “It’s time to brush your teeth. Can you get your toothbrush?”
  3. “Let’s go use the toilet before bed.”
  4. “It’s time to get into bed. Can you climb in?”
  5. “Do you want to read a book or listen to music before sleeping?”
  6. “Let’s turn off the lights and go to sleep now.”

Simple Prompts:

  1. “Pajamas on”
  2. “Toothbrush”
  3. “Toilet”
  4. “Bed”
  5. “Book/Music”
  6. “Lights Off”
  7. “Good night”
  8. “Sleep”

Positive Reinforcers:

  1. Praise and high-fives
  2. Stickers or tokens for completing each task
  3. A favorite toy or stuffed animal to sleep with

Strategies:

  1. Use a visual schedule to show the child the steps involved in going to bed.
  2. Create a calming bedtime routine that the child enjoys.
  3. Consistently use the same prompts and routines every night.

Checklist:

  1. Have the child choose pajamas before starting the bedtime routine.
  2. Make sure toothbrush and toothpaste are accessible.
  3. Ensure the child has used the toilet before getting into bed.
  4. Have the child pick out a book or choose calming music.
  5. Provide a preferred toy or stuffed animal for comfort.
  6. Turn off all lights except for a nightlight if necessary.

Sensory:

  1. Use calming scents or essential oils, if the child prefers them
  2. Adjust the lighting to be dim and calming.
  3. Use calming music or white noise to create a peaceful atmosphere.

PECS:

  1. Picture of pajamas
  2. Picture of toothbrush
  3. Picture of toilet
  4. Picture of bed
  5. Picture of book or music
  6. Picture of lights off
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