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Communication Matters Communication Matters 2014 2014 Development of LAMP in the Development of LAMP in the UKUK
Andrea McGuinnessHayley Power
Aims of TodayAims of Today To feedback on facts and figures
to date regarding LAMP in the UKDiscuss demographical information
on clients using LAMP Data around implementationWhat has worked most successfully
and hypotheses as to whyShort case study of individuals
using the LAMP approach.
Why we got involved…Why we got involved…It made sense…Had great results…High expectations…..Solid theory…..Good clinical practice
Reminder - What is LAMP?Reminder - What is LAMP?LAMP is a therapeutic approach based on
sensory integration principles
The goal is to give individuals who are nonverbal or have limited verbal abilities a method of independently and spontaneously expressing themselves in any setting
LAMP focuses on giving the individual
independent access to vocabulary on voice output AAC devices that use consistent motor plans for accessing vocabulary.
Components of LAMP
Readiness to Learn
Joint Engageme
nt
Consistent & Unique
Motor Plans
Auditory Signals
Natural Consequenc
es
Waiver…!!!Waiver…!!!
All data collected from activity of centre for AAC and autism UK (CAA UK)
Other assessment centres / suppliers / individuals will have trialled and recommended LAMP
LAMP Trainings 17 two day courses across the UK
(12 by us) Format is day one working with a
selected number of students and their team including where possible parents.
Day two is the theory behind LAMP, implementation and setting of aims
Trial period and review of progress
LAMP Training Sessions LAMP Training Sessions UKUK
Format of Day OneSessions with student and their team- all
sessions videoed. Included a variety of items known to be motivating to the child.
Following the child’s lead, the therapist engaged in play with the child centred around item(s) of their choice.
Communication opportunities created, vocabulary use modelled.
Core vocabulary was modelled either in single words, or in short phrases according to each child’s language abilities.
Format of Day OneNo verbal prompting, but clear
verbal models of target words given
Physical prompting faded as quickly as possible
All communication attempts responded to with natural consequences
Students chosen by the host
LCP SchemeLCP Scheme
LAMP certified professionals2 qualified9 in developmentLAMP certified practitioners1 in development and 2
expressions of interest
Location of LCPsLocation of LCPs
LCP applicationsLCP applicationsMost come from personal contactsMost of the northern trainings have
been organised through CAA UK◦Work with at least one person◦Share videos for feedback and evidence◦Pre and post LAMP use communication
profile◦Case History
◦Ongoing support, equipment
How many individuals have trialled LAMP?Liberator figuresJune 2011 – July 2014 – 363 known trialsOutcomesFull device 20%Decision making stage 10%Seeking funding 8%Ongoing trials 14%On hold 6%Apps/ low tech/ other 42%
CAA UK InformationCAA UK InformationJanuary 2012 – July 2014Figures on a much smaller scaleNumbers12 training days Have kept in contact with 8 locations
following trainingContact maintained on request -
limited
From those 8 follow upsFrom those 8 follow upsFigures based on
◦Individuals seen on day 1 of the training◦Individuals supported through LCP
scheme◦Ongoing individuals from therapists own
case load42 individuals 62% of these gone on to use LAMP
approach for expressive communication
Clinical approach
CAA UKCAA UKDevice 21%Unity App 32%Words for Life 3%Seeking Funding 6%Other 38%
From 8 follow upsFrom 8 follow ups
Without and with supportWithout and with support
Communication levelCommunication levelEarly communication levelIndividuals using other methods
◦Stuck◦Not meeting their needs
Individuals with some spoken expressive language
Good non verbal communicators
Communication levelCommunication levelDifficult one to callStandardised assessment to fit
all those students not practicalVERY rough analysisBiographical data from LCPsInformal observation
Communication levelCommunication levelFigures show a mixMajority of people put forward for
LAMP trials to CAA are at an early level of communication
Can’t draw any definite conclusions
Hypothesis – language level does not affect success
Try...
Sensory levelsSensory levelsDoes this make a difference?Maintaining sensory levels is
important to the success of the interaction
Over / under◦Difficult to engage the individual
LAMPLAMPCan we make any hypotheses?
Any patterns emerging?
Success criteriaSuccess criteriaSupport
◦Therapy◦Home◦School
MotivationSensory levelsTraining - understanding
approach
AlexAlexAlex – aged 11Dual diagnoses ASD and CPUsed 4 Talk 4Used iPad with Words for Life app
since Oct 2012
Alex’s “LAMP” Alex’s “LAMP” 4 Talk 4 LAMP
One hit one message Using for approx. 18 months
Up to 4 messages Approx 100 words
Words for Life app on iPad
Adult changed overlays Sequenced 84 location
Keyguard and case
Gross motor movement Fine motor with index finger
Request Request, greet, negate, direct, comment, give information, describe
Challenging, self injurious behaviour
Much reduced
Some mis-hits
Pre-recorded phrases Novel utterances, e.g. ‘down bike’
Up to 5 words per utterance
Increased positive vocalisation, word approximations for ‘more’, ‘hi’ + names
JoelJoel – aged 7Diagnosed ASDBefore LAMP, no verbal
communication, no effective AACUsed Vantage Lite since October
2012
Joel’s “LAMP” Joel’s “LAMP” Communication pre LAMP LAMP
Take adult to desired item Progressed to verbal communication – short utterances
No verbal communication 2-4 word level phrases
84 sequenced Unity on Vantage Lite
Frustration and self injury Still frustrated, screams, no self injury
Non verbal communication to request
Request, greet, negate, direct, comment, express emotion
Closed questions – is it this – or this?
Open questions- what do you want?
Spontaneous language generation – not all taught
Alex videoAlex videoChoosing TV programme
Novel utterances
Communication partner training◦Vocabulary choice◦Respond◦Error free◦Modelling
Developments Developments More one day trainings followed
by support for those interested in taking it further
Survey Monkey – follow up after 3 months of initial training session
New research – segmentation / auditory signals
Support further research
ConclusionConclusion Research is ongoing in UK and USA For more information www.aacandautism.com www.liberator.co.uk
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