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A COTA is working with a child with autism spectrum disorder who has a hard time engaging in positive social behaviors in the cafeteria. Which intervention strategy would be most appropriate to help the child learn how to behave in the cafeteria?

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Final answer:

To help a child with autism spectrum disorder learn appropriate social behaviors in the cafeteria, a COTA can employ strategies like ABA techniques, social skills training, role-playing, sensory integration, and social stories. Tailoring the intervention to the child's unique challenges and strengths is important, as is consistent reinforcement across settings.

Step-by-step explanation:

When working with a child with autism spectrum disorder who is struggling with social behaviors in the cafeteria, a COTA (Certified Occupational Therapy Assistant) could implement several intervention strategies that are tailored to the child's needs. Among the most effective approaches are:

  • Applying principles of applied behavior analysis (ABA) to reinforce positive social interactions.
  • Conducting structured social skills groups that provide a safe and controlled environment for practicing social behaviors.
  • Using role-playing scenarios to teach and practice specific social skills needed in the cafeteria setting.
  • Incorporating sensory integration techniques if overstimulation is identified as a barrier to engaging appropriately in the cafeteria.
  • Creating individualized social stories that highlight expected behaviors and sequences of events in the cafeteria.

Interventions are best designed after assessing the child's specific difficulties and strengths, and with the involvement of a multidisciplinary team that could include teachers, parents, behavioral therapists, and others involved in the child's care. Consistency across environments, visual supports, and positive reinforcement are key components of supporting the child in learning and maintaining appropriate social behaviors in the cafeteria.

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