Skip to content

Method and Corresponding App Function

Clarence P. Dow-Spielman edited this page Feb 15, 2016 · 4 revisions
Key Methods Description Details More Details
1.) Life Credit System (LCS) client profile creation Receive input from client, parents, past and current treatment team, and any transition assessments in forming LCS categories aka skills, meta-skills, behaviors and activities on which data is collected
Category examples: Skills (Waiting, Transition, Hygiene); Meta-skills (Self-determination, Self-awareness, Self-advocacy); Targeted Behaviors (Swearing, Property Destruction, Aggression); Activities/Programs (Vocation, Exercise, Calming Strategies)
Drives ownership for client; includes all stakeholders
2.) Use of Life Credits (LC) Earned in each category. Values customized and determined by treatment team
See Example Attack Table
Can only be earned, and never lost
Treatment team determines how many LC's equal a level
Levels are exchanged for an agreed upon tangible or privilege, ex. 1 level = $5
3.) Data collection in LCS Input using Google Form (Input Tool) and sent to Google Sheet (LCS Data Processor)
Records notes, instances and duration. All submissions timestamped
4.) Data analysis/visual reporting Accessible in real time on smart phone, tablet, or computer
LCS Data Processor receives data from Input Tool and performs the following functions automatically: 1.) Converts all data into LC
2.) Visualization of total LC in all LCS categories
3.) Separate visualizations of LC earned in all skills, all meta-skills, and all activities
4.) Duration of all activities and total session length visualization
5.) Levels earned visualization
6.) Targeted behaviors visualization
7.) Instances of self-reporting visualization
8.) All aforementioned functions calculated simultaneously for a particular session, as well as part of a current weekly and monthly aggregation)
9.) Weekly aggregations include a visualization for total LC per day in addition to the weekly total
10.) Monthly aggregations include a visualization for total LC per day and per week in addition to the monthly total
5.) Storage All on Google Drive. Created by agency/licensed therapist, in which/whom is vested responsibility for regulating sharing privileges among stakeholders
6.) Self-reporting 1.) Keystone habit to foster long-term behavior change and build self-determination in clients
2.) Phase 1 - therapist prompts client to report 'energy level' a.) Scale of 0 - 10
b.) Example: (Therapist): I just ate my lunch too fast and I have a stomach ache. I'm at a 5 right now. Where are you? (Client): I'm feeling good, I'm at an 8.
c.) Client receives bonus LC's for meeting a daily, weekly and monthly goal for total instances of self-reporting
3.) Phase 2 - performed by client on specific targeted behavior (ex. ritualistic finger picking) or skill (ex. change of plans)
4.) Phase 3 - client creates 'To-do' list with Reminders app in session with therapist and checks off as completed. Generalizes use of tool in other domains (home, personal life, etc.)
7.) Self-reviewing 1.) Daily a.) At random times comment, "I noticed that you just earned __LC's in category __" to prompt self-review and self-awareness
b.) Use visualizations to prompt self-review. Example: (Therapist): I wonder how many levels you've earned so far? show levels visualization
c.) If client is non-compliant, casually remark, "Well, it is up to you if you want to earn LC's." Refer back to client's goals if non-compliance persists.
d.) Use categories as talking points. Ex. If client is working on relationships, therapist can share about a success or challenge in one of their own relationships.
e.) At the end of each session, first review session using LCS and look for pros and cons. Then prompt self-review with client: "It's time for Pro's and Con's. Can you think of any?"
2.) Weekly (LCS 'Debrief') a.) Debrief is 'gamification' language (like an agent being debriefed on a mission)
b.) At regular time (beginning or end of week)
c.) Analyze data more in depth. Can teach client spreadsheet skills by taking data from LCS and creating new spreadsheets with clients. Fosters self-management.
d.) One category featured each week. i.) View line graph of total LC's earned for each week from beginning of program
ii.) Compare to line graph of total LC's earned in all categories for each week from beginning of program; identify trends
iii.) Generate definition in client's own language
iv.) List examples in the world and client's own life
v.) Stored as separate Google Docs in client's LCS main folder
e.) Sign-off on LCS Debrief form.
3.) 'Mining for LC's' i.) In session therapist may prompt, "How was your weekend/day? Is there anything you'd like to mine for LC's?
ii.) If client says, "Yes", go through event and break it down across the LCS categories of that client's program
iii.) Ex. "My mom put Net Nanny on my computer on Saturday. Later I got really mad at my dad and swore at him, but I didn't throw my computer. Then on Sunday I suggested that we go golfing." Client experienced denial and had to self-regulate, but then vented anger towards his dad. He did show self-control in not throwing his computer, which has been a past behavior. For this he earns LC's for Denial and Self-regulation. Then on Sunday he did relationship maintenance with his dad, and earns significant LC's for Relationships.
8.) Self-management Use of Trello to create and track goals, milestones, and the evolution of programs
Google Calendars to classify events (for fun, with family, school, etc.), create appointments and upkeep schedule
Reminder's App to make in-session 'To-Do' lists
Self management routine 1.) Start every session by checking Trello and Google Calendar. Preview entire week. Create regular and expected opportunities for client to give feedback about program, schedule, and step into 'CEO' role for program
2.) Preview day. Make 'To-Do' list on Reminder App
3.) Check off 'To-Do's as done. Bonus LC awarded for completion of all To-Do's. Bonus LC awarded for independent self-reporting.
9.) Use of LCS outside of session Other stakeholders may collaborate and apply LCS in various contexts: 1.) In community with therapist
2.) In academic session with special educators
3.) In home with parents while working on specific skills such as chores
9.) Meta-skills Skills that operate from within a deeper sense of self and ownership of identity than a normal skill such as transitioning from a preferred activity to a non-preferred activity or performing a sound hygiene routine. 1.) Self-determination Critical thinking; execution anywhere along the executive function chain; demonstration of independence; expression of personal vision (big life picture) through daily actions (little life picture)
Example: Bob knows his therapist Omar's supervisor Priya will be coming to his session. He suggests that they play a three person game, picks one out, and offers to set up the pieces.
Example: Sam takes music lessons, and shares a song he wrote over the week with his teacher and his therapist.
Exaple: Alycia is working on a film project. She has worked with her therapist to created a system for storing her files so that they are easy to access and not going missing, which provokes her anxiety and frustration. Alycia imports files from her camera, sets up a new folder in her current project and moves the new files into it.
2.) Self-awareness A verbally expressed or otherwise demonstrated understanding of one's self and state, including mind-set, habits, bias, emotions, triggers, disposition, strengths, weaknesses, limitations, opportunities, etc. LCS also tracks and awards LC's for the cultivation of self-awareness through mindfulness practice and programing, yoga, facilitated cognitive-emotional processing and other self-calming strategies
3.) Self-advocacy Asserting one's needs and desires in an appropriate way. This is especially relevant to the understanding of one's diagnosis or 'wiring', and advocating for modifications to support wiring challenges. Also includes preparing for self-advocacy in the community and various scenarios
4.) Self-regulation A verbally expressed or otherwise demonstrated performance of working with one's internal state in a way that maintains an optimal and sustainable level of energy, as well as appropriate interactions with others and behavior in various settings
5.) Self-review Verbally processing or commenting on past or current behavior/situations
6.) Self-reporting Remarking upon or physically documenting instances of behaviors or internal states
9.) Intrinsic motivation In contrast to 'Reward and Consequence' behavioral techniques, which are dependent upon outside actors and interventions, intrinsic motivation comes from within. LCS recognizes that each client is different and will require a unique blend. The focus, however, is on eliciting intrinsic motivation.
10.) Gamification Gamification is the application of gaming principles and methods in a traditionally non-game arena. In LCS v0.1: 1.) Gamified reward system used in LCS grants experience points, or 'Life Credits'
2.) Gamified language of performance, 'Debriefing', 'Mining for LC'
In future versions 1.) Enhanced LC game mechanics (bonus LC awarded for multiple skills/meta-skills used during a single event)
2.) Client LCS avatar that responds to and reflects earned levels/LC
3.) Social network of LCS avatar's (LCS client profile and all associated medical information NOT shared with social network)
4.) Game in social network through which LC's may be used to play with LCS avatar