Below is a general skill sequence for helping learners independently put on a t-shirt.
As learners master some of dressing’s most common 1 step behaviors (see component skills), it might be possible to introduce more specific goals regarding specific clothing. This skill area seeks to do that with basic T-Shirts. Per the usual, we target larger shirts to give the learner a bigger “target” and gradually fade to the learner’s correct size. As the learner ganes fluency here, you might consider more advanced “shirt” options like button downs.
How this skill area relates to your assessments!
This skill area aligns with various assessments and their respective domains, with milestone and domain codes provided for reference. Additionally, DSM-5 diagnostic criteria for Autism are included to help clinicians identify how this skill area potentially supports medical necessity in relation to the diagnosis.
VB-MAPP (Verbal Behavior Milestones Assessment and Placement Program)
Independent Play, IP 11-M, Spontaneously engages in pretend or imaginary play on 5 occasions (e.g., dressing up, a pretend party with stuffed animals, pretends to cook).
Independent Play, IP 14-M, Independently engages in sustained play activites for 10 minutes without adult prompts or reinforcement (e.g., playing with a Etch-a-sketch, playing dress up).
Social Behavior and Social Play, SBSP 14-M, Engages in pretend social play activities with peers for 5 minutes without adult prompts (e.g., dress up play, acting out videos, playing house).
AFLS (Assessment of Functional Living Skills)
Dressing, DR7, Pullover shirts on and off.
Dressing, DR29, Selects own clothes and dresses self.
Shopping, SH33, Selects casual clothing items in standard sizes (s, m, l, xl).
Shopping, SH39, Uses dressing room.
DSM-V Diagnostic Criteria for Autism
A3, Deficits in developing maintaining, and understanding relationships, ranging, for example, from difficulties adjusting behavior to suit various social contexts; to difficulties in sharing imaginative play or in making friends; to absence of interest in peers.
CDC’s Developmental Milestones
3 Years, Movement/Physical Development, Puts on some clothes by himself, like loose pants or a jacket.
Treatment Plan Goal Ideas
This is a list of treatment plan goals. These are different from the goals you will find in the skill sequence below. Your treatment plan goals encompass any number of goals from the skill sequence. Sometime they will include multiple goals from the sequence (”Learner will label 5 toys”) and sometimes the treatment plan goal will be simply consist of a really important goal from the skill sequence (”Will label caregiver”). An analogy I like to use goes as follows: Each skill sequence goal (commonly known as a “target”) represent each stair in a flight of stairs. The treatment plan goal is the flight itself.
Treatment plan goal ideas for this particular skill area are as follows:
Learner will accurately locate the tag on the inside, back collar of a t-shirt or polo shirt.
Learner will lay any t-shirt out flat and face down on a surface.
Learner will independently put a larger t-shirt on across three t-shirts.
Learner will independently put on a t-shirt (in their own size) across three t-shirts.
Component Skills
Your learner may need to be fluent in these component skills first before introducing this goal/skill area. Component skills for this skill sequence may include skill areas that are fundamental to other areas. Fluency in the skill areas listed below may increase the likelihood that your learner will succeed in this skill sequence and those afterward.
Below is a possible skill sequence for working on increasing your learner’s ability to follow instructions for putting on shirts. Note that every learner is different and that you likely will need to tweak and vary some programming to their needs. Click the triangle icon to view the full description for each skill in the sequence/area.
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#1 Locates tag on T-Shirt A
How to Run
Gain the attention and motivation of the learner.
Give the learner a T-Shirt and instruct them to find the tag.
Learner should look for the tag of the shirt (on the back of the collar) and point it out.
Reinforce accordingly.
Additional Notes
Note that this can be an actual tag OR a label printed on the inside of the back collar.
Materials
Short sleeved t-shirt
Research/Resources
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#2 Locates tag on Long-sleeved T-Shirt
How to Run
Gain the attention and motivation of the learner.
Give the learner a long-sleeved T-Shirt and instruct them to find the tag.
Learner should look for the tag of the shirt (on the back of the collar) and point it out.
Reinforce accordingly.
Additional Notes
Note that this can be an actual tag OR a label printed on the inside of the back collar.
Materials
Long sleeved t-shirt
Research/Resources
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#3 Locates tag on Polo Shirt
How to Run
Gain the attention and motivation of the learner.
Give the learner a polo Shirt and instruct them to find the tag.
Learner should look for the tag of the shirt (on the back of the collar) and point it out.
Reinforce accordingly.
Additional Notes
Note that this can be an actual tag OR a label printed on the inside of the back collar.
Materials
Polo shirt
Research/Resources
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#4 Spreads Shirt Out on Flat Surface
How to Run
Gain the attention and motivation of the learner.
Put a t-shirt on a table or on the bed if a disheveled fashion.
Instruct the learner to spread it out.
Learner should do so that the bottom of the shirt is closest to them.
Reinforce accordingly.
Additional Notes
Materials
Research/Resources
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#5 Spreads Shirt Out on Flat Surface, Locates Tag
How to Run
Gain the attention and motivation of the learner.
Put a t-shirt on a table or on the bed if a disheveled fashion.
Instruct the learner to spread it out.
Learner should do so that the bottom of the shirt is closest to them.
Learner should then check for the tag.
If the tag is facing the learner (front of shirt is showing), the learner should turn the shirt over so the back is facing. If the learner cannot see the tag (because the t-shirt is face down), they should leave the shirt as is.
Reinforce accordingly.
Additional Notes
Materials
Research/Resources
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#6 Puts Left Arm In (X Large Shirt)
How to Run
Gain the attention and motivation of the learner.
Put a t-shirt on a table or on the bed if a disheveled fashion that is several sizes too large for the learner.
Instruct the learner to spread it out.
Learner should do so that the bottom of the shirt is closest to them.
Learner should then check for the tag.
If the tag is facing the learner (front of shirt is showing), the learner should turn the shirt over so the back is facing. If the learner cannot see the tag (because the t-shirt is face down), they should leave the shirt as is.
Learner should then lift the opening of opening at the bottom of the shirt and put their left arm through the left arm hole. (Some assistance may be necessary in the beginning stages).
Reinforce accordingly.
Additional Notes
This should be a shirt that is several sizes larger than the learner’s size. Ensure that the shirt is not too big so the learner cannot manage it. The aim of the larger shirt is to provide the learner larger “targets” and make it easier for them to put it on.
Materials
Research/Resources
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#7 Puts Both Arms In (X Large Shirt)
How to Run
Gain the attention and motivation of the learner.
Put a t-shirt on a table or on the bed if a disheveled fashion that is several sizes too large for the learner.
Instruct the learner to spread it out.
Learner should do so that the bottom of the shirt is closest to them.
Learner should then check for the tag.
If the tag is facing the learner (front of shirt is showing), the learner should turn the shirt over so the back is facing. If the learner cannot see the tag (because the t-shirt is face down), they should leave the shirt as is.
Learner should then lift the opening of opening at the bottom of the shirt and put their left arm through the left arm hole. (Some assistance may be necessary in the beginning stages).
Learner should then put their right arm through the right arm hole using their left hand to assist. (Some assistance may be necessary in the beginning stages).
Reinforce accordingly.
Additional Notes
This should be a shirt that is several sizes larger than the learner’s size. Ensure that the shirt is not too big so the learner cannot manage it. The aim of the larger shirt is to provide the learner larger “targets” and make it easier for them to put it on.
Materials
Research/Resources
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#8 Puts head Through (X Large Shirt)
How to Run
Gain the attention and motivation of the learner.
Put a t-shirt on a table or on the bed if a disheveled fashion that is several sizes too large for the learner.
Instruct the learner to spread it out.
Learner should do so that the bottom of the shirt is closest to them.
Learner should then check for the tag.
If the tag is facing the learner (front of shirt is showing), the learner should turn the shirt over so the back is facing. If the learner cannot see the tag (because the t-shirt is face down), they should leave the shirt as is.
Learner should then lift the opening of opening at the bottom of the shirt and put their left arm through the left arm hole. (Some assistance may be necessary in the beginning stages).
Learner should then put their right arm through the right arm hole using their left hand to assist. (Some assistance may be necessary in the beginning stages).
Learner should then lift the shirt over their head and put their head through the head hole (thus putting the shirt completely on).
Reinforce accordingly.
Additional Notes
This should be a shirt that is several sizes larger than the learner’s size. Ensure that the shirt is not too big so the learner cannot manage it. The aim of the larger shirt is to provide the learner larger “targets” and make it easier for them to put it on.
Materials
Research/Resources
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#9 Puts On Shirt (One Size Up)
How to Run
Gain the attention and motivation of the learner.
Put a t-shirt on a table or on the bed if a disheveled fashion that is one size larger than what the learner normally wears.
Instruct the learner to spread it out.
Learner should do so that the bottom of the shirt is closest to them.
Learner should then check for the tag.
If the tag is facing the learner (front of shirt is showing), the learner should turn the shirt over so the back is facing. If the learner cannot see the tag (because the t-shirt is face down), they should leave the shirt as is.
Learner should then lift the opening of opening at the bottom of the shirt and put their left arm through the left arm hole. (Some assistance may be necessary in the beginning stages).
Learner should then put their right arm through the right arm hole using their left hand to assist. (Some assistance may be necessary in the beginning stages).
Learner should then lift the shirt over their head and put their head through the head hole (thus putting the shirt completely on).
Reinforce accordingly.
Additional Notes
This should be a shirt that is one size larger than the learner’s size.
Materials
Research/Resources
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#10 Puts On Shirt (Actual Size)
How to Run
Gain the attention and motivation of the learner.
Put a t-shirt on a table or on the bed if a disheveled fashion (this should be in the size that the learner normally wears).
Instruct the learner to spread it out.
Learner should do so that the bottom of the shirt is closest to them.
Learner should then check for the tag.
If the tag is facing the learner (front of shirt is showing), the learner should turn the shirt over so the back is facing. If the learner cannot see the tag (because the t-shirt is face down), they should leave the shirt as is.
Learner should then lift the opening of opening at the bottom of the shirt and put their left arm through the left arm hole. (Some assistance may be necessary in the beginning stages).
Learner should then put their right arm through the right arm hole using their left hand to assist. (Some assistance may be necessary in the beginning stages).
Learner should then lift the shirt over their head and put their head through the head hole (thus putting the shirt completely on).
Reinforce accordingly.
Additional Notes
Materials
Research/Resources
Concurrent Skills
Working on these skills at the same time could help with goal mastery. Maybe your learner has mastered these skills already. Perhaps they are already listed as component skills above. That’s okay! Targeting other learning channels might help your learner.
These are the possible next steps for learners who have mastered, or are mastering, the skills listed above. Note that new skill areas may require fluency in other component skills not listed above. Also, you can introduce composite skill sequences prematurely to keep your learner progressing, as generativity may occur earlier than expected.
Follow the link below to better understand component-composite analysis.
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Research and Resources
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Disclaimer
Consistent with ethical obligations outlined by the Behavior Analysis Certification Board (BACB), users acknowledge that goal selection/direction is the responsibility of the BCBA. Users understand that goals should be tailored to the learner while ultimately involving the input of clients/stakeholders. Users understand their ethical obligations to the client/stakeholder concerning the selection, implementation, design, and minimization of risk regarding behavior change interventions as outlined in BACB Code. As such, this skill sequence serves as a general framework for generating ideas around this particular skill area and not as an assessment or curriculum.
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