Autism Social Skills Profile (Scott Bellini, 2006)

Childs Name: __________________________________________________ Todays Date: __________________________________________________ Date of Birth: __________________________________________________ School: __________________________________________________ rade: __________________________________________________ District: __________________________________________________ !erson com"letin# this "rofile: ______________________________________ $elationshi" to the child: ______________________________________ !lease chec% a ratin# (Ne&er, Sometimes, 'ften, (ery 'ften) that )est re"resents the childs demonstration of the s%ill in the last * months+ Skill Area Never Sometimes Often Very Often Comments 1 2 3 4 ,n&ites "eers to -oin her.him in acti&ities /oins in acti&ities 0ith "eers Ta%es t1rns d1rin# #ames and acti&ities 2aintains "ersonal hy#iene ,nteracts 0ith "eers d1rin# 1nstr1ct1red acti&ities ,nteracts 0ith "eers d1rin# str1ct1red acti&ities 3s%s 41estions to re41est information a)o1t a "erson 3s%s 41estions to re41est information a)o1t a to"ic 5n#a#es in 6:6 social interactions 0ith "eers ,nteracts 0ith #ro1"s of "eers 2aintains the #i&e7and7ta%e of con&ersations 58"resses sym"athy for others Tal%s a)o1t or ac%no0led#es the interests of others $eco#ni9es the facial e8"ressions of others $eco#ni9es the non&er)al c1es or )ody lan#1a#e of others 6

Autism Social Skills Profile (Scott Bellini, 2006)

Skill Area $e41ests assistance from others :nderstands the -o%es and h1mor of others 2aintains eye contact d1rin# con&ersations 2aintains an a""ro"riate distance 0hen interactin# 0ith "eers S"ea%s 0ith an a""ro"riate &ol1me in con&ersations Considers m1lti"le &ie0"oints 'ffers assistance to others (er)ally e8"resses ho0 she.he is feelin# $es"onds to the #reetin#s of others /oins a con&ersation 0ith t0o or more "eo"le 0itho1t interr1"tin# ,nitiates #reetin#s 0ith others !ro&ides com"liments to others ,ntrod1ces self to others !olitely as%s others to mo&e o1t of her.his 0ay 3c%no0led#es the com"liments directed at her.him )y others 3llo0s "eers to -oin her.him in acti&ities $es"onds to the in&itations of "eers to -oin them in acti&ities 3llo0s others to assist her.him 0ith tas%s $es"onds to 41estions directed at her.him )y others 58"eriences "ositi&e "eer interactions 2 Never 1 Sometimes 2 Often 3 Very Often 4 Comments

Autism Social Skills Profile (Scott Bellini, 2006)

Skill Area Com"romises d1rin# disa#reements 0ith others $es"onds slo0ly in con&ersations Chan#es the to"ic of con&ersation to fit self interests 2isinter"rets the intentions of others 2a%es ina""ro"riate comments 5n#a#es in solitary interests and ho))ies 5nds con&ersations a)r1"tly ;ails to read c1es to terminate con&ersations 58hi)its fear or an8iety re#ardin# social interactions 58"eriences ne#ati&e "eer interactions 5n#a#es in socially ina""ro"riate )eha&iors 58hi)its "oor timin# 0ith her.his social initiations ,s mani"1lated )y "eers 5n#a#es in solitary acti&ities in the "resence of "eers !lease note that this "rofile 0as o)tained from the follo0in# reso1rce: Bellini, S+ (2006)+ B1ildin# social relationshi"s: 3 systematic a""roach to teachin# social interaction s%ills to children and adolescents 0ith a1tism s"ectr1m disorders and other social diffic1lties+ Sha0nee 2ission, <S: 31tism 3s"er#er !1)lishin# Co+ Ne8t Ste"s: 6+ Com"are res"onses from different indi&id1als (e+#+, "arents, teachers)+ 2+ Select three to fo1r areas on 0hich to concentrate+ *+ Select )est "ractice strate#ies and.or a""roaches to address the selected s%ill areas+ Please note that the instructions to complete the profile and follow up steps were slightly adapted from information in Scott Bellinis book+ * Never 1 Sometimes 2 Often 3 Very Often 4 Comments