How to Use Enhanced Milieu
Teaching Continued
Aliquam
Milieu Teaching Prompts:
Wait then model (Time delay): Parent
presents an object of interest to the child
and waits briefly (35 s) before giving the
child a verbal prompt to respond.
For example, when a child brings a
caregiver an orange, the caregiver holds
the orange and waits, and then the child
says, open.
Teaching with childs interests (Incidental
teaching):
While your child is engaged in a
favorable activity, you can join in and
add words to there play describing what
they are doing an playing with.
Why is it important?
Enhanced Milieu Teaching:
Can help children start play and
communicate when interacting in
a adult-child interaction
Can help children use their
communication skills across
multiple settings.
With EMT, children are able to us
more language targets with and
without instruction.
References
Hancock, T. B., & Kaiser, A. P. (2002). The effects of
Enhanced
Milieu
trainer-implemented enhanced milieu
teaching of the social communication of
children with autism. Topics in Early
Childhood Special Education, 22(1),39-54.
doi: 10.1177/027112140202200104
Kaiser, A. P., Roberts, M. Y., (2012). Parent-
Teaching
implemented enhanced milieu teaching
with preschool children who have
intellectual disabilities. Journal of Speech,
language, and Hearing Research, 56(1).
295-309. doi; 10.1044/1092-4388(2012/11-
0231)
Olive, M. L., Cruz, B., Davis, T. N., Chan, J. M.,
Lang, R. B., OReilly, M. F., Dicks, S. M.
(2006). The effects of enhanced milieu
teaching and a voice output communication
aide on the requesting of three children
with autism. The journal of Autism &
developmental Disorders, 37(8), 1505-
1513. doi: 10.1007/s10803-006-0243-6
Kasinath, S., Woods, J., & Goldstein, H.
Pixabay.com
(2006).Enhancing generalized teaching
strategy use in daily routines by parents of
children with autism. Journal of Speech,
Language, and Hearing Research, 49, 466
485.
Resource for more What is it?
information
Why is it?
https://www.youtube.com/watch?v How to use it?
=uTL39pfqwj0
www.asha.org/Events/convention/h
andouts/2010/1213-Roberts-
Megan.htm By: Colleen Douglas
 What is Enhanced Milieu
Teaching
Enhanced Milieu Teaching is a
conversation-based intervention that uses
childs interests as opportunities to model
and prompt language in everyday
contexts.
There are three sections of EMT:
1. Interactive setting
(Environmental arrangement) to
encourage child to request and
start communication with adult.
2. Respond to interaction
(Responsive interaction)
responding to what child says and
imitating child to encourage turn
taking and the development of
new words.
3. Model Targets and Expand Play
(Milieu teaching procedures) to
prompt and model the use of new
language forms in there every day
activities.
a. Milieu teaching includes:
i. Elicited modeling
ii. Mands followed by
modeling
iii. Time delay
iv. Incidental teaching
How to use Enhanced Milieu
Teaching
Interactive setting (Environmental
Arrangement): Arrange the environment to
set the room for adultchild interactions.
You can use this during play by
either placing a toy in a sealed
container or setting a desired toy out
of the childs reach, this encourages
the child to request for adult help.
Containerstore.com
Modeling Targets and Expand Play:
When the play becomes repetitive or the
child did not initiate useful play or take a
turn in play, use these strategies to model
and expand play:
Put a new toy within the childs
attention focus.
Take the toy that is being used
repetitively and introduce in it a new
fun way, for example if the child is
lining up cars take a car and roll it up
the childs arm.
You can use this during play when the
child gets stuck on a favorable object.
How to use Enhanced Milieu
Teaching
Why Prompts:
Milieu Teaching is it Important
Encouraged demonstrating (elicited
modeling): show and describe to child
what you are looking for.
For example, you can tell your child
look the car goes on the track and
show them how to roll the car on the
track.
You can also use this during bath time as
well, you can take a duck and float it on the
water and you say, Duck goes quack
quack.
Thinkgeek.com
Command and show (mands for
modeling): when you want your child to
use words when they want something,
model for them vocally by saying
Say(noun)
For example, when your child wants a
banana and they are tugging at you,
you can say to them say banana.
You want to tell them exactly what you
want them to say.