Surviving and Thriving in the Real World

What is STRW?

Surviving and Thriving in the Real World (STRW) is an intervention that was developed for autistic teens that targets the development of age appropriate daily living skills including hygiene and self-care, cleaning, laundry, cooking, grocery shopping, and money management. STRW consists of 15 weekly sessions that are held via telehealth (e.g., Zoom). Each week, caregivers attend a group session and both the teen and their caregiver attend a dyad session so that new daily living skills can be practiced in the home.

What is STRW?

Core Content

Sessions include:

• Introduction to STRW
• Personal Hygiene and Self-Care
• Cleaning the Bedroom
• Doing Laundry
• Kitchen Safety and Cooking
• Grocery Shopping
• Spending, Saving, and Budgeting Money
• Graduation and Next Steps

Structure

Caregiver Group Sessions

Weekly 90-minute telehealth session facilitated by 1 leader with 4-8 caregivers.

Caregiver/Teen Dyad Sessions

Weekly 60-minute telehealth session facilitated by 1 leader. New skills are taught in the home.

Evidence-Based Strategies

• Visual Strategies
• Task Analysis
• Technology
• Peer Modeling
• Video Modeling
• Explicit Feedback
• Reinforcement
• Learn-Watch-Practice-Do Teaching Method

Essential Components

• Daily Living Skills Contract
• Individualized Goals
• Real-World Practice Assignments
• Caregivers as Coaches
• Consideration of Teen and Caregiver Qualities

Learn More about STRW

Does the STRW Intervention Work?

Our team has completed a series of research studies on the STRW intervention in autistic teens. The results of these studies have consistently shown that adolescents gain an average of 2-4 years in Personal, Domestic, and Community daily living skills after completing the STRW intervention. The most gains are seen in Domestic skills (e.g., cooking, cleaning, laundry), but teens also make improvements in Personal skills (e.g., showering, putting on deodorant, taking medications) and Community skills (e.g., grocery shopping, saving money, budgeting for expenses).

These clinically significant and meaningful gains in developing and mastering age appropriate daily living skills after receiving the STRW intervention may facilitate a more successful transition from high school to the adult world.

Neurodivergent adolescents (e.g., teens with diagnoses such as autism and ADHD) who have challenges in acquiring age appropriate daily living skills would likely benefit from the STRW intervention.

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Does the STRW Intervention Work?

"I am so grateful to have the opportunity to hear how other parents are working on daily living skills at home…I felt less alone in some of the challenges we faced and also felt affirmed as I worked on helping my son learn how to do his laundry!"

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