Ziggurat Model and CAPS Forms

All of the Ziggurat Model and CAPS forms are available for you to download and use except for the Underlying Characteristics Checklist.  The UCC-High Functioning, UCC-Classic, UCC-Early Intervention , UCC-Self-Report Adolescent, UCC-Self-Report Adult, and the UCC Manual are available purchase directly from the publisher.  Please click on images below to download or order forms.

 

UCC Manual

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Underlying Characteristics Checklist Manual

The UCC Manual provides detailed instructions on development, administration, and uses of the UCC checklists.

 

 

 

 

 

 

Underlying Characteristics Checklist - High Functioning

Underlying Characteristics Checklist – High Functioning

Underlying Characteristics Checklist – High Functioning

The UCC-HF is intended for individuals age 6 through adulthood that have high-functioning autism spectrum disorder.

 

 

 

 

 

 

Underlying Characteristics Checklist - Classic

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Underlying Characteristics Checklist – Classic

The UCC-CL is intended for individuals, 6 years through adulthood.  The term “classic” is used to describe those who are significantly below average in cognitive functioning.  Many of these individuals do not develop functional language skills.

 

 

 

 

 

Click to order UCC-EI

Click to order UCC-EI

Underlying Characteristics Checklist – Early Intervention

The UCC-EI is intended for individuals from 3 months through the fifth year (72 months).  The well-established need for early intervention places an impetus on early identification; however, even before the pattern of behaviors that result in the diagnosis of ASD is apparent, behaviors of concern emerge.  The UCC-EI facilitates intervention for this unique age-group while their diagnostic picture is developing.

 

 

 

 

 

Individual Strengths and Skills Inventory

Individual Strengths and Skills Inventory

Individual Strengths and Skills Inventory

It is essential to understand and build upon an individual’s strengths in order to address their needs.  The ISSI helps to identify strengths and skills in the same areas measured by the Underlying Characteristics Checklist.

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Intervention Ziggurat

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Intervention Ziggurat 

This is the heart of the Ziggurat Model.  A comprehensive intervention plan must address key underlying characteristics on the five levels depicted by the Intervention Ziggurat.

 

 

 

 

 

Global Intervention Plan Guide

Global Intervention Plan: Guide to Establishing Priorities

Global Intervention: Plan to Establishing Priorities

This step helps to ensure that meaningful priorities are identified so that they can may addressed.

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Specific Intervention Plan Guide to Establishing Priorities and ABC-Iceberg

 

Specific Intervention Plan: Guide to Establishing Priorities

ABC-Iceberg

 

 

This specialized functional behavioral assessment (FBA) is used to develop a comprehensive program to address a specific behavior of need.  Use of the Specific Intervention Plan Guide and ABC-Iceberg (pictured above) address behavior by ensuring that underlying needs associated with ASD are addressed.

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Ziggurat Worksheet

Ziggurat Worksheet

Ziggurat Worksheet

This worksheet helps to ensure that a program is comprehensive.  Interventions must occur on all five levels of the Ziggurat and address critical underlying needs associated with ASD.

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CAPS

CAPS

Comprehensive Autism Planning System

The CAPS, created by Shawn Henry, provides an implementation plan.  It helps to ensure that the comprehensive program, created with the Ziggurat Model, is implemented throughout the day.

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M-CAPS

M-CAPS

Modified Comprehensive Autism Planning System

The M-CAPS is intended for use with older children and adolescents with ASD.

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V-CAPS

V-CAPS

Vocational Comprehensive Autism Planning System (V-CAPS)

The V-CAPS is intended for use in work settings.

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