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.
Underlying Characteristics Checklist Manual
The UCC Manual provides detailed instructions on development, administration, and uses of the UCC checklists.
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
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.
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.
Underlying Characteristics Checklist – Self-Report – Adolescent
The UCC-SR-Adolescent is intended for individuals ages 12 through 18 years with characteristics or diagnosis of ASD and average or above average cognitive skills.
Underlying Characteristics Checklist – Self-Report – Adult
The UCC-SR-Adult is intended for individuals ages 18+ years with characteristics or diagnosis of ASD and average or above-average cognitive skills.
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.
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 to Establishing Priorities
This step helps to ensure that meaningful priorities are identified so that they can may addressed.
Specific Intervention Plan Guide to Establishing Priorities and 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.
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.
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.
Modified Comprehensive Autism Planning System
The M-CAPS is intended for use with older children and adolescents with ASD.
Vocational Comprehensive Autism Planning System (V-CAPS)
The V-CAPS is intended for use in work settings.