Ashley was 3 years and 7 months and scored a 34 on the Childhood Autism Rating Scale (CARS) indicating mild–moderate
symptoms of autism (Schopler, Reichler, DeVellis, & Daly, 1980). Ashley was able to communicate in one to two word
utterances using an estimated 20 different words or approximations. Ashley’s toy-based stereotypy included: (a) repeatedly
opening and closing small hinges on toys (e.g., a dollhouse door), (b) holding toys within 5–10 cm from her face while staring
at a small piece of the toy, and (c) slowly moving her finger along textured areas of toys (e.g., plastic shingles on a dollhouse).
In addition to improving play skills, Ashley’s individualized educational program (IEP) included goals related to improving
her verbal communication, toilet training, simple social skills (e.g., greeting peers) and completing school routines (e.g.,
putting materials away).