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ASD/AAC > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q
  • Authors: Stanley Greenspan and Serena Wieder
  • Comprehensive treatment
  • multidisciplinary evaluation
  • biomedical evaluations
  • administrator: clinical team including clinicians and parent
  • environment: clinic/school/home
  • materials: those needed to reach the goals
  • frequency: 6-8 20 minute sessions a day
  • session aim: improvement of FEDLs
  • procedures:
    • floortime
    • goals addressing each FEDL
    • opening and closing circles of comunication
    • semi-structured problem-solving
    • sensory motor activities
    • parent coaching
A

Developmental, Individual-Difference, Relationship-Based Model (DIR model)

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1
Q

Is Hanen more developmental or behavioral?

A

developmental

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1
Q

What approach involves key vocabulary such as language stage, SCERTS, natural environments, and family guided routines?

A

Early Social Interaction Project (ESI)

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2
Q
  • Therapy technique that focuses on social interaction
  • 10 minute interaction between adult and child
  • based on a turn-taking sequence
  • one game is played repetitively for 10 minutes
  • It is a mini conversation made up of verbal and/or nonverbal turns
  • the adult looks for pragmatic behavior from the child and assigns communicative intent to it by responding with his turn
A

Giggle time

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2
Q

naming, labeling, commenting

A

tacting

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2
Q

Is ESI more developmental or behavioral?

A

developmental

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2
Q
  • Author: Ann Kaiser & Terry Hancock
  • Skill specific intervention
  • target client: children with ASD who are minimaly verbal (but not nonverbal)
  • Administrator: clinician or parent
  • environment: clinic/school/home
  • materials: toys and materials for play
  • frequency: 24 sessions (15-20 min clinician implemented; 45 min parent implemented)
  • session aim: increase language complexity
  • procedures:
    • environmental arrangement
    • responsevie interaction
    • language modeling
    • milieu teaching prompts
A

Enhanced Milieu Teaching (EMT)

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2
Q

What is the frequency of ESI?

A

daily, goal of 25 hours/week

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3
Q

Evidence Serotonin

A

1 RCT, insufficient evidence

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3
Q

What is the session aim for behavioral intervention?

A

improve specified goals for the session

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4
Q

interventions that involve request, reinforcement

you have to plan generalization

A

behavioral interventions

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5
Q
  • Five components of the program
    • baseline level of performance
    • direction for intervention
    • system for tracking skill acquisition
    • tool for outcome measures
    • framework for curriculum planning
  • Common verbal operants
    • manding-requesting
    • tacting- naming, labeling, counting
    • listener- attends, follows directions
    • echoic- imitation
    • intraverbal- answering questions
    • a verbal behavior- language that occurs in a behavioral context focusing on antecedents, behaviors and consequences
  • Used for low functioning ASD
  • Is a combined assessment/intervention
A

VB-MAPP

Verbal behavior milestones assessment and palcement program

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6
Q

types of mind-body interventions (4)

A
  • prayer/shaman
  • biofeedback
  • meditation/relaxation
  • guided imagery
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6
Q

Is Behavioral intervention more behavioral or developmental?

A

behavioral

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8
Q

True or False

Children with ASD spend significantly less time in coordinated joint engagement

A

true

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9
Q

interventions that look at normal developmental progression and treat weaknesses through typical developmental processes

A

developmental

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9
Q

What is the frequency of JASPER?

A
  • 30 minutes a day
  • 3-5 days a week
  • as few as 24 sessions total
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10
Q
  • authors: Robert Koegel and Lynn Koegel
  • Comprehensive intervention
  • administrator: clinician or parent- official training available
  • environment: clinic/school/home
  • materials: toys with multiple parts
  • frequency: all waking moments are teaching moments
  • session aim: language; play; social interaction; self-help; academic
  • Procedure:
    • presentation of an opportunity to respond
    • reinforcement given following a response
      *
A

Pivotal Response Treatment (PRT)

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10
Q

Who is the administrator of EMT?

A

clinician or parent

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11
Q

Types of complementary/alternative medicine (5)

A
  • biologically based therapies
  • mind-body interventions
  • manipulation/body-based methods
  • energy therapies
  • alternative medical systems
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13
Q

methylphenidate (ritalin)

A

stimulant

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14
Q

requesting

A

manding

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15
Q

types of alternative medical systems (2)

A
  • acupuncture/acupressure
  • anthroposophic medicine
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15
Q

milieu teaching prompts (6)

A
  • most-to-least support
  • imitation to initiation
  • providing verbal choices
  • opportunities to answer questions
  • time delay
  • modeling expanded language
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15
Q

Who are the administrator of ESI?

A

Parent with clinician support; clinician must be trained in SCERTs

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16
Q

Do you need to be certified to do ESI?

A

Yes, in SCERTS

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16
Q

Who is the administrator of DIR?

A

Clinical team: including clinician(s) & parent- those certified in DIR

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17
Q

What is the environment of behavioral intervention?

A
  • home/school/clinic
  • often a dedicated space where teaching occurs “table time”
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18
Q

What is the environment for EMT?

A

clinic/school/home

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19
Q

language that occurs in a behavioral context focusing on antecedents behaviors and consequences

A

Verbal behavior

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20
Q

Do you need to be certified to use JASPER?

A

no

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22
Q

What is the gold standard for credible evidence?

A

systematic meta-analysis of more than one randomized control trial

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23
Q

imitation

A

echoic

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24
Q

haloperidol (haldol)

A

antipsychotic

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26
Q

What is the environment for ESI?

A

home

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27
Q

types of energy therapies (1)

A

healer/healing touch

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29
Q

Is EMT more behavioral or developmental?

A

behavioral

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30
Q
  • not necessarily ABA
  • evaluate preparedness to learn
  • administrator: supervising clinician (BCBA), direct care clinician, parents
  • environment: home/school/clinic; often a dedicated space where teaching occurs “table time”
  • materials: data collection tools, reinforcers, teaching materials
  • frequency: 40 hours a week
  • session aim: improve specified goals for the session
  • procedure:
    • discrete trial instruction
    • verbal behavior
    • prompts
    • teaching variants
    • shaping
    • differential reinforcement
A

behavioral intervention

32
Q

Who is the administrator of JASPER?

33
Q

What approach involves key vocabulary such as Joint Action Routines, Joint attention, Joint engagement

35
Q

What approach involves key vocabulary such as child profile and functional emotional developmental levels (FEDLs)?

A

Developmental, Individual-Difference, Relationship-Based Model (DIR)

36
Q

What is the environment for JASPER?

A

Clinc/school/home

36
Q

What treatment approach involves the following key vocabulary: discrete trial training, differential reinforcement, shaping?

A

Behavioral Intervention Strategies

37
Q

attends, follows directions

38
Q

What is the environment for PRT?

A

clinic/school/home- individual’s typical environment

38
Q

amphetamine

39
Q

What does SCERTS stand for?

A

Social Communication Emotional Regulation Transactional Supports

40
Q

Child Proflie

D

I

R

A
  • D- Functional emotional developmental levels (FEDLs)
  • I- Individual processing profile- individual differences in sensory, motor, and language abilities
  • R- Caregiver- child relationship
42
Q

What is the frequency of DIR?

A

6-8 20 minute sessions a day

43
Q

DIR FEDLs (6)

A
  • Shared attention and regulation
  • engagement and relating
  • two-way intentional communication
  • complex problem solving
  • creative representations and elaboration
  • representational differentiation and emotional thinking
45
Q
  • authors: Amy Wetherby & Juliann Woods
  • comprehensive treatment
  • administrator: parent with clinician support; clinician must be trained in SCERTS
  • environment: home
  • materials: those available in the family’s home
  • frequency: daily- goal 25 hrs./wk
  • Session aim: improvement of SC and ER goals
  • procedures:
    • family guided routines
    • parent-implemented embedded intervention
    • collaborative consultation
    • positive behavior supports
      *
A

Early Social Interaction Project

46
Q

Who is the administrator of PRT?

A

clinician or parent

47
Q

What is the session aim of DIR?

A

improvement of FEDLs

48
Q

risperidone (risperdal)

A

anti-psychotic

49
Q

answering questions

A

intraverbal

49
Q

ESI language stages (4)

A
  • preverbal
  • early one-word
  • late one-word
  • multi-word
50
Q

Who is the administrator of Behavioral Intervention?

A

supervising clinician (BCBA), direct care clinician, parents

51
Q

Evidence stimulants (3)

A
  • 1 RCT
  • insufficient evidence
  • increased challenging behaviors and loss of appetite
52
Q

What can be used to evaluate level of joint attention (4)

A
  • M-CHAT 2
  • Early Social Communication Scale (ESCS)
  • Parent-Child interaction
  • Non-structured play observation with adult
53
Q

What is the environment for DIR?

A

Clinic/school/home

54
Q

What are the most common types of complementary/alternative medicine

A
  • modified diet
  • vitamins/minerals
  • food supplements
55
Q

ariproprazole (abilify)

A

anti-psychotic

56
Q
  • comprehensive model
  • blended model- combining applied behavior analysis and developmental practices
  • delivered in the homes-relationship focused
  • Clinicians must be certified
  • manualized
  • strong evidence
A

Early Start Denver Model

58
Q

interventions that address all areas

A

comprehensive

60
Q

DIR language levels (6)

A
  • self-regulation & interest in the world (birth-3m)
  • forming relationship & affective vocal synchrony (2-7m)
  • intentional two-way communication (8-12m)
  • first words: sharing meaning in gestures and words (12-18 m)
  • word combinations: sharing experiences symbolically (18-24m)
  • early discourse: reciprocal symbolic interactions with others (24-36m)
61
Q

Interventions that only look at language, only look at repetitive behaviors, only look at adaptive behaviors etc.

A

skill specific

62
Q

Is DIR more developmental or behavioral?

A

developmental

63
Q
  • author: Connie Kasari
  • skill specific intervention
  • administrator: clinician
  • environment: clinic/school/home
  • materials: toys and materials for play
  • frequency: 30 minutes a day; 3-5 days a week for as few as 24 sessions total
  • session aim: spontaneous display of target skill
  • procedures:
    • play- selected by following the lead and interests, developmentally appropriate level
    • setting up the environment
    • following the lead
    • scaffolding
    • expanding
    • imitating
    • prompting
    • person-engaged play
A

Joint Attention Symbolic Play Engagement Regulation (JASPER)

64
Q

True or False

Higher levels of coordinated joint engagement predict higher language levels

65
Q

What are the 3 levels of engagement?

A
  • supported joint
  • coordinated joint
  • symbol infused joint
67
Q

Do you need to be certified to use DIR?

68
Q

Is JASPER more developmental or behavioral?

A

developmental

70
Q

What is the purpose of persons with ASD taking seratonin re-uptake inhibitors?

A

decreasing repetitive and problem behaviors

71
Q

What is the frequency of EMT?

A
  • 24 sessions
  • 15-20 min clinician implemented
  • 45 min parent implemented
73
Q

What is the session aim of EMT?

A

increase language complexity

74
Q
  • Discrete Trial Training
    • learning trials using atecedent- response- consequence- time
    • used for teaching attending, receptive language, and imitation tasks
  • Pivotal Response training
    • interactions contextually developed settings. Used for expressive language, play, and social interaction skills
  • Incidental teaching in functional activities
    • follow the child’s lead and use functional routines. Used for daily routines and self-care skills for generalization to appropriate contexts without direct cues
A

STAR program

75
Q

fluoxetine (prozac)

A

serotonin re-uptake inhibitors

76
Q

What is the session aim of ESI?

A

improvement on SC and ER goals

78
Q

Types of biologicaly based therapies (3)

A
  • modified diet
  • vitamins and minerals
  • food supplements
79
Q

types of manipuation/body-based methods (5)

A
  • massage/bodywork
  • craniosacral therapy
  • special exercises
  • auditory integration
  • vagus nerve stimulation
80
Q

What is the session aim for JASPER?

A

spontaneous display of target skill

81
Q

Purpose of anti-psychotic medications in children with ASD

A

decrease challenging behaviors:

  • irritability
  • aggression
  • self injury
82
Q
  • treatment and education of autistic children communication handicaps
  • five targeted areas
    • communication functions
    • communication contexts
    • semantic categories
    • unit of communication (e.g. words, signed symbols, or gestures)
    • communicative modalities (e.g. sings, print symbols, speech)
  • 3 basic premises
    • Physical structure
      • time, space, material
    • Scheduling
      • how the time will be used
      • highly structured program
      • work system
A

TEACCH Program

83
Q

3 types of medical intervention

A
  • Anti-psychotic medication
  • Serotonin- reuptake inhibitors
  • Stimulants
84
Q

What does JASPER stand for?

A

Joint Attention Symbolic Play Engagement Regulation

85
Q

dextroamphetamine

86
Q

What is the frequency for PRT?

A

all waking moments are teaching moments

87
Q

What treatment approach involves key vocabulary such as pivotal behaviors, motivation, responsivity to multiple cues, self-initiations, and self-management?

A

Pivotal Response Treatment

88
Q

Is PRT more developmental or behavioral?

A

behavioral

89
Q

Adaptive behaviors=

A

Activities of Daily Living (ADLs)

90
Q

Evidence

Anti-psychotic medication (2)

A
  • Risperidone - 2 strong RCTs support use, but side-effect was sleepiness
  • Aripiprazole- 2 RCTs support use, sponsored by makers of drug, most common side-effect was sleepiness
91
Q
  • 8 parent group meetings
  • 3 individual visits
  • Clinicians must be certified
  • Manualized and well marketed
  • carcy acronyms
92
Q

citalopram (celexia)

A

serotonin re-uptake inhibitor

ASD/AAC (3 decks)

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