VI. Treatment of Autism Spectrum Disorders Flashcards
What is the traditional behavioral approach, and what are some characteristics of it?
- Discrete Trial Approach
* Isolated Skills
* Repetitive Practice
* Child Imitates Adult
* Often Taught out of context
* Articulation Therapy
* Difficulties with Generalization
* Doesn’t follow Typical Language
What is the middle ground approach? Give some characteristics about it
- Modified Discrete Trial Instruction
- ADEPT Series –MIND Institute
- ADEPT is about learning ABA techniques to increase parenting skills
- It aids to teach self-help skills and manage certain problem behaviors
- It increases teaching success for the parent and learning success for their child
Describe the Social Pragmatics Development approach
- establish positive social connections
- emphasis on generalization of skills
- focus on communication and interaction
- naturalistic environments
- floor time
- following the child’s lead
- parent coaching (the parent is the one administering the therapy)
What are the three types of educational programs?
- center based programs
- home based programs
- school based programs
Describe center based programs
-specialized setting (i.e.: clinic, ACE program)
Describe home based programs
- services take place in the home
- outside the home
Describe school based programs
integrated inclusive classroom
special education classroom
What are the principles of Evidence based treatment programs?
- planned and interactive intervention
- earlier is better
- developmentally appropriate, goal-based activities
- planned teaching opportunities
- strong family and peer involvement
- individualized supports and services
- systematic and defined instructional procedures/outcomes
- structured learning environment
- use of specific curricula
- functional behavior management procedures
Of the ten interventions we discussed in class, which ones are established according to the National Standards Project Rating?
- Discrete Trial Instruction
- Functional Communication Training
- Joint Attention Intervention
- Peer mediation
- Pivotal Response Treatment
- Social Stories
- Video Modeling
Of the ten interventions we discussed in class, which ones are emerging according to the National Standards Project Rating?
- Augmentative and Alternative communication (AAC) strategies
- Developmental Individual-difference Relationship Based (DIR) Model/Floortime
- Picture Exchange communication System (PECS)
What are the NRC (2001) Intervention Priorities?
- Development of Functional, Spontaneous Communication
- Social Instruction Across Settings
- Enhancing Play Skills and Peer Play Abilities
- Enhanced Academic and Cognitive Growth (problem solving skills are key)
- Positive behavioral INterventions
- Stressed that social communication and language abilities are the most important areas to address
Describe the National Standards Project levels of evidence
- Behavioral Treatments=strongest support (established)
- nonbehavioral approaches=needed more research, but were identified as making a significant contribution
1. established=sufficient evidence leading to positive outcomes
2. emerging=one or more studies yielding positive outcomes, but for which study quality and result were inconsistent
3. unestablished=offer little evidence and require additional research
4. ineffective/harmful (none were categorized here)
Why is the National Standards Project levels of evidence important to therapy approaches and educational programs?
because it is used to describe and critically analyze specific treatment approaches used to address the communication and social interaction challenges of children, adolescents, and adults with ASD
What are some factors that influence a child’s program development?
- what methods are used?
- how will progress be measured?
- how are family members to be involved?
- what are the short-med-and long-term goals for the child?
- what materials and strategies can be used?
- will visual strategies be incorporated?
- how will natural teaching contexts be used?
What are critical dimension in terms of teaching practices?
- degree of prescribed vs. flexible teaching
- use of directive vs. facilitative styles
- approaches to problem behavior and emotional dysregulation
- measurement of progress–types and intensity of data collection
- parent involvement and roles
- use of visual supports and visually mediated activities
