Applied Behavior Analysis
(ABA)
Overall Philosophy:
ABA, and other behavioral approaches is based on the theory that
all behavior is learned and that it is governed by antecedents
and consequences. The foundations of this are that learning can
be reduced to the repetition of responses, which increase with
reward. In this way a task to be learned can be analyzed into
small steps that are then used as a teaching program for the
child. Each step can be shaped through positive reinforcement.
Popularity:
ABA is one of the most frequently used, if not the most frequently
used treatment for autism.
Time Required for Treatment:
ABA is an intensive intervention, which takes place up to 40 hours
a week for approximately two years.
Treatment Cost:
Given the intensive, one-on-one nature and length of this program,
treatment is costly. Actual costs will vary, however, depending
upon whether the person directing the treatment is a trained college
student doing it as part of their collegiate educational training
or is instead a full-time ABA professional.
Who Directs the Treatment?
In order for ABA to work, it has to be delivered by all the significant
persons who work with the child. There is a hierarchy of deliverers,
including a consultant, a supervisor, and a number of tutors, parents,
and peers.
How Success is Defined:
ABA uses clear objectives, that are measured in terms of observable
and definable goals, specific techniques for achieving these
objectives, and ongoing collection of data to assess the effectiveness
Risks/Concern:
Behavior approaches have been criticized for their inappropriate
and narrow focus, that children are taught to become robots and
do not generalize their skills outside of the ABA environment.
Web
Site: www.lovaas.com
Reference: Kylestreehouse.org
1080
Stackhouse Mill Road
Newtontown Square, PA 19073
SCERTS
Social Communication, Emotional Regulation, and Transactional Support
Model
When
was it Developed?
The SCERTS model was developed based on two decades of empirical
evidence. Collaborators in the project include Barry M. Prizant,
Ph.D., CCC-SLP, Amy M. Wetherby, Ph.D., CCC-SLP, Emily Rubin,
MS, CCC-SLP, Amy C. Laurent, EdM, OTR/L, and Patrick J. Rydell,
Ed.D., CCC-SLP.
Overall Philosophy:
Each child's individual patterns of strength and needs guide program
planning, including selection of goals and strategies. The
model and its curriculum is based on extensive research on the
development
of children with and without disabilities. Everyday activities
and routines are the primary contexts in which children learn,
and in which progress is measured. The model is a comprehensive,
educational approach and multidisciplinary framework that addresses
the core challenges faced by children with ASD and related
disabilities
Popularity:
The SCERTS model was developed in response to encouragement and
feedback from researchers and clinicians in the field of ASD.
Time
Required for Treatment:
The SCERTS Model has been designed to be integrated and comprehensive
with a sequential and logical process to move from assessment
to educational programming and from less sophisticated to more
sophisticated goals child. The time required to move through
the program depends on the child.
Cost of Treatment:
A video copy of the SCERTS programming model can be purchased
o for $279.00
Training
Materials Required:
None indicated
How is Success Defined:
Progress is measured in functional activities with a variety of
partners (e.g., parents, brothers and sisters and other children)
in a variety of everyday routines and social situations.
Risks/Concern:
No documented or obvious risks
Web
Site: www.scerts.com
Reference: SCERTS ® Model
Pivotal Response Training (PRT)
Overall Philosophy:
Pivotal Response Treatment (PRT) is a naturalistic intervention model producing
positive changes in critical behaviors, leading to generalized improvement
in communication, social, and behavioral areas. Rather than target individual
behaviors one at a time, PRT targets pivotal areas of a child's development,
such as motivation, response to multiple cues, self-management, and social
initiations. By targeting these critical areas, PRT results in widespread,
collateral improvements in other social, communicative, and behavioral areas.
Popularity:
Named by the National Research Council of the National Academy
of Sciences in 2001 as one of the top 10 state-of-the-art treatments
for autism in the United States.
Time
Required for Treatment:
30 to 40 hours a week
Treatment
Cost:
Not Defined
Training Materials:
PRT Manual, DVD Training, Program leader
Who
Directs the Treatment?
Parents and therapists in the home
How Success is Defined:
Ongoing program evaluation and data collection to measure progress
toward goals and objectives
Risks/Concern:
Some practitioners feel it does not prepare a child with autism
to respond to new situations. However, research has shown that
ABA techniques show consistent results in teaching new skills
and behaviors to children with autism
Web
Site: www.education.ucsb.edu/autism
Reference: Autism Society of America
www.autism-society.org
UCSB Koegel
Autism Center
www.education.ucsb.edu/autism
Incidental Teaching
Overall Philosophy:
Incidental teaching is a systematic protocol of instruction that
is provided in the context of natural environments. It takes place
in the settings in which the new skills targeted for teaching will
be needed. Incidental teaching is most often thought of as a language
promotion technique, but these teaching procedures apply equally
well to domains such as social, self-care, and academic skills.
The origins of incidental teaching are firmly grounded in the principles
of learning that are the cornerstone of more traditional behavioral
procedures. The following list describes this method of intervention:
Popularity:
Used mostly in Early Childhood settings
Time
Required for Treatment:
Throughout the day. In naturally occurring situations in which
to provide language-learning opportunities for the child. Teaching
strategies are designed to maximize reinforcement and facilitate
generalization
Treatment
Cost:
Not defined, but due to the fact that this treatment option is
based on the premise of using natural environments the associated
costs should be minimal
Who directs the treatment?
Early Childhood Teachers, Families, Caregivers
How Success is Defined:
assessment of child's progress before, during, and after the intervention
Risks/Concern:
No documented or obvious risks
Web
Site: www.autismnetwork.org/modules/academic/incidental/lecture01.html#topic1
Reference: The Burkhart Project; Carol Layton, Ed.D and Robin Lock, Ph.D.,
Texas Tech University
www.educ.ttu.edu/edsp/burkhartproject/ModuleOne/Interventions/incidental_teaching.htm#
The Autism Network
www.autismnetwork.org/modules/academic/incidental/lecture01.html#topic1
Structured Teaching (TEACCH)
Treatment and Education of Autistic and related Communication-handicapped CHildren
TEACCH is a behavior-based treatment that takes place in a school
setting. Parents work with their children at home as well,
based on the program that has begun at school. TEACCH does not
use any
one particular technique, instead it creates a program based
on each individual child.
Overall
Philosophy:
There is a neuropsychological basis of autism and this is what
must be addressed. A customized program based on the child's
needs, skills, and interests will be most effective.
Popularity:
Approximate number of children on the autistic spectrum that participated
in this treatment from 1995 to 2004 (the past ten years): 50,000
Time
Required for the Treatment:
On-going throughout education.
Treatment
Cost:
Approximately $1,000. There are scholarships available for residents
of North Carolina.
Who
Directs the Treatment?
Parents or a teacher.
Where
does the Treatment take Place?
Home, school, or the community.
How
Success is Defined:
To live or work more effectively in the home, school, and community.
Web
Site: www.TEACCH.com
Risks/Concern:
Some believe that TEACCH's expectations are too low for the children.
Reference: Kylestreehouse.org
1080
Stackhouse Mill Road
Newtontown Square, PA 19073