Autism behavioral therapy
Autism behavioral therapy On the Web
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There are multiple therapies for patients with autism to lessen associated deficits and family distress, and to improve quality of their lives. Available approaches include applied behavior analysis (ABA), developmental models, structured teaching, speech and language therapy, social skills therapy, and occupational therapy. Educational interventions have some effectiveness in children: intensive ABA treatment has demonstrated effectiveness in enhancing global functioning in preschool children and is well-established for improving intellectual performance of young children.
- There are multiple therapies for patients with autism to lessen associated deficits and family distress, and to improve quality of their lives.
- Available approaches include applied behavior analysis (ABA), developmental models, structured teaching, speech and language therapy, social skills therapy, and occupational therapy.
- Educational interventions have some effectiveness in children: intensive ABA treatment has demonstrated effectiveness in enhancing global functioning in preschool children and is well-established for improving intellectual performance of young children.
- The limited research on the effectiveness of adult residential programs shows mixed results.
Applied Behavior Analysis
- Applied behavior analysis (ABA) is one of the intensive behavioral interventions that focuses on behavior modification.
- Principles of stimulus, response and reward are used to reinforce desirable behaviors and decrease undesirable behaviors.
- There is wide variation in the professional practice of behavior analysis and among the assessments and interventions used in school-based ABA programs.
TEACCH/Structured Teaching method
- TEACCH uses structured teaching method to organize physical environments, predictably sequenced activities, visual schedules, visually structured activities, and structured tasks.
- TEACCH-based home program might be implemented at home.
Relationship Development Intervention
- Relationship Development Intervention (RDI) is a treatment program developed by Dr. Steven E. Gutstein.
- RDI focuses primarily on building a general "dynamic intelligence" believed to improve social skills demonstrated in neurotypical children.
- It motivates children by developing episodic memory.
- RDI emphasizes declarative communication, and aims for an appropriate balance of verbal and nonverbal communication.
- Floortime is a treatment program developed by Stanley Greenspan.
- Floortime focuses on improving attachment between the child with autism and the parent through play.
- The parent is encouraged to follow the child's lead and joins with the child in his or her preferred activity.
- Communication interventions are used to improve autistic behaviors, which include:
- Communication improvement:
- It is used for children who do not speak, or have little speech, or have difficulties in effective use of language.
- It is conducted by speech and language therapists, and work on joint attention, communicative intent, and alternative or augmented communication methods such as visual methods.
- Social skills treatment
- It is used to increase social and communicative skills of autistic individuals, addressing a core deficit of autism.
- There are many approaches including modeling and reinforcement, adult and peer mediation strategies, peer tutoring, social games and stories, self-management, pivotal response therapy, video modeling, direct instruction, visual cuing, circle of friends, and social-skills groups.
- Communication improvement:
Therapy in Education
- Teachers need to be aware of a student's disorder, and ideally should have specific training in autism education, so that they are able to help the student get the best out of his or her classroom experiences.
- Visual schedules
- Since some students learn more effectively with visual aids, many teachers create “visual schedules” for their autistic students. This allows students to concretely see what is going on throughout the day, so they know what to prepare for and what activity they will be doing next.
- Working in pairs
- Working in pairs may be beneficial to autistic children.
- Peer interaction can help students with autism make friends, which in turn can help them cope with problems or understand the world around them.
- A teacher's aide
- A teacher's aide can also be useful to the student.
- The aide is able to give more elaborate directions that the teacher may not have time to explain to the autistic child and can help the child to stay at an equivalent level to the rest of the class through the special one-on-one instruction.
- There are many different techniques that teachers can use to assist their students. A teacher needs to become familiar with the child’s disorder to know what will work best with that particular child. Every child is going to be different and teachers have to be able to adjust with every one of them.
- Affective computing devices, typically with image or voice recognition capabilities, have been proposed to help autistic individuals improve their social communication skills.
- Neurofeedback has been hypothesized to improve focusing and decrease anxiety in individuals with ASD.
- Patterning is a set of exercises that attempts to improve the organization of a child's neurologic impairments.
- It has been used for decades to treat children with many unrelated neurologic disorders, including autism.
- The therapy is based on oversimplified theories and is not supported by carefully designed research studies.
Parent Mediated Interventions
- Parent mediated interventions offer support and practical advice to parents of autistic children.
- Randomized and controlled studies suggest that parent training leads to reduced maternal depression, improved maternal knowledge of autism and communication style, and improved child communicative behavior.
- Educational interventions attempt to help children not only to learn academic subjects and gain traditional readiness skills, but also to communicate functionally and spontaneously, socialize with skills such as joint attention, gain cognitive skills such as symbolic play, reduce disruptive behavior, and generalize by applying learned skills to new situations.
- Several model programs have been developed, which in practice often overlap and share many features, including:
- Early intervention that does not wait for a definitive diagnosis
- Intense intervention, at least 25 hours/week, 12 months/year
- Low student/teacher ratio
- Family involvement, including training of parents
- Interaction with neurotypical peers
- Predictable routine structure and clear physical boundaries to lessen distraction
- Ongoing measurement of a systematically planned intervention
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