Wednesday, April 8. 2009
Training and Support: Providing Effective Treatment for Children with Autism
Posted under: Research
As early as 1978, Sepler and Myers noted in the Journal of Applied Behavior Analysis that learning to effectively implement behavioral treatment was not easy. Attending a series of lectures or reading books on behavioral treatment does not generalize into an ability to provide quality treatment (http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1311286). Again in 2000, Dr. Lovaas emphasized the importance of quality control in behavioral treatment replication research. In fact, both replication research studies – Sallows, 2005 and Howard, 2006 – not only required years of experience from those supervising treatment, they also included checks for accuracy through direct observation of the staff implementing treatment.
Currently at the Lovaas Institute, we train instructors in such a way that emphasis is placed on the evaluation of performance-based objectives, relevant to the implementation of behavioral treatment for children with autism. Our internal certification process requires a demonstration of the skills you have learned. Certification indicates to parents and other professionals that you not only know what to do, but can actually do it.
We frequently receive emails asking for training in the Lovaas Model of Applied Behavior Analysis. This is not meant to downplay the importance or relevance of training in behavioral treatment or applied behavior analysis in general that all behavior analysts receive. However, it is understandable that there is a desire to more extensively learn the treatment protocols used by Dr. Lovaas in his initial studies and in the replication research. Because of the amount of time devoted to direct observation and feedback to those being trained, certification has always remained an internal process, until now.
At the Augusta Levy Learning Center in West Virginia, we are attempting to bridge the gap between services we provide at the Lovaas Institute and services provided at other centers. We are especially proud that this collaboration has allowed for quality treatment in smaller towns and communities where families have historically had access to few treatment options. You can see this amazing collaboration and its results at http://www.youtube.com/watch?v=Vpa1BYEiGtQ
What we learn from this endeavor we hope to apply more extensively in the future.
Comments
Reading about this is a breath of fresh air for people who are looking for help with autism. Thank you for your advocacy. I too am sharing the same goals as you are. (My apologies for the weird name - I’m doing it for the benefit of toys designed for therapy in autism. If you could, please visit my link tnomeralc web design toys for further info.)
Still waiting for you to publish those adult outcomes in your 1987 study. Maybe you could do that since you do informal presentations of them at conferences and use them for cost benefit analysis studies.
You may find the 1993 follow-up study interesting: McEachin, J. J., Smith, T. & Lovaas, O. I. (1993). Long-term outcome for children with autism who received early intensive behavioral treatment. American Journal on Mental Retardation, vol. 97, pp. 359-372.
The study assessed the 1987 "best outcome" group in early adolescence. Results from the 1993 study showed that the experimental group preserved its gains over the control group and 8 of the 9 students who had originally achieved the best outcomes were indistinguishable from average children on tests of intelligence and adaptive behavior.





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