Showing posts with label EIBI. Show all posts
Showing posts with label EIBI. Show all posts

Friday, January 29, 2010

LEG. NEWS: Mississippi - SB2457 would phase in training of personnel and routine school use of "applied behavior science" for students with ASD

Besides the autism insurance bills in the Mississippi Legislature, another bill that might have impact on the practice of applied behavior analysis in that state is an education bill, SB2457, establishing specialized autism classrooms with special emphasis in behavioral supports, including "applied behavior science and techniques", each taught by an "educational expert". That students with ASD would be entitled to at least 30 hours of intervention a week, and that all district personnel working with students with ASD would have training in "behavioral supports, including applied behavior science and techniques". Other clauses describe phase in time to implementation and nature of in-service training, parent training, and establishment of an expert on behavioral intervention treatment and autism initially within each school district and transitioning to each school site. Many of the statements in SB2457 bear strong resemblance to the recommendations of a 2007 report, Caring for Mississippi Children and Families with Autism, Task Force Report , December 2007.
Please see the bill text and the Task Force Report for the respective exact language of each.
  • SB2457
    Referred to Senate Committees Education; Appropriations1/11/2010
    Title:
    AN ACT TO AUTHORIZE AND DIRECT THE MISSISSIPPI DEPARTMENT OF EDUCATION TO DEVELOP STANDARDS AND IMPLEMENT AUTISM SPECTRUM DISORDER (ASD) CLASSROOMS IN THE SCHOOL DISTRICTS STATEWIDE TO MORE FULLY MEET THE NEEDS OF STUDENTS WITH AUTISM IN THE PUBLIC SCHOOL SETTING; AND FOR RELATED PURPOSES.
From SB 2457,
"...The ASD classroom will be taught by an educational expert who is trained in behavioral supports, including applied behavior science and techniques.
(d) The Autism Spectrum Disorder (ASD) classroom will not replace the self-contained/resource classroom, the Attention Deficit Disorder classroom, or the general inclusion program. The ASD classroom will serve as an additional service that meets the  specialized needs of children with autism. All students with ASD shall have access to appropriate services for a minimum of thirty  (30) hours per week unless otherwise justified on the individualized Education Plan of the child.
(e) All school district personnel instructing children with ASD shall be trained in behavioral supports, including applied behavior science and techniques. This training should include elementary, junior high and high school personnel.
(f) Professional training will include in-service training for current regular and special educators, establishing an expert within each school district on autism and behavioral intervention treatment for the 2010-2011 school year and establishing within the next two (2) years an expert within each school site. Continuing education for parents and supporters of children with autism shall be included in this training. All training for professional educators and parents shall be an ongoing process.
(g) The programs shall include transitional services to include high school and post-high school vocational and job training programs that meet the individual needs of teens and 70 adults with Autism Spectrum Disorders.

SECTION 2. This act shall take effect and be in force from and after January 1, 2010."
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Related posts and information
Thursday, January 28, 2010
Practitioner Issues in Behavior Analysis SIG blog
LEG. NEWS: Mississippi - Six autism insurance bills in the legislature

The Mississippi State Legislature

Caring for Mississippi Children and Families with Autism, Task Force Report , December 2007
Comments and recommendations of that document.

"...p. 19, "Therefore our state must increase the numbers of healthcare providers, allied health professionals, psychologists and behavioral therapists who are well-versed in the diagnosis and treatment of ASD. To ensure that comprehensive and continuous health services are given to those with ASD, the legislature must also ensure that these providers can be compensated through private insurance and Medicaid assistance
programs..."

p. 20, "...Essential components of early intervention programs include:
1. Comprehensive curriculum, addressing core domains of imitation, language, toy play, and social interaction;
2. Sensitivity to normal developmental sequences,
3. Highly supportive teaching strategies based on applied behavioral procedures,
4. Behavioral strategies for reducing interfering behaviors,
5. Involvement and training of parents,
6. Gradual, careful transition from a highly supportive environment (usually one on one) to a less structured environment (small group),
7. A staff trained in autism spectrum disorders,
8. Supervisory and review mechanisms,
9. Intensive intervention, i.e., at least 25 hours per week of structured intervention for at least two years (per National Research Council recommendations),
10. Parental and caregiver training; and
11. Intervention by two years of age whenever possible..."

p. 22: Educational Recommendations for 3-21
"E-3: All school district personnel instructing children with ASD be trained in behavioral supports, including applied behavioral science and techniques."

p.23,
"Programming...Only half of the school districts surveyed reported using any form of Applied Behavior Analysis (ABA) one of the most effective therapies for individuals with ASD. Again, programming methods were varied and only half the districts reported using any form of Applied Behavior Analysis (ABA) programming techniques. Not only will the behavioral techniques learned through training in ABA benefit children with ASD, but those techniques can be used for children with other disorders including ADHD, Emotional Disturbance, Mental Retardation, and has even proven effective in neuro-typical children. For children with ASD, ABA methods and/or programming should be utilized in all educational settings with an emphasis placed on moving away from a clinical setting to an inclusive setting while maintaining independence, social development, and learning..."

p. 23, Teacher Support in Schools
School districts at a minimum should employ or contract the following professionals to meet the educational requirements of these children: a behavioral specialist in ASD treatment, a speech/language pathologist, an occupational therapist and a school psychologist.

E-6: A priority in education be to increase the number of trained professionals educating children with ASD. These activities should include
1) in-service training for current regular and special educators,
2) establishing an expert within each school district for 2009-2010 the next year on autism and behavioral intervention treatment, and
3) establishing within the next 2 years an expert within each school site.

p. 24,
E-7: School districts at a minimum should employ/ obtain contractual services with the following professionals to appropriately treat ASD children OT, Speech, PT, Behavioral Analysts or similar professional, Behavioral Techs or other professional who will implement ABA and social skills programming that is data driven and periodically monitored for each individual student

Views and news expressed in this blog or by the PIBA SIG are those of the SIG or SIG members and do not represent official policy of ABA International or other official body. For official policy of the Association of Behavior Analysis International, the reader is directed to their website, http://www.abainternational.org

Sunday, January 24, 2010

ANNOUNCE: Maine issues new evidence-based report on autism interventions

**Update: 1/25/10, 3:05pm PST - A reader passed along the tip that the Winter 2010 issue/volume 7(1) of Science in Autism Treatment, the newsletter of the Association for Science in Autism Treatment contains a summary on the Maine report,
pp. 4-5, "Consumer Corner: Maine Releases Report on Evidence-Based Practice for Autism"
Lora Perry, M.S., BCBA
SCIENCE IN AUTISM TREATMENT: Newsletter of the Association for Science in Autism Treatment. Vol. 7 No. 1, Winter 2010.

[End of Update 1]**
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A collaboration of The Maine Department of Health and Human Service & The Maine Department of Education recently issued a report on evaluation of the evidence for interventions for ASD.

The report is,
Interventions for Autism Spectrum Disorders: STATE OF THE EVIDENCE
Report of the Children’s Services Evidence-Based Practice Advisory Committee
A Collaboration of
THE MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES & THE MAINE DEPARTMENT OF EDUCATION
October 2009
Summary table can be found on pages 8-10


This report is another addition to the reference library of updated reports on the state of evidence on autism intervention, which also includes,

National Standards Report: The National Standards — Addressing the Need for Evidence-based Practice Guidelines for Autism Spectrum Disorders (174pp.)
National Autism Center, Randolph, MA. 2009.


Evidence-Based Practice and Autism in the Schools: A Guide To Providing Appropriate Interventions to Students With Autism Spectrum Disorders. (258pp.)
National Autism Center, Randolph, MA. 2009.


Myers, S.M., Plauche Johnson, C., (2007). Clinical report: Management of children with autism spectrum disorders. PEDIATRICS, 120(5),1162-1182. (doi:10.1542/peds.2007-2362) 

AAP Policy - American Academy of Pediatrics
NB: Applied behavior analysis and functional behavior analysis covered under "Specific Strategies" on page 1164, under "Speech and Language Therapy" on page 1165, under "Social Skills Training" on page 1165, under "Comparative Efficacy of Educational Interventions for Young Children" on page 1166, under "Programs for Older Children and Adolescents" on page 1166.



Scottish Intercollegiate Guidelines Network (SIGN). Assessment, diagnosis and clinical interventions for children and young people with autism spectrum disorders. A national clinical guideline. Edinburgh (Scotland): Scottish Intercollegiate Guidelines Network (SIGN); 2007 Jul. 65 p. (SIGN publication; no. 98). [232 references]


Ministries of Health and Education. 2008. New Zealand Autism Spectrum Disorder Guideline. Wellington: Ministry of Health.

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Related groups, websites, books and past blog posts


AUTISM
Presentation: 7. Behavior Analytic Research in the Treatment of Autism
David Celiberti, Ph.D., BCBA
"An overview of the state of research in autism that evaluates behavior analytic and non–behavior analytic treatments will be presented, with an emphasis on considerations for future research in applied settings."
Presented Monday August 4 at the 2008 National Autism Conference. August 4–8, 2008 Penn State, Pennsylvania
(scroll down the page to the presentation, handouts, and audio of the presentation)


A Parent's Guide to Research
Life Journey Through Autism Guide
Organization for Autism Research

Association for Science in Autism Treatment (ASAT)
Summaries of Scientific Research on ABA Teaching Procedures
Teaching Procedures Using Principles of Applied Behavior Analysis



Research Autism (UK)
Introduction to interventions in autism
Evaluated Interventions
Early Intensive Behavioural Intervention


Parent Guide to [autism] Therapies (Australia)
Raising children network: The Australian Parenting Website


ABAI -  Autism Special Interest Group

ABAI - Parent-Professional Partnership Special Interest Group (PPP-SIG)


EVIDENCE-BASED PRACTICE

The Cochrane Collaboration 
[Evidence-based health care]
An introduction to Cochrane reviews and The Cochrane Library

The Campbell Collaboration 

[systematic reviews of the effects of social interventions - education, crime and justice, and social welfare]


The Wing Institute
Executive Summary
How Does Applied Behavior Analysis Support Evidence-Based Education


BOOKS
Effective Practices for children with autism: Educational and behavior support interventions that work. (2008). New York: Luiselli, J.K., Russo, D.C., Christian, C.P, & Wilczynski, S.M. (Editors). New York: Oxford University Press, USA.
ISBN-13: 978-0-19-531704-6

[Google books limited preview]


Early intervention for autism spectrum disorders: a critical analysis.
 Matson, J.L., & Minshawi, N.F. (2006).  Amsterdam: Elsevier Ltd.
ISBN-13: 978-0-08-044675-2

[Google books limited preview]

Related past posts:
Thursday, January 7, 2010

Practitioner Issues in Behavior Analysis SIG blog
NEWS: Pediatrics publishes two significant reports on evaluation, diagnosis and treatment of gastrointestinal disorders in individuals diagnosed with ASD

Thursday, December 3, 2009

Practitioner Issues in Behavior Analysis SIG blog
ANNOUNCE: National Autism Center announces new manual for evidence-based education of those with ASD

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Practitioner Issues in Behavior Analysis SIG
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Views and news expressed in this blog or by the PIBA SIG are those of the SIG or individual SIG member authors and do not represent official policy of ABA International or other official body. For official policy of the Association of Behavior Analysis International, the reader is directed to their website,

Saturday, December 12, 2009

NEWS: CNN reports on ABA-autism best-outcome story

CNN's Kiran Chetry reported on the American Morning program earlier this week of an autism treatment success story due to an early intensive applied behavior analysis, aka "ABA" or "EIBI", therapy program...and a video accompanying the story tells a million words.

Jake Exkorn was diagnosed with autism at 2, and after two years of an intensive ABA/EIBI program was able to have diagnosis removed. Now at the age of 13, Jake is a typical teen. Significantly, his parents chose applied behavior analysis/ABA because it was the scientifically evidenced treatment, and the treatment recommended to them. to start as soon as possible and as intensively as they could afford, by an expert in the field of autism and autism treatment.

Video 5:46 (there may be a brief commercial intro):





From the story,
“...He hit all of the developmental milestones. He walked, he talked, he played,” says Jake’s mother Karen Exkorn. But at 17 months, Karen says the light began to fade from Jake's face..'I knew that I wanted treatment for Jake that had science behind it. And a lot of treatments don't. But the one that had the most science behind it was a treatment called ABA.'...Day after day, 40 hours a week, they plugged away – hoping to help Jake relearn what autism had taken away.
'Going into this there were no guarantees. Nobody ever mentioned the word recovery to us so that wasn't our goal ever.'...After a year of ABA therapy, Jake showed progress. Then, at age four – a turning point. When Karen took him for ice cream, without prompting, Jake told the man what flavor he wanted: 'Nilla.'
'The man had no idea that this was this defining moment in my life, but this was huge. This was huge. And this marked the beginning of spontaneous language for Jake.'
What soon followed was an even bigger milestone. At Jake's 4 year check-up, Karen was told her son no longer had symptoms of autism. The doctor said Jake had recovered...."
FULL ARTICLE

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Note: Some legitimate points are raised in the reader comments at CNN that not all children may have the outcome in this story; at this time there are no interventions guaranteeing recovery or best outcome (as Jake's mother herself notes in the story), however behavior analytic interventions are currently the most scientifically evidenced and have an established track record as a treatment of choice for children with autism. Other comments were about lack of availability through public programs or insurance reimbursement, and even when available through private pay, of the inability to afford or finance an ABA therapy program of the intensity that Jake's family was able to apply. On an encouraging note, many commenters also shared that they know, have a family member, or have a child themselves who was able to have removal of diagnosis, development of typical skills and function, or significant improvement in ability and quality of life by application of an intensive ABA/EIBI therapy program.