Autism Therapy: intervention

definition of intervention: An action taken to help the person improve their health and behaviors. For people with autism, interventions can include behavioral therapy, nutritional supplements, medical therapy, and others. For example, ABA therapy is a type of intervention designed to help children with autism improve behaviors.

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J Autism Dev Disord, by Mancil, GR, Conroy MA, and Haydon TF, published in 2009, summarized Nov 11, 2010

Applied behavior analysis (ABA) techniques can be combined to help children replace aberrant behavior with functional communication skills.

The purpose of this study was to see if two therapies (milieu therapy and functional communication training) could be combined to help children replace bad behavior with language. The authors measured increased communication skills, decreased use of prompts, and decreased bad behavior in three young children with autism at home and in the classroom. They found that prompts decreased with the therapy. Communication increased and bad behavior decreased to almost zero with therapy. All of these skills were generalized to untrained settings and persons.


J Autism Dev Disord, by Reichow, B., and Wolery M., published in 2009, summarized Nov 2, 2010

Early intensive behavioral intervention (EIBI) may be an effective intervention for some children with autism.

EIBI is based on applied behavior analysis. The purpose of this paper is to provide a review of the research on early intensive behavioral interventions (EIBI) for children with autism. This review describes only a small number of effects from the small number of studies on EIBI. The findings from the EIBI research were mixed. It seems that the best results on IQ change might be seen when staff were trained using the UCLA model, intervention happened for a long time per session, and the total hours of therapy were high.


Clinical Case Studies, by Sigafoos, J., Green VA, Payne D., O’Reilly MF, and Lancioni GE, published in 2009, summarized Oct 28, 2010

Providing leisure activities may distract children with autism from long-terms habits of obsessively rearranging objects.

Many people with autism insist on sameness and do not like change. This case study was aimed at seeing if structured leisure time would help a student (15-year-old boy) with autism to spend less time moving the objects on his desk. This treatment approach was an antecedent intervention that gave the student a chance to do his behavior at a time when it was okay with the teacher. The treatment approach reduced obsessive-compulsive behavior and also caused the child to be more social in the classroom. The authors suggested that this treatment approach may be helpful for children with autism and repetitive behaviors.


Behavior Modification, by Ma, H. - H., published in 2009, summarized Oct 21, 2010

Some applied behavior analysis (ABA) approaches are more helpful than others when teaching social skills to people with autism.

The aim of this review article was to compare applied behavior analysis (ABA) techniques to treat autism. The study found five helpful ways to use ABA: priming, self-control, training, positive reinforcement plus punishment, and presenting preferential activities. These interventions were helpful for all ages and both genders. The least helpful use of ABA was in teaching perspective-taking skills. The author found that it worked better to train social skills as a whole instead of training just a single type of social skill.


Dotun Akande, the founder of Patrick Speech and Languages Center in Lagos, believes that early intervention is the best chance for children with autism in her country. Akande, mom of a child with autism, works to reach out and educate as many families as possible. She explains, “Parents too should know that having a child that has this challenge is not the end of the world. Early intervention is the key; so, all you need do is to help that child come out of that problem.” Patrick Speech offers interventions that include speech and language therapy, behavioral modification therapy, OT, social skills training, vocational training, academics, music therapy, hydrotherapy, and sensory integration.

Read original article: Early Intervention is the Key to Managing Autism Well


In the Coimbatore district in India, speech therapy is just now being offered for kids with autism and other developmental delays. District differently abled welfare officer C. Jasmine explained that the children are referred from an early intervention center and are given one-on-one therapy based on their specific needs. There are diagnostic assessments; after which, therapy involves flash cards and pictures and play. The children typically receive an hour of speech therapy a week.

Read original article: Speech Therapy for Disabled at Collectorate


A young adult with autism has found that making walking sticks not only helps those who need the support, but they help him earn a living. Leonard Williams of Wyoming is able to focus and use fine motor skills as he peels the sticks, shapes them, and paints them. Leonard was diagnosed 20 years ago when there were not a lot of early intervention or therapy options. His mom took on the duties of presenting life skills to him. Throughout the years, he’s had various passions, but the walking sticks came about as a 4-H project and his school’s suggestion that he learn a skill to help him in the job place. He currently accepts sticks and branches from neighbors and has started a small business; he sold his walking sticks at craft fairs. His mom thought at first that the business would be mostly online; however, it turns out that there is a community interest in what he does. “It seems everywhere they go, Leonard is waving and greeting people who know him by name.”

Read original article: Walking Sticks Provide Support for Autistic Man


The Suburban Speech Center in New Jersey is able to treat children as young as one year of age. By adopting a total approach, speech therapists work with learning consultants, occupational therapists, and physical therapists to help children with autism and other disorders as soon as they are diagnosed. So that their skills can keep increasing, therapists give parents and/or caregivers a list of speech and language-related apps for the iPad as well as interactive DVDs. Finally, to help raise awareness for early intervention, Suburban Speech Center offers free screenings at nursery schools. Nancy Polow, the Center’s founder, explains, “Parents want to be reassured. We can give them suggestions about ways to work with their children at the time of the screening."

Read original article: Suburban Speech Helps Children Master Language



Please comment on this autism topic.

Children with autism and horses

Jan 17, 2012 by Anonymous

PREFACE:

My experience working with children diagnosed with Autism has been a little like knocking on the door to their place of business. 

Option #1

Sometimes, no one answers the door and even if the hours of operation are posted, they are not always observed.

Option #2

If the door is answered, you rare sometimes invited in, but once inside you realize it is a waiting room where messages are exchanged.  There is no direct contact.  This can cause delays, miscommunication and confusion.  Patience and timing are critical.

Option #3

With enough effort and understanding you are sometimes (and hopefully) invited into the main office and speak to the boss directly.  In this setting, skills understanding and effort are still required but are less demanding and more productive.

This is the most rewarding and productive of the three options.

The equine program developed at the Westwind Rodeo Academy has facilitated the opportunity to enter the office and speak to the boss directly.  (Remember - they are not YOUR boss, but the boss of the company you need to do business with.)

I personally believe it has been a key ingredient in several instances, in moving forward and grasping the potential for the Education system to assist and direct students diagnosed with Autism in their academic efforts and opportunities.

FOLLOWING : Is a cursory description of a multi-faceted program that will hopefully provide a glimpse into these concepts.

CAUTION:  The thoughts information and data provided here are solely my responsibility and have not been endorsed, accredited, approved or even spell-checked by the Westwind School Division, the Westwind Rodeo Academy or any other authority.

Harlan (Lanny) Smith B.S.W., Family School Liaison Counselor

e-mail lannysmith56@gmail.com

The Program

More than just a riding program, the Westwind Rodeo Academy in Cardston Alberta provides a unique program centered on relationships that is based on a triad as part of a larger group of nine.  Each child that attends the program is matched with a specific horse and equine specialist EQ (horse handler) that is chosen for their skills and experience working with children with special needs as well as their command of horse knowledge and competence.  

The group of 9 is formed with 3 groups of 3 to allow for broader experience, interactive activities and comparative experiences and an ambience in the session.  The selection of which 3 students will attend together is carefully considered and may include children with a variety of challenges not limited to Autism.  The sessions are repeated for 6 consecutive weeks and may be repeated up to 4 times a year, space allows and need requires, although each section is provided as a stand alone intervention.

One of the most inspiring experiences is when children fully embrace the horse and the relationship when they take the opportunity to lay down on the horses back without saddle (sometimes with a bareback pad or blanket, but not always), and spend quiet time, just embracing the horse while the child is at rest.  This can include conversation with the EQ as originated by the child and is largely a listening activity for the EQ, or just a silent time.  This activity is sometimes suggested by the child and sometimes by the EQ and may occur at anytime during the session.  It is can be used to de-escalate the child or address stress or emotional discomfort.  It is also used as a modest celebration or reinforcement in the relationship.

Actual riding occurs during these sessions but is not the object or the goal.  Many sessions pass without the child being on horseback as the situation dictates.   Each session is focused on the child's orientation to the world around them as far as they can express through words, body language, choices or actions, their needs and concerns as well as interests and inclinations.  Although safety is an over riding principal, convenience to the horse or EQ is secondary to the child's expressed or perceived preference.  

We have witnessed EQ's trotting beside the horse as ridden by the child who has expressed a desire to have the horse move at faster than a walk.

(Again, safety is paramount which necessitates one or more EQs running beside the horse. In this case, the child's skills and aptitude to remain safely on the horse is previously determined.  We also consider the horses history and attitude and performance on that particular day as part of the decision making process.)  

This can be physically demanding and inconvenient for the EQ but a major contributor to the child's experience and benefit.  The results the child experiences, the more effort required by the EQ to facilitate without imposing or tainting the child's experience.

The other component of this system is the support of a Mental Health Practitioner and supervision by the Facility Director.  This completes the formal team.  Decisions about activities, concepts and specific goals are managed by the Facility Director and Bahavior Specialist and the EQ's in consultation.

We have also encouraged with some success, the attendance to at least one of the sessions in each section by a significant family member as well as the students classroom teacher and possible other support personnel.  These individuals are given direction about the concepts of non-interference and non-projecting on the child's experience while acknowledging the elements the child is embracing.  They meet the horse, the EQ and observe the activities.  We often take pictures or video and encourage this experience to be talked about at home and in the classroom.

Of course this is a snapshot of the experience in condensed form and there are many details and intricacies that cannot be explained or properly presented in this format.  Overall, the development of this process has been  most rewarding and inspiring and worth the investment of time, money and effort.  It requires many elements working in concert to achieve this model.  We are fortunate that these things have come together thus far.

Questions or comments leading to discussion and education are appreciated.


I am a parent of an 18 yr. old young man with ASD who we have been doing RDI with for the past 3 years. Once we began the program his life and ours changed. He now initiates conversation with us - true conversation, with give and take, perspective sharing, observations are related and my interests considered. He is much more other-focused and considerate. Outbursts and anti-social behaviors have been significantly decreased. Our household is so much more calm and life normalized. His ability to make study us during communication (total body language - faces, posture, tone - not just the words said) and approrpriately respond and interpret this non-verbal aspect of language is really imporved and remarked upon by family/friends and teachers. He is able to do this on his own, no prompting, no scripting - it is becoming "normal" and happening as expected. We are completely satisfied with this program and while costly, it has delivered the results where others haven't. It really changed his life. I work in Special Olympics and have a control group to compare him and this intervention against as a result. His progress compared against his peers (same age/ school experiences/ but different interventions) is significantly better. We very much look forward to how far he can go.



St. Andrew Autism Center is the Help and service provider in Singapore for autism therapies in ABA behavior intervention and special education.

Autism is an EPIDEMIC affecting Singapore children. The "3 in 1" Autism Therapies Treatment of " Autism + ABA + Special Education"  is to help children with Autism, ADHD, Attention Deficit Disorder, Asperger Syndrome, Giftedness etc and related disabilities with learning, emotional and developmental needs to develop the communication, academic and social skills necessary so that they can successfully participate in their Singapore MOE schools or pre-schools, and communities. 

SeokLay Lau MA in Special Education, California State University Los Angeles, CalABA member.

Seoklay Lau's Public Profile <http://sg.linkedin.com/pub/seoklay-lau/34/621/5b>


Responding to insurance

Sep 13, 2011 by Anonymous

I live in North Carolina.  My daughter was diagnosed with autism and in the hopes of getting the best treatment and intervention available, she is being left behind. Her insurance, medicaid, pays for very little of her early intervention services.  And to add to our disappointment, medicaid does not pay for ABA services.  



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