Autism Therapy: review article

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Comprehensive Synthesis of Early Intensive Behavioral Interventions for Young Children with Autism Based on the UCLA Young Autism Project Model
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.


The Effectiveness of Intervention on the Behavior of Individuals with Autism: A Meta-Analysis Using Percentage of Data Points Exceeding the Median of Baseline Phase (PEM)
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.


Special Report: Early Intensive Behavioral Intervention Based on Applied Behavior Analysis among Children with Autism Spectrum Disorders
Assessment Program, by Rothenberg, BM, Samson DJ, Aronson N., Ziegler KM, Bonnell CJ, and Gere MA, published in 2009, summarized Oct 12, 2010

While early intensive behavioral intervention (EIBI) seems to work for autism, there are not a lot of data to support its use.

This special report is a review of EIBI to treat autism. The review covered 16 studies that use this type of applied behavioral analysis (ABA). Only two of the studies had more than 50 children. None of the studies addressed treatment for Asperger syndrome. The authors note that autism can vary quite a bit from child to child and can change over time for each child.


Parent Training: A Review of Methods for Children with Autism Spectrum Disorder
Research in Autism Spectrum Disorders, by Matson, ML, Mahan S., and Matson JL, published in 2009, summarized Oct 5, 2010

Parent training may be one way to decrease the time and cost of therapy for a child with autism.

This review article describes methods that can be used to train parents of children with autism to act as therapists for their children. While there are many cases of parent training in autism research, there are few autism treatment plans that are designed around using parents. Research shows that parents are able to gain skills in therapies such as applied behavior analysis (ABA). The authors suggest that a lifelong treatment model of parent training may be prudent even for those children who respond well to early intensive behavioral treatments.


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Airlines Helping Children with Autism Learn to Fly

Nov 17, 2010

One of Dr. Wendy Ross' patients with autism had a difficult time flying, so she worked with Philadelphia International Airport to come up with a solution. Rick Dempsey, head of the airport’s Americans With Disabilities Act review committee, and Ross were able to get the airport to simulate the airport security and flying experience. "The committee thought it was a great idea. The [Transportation Security Administration] bought into it. We even got an airline, Southwest, to buy into the idea." Dempsey said. John Minor, Southwest Airline’s station manager, asked 3 crews if they would mind spending 30 or 40 minutes letting the kids and their parents board the plane, listen to flight attendant and pilot announcements, and get a sense of seats, noise, and lighting. Ross trained all the airport employees and flight crews on autism. Ross is currently working with a number of museums and institutions to adapt some of their programs to children with autism.

Read original article: Children with Autism Practice Traveling on "Mock" Flights


Assistive Technology in the Classroom Helps Children with Autism

Sep 8, 2009

Assistive technology helps busy teachers in their classrooms with children with autism. Classroom teachers are busy all day long and may have difficulty documenting every issue and behavior that arises in the classroom. Selective Archiving is a tool that allows the teacher to record classroom events and then review the video at the end of the day. Another assistive classroom tool is Visual Scheduler (vSked). vSked takes children with autism through their day using a touch screen. They answer questions that include knowing the day of the week, the month, the weather outside, and "other things a teacher might ask in a typical elementary school classroom" 

Read original article.


PLAY Project Bonds Parents and Their Children with Autism

Mar 14, 2008

Dr. Richard Solomon at the University of Michigan used Dr. Stanley Greenspan's Floortime approach to create Play and Language for Autistic Youngsters (PLAY). PLAY uses the approach that parents can bond in a unique way with their children with autism: "rather than forcing a child to join the world, parents are taught to enter the child's world and, over time, to become a trusted guide to the outside." Parents receive training from PLAY therapists so that they can work with their children at home . There they spend dedicated time interacting and using play therapy; sending video tapes of their sessions to Solomon for review, suggestions, and advice.

Read original article.


RDI is Therapy for Entire Family

Dec 17, 2007

The Ward family in LA has found that Relationship Development Intervention (RDI), in conjunction with speech and occupational therapy, has helped their son with autism "turn the corner." The entire family is involved in RDI and they video-tape their sessions for review by their Shreveport-based RDI therapist, who suggests new and updated strategies. RDI founder, Steven Gutstein, Ph.D., uses the words "dynamic intelligence" to describe a program goal. For the Ward family this means that RDI teaches the emotion behind the behavior.

Read original article.


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Please comment on this autism topic.

Applied Behaviour Analysis (ABA) for Autistic Children

Jan 12, 2012 by Anonymous

I have a son with 'Moderate Level' Autism, who was diagnosed in 2009. After completing an intensive ABA program he has developed to a stage where he is developmentally, educationally and socially on par with his peers.

As such, we established our business called 'Simply ABA'. This facilitates ABA Programs for families with Autistic children, please feel free to review our website at www.simply-aba.com which gives a full history of our son's condition, extracts from his original diagnostic report from the consultant paediatrician and information on his current progress and abilities, in addition to valuable information on ABA itself.

I wish all parents the very best in successfully obtaining support and guidance in the area of Autism which I understand first hand to be an extremely distressing and daunting diagnosis as a parent.

Julia


Updated Information from iBiomed Creators for Tracking Autism Therapies

Jan 4, 2011 by scottie

Knowing the financial burden attached to being a caregiver for an Autistic child, we were compelled to build a free web version for users who do not have a smartphone. In our journey with our children we realized that we needed healthcare providers, educators and mentors on board when it comes to improving the quality of care a person receives. The website is ready but is in the testing phase. Here is a link to pictures of what it will look like: http://www.facebook.com/photo.php?fbid=188241727857292&set=a.188241557857309.51353.146190262062439. We encourage people to go to http://bit.ly/eoHQUR to be notified when iBiomed Health Organizer & Network is released to the general public. Please add us as a resource on Healing Thresholds. Thanks again.

iBiomed is a mobile application which was recently featured in the Post and Courier newspaper, in Charleston, SC. and the Wall Street Journal.  It was built by Florence Iwegbue & Kwame Iwegbue who is also a Physician in Charleston, SC. They personally built this software in order to ease the back breaking burden on their family, after their son was diagnosed with Autism and started having unexplained seizures: "We developed the software specifically to manage our son's Autism care, but we now realize that it goes way beyond the world of Autism." They hope to spread the word about this software because they know all to well, the pressures & stress that caregivers and families of children with special needs have to endure.

iBiomed is a free native iPhone/iPad application designed to manage the health and well being of children with Special Needs or individuals with complex, chronic medical illnesses. The App is now available for a free download from the App store. They have left it free because we believe this tool would be of great benefit to many people living with complex medical conditions requiring multiple healthcare providers, medications, tests & rehabilitative therapies. "We cannot articulate why we are so driven by this effort but we believe the medical community has long awaited it. We also believe that as a family it is a calling for us because of the special skills we possess and the circumstance we have found ourselves in. Our son has taken us on an unforgettable journey." Below is a link to watch a demo of iBiomed and a link to our site and Facebook group for pictures of the App in action. They realize that not everyone has an Apple device so we will be making it available for free use online by the end of this month. People can register here to be notified upon it's release: http://bit.ly/eoHQUR.

Click Here: http://bit.ly/iin5H9 for info on how iBiomed can help Health care Providers, Therapists, Nutritionists, Chiropractors, Acupuncturists, Educational Institutions, Vendors and other Holistic Practitioners.

The iBiomed Software allows you to create an Interactive Social Network Bio. If you are a vendor, Holistic practitioner, Healthcare provider, Therapist, Blogger, or mentor, this feature allows an easy one-click access to you, your product and your service.

iBiomed's Features Include:

1. Treatment Log Book:

Keep detailed records on the go and soon online with a mobile logbook for Prescriptions, Supplements, Therapies, Diets, Allergies, and Tests.

2. Add Multiple Time Stamped Notes to each of the above treatment items.

Your Notes are easily search-able.

3. Manage the Treatment of as many people as you'd like; Just as with a portable electronic medical record.

3a. Add as many Supplements, Medications, Tests, Diets and Therapies & Alternative/Holistic Treatments as you’d like.

4. Treatment Journal:

Keep a Journal or Daily diary for each person whose treatment you'll be managing with iBiomed. The Journal entries are time stamped and easily search-able. e.g. foods, behavior logs or side effects and reactions.

5. Treatment History:

Review your treatment history of tests, supplements, diets, therapy notes, behaviors and journals. You can also edit past log entries, including test results. If the test results are numerical, you can easily differentiate between normal and abnormal values.

6. Treatment Reminder:

Treatment alerts to help you remember to administer supplements, medications tests and even Therapy sessions and medical appointments.

7. Share Treatment Information:

Share details of your treatment plan with family, health professionals, therapists or nutritionist by email. iBiomed can automatically generate an email summary of your treatment plan and treatment history by date range.

8. Supply Tracker for Rx & Supplements: Lets you know when you should reorder a prescription or Supplement.

9. Health Forum with "Smart Topic Filter" and Push notification to your mobile device: Now all your forum questions & answers can be accessed on your phone. It is also a so a great platform for parents and healthcare providers to interact.

10. Customizable Graph to track just about anything a person wants to watch closely; from symptoms to behaviors, appetite, sleep, or anything you want to track.

11. Available for online use at biomedprofile.com in January 2010. iBiomed Online Health Organizer will have all the same features of the App and much more. Go to: http://biomedprofile.com/index.php?option=com_content&view=article&id=54&Itemid=61 to Sign up to receive an email notification when the site is ready for online use.


Responding to essential fatty acids (EFA)

Sep 1, 2010 by PWSMom

Why is the omega 3/6/9 or the Cod Liver Oils not mentioned?  It was my understanding that this is the best way to get them into the chilren and the easiest.

Thank you,

 Diannna

Firstly, cod liver oil has high levels of vitamin A. See the therapy fact sheet on vitamin A to review some of the risks associated with vitamin A therapy.

Secondly, most of the studies were performed using omega-3 fatty acids from fish and therefore the Healing Thresholds summary focuses on the use of omega-3 fatty acids from fish.

Lastly, I think that you will find that fish oil (prified, pharmacautical grade) is as easy to administer as cod liver oil and may be better tolerated by your child. For example, my son had loose stools when we gave him cod liver oil and he does not have this problem with Ultimate Omega oil from Nordic Naturals.

- PWSMom (Healing Thresholds)


Responding to Thorazine (chlorpromazine)

Aug 13, 2010 by PWSMom

In 2006 the FDA approved risperidone for the specific treatment of aggression and irritability in people (inc children) with autism, yet you have posted an expert opinion also from 2006 that anti-psychotics are not useful in treating autism. Please review your information. Risperidone is an anti-psychotic and has been found to be effective in treating patients with autism who are easily agitated and frequently aggressive. While I can not speak specifically to Thorazine, the professional opinion used to back up the information is outdated and no longer correct. 


Comment added from Healing Thresholds: Note that rarely is scientific consensus achieved in one year. Moreover, scientific consensus rarely occurs as the result of a regulatory decision (FDA approval). At Healing Thresholds we summarize medical research as it occurs and we provide the date of the medical research/medical opinion. We inlude both mainstream and alternative views as long as those studies/opinons have been subjected to the scientific peer review process. We encourage all readers to consider the date of the research/opinion (and the source of the research/opinion) when evaluating how the results relate to their own child's therapy program.


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