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Treatments

Please browse the listed treatment options, and rate those with which you have experience. Your comments will help our community grow its unique, dynamic knowledge base.

Applied Behavior Analysis

 average based on 9 reviews

This treatment program uses general principles of behavioral therapy to build the skills that children with autism lack, such as language, play, self-help, social, academic and attentional skills. The Lovaas Model of Applied Behavior Analysis is unique in that it has undergone rigorous, peer-reviewed research, including both long-term and follow-up studies, proving its effectiveness as an intervention in treating children with autism.


First Developed:
Early 1970s at UCLA. Research began in the early 1960s and it was identified as the treatment of choice for autistic behavior in 1981. 
 
Overall Philosophy:
ABA and other behavioral approaches are based on the theory that all behavior is learned and that it is governed by antecedents and consequences. The foundations of this are that learning can be reduced to the repetition of responses, which increase with reward. In this way a task to be learned can be analyzed into small steps that are then used as a teaching program for the child. Each step can be shaped through positive reinforcement.
 
Popularity:
ABA is one of the most frequently used, if not the most frequently used treatment for autism.
 
Time required for treatment:
ABA is an intensive intervention, which takes place up to 40 hours a week for approximately two years. Treatment typically begins at 10-15 hours per week and can gradually increase to 35-40 hours per week by the age of 3.
 
Treatment cost:
Given the intensive, one-on-one nature and length of this program, treatment is costly.  Actual costs will vary, however, depending upon whether the person directing the treatment is a trained college student doing it as part of their collegiate educational training or is instead a full-time ABA professional.
 
Who directs the treatment?
In order for ABA to work, it has to be delivered by all the significant persons who work with the child.  There is a hierarchy of deliverers, including a consultant, a supervisor, and a number of tutors, parents, and peers.
 
Where does the treatment take place?
Often at home during the preschool years; later techniques are used in school and other environments.
 
Training material needed:
None, per se. However, ABA requires the extensive, one-on-one attention of the facilitator.
 
How success is defined:
ABA uses clear objectives (that vary by treated child) that are measured in terms of observable and definable behaviors, specific techniques for achieving these objectives, and ongoing collection of data to assess the effectiveness of the intervention.
 
Biggest Success Story:
The parents of young children with autism have reported significant improvements in their child’s ability to access the world after following the ABA approach. ABA is the most studied psychosocial intervention and is available at many locations in the United States and around the world. ABA has shown to be the most effective treatment for autistic neurobehavioral disorder.

Website:
http://www.lovass.com/
 
Main concern:
Behavioral approaches have been criticized for their inappropriate and narrow focus; it is believed by some that  children are taught to become robotic and do not generalize their skills outside of the ABA environment.

 

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9 Member Review(s) for Applied Behavior Analysis

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  • 9/5/2010

    Posted 9/5/2010 6:46:54 PM by Una

    Treatment Benefits:

    It is not a cure...but it will teach your child some basic skills.

    Treatment Shortcomings:

    Doesn't do much for social skills. You really can't teach social skills through ABA unless you want the child to be a little robotic. Also, it tends to make the children do things ONLY for a 'reward'.

    Overall Conclusions:

    Fine for academics maybe...but doesn't help the whole child.

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  • 4/1/2010

    Posted 4/1/2010 8:24:22 PM by MybeautifulMayMoon

    Treatment Benefits:

    I found this treatment to be very effective. I do wish that there was more parent training during therapy.

    Treatment Shortcomings:

    The programing run to slow for my son..

    Overall Conclusions:

    My son started talking and playing with toys after less than a month of treatment.

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  • 2/23/2010

    Posted 2/23/2010 1:58:07 AM by Nikki MS

    Treatment Benefits:

    Can get funding.

    Treatment Shortcomings:

    Robotic behavior outcomes. Kids can manipulate potty training by not fully voiding in order to get more candy. Lack of flexibility of responses from children. Essentially requires parents to judge behaviors as good or bad...but nobody, even kids with autism, like to feel judged, therefore it impedes meaningful socialization.

    Overall Conclusions:

    ABA works for some children, but it was a disaster for my child. It caused a full blown rebellion. My daughter would have with 3 hour temper tantrums with head banging and poop smearing. Never again! We found a relationship based teaching modality (Son-Rise) and now she's thriving.

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  • 6/30/2009

    Posted 6/30/2009 12:47:55 PM by Ros Kapj

    Treatment Benefits:

    ABA taught my Son to speak. It is not a cure but it is the only documnted method. The Public School Teachers are not trained in it. There methods here in NYC. are worthless.

    Treatment Shortcomings:

    It is not a Cure.

    Overall Conclusions:

    Only method that can be documented.

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  • 4/20/2009

    Posted 4/20/2009 11:09:14 PM by pjakobs

    Treatment Benefits:

    Great for focusing on specific skills such as academics or self-help skills and great for speech goals.

    Treatment Shortcomings:

    Not great for learning about social skills (tends to focus on scripts) and problem solving. Tends to focus too much on skills and rules, life is much more complex than that. You can't get though life just on skills alone.

    Overall Conclusions:

    Great for some things, just don't expect it to really remediate a child's autism. It'll just make them more high functioning.

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  • 3/5/2009

    Posted 3/5/2009 11:13:23 PM by www.PositivelyAutism.com

    Treatment Benefits:

    Focus on teaching behaviors and skills by rewarding the behaviors that you want to see, not just punishment of inappropriate behaviors. This teaches children what they should be doing, not just punishing what they shouldn't be doing. Using ABA methods often involves breaking skills down into small teachable steps, so that kids can be quickly successful with learning. ABA is also supported by many years of research as an effective way of teaching new behaviors and skills.

    Treatment Shortcomings:

    Some social and conversational skills are taught as just rote memorization. It doesn't have to be done this way, though.

    Overall Conclusions:

    ABA should be the basis of every educational program for a student with Autism. I think it works best when combined with TEACCH, a relationship/developmental intervention, and special education teaching approaches. It should also be tailored to the individual needs of the child, not just using a cookie cutter program.

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  • 2/12/2009

    Posted 2/12/2009 12:09:36 PM by Karenza Cassidy

    Treatment Benefits:

    i did a play intervention first for three years (son-rise) and when my child was fully interacting we used verbal behavior to break down the speech and imitation for him.. we 've been using it for over a year and he's flying. he loves it. i would not have done it before son-rise though, its important to build the relationship first and show love and acceptance, and keep that going. we now combine both son-rise and verbal behavior

    Treatment Shortcomings:

    Overall Conclusions:

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  • 1/28/2009

    Posted 1/28/2009 12:27:10 PM by Sue McGowan

    Treatment Benefits:

    Treatment Shortcomings:

    Overall Conclusions:

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  • 8/19/2008

    Posted 8/19/2008 1:42:34 AM by Faith

    Treatment Benefits:

    easy to get funding for, well known

    Treatment Shortcomings:

    Overall Conclusions:

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