Pivotal Response Paper

CYP 3.1 – 3.4 Explain how different types of interventions can promote positive outcomes for children and young people where development is not following the expected pattern.

The Ontario government is focused on providing effective early interventions for young children with autism (Perry, n.d.). Throughout the years, a substantial amount of research has been done regarding the neuroplasticity and the effectiveness of early intervention in young children (Perry, n.d.). The results of this research have given professionals a greater understanding for a new program directed to young children- which is designed and implemented for children with a diagnosis of Autism Spectrum Disorder and some diagnosed with Pervasive Developmental Disorder- Not Otherwise Specified (PDD-NOS) are also eligible (Perry, n.d.). In 1999, $19 million was funded by the Ontario government to be invested in the services of Intensive Behaviour Intervention (IBI). This specific program is developed for children up to and including the age of 5 years old (Perry, n.d.).

Pivotal response treatment (PRT) is a form of naturalistic behavioral intervention based on the principles of applied behavior analysis, which assumes that children’s impairments can be improved with environmental manipulations such as reinforcement, consequences, and extinction (Koegel, Koegel, & Carter, 1999; Stahmer, Suhrheinrich, Reed, Bolduc, & Schreibman, 2010). Pivotal response treatment (PRT) is one of the few interventions used in the treatment of children with a diagnosis of autism spectrum disorder (ASD) that is both comprehensive, as listed by the National Research Council of the National Academy of Sciences, and empirically supported. It is also recognized by the National Professional Development Center on Autism Spectrum Disorders

The PEAK Assessment Tool and Relational Training System was published by Dr. Mark R. Dixon in February of 2014 after six years of empirical research. Dr. Dixon developed PEAK from the realization that many Board Certified Behavioral Analysts (BCBA) and others working with autistic children were making clinical decisions without having a clear conception of what to instruct and how to

The hallmarks of autism spectrum disorder (ASD) involve marked deficits in social interaction as well as engagement in repetitive behaviors and language difficulties (Leblanc, Richardson, & Warnie, 2005). Although autism can have a profound impact on the capabilities and functioning of the individual, emerging research indicates that applied behavioral analysis (ABA) can be an effective tool for addressing many of the deficits that children with ASD face (Boutot & Myles, 2016). In fact, emerging research indicates that when ABA is utilized for the treatment of young children with ASD many of the challenges faced by this group can be ameliorated (Boutot & Myles, 2016). With these issues in mind the current investigation considers the seven elements of ABA identified by Baer, Wolf, and Risley (1968) in their seminal article on applied behavioral analysis and their application to individuals with ASD. Through a critical review of the seven elements of ABA in relation to ASD it will be possible to illustrate how this approach can be effective for improving outcomes for individuals diagnosed with autism.

The PEAK Assessment tool and Relational Training System was published by Dr. Mark R. Dixon in February of 2014 after six years of empirical research. Dr. Dixon developed PEAK out of the realization that many Board Certified Behavioral Analysts (BCBA) and others working with autistic children were making clinical decisions without having a clear concept of what to instruct and how to execute it. Dr. Dixon worked with over two hundred children over a six year period of time to produce a meaningful and concise assessment of skills. Modules 1-3, Imitation, Consistency and Attention, have been researched for validity and reliability, the fourth module, Cooperation, is in the process of being tested.

The term autism currently holds a meaning that is significantly different than when it was first adopted into our vocabulary in the 1960’s. The evolution of scientific discoveries within the field of autism research is remarkable and consistently improving. With the prevalence of autism continuing to reach sky rocketing numbers, the inclusion of children with autism spectrum disorders (ASD) in the school system is extremely important. Every child has the right to obtain an education and finding new methods that provide this for children with ASD is vital. Creating programs and techniques that can be personalized to a child is the key to them receiving the most out of their education. Discrete trial teaching, pivotal response treatment and picture

Zwaigenbaum, et. al. reviewed the literature pertaining to practice and research in early autism interventions to confirm or revoke the standing best practices in the field. The authors reviewed ten item, four pertaining directly to best care practices and six pertaining to research standards. Research for care practices confirmed that interventions for individuals under the age of 3 should be “a combination of developmental and behavioral approaches and begin as early as possible” (Zwaigenbaum, et. al.,

With the prevalence of autism at an all-time high, there are many benefits to identifying a child as early as possible. Identification and intervention can dramatically improve outcomes for children with ASD. Children have increased neural plasticity at a very early age, making it easier for children to learn new skills such as communication, play, and overall skill development. Early intervention will improve children’s behaviors and remediate areas of weaknesses. Also, according to the New Jersey Early Intervention System program, early intervention makes the transition into preschool easier for children diagnosed with autism. In addition, parent-implemented intervention usually leads to better parent-child interaction, improved communication, behavior, and better maternal knowledge of autism.

CYP CORE 3.1 (3.4) How different types of interventions can promote positive outcomes for children and young people where development is not following the expected pattern.

The therapeutic interventions discussed in chapter 6 are particularly informative for any person working with children. Selected from a number of therapeutic frameworks, such as Gestalt and Theraplay. Hughes breaks each type of intervention down and explains why they are significant and examples of how they are used. The holding

The prevalence rate of autism spectrum disorder (ASD) has risen drastically in the last 10-15 years. In 2008 the Center for Disease Control and Prevention (CDC) reported that an estimated 1 in 150 individuals had been diagnosed with ASD, the 2014 report now estimates that 1 in 68 individuals have been diagnosed with ASD, roughly a 120% increase (CDC 2007 & 2014). This rising trend necessitates a greater number of programs and intervention strategies to improve the quality of life of individuals with ASD. One of the primary professions responsible for implementing and designing these new strategies and programs are occupational therapy (OT) practitioners. Occupational therapists are responsible for providing services that increase performance and participation of individuals with ASD. It is essential that occupational therapists utilize interventions proven to be efficacious and are continually improving and redesigning their program strategies (AOTA Ethics and IDEA). There is a wide range of interventions utilized by occupational therapists when treating individuals with ASD due to the various manifestations of deficits and positive symptoms that can occur.

The study included 61 preschool children with autism who were randomized to one of two groups; one receiving intervention

There are several interventions that are available for those with autism. The interventions are separated into the

Autism Spectrum Disorder is not curable but it can be controlled using a certain type of treatments. There are various types of treatments used by parental, caregiver and clinical. The treatments can be separated into behavior and communication approaches, medication and complementary and alternative medicine. Applied behavioral analysis is a treatment approach that is used in many schools and treatment clinics (Foxx, 2008). There are different types of ABA and one of it is early intensive behavioral intervention (EIBI). EIBI is the most effective treatment used for young children from birth to 3 years old as the services consist of treatments to assist the child to talk, walk and interact with others (Matson & Goldin, 2014). Discrete trials teaching (DTT) is one of the key teaching methods in EIBI. An efficient approach for teaching children with ASD has been shown by DTT and it plays an important role in language, social and academic skills. DTT has a sequence of discrete learning units that allows the skills to broken down into smaller units when teaching a new skill. DTT consist of three-term possibilities,