rotary 8 3 2011
DESCRIPTION
Thanks to Roger Bass who shared important insights into behavioral therapy with particular emphasis on Autism. He also prompted us to count our blessings!TRANSCRIPT
Roger Bass, PhD, BCBA-DRepresentative at Large for the
Wisconsin Association for Behavior Analysis
Consider this…
Positive Approach to SIB
What those data represent
http://www.youtube.com/watch?v=WPGhg1asyG8
Imagine that’s your child…
You’d want numerous proven procedures:
Positive methods
Mild negative methods used only when necessary
For example, SIBIShttp://www.youtube.com/watch?v=JCHtVLqJWpg&NR=1
Families are Transformed
When SIBIS device is used—SIB reduces so other skills can be taught. This is Jamey’s mother:
As the months passed, head hitting faded to a trickle. Jamey’s teacher wrote: “He’s gone from 32 hits last week to zero.” “The device is great,” wrote one of Jamey’s aides. “I spend more time teaching Jamey how to use a fork, than managing the SIB (self-injurious behavior).” Oh, happy, happy days!
A Graph of “O Happy Days”
“Across all of the SIBIS- active sessions combined, Donna received 32 electric stimulations lasting a total of 2.6 seconds.”
Some Video Resources
BAAM Video (90 seconds)
BAAM Library (Variety of Videos)
Richard Foxx—Harry from Research Press
Freedom from restraints
Hand Picking SIB
Wm Ahearn-NECC: Food Refusal
Wm Ahearn-NECC
Within Reach: A better life for persons with severe developmental disabilities
Life Skills
Self-management
Mobility (e.g., buses)
Eating
Toileting
Speech and Langauge
Job Skills
Handling Emergencies
Recreation
Analysis A Sampler
Child abductions
Addictions (all types)
Academics
Autism/Asperger Syndrome
Public Safety
Medication (pharmacology)
Child abduction
Self-management
Gambling addiction
Brain Injury
Preschool Children/Education
Creativity/Insight
Problem Solving
Poison Prevention
Children’s Physical Activity
Parenting
Bullying
Smoking
College Teaching
Vocational Training
Anxiety (clinical issues)
Criminal Justice
Public and Employee Safety
Eating Disorders
Special/General Education
Gymnastics & Sports
Self-injurious Behavior
Speech/Language
Following Rules
Self-Control
Social Skills
Violent Offenders
Within Reach: A Better Life for Persons with Autism
Epidemic (1/110)
High-vs-Low Functioning
Cause: Unknown
Early Identification Video (symptoms video--login) http://autismspeaks.player.abacast.com/asdvideoglossary-0.1/player/autismspeaks
Treatment:
Early Intensive Behavioral Interventions (EIBI)
-30+ Hours/week
Video-ABA (6:00)
Effective Therapies
Some Autism Videos•
General Introduction to ABA (3:37)
•
Descrete Trial Training (Amy & Dane) (1:43)
•
Nathan’s Matching (DTT) (9:35)
•
PECS 1: Cukes (22 seconds)
•
PECS-The Physical Exchange (3:01)
•
PECS-Communicative Partner (3:07)
•
Pivotal Response Training-General Overview (5:16)
•
Pivotal Response Training—Overselectivity (5:50)
•
Pivotal Response Training—Generalization/Maintenance (4:48)
Parents as ResearchersDebunking Fads: Shannon Kay’s Data on Brushing
Interventions for Throwing
0
5
10
15
20
25
30
7/27/2
000
7/29/2
000
7/31/2
000
8/2/20
008/4
/2000
8/6/20
008/8
/2000
8/10/2
000
8/12/2
000
8/14/2
000
8/16/2
000
8/18/2
000
8/20/2
000
8/22/2
000
8/24/2
000
8/26/2
000
8/28/2
000
8/30/2
000
9/1/20
009/3
/2000
9/5/20
009/7
/2000
9/9/20
009/1
1/200
09/
13/20
009/1
5/200
0
Obj
ects
thro
wn
per
sess
ion
baseline Brushing No Brushing DRO
ABA Technique
Debunking Fads: Shannon Kay’s Data on BrushingProblem: Aggression: hitting, kicking, or hair pulling inflicted upon adults & kids. Therapy: Brushing and joint compressions to help Evan “organize his experience” and would reduce his aggressive behavior.
Interventions for Aggression
0
5
10
15
20
25
30
35
40
45
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
session number for each treatment condition
Aggr
essi
ons
per 3
hou
r ins
truct
iona
l ses
sion
baseline brushing and Joint Comp no brushing schedule w/time timer
ABA Technique
Researchers
Parents as ResearchersDebunking Fads: Shannon Kay’s Data on Brushing
Problem: Self-Injurious BehaviorTherapy: Brushing and joint compression
Interventions for Aggression
0
5
10
15
20
25
30
35
40
45
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
session number for each treatment condition
Agg
ress
ions
per
3 h
our i
nstru
ctio
nal s
essi
on
baseline brushing and Joint Comp no brushing schedule w/time timer
ABA Technique
Some Data
Discussion
This article reports the results of intensive behavioral treatment for young autistic children.
O. Ivar Lovaas (1987). Behavioral Treatment and Normal Educational and Intellectual Functioning in Young Autistic Children. University of California, Los Angeles.
47% of the experimental group achieved normal intellectual and educational functioning in contrast to only 2% of the control group subjects.
IQ Changes Following ABA
Data: Early Intensive Behavior Interventions
Proportions of children who moved from delayed to
normal range on IQ (most also in regular classroomswithout specialized services):
Intensive ABA: 56/120 = 47%
Typical special ed: 11/58 = 19%
Intensive eclectic: 4/28 = 14%
Several uncontrolled studies corroborate these findings
Estimated savings from investment in early intensiveABA: $2 million+ per individual (Jacobson, Mulick, &Green, 1998)
Behavior Analysis: Gaining Recognition
ABA recognized by:
AAP
ABAI
APBA
WI State Law
Amy’s story
Effective techniques aren’t enough
Green’s data: Price of failure/Price of success
Families/society/quality of life for children…
Lots of Good News
Assessments and techniques work
Research models improve our methods
Credentialing system (BACB)
Ethics controls
State License
State Insurance Mandate
And….
Increasing Coverage
