Abstract
Multiple dimensions of comprehensive treatment models (CTMs) for learners with autism were evaluated in this study. The purpose of the study was to provide evaluative information upon which service providers, family members, and researchers could make decisions about model adoption, selection for a family member, or future research. Thirty CTMs were identified, with the majority based on an applied behavior analysis framework, although a substantial minority followed a developmental or relationship-based model. As a group, CTMs were strongest in the operationalization of their models, although relatively weaker in measurement of implementation, and with notable exceptions, weak in evidence of efficacy.
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Notes
The National Standards Project is located at the National Autism Center in MA. Its purpose is to identify research that documents efficacy of procedures and programs for learners with ASD. Investigators with this project conducted a comprehensive review of the literature and assembled a national review team to evaluate all articles identified. NSP staff is now aggregating the analyses by focused intervention practices and also CTMs. The four authors were reviewers with the NSP. The website for the NSP is: http://www.nationalautismcenter.org/about/national.php.
References
American Evaluation Association. (2008). Guiding principles for evaluators. American Journal of Evaluation, 29, 233–234.
Anderson, S. R., Thomeer, M. L., & King, D. C. (2006). Summit Academy: Implementing a system-wide intervention. In S. Handleman & S. Harris (Eds.), School-age programs for children with autism (pp. 195–220). Austin, TX: PRO-ED.
Arick, J., Young, H., Falco, R., Loos, L., Krug, D., Gense, M., et al. (2003). Designing and outcome study to monitor the progress of students with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 18, 75–87.
Bondy, A., & Battaglini, K. (2006). Application of the Pyramid approach to education model in a public school setting. In S. Handleman & S. Harris (Eds.), School-age programs for children with autism (pp. 163–194). Austin, TX: PRO-ED.
Bondy, A., & Frost, L. (2002). A picture’s worth: PECS and other visual communication strategies in autism. Bethesda, MD: Woodbine House.
Bruey, C. T., & Vorhis, N. (2006). The Lancaster-Lebanon IU 13 autism support program. In S. Handleman & S. Harris (Eds.), School-age programs for children with autism (pp. 115–142). Austin, TX: PRO-ED.
Campbell, S., Cannon, B., Ellis, J. T., Lifter, K., Luiselli, J. K., Navalta, C. P., et al. (1998). The May Center for early childhood education: Description of a continuum of services model for children with autism. International Journal of Disability, Development and Education, 45, 173–187.
Cohen, H., Amerine-Dickens, M., & Smith, T. (2006). Early intensive behavioral treatment: Replication of the UCLA Model in a community setting. Developmental and Behavioral Pediatrics, 27(2), 145–155.
Cronbach, L. J. (1982). Designing evaluations of educational and social programs. San Francisco, CA: Jossey-Bass.
Domitrovich, C. E., Bradshaw, C. P., Poduska, J. M., Hoogwood, K., Buckley, J. A., Olin, S., et al. (2008). Maximizing the implementation quality of evidence-based preventive interventions in schools: A conceptual framework. Advance in School Mental Health Promotion, 1, 6–28.
Durlak, J., & DuPre, E. (2008). Implementation matters: A review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal of Community Psychology, 41, 327–350.
Fenske, E. C., Zalenski, S., Krantz, P. J., & McClannahan, L. E. (1985). Age at intervention and treatment outcome for autistic children in a comprehensive intervention program. Analysis and Intervention in Developmental Disabilities, 5, 49–58.
Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231).
Greenberg, M. T., Domitrovich, C. E., Graczyk, P. A., & Zins, J. E. (2005). The study of implementation in school-based preventive interventions: Theory, research, and practice. Promotion of mental health and prevention of mental and behavior disorders (Vol. 3). Washington, DC: U.S. Department of Health and Human Services.
Gutstein, S. E., Burgess, A. F., & Montfort, K. (2007). Evaluation of the Relationship Development Intervention. Autism, 11, 397–411.
Hall, L. (2009). Autism spectrum disorders: From theory to practice. Upper Saddle River, NJ: Pearson Merrill Prentice Hall.
Handleman, J. S., & Harris, S. L. (Eds.). (2006). School-age education programs for children with autism. Austin, TX: PRO-ED.
Handleman, J. S., & Harris, S. L. (Eds.). (2008). Preschool education programs for children with autism. Austin, TX: PRO-ED.
Harris, S., Handleman, J., Gordon, R., Kristoff, B., & Fuentes, F. (1991). Changes in cognitive and language functioning of preschool children with autism. Journal of Autism and Developmental Disorders, 21, 281–290.
Hassen, C. E., Lawrenz, F., & Dunet, D. O. (2008). Concurrent meta-evaluation: A critique. American Journal of Evaluation, 29, 572–582.
Holmes, D. (1998). Autism through the lifespan: The Eden model. Bethesda, MD: Woodbine House.
Howard, J. S., Sparkman, C. R., Cohen, H. G., Green, G., & Stanislaw, H. (2005). A comparison of intensive behavior analytic and eclectic treatments for young children with autism. Research in Developmental Disabilities, 26, 359–383.
Howlin, P., Magiati, I., & Charman, T. (2009). Systematic review of early intensive behavioral interventions for children with autism. American Journal of Intellectual and Developmental Disabilities, 114, 23–41.
Hoyson, M., Jamieson, B., & Strain, P. S. (1984). Individualized group instruction of normally developing and autistic-like children: The LEAP curriculum model. Journal of the Division for Early Childhood, 8, 157–172.
Hume, K., & Odom, S. L. (2007). Effects of a work system on the work and play of children and individuals with autism. Journal of Autism and Developmental Disorders, 37, 1166–1180.
Kaufman, B. (1981). A miracle to believe in. New York: Fawcett Crest.
Keenan, M., Henderson, M., Kerr, K. P., & Dillenburger, K. (2006). Applied behaviour analysis and autism: Building a future together. London: Jessica Kingsley Publishers.
Koegel, R., & Koegel, L. (2006). Pivotal response treatments for autism. Baltimore, MD: Paul H. Brookes.
Koegel, L. K., Koegel, R. L., Harrower, J. K., & Carter, C. M. (1999). Pivotal response intervention I.: Overview of the approach. Journal of the Association for Persons with Severe Handicaps, 24(24), 174–185.
Larkin, A., & Gurry, S. (1998). Brief report: Progress reported in three children with autism using daily life therapy. Journal of Autism and Developmental Disorders, 4, 339–342.
Leaf, R., & McEachin, J. (1999). A work in progress: Behavior management strategies and a curriculum for intensive behavioral treatment of autism. New York: DRL Books.
Lord, C., Wagner, A., Rogers, S., Szatmari, P., Aman, M., Charman, T., et al. (2005). Challenges in evaluating psychosocial interventions for autistic spectrum disorders. Journal of Autism and Developmental Disorders, 35, 695–708.
Mahoney, G., & Perales, F. (2005). Relationship-focused early intervention with children with pervasive developmental disorders and other disabilities: A comparative study. Journal of Developmental and Behavioral Pediatrics, 26(2), 77–85.
McConachie, H., Randle, V., Hammal, D., & LeCouteur, A. (2005). A controlled trial of a training course for parents of children with suspected autism spectrum disorder. The Journal of Pediatrics, 33, 5–340.
McGee, G. G., Morrier, M. J., & Daly, T. (1999). An incidental teaching approach to early intervention for toddlers with autism. The Journal of the Association of Persons with Severe Handicaps, 24, 133–146.
McKeon, J., Vuoncino, K., Brenkert, R., Dinnell-LoPresti, E. D., Lampert, M., Madden-Perez, M., et al. (2006). The valley program. In S. Handleman & S. Harris (Eds.), School-age programs for children with autism (pp. 247–268). Austin, TX: PRO-ED.
Meyer, L. S., Taylor, B. A., Cerino, K. E., Fisher, J. R., Moran, L., & Richard, E. (2006). Alpine learning group. In J. S. Handleman & S. L. Harris (Eds.), School-age education programs for children with autism (pp. 19–47). Austin, TX: Pro-Ed.
Miller, A., & Miller, E. E. (1973). Cognitive-developmental training with elevated boards and sign language. Journal of Autism and Childhood Schizophrenia, 3, 65–85.
National Research Council. (2001). Educating children with autism. Washington, DC: National Academy Press.
Odom, S. L., Brown, W. H., Frey, T., Karasu, N., Smith-Carter, L., & Strain, P. (2003). Evidence-based practices for young children with autism: Evidence from single-subject research design. Focus on Autism and Other Developmental Disabilities, 18, 176–181.
Odom, S., Collet-Klinenberg, L., Rogers, S., & Hatton, D. (in press). Evidence-based practices in interventions for children and youth with autism spectrum disorders. Preventing School Failure.
Panerai, S., Ferrante, L., & Zingale, M. (2002). Benefits of the treatment and education of autistic and communication handicapped children (TEACCH) programme [sic] as compared with a non-specific approach. Journal of Intellectual Disability Research, 46, 318–327.
Prizant, B., Wetherby, A., Rubin, E., Laurent, A., & Rydell, P. (2006). The SCERTS model: A comprehensive educational approach for children with autism spectrum disorders. Baltimore, MD: Paul H. Brookes Publishing.
Reichow, B., & Wolery, M. (2009). Comprehensive synthesis of early intensive behavioral interventions for young children with autism based on the UCLA young autism project model. Journal of Autism and Developmental Disorders, 39, 23–41.
Reichow, B., Volkmar, F., & Cicchetti, D. (2008). Development of the evaluative method for evaluating and determining evidence-based practices in autism. Journal of Autism and Developmental Disorders, 38, 1311–1319.
Rogers, S., & Vismara, L. (2008). Evidence-based comprehensive treatments for early autism. Journal of Clinical Child and Adolescent Psychology, 37, 8–38.
Rogers, S. J., Hayden, D., Hepburn, S., Charlifue-Smith, R., Hall, T., & Hayes, A. (2006). Teaching young nonverbal children with autism useful speech: A pilot study of the Denver model and PROMPT interventions. Journal of Autism and Developmental Disorders, 36, 1007–1024.
Romanczyk, R. G., Lockshin, S. B., Matey, L., & Gillis, J. M. (2006). The children’s unit for treatment and evaluation. In S. Handleman & S. Harris (Eds.), School-age programs for children with autism (pp. 49–89). Austin, TX: PRO-ED.
Schwartz, I., Sandall, S., McBride, B., & Boulware, G. (2004). Project DATA (Developmentally Appropriate Treatment for Autism): An inclusive school-based approach to educating young children with autism. Topics in Early Childhood Special Education, 24, 156–168.
Smith, T., Scahill, L., Dawson, G., Guthrie, D., Lord, C., Odom, S., et al. (2007). Designing research studies on psychosocial interventions in autism. Journal of Autism and Developmental Disorders, 37, 354–366.
Solomon, R., Necheles, J., Ferch, C., & Bruckman, D. (2007). Pilot study of a parent training program for young children with autism. Autism, 11, 205–224.
Stahmer, A. C., & Ingersoll, B. (2004). Inclusive programming for toddlers with autism spectrum disorders: Outcomes form the Children’s Toddler School. Journal of Positive Behavior Interventions, 6, 67–82.
Stevens, M., Washington, A., Rice, C., Jenner, W., Ottolino, J., Clancy, K., et al. (2007). Prevalence of the autism spectrum disorders (ASDs) in multiple areas of the United States, 2000 and 2002. Atlanta, GA: Centers for Disease Control and Prevention.
Volkmar, F., Paul, R., Klin, A., & Cohen, D. (2005). Handbook of autism and pervasive developmental disorders. Hoboken, NJ: Wiley.
Yell, M. L., Drasgow, E., & Lowrey, A. K. (2005). No child left behind and students with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 20(3), 130–139.
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This paper was based on a larger report funded by the California Department of Developmental Services and its Autism Spectrum Disorders: Guidelines for Effective Intervention project.
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An erratum to this article can be found at http://dx.doi.org/10.1007/s10803-009-0873-6
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Odom, S.L., Boyd, B.A., Hall, L.J. et al. Evaluation of Comprehensive Treatment Models for Individuals with Autism Spectrum Disorders. J Autism Dev Disord 40, 425–436 (2010). https://doi.org/10.1007/s10803-009-0825-1
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DOI: https://doi.org/10.1007/s10803-009-0825-1