This study was designed to evaluate 1 year of intensive treatment for 4- to 7-year-old children with autism. An independent clinician assigned children to either behavioral treatment (n = 13) or eclectic treatment (n = 12). Assignment was based on availability of personnel to supervise treatment and was not influenced by child characteristics or family preference.The two treatment groups received similar amounts of treatment (M = 28.52 hours per week at the child’s school). Children in the behavioral treatment group made significantly larger gains on standardized tests than did children in the eclectic treatment group. Results suggest that some 4- to 7-year-olds may make large gains with intensive behavioral treatment, that such treatment can be successfully implemented in school settings, and that specific aspects of behavioral treatment (not just its intensity) may account for favorable outcomes.
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References
1.
Anderson, S. R. , Avery, D. L., DiPietro, E. K., Edwards, G. L., & Christian, W. P. (1987). Intensive home-based early intervention with autistic children. Education and Treatment of Children, 10, 352-366.
2.
Ayres, A. J. (1972). Sensory integration and learning disorders. Los Angeles: Western Psychological Services.
3.
Bayley, N. (1993). The Bayley Scales of Infant Development–Revised. San Antonio, TX: Psychological Corporation.
4.
Birnbrauer, J. S. , & Leach, D. J. (1993). The Murdoch Early Intervention Program after 2 years. Behavior Change, 10, 63-74.
5.
Borman, S. H. , & Fletcher, J. M. (Eds.). (1999). The changing nervous system: Neurobehavioral consequences of early brain disorders. New York: Oxford University Press.
6.
Dawson, G. , & Osterling, J. (1997). Early intervention in autism. In M. J. Guralnick (Ed.), The effectiveness of early intervention (pp. 307-326). Baltimore: Paul H. Brookes.
7.
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.
8.
Green, G. (1996). Early behavioral intervention for autism: What does research tell us? In C. Maurice (Ed.), Behavioral intervention for young children with autism (pp. 29-44). Austin, TX: Pro-Ed.
9.
Harris, S. L. , & Handleman, J. S. (2000). Age and IQ at intake as predictors of placement for young children with autism: A four- to six-year follow-up. Journal of Autism and Developmental Disorders, 30, 137-142.
10.
Harris, S. L. , Handleman, J. S., 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.
11.
Howlin, P. , & Moore, A. (1997). Diagnosis in autism: A survey of over 1200 patients in the UK. Autism, 1, 135-162.
12.
Hoyson, M. , Jamieson, B., & Strain, P. S. (1984). Individualized group instruction of normally developing and autistic-like children. Journal of the Division of Early Childhood, 8, 157-181.
13.
Jacobson, N. S. , & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19.
14.
Lord, C. , Rutter, M., & LeCouteur, A. (1994). Autism Diagnostic Interview–Revised: A revised version of a diagnostic interview for caregivers in individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659-685
15.
Lord, C. , & Schopler, E. (1989). The role of age at assessment, developmental level, and test in the stability of intelligence scores in young autistic children. Journal of Autism and Developmental Disorders, 19, 483-489.
16.
Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55, 3-9.
17.
Lovaas, O. I. , Ackerman, A., Alexander, D., Firestone, P., Perkins, M., & Young, D. B. (1981). Teaching developmentally disabled children: The ME Book. Austin, TX: Pro-Ed.
18.
Lovaas, O. I. , & Leaf, R. L. (1981). Five videotapes for teaching developmentally disabled children. Austin, TX: Pro-Ed.
19.
Lovaas, O. I. , & Smith, T. (1988). Intensive behavioral treatment for young autistic children. In B. B. Lahey & A. E. Kazdin (Eds.), Advances in clinical child psychology (Vol. 11, pp. 285-324). New York: Plenum.
20.
Maurice, K. (1993). Let me hear your voice. New York: Knopf.
21.
McEachin, J. J. , Smith, T., & Lovaas, O. I. (1993). Long-term outcome for children with autism who received early intensive behavioral treatment. American Journal on Mental Retardation, 97, 359-372.
22.
Newsom, C. , & Hovanitz, C. A. (1997). Autistic disorder. In E. J. Mash & L. G. Terdal (Eds.), Assessment of childhood disorders (3rd ed., pp. 408-452). New York: Guilford.
23.
Newsom, C. , & Rincover, A. (1989). Autism. In E. J. Mash & R. A. Barkley (Eds.), Treatment of childhood disorders (pp. 286-346). New York: Guilford.
24.
Reynell, J. K. (1990). Reynell Developmental Language Scales. Windsor, UK: Nfer-Nelson.
25.
Schopler, E. , Lansing, M., & Waters, L. (1983). Individualized assessment and treatment for autistic and developmentally disabled children: Vol. 3. Teaching activities for autistic children. Austin, TX: Pro-Ed.
26.
Schreibman, L. (1988). Autism. Newbury Park, CA: Sage.
27.
Sheinkopf, S. J. , & Siegel, B. (1998). Home-based behavioral treatment of young children with autism. Journal of Autism and Developmental Disorders, 28, 15-23.
28.
Smith, T. (1993). Autism. In T. R. Giles (Ed.), Handbook of effective psychotherapy (pp. 107-133). New York: Plenum.
29.
Smith, T. (1999). Outcome of early intervention for children with autism. Clinical Psychology: Research and Practice, 6, 33-49.
30.
Smith, T. , Donahoe, P. A., & Davis, B. J. (2000). The UCLA treatment model. In S. L. Harris & J. S. Handleman (Eds.), Preschool education programs for children with autism (2nd ed., pp. 29-48). Austin, TX: Pro-Ed.
31.
Smith, T. , Eikeseth, S., Klevstrand, M., & Lovaas, O. I. (1997). Intensive behavioral treatment for preschoolers with severe mental retardation and pervasive developmental disorder. American Journal on Mental Retardation, 102, 238-249.
32.
Smith, T. , Groen, A., & Wynn, J. W. (in press). Outcome of intensive, early behavior intervention for children with pervasive developmental disorder. American Journal on Mental Retardation.
33.
Smith, T. , & Lovaas, O. I. (1998). Intensive, early, behavior analytic intervention: The UCLA Young Autism Project. Infants and Young Children, 10, 67-78.
34.
Sparrow, S. , Marans, W., Klin, A., Carter, A., Volkmar, F. R., & Cohen, D. J. (1997). Developmentally based assessments. In D. J. Cohen & F. R. Volkmar (Eds.), Handbook of autism and pervasive developmental disorders (2nd ed., pp. 411-447). New York: John Wiley.
35.
Sparrow, S. S. , Balla, D. A., & Cicchetti, D. V. (1984). Vineland Adaptive Behavior Scales. Circle Pines, MN: American Guidance Service.
36.
Stutsman, R. (1948). Guide for administering the Merrill-Palmer Scale of Mental Tests. New York: Harcourt, Brace & World.
37.
Wechsler, D. (1974). Wechsler Intelligence Scale for Children–Revised. San Antonio, TX: Psychological Corporation.
38.
Wechsler, D. (1989). Wechsler Preschool and Primary Scale of Intelligence–Revised. San Antonio, TX: Psychological Corporation.
39.
Wechsler, D. (1996). Wechsler Intelligence Scale for Children (3rd ed.). San Antonio, TX: Psychological Corporation.
40.
World Health Organization . (1993). International Classification of Diseases (ICD-10). Geneva: Author.
