This article discusses intervention and treatment options being used with the population of children and youth who have autism spectrum disorders. The discussion includes interventions based on relationship formation, skill-based treatments, physiologically oriented interventions, and comprehensive educational and treatment programs. In a follow-up article, court decisions related to intervention options for students with autism are discussed, along with recommendations for choosing interventions and treatments that have the best chance of producing desired outcomes.
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References
1.
About us: Giant Steps Illinois, Inc. (1998). [On-fine]. Available: http://www.enteract.com/-jays/about.html
2.
Allan, J.A.B. (1977). Some uses of 'holding' with autistic children . Special Education in Canada, 51, 11-15.
3.
American Optometric Association. (1985). Special report: Position statement on vision therapy. Journal of the American Optometric Association, 56, 782-783.
4.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author .
5.
Autism Society of America. (1992-93, Winter). Facilitated communication under the microscope. Advocate, 19-20.
6.
Axline, V.M. (1964). Dibs: In search of self. New York: Ballantine.
7.
Ayers, J. (1972). Sensory integration and learning disorders. Los Angeles: Western Psychological.
8.
Ayers, J. (1979). Sensory integration and the child. Los Angeles: Western Psychological.
9.
Azrin, N.H., & Foxx, R.M. (1971). A rapid method of toilet training the institutionalized retarded. Journal of Applied Behavior Analysis, 4, 89-99.
10.
Bartak, I. (1978). Educational approaches. In M. Rutter & E. Schopler (Eds.), Autism: A reappraisal of concepts and treatment (pp. 423-438). New York: Plenum.
11.
Berard, G. (Trans.). (1993). Hearing equals behavior. New Canaan, CT: Keats. (Original work published 1982)
12.
Berkell, D. (1992). Autism: Identification, education and treatment . Hillsdale, NJ: Erlbaum.
13.
Bettison, S. (1986). Behavioral approaches to toilet training for retarded persons. International Review of Research in Mental Retardation , 14, 319-350.
14.
Bettison, S. (1996). The long-term effects of auditory training on children with autism. Journal of Autism and Developmental Disorders, 26, 179-197.
15.
Biklen, D. (1990). Communication unbound : Autism and praxis. Harvard Educational Review, 60, 291-314.
16.
Biklen, D. (1992). Typing to talk: Facilitated communication. American Journal of Speech and Language Pathology, 1(2), 15-17.
17.
Biklen, D. (1993). Communication unbound: How facilitated communication is challenging traditional views of autism and ability/disability. New York: Teachers College Press.
18.
Bondy, A., & Frost, L. (1994). The picture exchange communication system. Focus on Autistic Behavior, 9(3), 1-19.
19.
Boucher, J., & Lewis, V. (1989). Memory impairments and communication in relatively able autistic children. Journal of Child Psychology and Psychiatry , 30, 90-122.
20.
Bristol, M., Cohen, D., Costello, J., Denckla, M., Eckberg, T., Kallen, R., Kraemer, H., Lord, C., Maurer, R., Mclvane, W., Minshew, N., Sigman, M., & Spence, A. (1996). State of the science in autism: Report to the National Institutes of Health. Journal of Autism and Developmental Disorders, 26, 121-154.
21.
Bristol, M.M., & Schopler, E. (1983). Stress and coping in families of autistic adolescents . In E. Schopler & G. B. Mesibov (Eds.), Autism in adolescents and adults (pp. 251-278). New York: Plenum .
22.
Calculator, S.N. (1992). Perhaps the emperor has clothes after all: A response to Biklen. American Journal of Speech and Language Pathology , 1(2),18-20.
23.
Campbell, M., Schopler, E., Cueva, J., & Hallin, A. (1996). Treatment of autistic disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 134-143.
24.
Cohen, A.H. (1988). The efficacy of optometric vision therapy. Journal of the American Optometric Association, 59(2), 95-105.
25.
Corey, G. (1996). Theory and practice of counseling and psychotherapy (5th ed.). Pacific Grove, CA : Brooks/Cole.
26.
Crossley, R. (1988, October). Unexpected communication attainments by persons diagnosed as autistic and intellectually impaired. Paper presented at the International Society of Augmentative and Alternative Communication, Los Angeles.
27.
Crossley, R. (1992). Who said that? In DEAL Communication Centre (Ed.), Facilitated communication training (pp. 42-54). Melbourne, Australia: DEAL Communication Centre.
28.
Dalrymple, N. (1995). Environmental supports to develop flexibility and independence. In K. A. Quill (Ed.), Teaching children with autism: Strategies to enhance socialization and communication (pp. 243-264). Albany, NY: Delmar.
29.
DeGangi, G.A., & Greenspan, S.I. (1997). The effectiveness of short-term interventions in treatment of inattention and irritability in toddlers. Journal of Developmental and Learning Disorders, 1, 277-298.
30.
Earles, T., Carlson, J., & Bock, S. (1998). Instructional strategies to facilitate successful learning outcomes for students with autism. In R. Simpson & B. Myles (Eds.), Educating children and youth with autism : Strategies for effective practice. (pp. 55-111). Austin, TX: PRO-ED .
31.
Fisher, A., & Murray, E. (1991). Introduction to sensory integration theory. In A. Fisher, E. Murray, & A. Bondy (Eds.), Sensory integration theory and practice (pp. 3-27). Philadelphia : Davis.
32.
Fisman, S. (1997). Pharmacotherapy of the pervasive developmental disorders: A practical approach. Child and Adolescent Psychopharmacology News, 2(4), 1-4.
33.
Foxx, R.M., & Azrin, N.H. (1973). Toilet training the retarded: A rapid program for day and nighttime independent toileting. Champaign, IL: Research Press.
34.
Freeman, B.J. (1993). Questions to ask regarding specific treatment . The Advocate, 25(2), 19.
35.
Freud, S. (1949). An outline of psychoanalysis. New York: Norton.
36.
Frost, L.A., & Bondy, A. (1994). The picture exchange communication system training manual. Cherry Hill, NJ: Pyramid Educational Consultants.
37.
Gardiner, J. (1997, November 21). Inquiry into costly U.S. autism regime . The Times Educational Supplement, p.12.
38.
Gillberg, C. (1992). The Emmanuel Miller Memorial Lecture 1991. Autism and autistic-like conditions: Subclasses among disorders of empathy. Journal of Child Psychology and Psychiatry, 33, 813-842.
39.
Gillberg, C., Johansson, M., Steffenburg, S., & Berlin, O. (1997). Auditory integration training in children with autism. Autism: The International Journal of Research and Practice, 1, 97-100.
40.
Gillingham, G. (nd). Autism: Handle with care! Understanding and managing behavior of children and adults with autism. Arlington, TX: Future Horizons.
41.
Grandin, T. (1995). Thinking in pictures. New York : Doubleday.
Gray, C. (1995). Teaching children with autism to "read" social situations. In K. A. Quill (Ed.), Teaching children with autism: Strategies to enhance socialization and communication (pp. 219-241). Albany, NY: Delmar.
44.
Gray, C., & Garand, J. (1993). Social stories: Improving responses of students with autism with accurate social information. Focus on Autistic Behavior, 8(1), 1-10.
45.
Greenspan, S.I. (1992a). Reconsidering the diagnosis and treatment of very young children with autistic spectrum or pervasive developmental disorder . Zero to Three, 13(2), 1-9.
46.
Greenspan, S.I. (1992b). Infancy and early childhood: The practice of clinical assessment and intervention with emotional and developmental challenges . Madison, CT: International Universities Press.
47.
Greenspan, S.I., & Wieder, S. (1997). Developmental patterns and outcomes in infants and children with disorders in relating and communicating: A chart review of 200 cases of children with autistic spectrum diagnoses. Journal of Developmental and Learning Disorders, 1, 87-141.
48.
Greenspan, S.I., & Wieder, S. (1998). The child with special needs: Encouraging intellectual and emotional growth. Reading, MA: Addison-Wesley.
49.
Gresham, F.M., & MacMillan, D.L. (1997). Autistic recovery? An analysis and critique of the empirical evidence on the Early Intervention Project. Behavioral Disorders, 22, 185-201.
50.
Griffin, J.R., Christenson, G., Wesson, M., & Erickson, G.B. (1997). Optometric management of reading dysfunction. Boston: Butterworth-Heinemann .
51.
Gualtieri, C.T. (1986). Fenfluramine and autism: Careful reappraisal is in order. Journal of Pediatrics, 108, 418-419.
52.
Hare, D.J. (1997). The use of cognitive-behavioral therapy with people with Asperger syndrome: A case study. Autism: The International Journal of Research and Practice, 1, 215-225.
53.
Harrell, R.F., Capp, R.H., Davis, D.R., Peerless, J., & Ravitz, L.R. (1981). Can nutritional supplements help mentally retarded children? An exploratory study. Proceedings of the National Academy of Science, 78, 574.
54.
Hermelin, B., & O'Conner, N. (1970). Psychological experiments with autistic children . London: Pergamon.
55.
Hobson, R.P. (1990). On psychoanalytic approaches to autism. American Journal of Orthopsychiatry, 60, 324-336.
56.
Hodgdon, L. (1995). Visual strcstegies for improving communication . Troy, MI: Quirk-Roberts.
57.
Hodges, L. (1995, June 9). Daily life with no limits. The Times Educational Supplement, pp. 3-4.
58.
Hoffman, J. (1995). Rbythmic medicine: Music with a purpose. Leawood, KS: Jamillan Press.
59.
Holmes, D.L. (1990). Community-based services for children and adults with autism: The Eden Family of Programs. Journal of Autism and Developmental Disorders, 20, 339-351.
60.
Holmes, D.L. (1998). Autism through the lifespan: The Eden model. Bethesda, MD: Woodbine House.
61.
Irlen, H. (1991). Reading by the colors. New York: Avery.
62.
Iskowitz, M. (1998, January 5). Selecting an education program. ADVANCE for Speecb-Language Pathologists & Audiologists, 11-13.
63.
Kanner, L. (1943). Autistic disturbances of affective content. Nervous Child, 2, 217-250.
64.
Kanner, L. (1949). Problems of nosology and psychodynamics in early childhood autism. American Journal of Orthopsychiutry, 19, 416-426.
65.
Kaufman, B. (1994). Son-rise: The miracle continues. Tiburon, CA: H. J. Kramer.
66.
Kaufman, B., & Kaufman, S. (1998). The option institute [On-line]. Available: http://www.option.org/guidedintro/intro4.html
67.
Kaufman, B.N. (1976). Son-rise. New York: Harper & Row.
68.
Keel, J.H., Mesibov, G.B., & Woods, A.V. (1997). TEACCH supported employment program. Journal of Autism and Developmental Disorders, 27, 3-9.
69.
Kim, S., Richardson, L., Yard, G., Cleveland, M., & Keller, K. (1998). Giant Steps-St. Louis: An alternative intervention model for children with autism. Focus on Autism and Other Developmental Disorders, 13, 101-107.
70.
Koegel, L.K. (1995). Communication and language intervention. In R. L. Koegel & L. K. Koegel (Eds.), Teaching children with autism (pp. 17-32). Baltimore: Brookes.
71.
Koegel, R. L., & Koegel, L. K. (Eds.). (1995). Teaching children with autism. Baltimore: Brookes.
72.
Kurtz Center. (1996). Conquer dyslexia with the Lindamood-Bell Method and Fast ForWord Program [On-line] . Available: http://www.learningdisabilities.com/lindamood.html
73.
Layton, T.L., & Watson, L.R. (1995). Enhancing communication in nonverbal children with autism. In K. A. Quill (Ed.), Teaching children with autism: Strategies to enhance communication and socialization (pp. 73-101). Albany, NY: Delmar.
74.
Lindamood, P., Bell, N., & Lindamood, P. (1997). Achieving competence in language and literacy by training in phonemic awareness, concept imagery and comparator function . In C. Hulme & M. Snowling (Eds.), Dyslexia: Biology, cognition and intervention (pp. 212-234). London: Whurr.
75.
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.
76.
Luiselli, J., Reisman, J., Heflen, C., & Pemberton, B. (1979). Toilet training in the classroom: An adaptation of Azrin and Foxx's rapid toilet training procedures. Behavioral Engineering, 5, 89-93.
77.
MacDonald, J.D. (1989). Becoming partners with children: From play to conversation. Chicago: Riverside .
78.
MacDuff, G., Krantz, P., & McClannahan, L. (1993). Teaching children with autism to use pictographic activity schedules: Maintenance and generalization of complex response chains. Journal of Applied Behavior Analysis , 26, 89-97.
79.
MacFarland, S.Z.C. (1995). Teaching strategies of the van Dijk curricular approach. Journal of Visual Impairment and Blindness, 89, 222-228.
80.
Magid, K., & McKelvey, C.A. (1987). High risk: Children without a conscience. New York: Bantam.
81.
Marcus, L., Lansing, M., Andrews, C., & Schopler, E. (1978). Improvement of teaching effectiveness in parents of autistic children. Journal of the American Academy of Child Psychiatry, 17, 625-639.
82.
McClenny, C., Roberts, J., & Layton, T. (1992). Unexpected events and their effect on children's language. Child Language Teaching and Therapy, 8, 229-264.
83.
McGee, J.J., & Gonzalez, L. (1990). Gentle teaching and the practice of human interdependence : A preliminary group study of 15 persons with severe behavioral disorders and their caregivers. In A. C. Repp & N. N. Singh (Eds.), Perspectives on the use of nonaversive and aversive interventions for persons with developmental disabilities (pp. 237-254). Sycamore, IL: Sycamore.
84.
McGee, J.J., & Menolascino, F.J. (1991). Beyond gentle teaching: A nonaversive approach to helping those in need. New York : Plenum
85.
McGee, J.J., Menolascino, F.J., Hobbs, D.C., & Menousek, P.E. (1987). Gentle teaching: A nonaversive approach to helping persons with mental retardation. New York: Human Sciences Press.
86.
Mesibov, G.B. (1994). A comprehensive program for serving people with autism and their families: The TEACCH model. In J. L. Matson (Ed.), Autism in children and adults: Etiology, assessment and intervention (pp. 85-97). Belmont, CA: Brooks/Cole .
87.
Mesibov, G.B. (1997). Formal and informal measures on the effectiveness of the TEACCH programme. Autism: The International Journal of Research and Practice, 1, 25-35.
88.
Mesibov, G.B., Schopler, E., & Hearsey, K.A. (1994). Structured teaching. In E. Schopler & G. B. Mesibov (Eds.), Behavioral issues in autism (pp. 195-207). New York: Plenum.
89.
Mesibov, G.B., Schopler, E., Schaffer, B., & Landrus, R. (1988). Adult and adolescent psychoeducational profile (AAPEP). Austin, TX: PRO-ED.
90.
Mirenda, P., & Santogrossi, J. (1985). A prompt-free strategy to teach pictorial communication system use. Augmentative and Alternative Communication, 1, 143-150.
91.
Mudford, O.C. (1995). Review of the gentle teaching data. American Journal on Mental Retardation, 99, 345-355.
Myles, B.S., & Simpson, R.L. (1998). Asperger's syndrome: A guide for educators and parents. Austin, TX: PRO-ED.
94.
O'Conner, P.D., Sofo, F., Kendall, L., & Olsen, G. (1990). Reading disabilities and the effects of colored filters. Journal of Learning Disabilities, 23, 597-603.
95.
Picken, H. (1996). Giant Steps: Therapy and educational centre helping children with autism [On-line]. Available: http://www.vision.net.au/∼silvereve/giantstp.html
96.
Prior, M., & Cummins, R. (1992). Questions about facilitated communication. Journal of Autism and Developmental Disorders, 22, 331-338.
97.
Quill, K. (1997). Instructional considerations for young children with autism: The rationale for visually cued instruction. Journal of Autism and Developmental Disorders, 27, 697-714.
98.
Ricks, D.M., & Wing, L. (1976). Language, communication, and the use of symbols in normal and autistic children. In J. K. Wing (Ed.), Early childhood autism: Clinical, social and educational aspects. Oxford: Pergamon.
99.
Rimland, B. (1973). High dosage levels of certain vitamins in the treatment of children with severe mental disorders. In D. Hawkins & L. Pauling (Eds.), Ortho-molecular Psychiatry (pp. 513-539). San Francisco : Freeman.
100.
Rimland, B. (1978). The effect of high doses of vitamin B6 on autistic children: A double-blind crossover study. American Journal of Psychiatry, 135, 472-475.
101.
Rimland, B. (1992). A facilitated communication "horror story". Autism Research Review, 6(1), 1, 7.
102.
Rimland, B., & Edelson, S. (1994). The effects of auditory integration training on autism. American Journal of Speech-Language Pathology, 3, 16-24.
103.
Ritvo, E.R., & Freeman, B.J. (1978). National society for autistic children: Definition of the syndrome of autism. Journal of Autism and Childhood Schizopbrenia, 8, 162-169.
104.
Robinson, G., & Conway, R. (1990). The ef fects of Irlen colored lenses on students' specific reading skills and their perception of ability: A 12-month validity study. Journal of Learning Disabilities, 23, 589-596.
105.
Rutter, M. (1979). Developmental issues and prognosis. In M. Rutter & E. Schopler (Eds.), Autism: A reappraisal of concepts and treatment (pp. 497-505). New York: Plenum.
106.
Sadler, O.W., & Merkert, F. (1977). Evaluating the Foxx and Azrin toilet training procedure for retarded children in a day training center. Behavior Therapy, 8, 499-500.
107.
Saegusa, T. (1991). The providence of nature: Teaching autistic children . Educational Forum, 55, 139-153.
108.
Schopler, E. (1966). Birth order and preference between visual and tactual receptors. Perceptual and Motor Skills, 22, 74.
109.
Schopler, E. (1992). Facilitated communication-hope or hype? Autism Society of North Carolina, 8(3), 6.
110.
Schopler, E., Brehm, S., Kinsbourne, M., & Reichler, R.J. (1971). The effect of treatment structure on development of autistic children. Archives of General Psychiatry, 24, 415-421.
111.
Schopler, E., Mesibov, G.B., Devellis, R.F., & Short, A. (1981). Treatment outcome for autistic children and their families. In P. Mittler (Ed.), Frontiers of knowledge in mental retardation: Social, educational, and behavioral aspects (pp. 293-301). Baltimore: University Park Press.
112.
Schopler, E., Mesibov, G.B., & Hearsey, K. (1995). Structured teaching in the TEACCH system. In E. Schopler & G. B. Mesibov (Eds.), Learning and cognition in autism (pp. 243-268). New York: Plenum.
113.
Schopler, E., Reichler, R.J., Bashford, A., Lansing, M.D., & Marcus, L.M. (1990). Psychoeducational profile-revised (PEP-R). Austin, TX: PRO-ED.
114.
Schopler, E., Reichler, R.J., & Renner, B.R. (1988). The childhood autism rating scale (CARS). Los Angeles: Western Psychological.
115.
Siegel-Causey, E., & Guess, D. (1989). Enhancing nonsymbolic communication interactions among learners with severe disabilities. Baltimore: Brookes.
116.
Sigman, M., & Ungerer, J.A. (1984). Attachment behaviors in autistic children. Journal of Autism and Developmental Disorders, 14, 231-244.
117.
Simpson, R.L., & Myles, B.S. (1995). Effectiveness of facilitated communication with children and youth with autism. The Journal of Special Education , 28, 424-439.
118.
Smith, T. (1996). Are other treatments effective? In C. Maurice (Ed.), Behavioral intervention for young children with autism: A manual for parents and professionals (pp. 45-59). Austin, TX: PRO-ED.
119.
Snyder-McClean, L., McClean, J., Etter-Schoeder, R., & Rogers, N. (1984). Structuring joint action routines: A strategy for facilitating communication in the classroom. Seminars in Speech and Language, 5, 213-228.
120.
Solan, H. (1990). An appraisal of the Irlen technique of correcting reading disorders using tinted overlays and tinted lenses. Journal of Learning Disabilities, 23, 621-625.
121.
Stades-Veth, J. (1988). Autism broken symbiosis: Persistent avoidance of eye contact with the mother. Causes, consequences, prevention and cure of autistiform behavior in babies through "mother-child holding." (ERIC Document Reproduction Service No. ED 294 344)
122.
Steele, M.M. (1997). The use of risperidone in pervasive developmental disorders. Child and Adolescent Psychopharmacology News, 2(4), 5, 8.
123.
Stehli, A. (1991). The sound of a miracle: A child's triumph over autism. New York: Doubleday.
124.
Stillman, R.D., & Battle, C.W. (1984). Developing prelanguage communication in the severely handicapped: An interpretation of the van Dijk method. Seminars in Speech and Language, 5, 159-170.
Strong, J. (1998, February). Rhythmic Entrainment Intervention case studies [On-line]. Available by e-mail request: reinst@topaz.axixinternet.com
127.
Swaggart, B., Gagnon, E., Bock, S.J., Earles, T., Quinn, C., Myles, B.S., & Simpson, R. (1995). Using social stories to teach social and behavioral skills to children with autism. Focus on Autistic Behavior , 10(1), 1-14.
128.
Szempruch, J., & Jacobson, J.W. (1993). Evaluating facilitated communication of people with developmental disabilities. Research in Developmental Disabilities, 14, 253-264.
129.
Tallal, P., Saunders, G., Miller, S., Jenkins, W., Protopapas, A., & Merzenich, M. (1997). Rapid training-driven improvement in language ability in autistic and other PDD children. Social and Neurological Abstracts, 23(Part 1), 490.
130.
Talpins, S.E., & Kabot, S.S. (1996). The Baudhuin model. Focus on Autism and Other Developmental Disabilities, 11, 226-234.
131.
Taylor, S., Cipani, E., & Clardy, A. (1994). A stimulus control technique for improving the efficacy of an established toilet training program. Journal of Behavior Therapy and Experimental Psychiatry, 25(2), 155-160.
132.
Tinbergen, N., & Tinbergen, E.A. (1983). "Autistic" children: New hope for a cure. London: Allen and Unwin.
133.
Tolbert, L., Haigler, T., Wairs, M.M., & Dennis, T. (1993). Brief report: Lack of response in an autistic population to a low dose clinical trial of pyridoxine plus magnesium. Journal of Autism and Developmental Disorders, 23, 193-199
134.
Tsai, L. (1998). Medical interventions for students with autism . In R. L. Simpson & B. S. Myles (Eds.), Educating children and youth with autism: Strategies for effective practice (pp. 277-314). Austin, TX: PRO-ED.
135.
Tsai, L.Y. (1992). Medical treatment in autism. In D. E. Berkell (Ed.), Autism: Identification, education and treatment (pp. 151-184). Hillsdale, NJ: Erlbaum
136.
Van Dijk, J. (1967). The non-verbal deaf-blind child and his world: His outgrowth toward the world of symbols. Proceedings of the jaarverslag Instituut voor Doven, 1964-1967 (pp. 73-110). Sint Michielsgestel, The Netherlands: Instituut voor Doven .
137.
Van Dijk, J. (1986). An educational curriculum for deaf-blind multihandicapped persons. In D. Ellis (Ed.), Sensory impairments in mentally handicapped people (pp. 374-382). London: Croom-Helm.
Wheeler, D., Jacobson, J., Paglieri, R., & Schwartz, A. (1993). An experimental assessment of facilitated communication . Mental Retardation, 31, 49-60.
140.
Wieder, S. (1996). Integrated treatment approaches for young children with multisystem developmental disorder. Infants and Young Children, 8(3), 24-34.
141.
Wilbarger, P., & Wilbarger, J. (1991). Sensory defensiveness in children ages 2-12: An intervention guide for parents and other caretakers. Denver : Avanti Educational Programs.
142.
Wolfberg, P., & Schuler, A. (1993). Integrated play groups: A model for promoting the social and cognitive dimensions of play. Journal of Autism and Developmental Disorders, 23, 1-23.
143.
Zaslow, R.W., & Breger, L. (1969). A theory and treatment for autism. In L. Breger (Ed.), Clinical cognitive psychology (pp. 246-289). Englewood Cliffs, NJ: Prentice Hall.
