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Archive for May, 2013

inclusionI am so excited to be in Dubai! I came to consult on a few feeding cases and The Child Learning and Enrichment Medical Center quickly planned for a conference on inclusion! Schools in Dubai are required to include children with disabilities so teachers are in need of information. I feel so fortunate to be a part of it! For my international readers, I look forward to meeting you in person.

For additional information on the inclusion conference, click here: http://www.childeimc.com/index.html

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Hi and welcome to What Works Wednesdays where the focus is usually the description of a successful case story. Today’s story actually comes from a popular video. In this video, the photographers captured the faces of several young children as they tried new food for the first time. Matt Gilmour, the creative director and Hugh Miller, the cinematographer, capture the children’s reactions in 500 frames per second.

As a BCBA who has helped many, many children learn to eat new foods, I cannot help but recognize that the children in this video are not scared. The children in the video are willingly trying new food. Sadly, for children who have autism, trying new foods does not look like this. Trying new foods can result in aggressive behaviors, self-injurious behaviors, even vomiting!

However, after effective behavioral feeding therapy, children with autism can learn to try [and like] new foods. If you have a child who engages in picky eating, reach out for assistance from a behavioral feeding program; mealtime does not have to be stressful.

Related Articles

 

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Documents

BACB Guideline 3.02 Explaining Assessment Results

Recently, a client planned to attend an upcoming IEP meeting for their child who received school services in a private school and Applied Behavior Analysis (ABA) Therapy from a private provider. The client did not want the ABA provider to attend the IEP meeting. Instead, they asked the ABA provider to submit a report that would be reviewed in the meeting.

The ABA provider informed the client that he was unable to submit a report for a meeting that he could not intend. He cited the BACB Guidelines for Responsible Conduct. The client became very upset and even said “Other BCBAs have done this, why can’t you?”

As a BCBA, we must follow the Guidelines established by the Behavior Analysis Certification Board (BACB). As Augustine of Hippo states, “Right is right, even if no one is doing it.”

The BACB Guideline 3.02 specifies what is expected of BCBAs with regards to their assessments. Specifically:

3.03 Explaining Assessment Results.

Unless the nature of the relationship is clearly explained to the person being assessed in advance and precludes provision of an explanation of results (such as in some organizational consultation, some screenings, and forensic evaluations), behavior analysts ensure that an explanation of the results is provided using language that is reasonably understandable to the person assessed or to another legally authorized person on behalf of the client. Regardless of whether the interpretation is done by the behavior analyst, by assistants, or others, behavior analysts take reasonable steps to ensure that appropriate explanations of results are given.

If a BCBA cannot attend a meeting where his report is reviewed, how can he ensure that the report is interpreted appropriately as the Guidelines state? The BCBA has several options:

  1. Have another appropriately trained BCBA go in his place
  2. Have an appropriately trained BCaBA attend his place
  3. Offer to call in to explain the results
  4. Meet separately from the meeting to review the results

Practicing BCBAs have many job responsibilities and obligations. We are often faced with difficult decisions as a result of those responsibilities. It is imperative that we know our Guidelines for Responsible Conduct and that we follow them to the best of our ability.

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"A child with autism (three years old) po...

“A child with autism (three years old) pointing to the fish in an aquarium.” The photo demonstrates a controlled randomized test by Kasari, Stephanny Freeman and Tanya Paparella to determine whether intensive training in sharing attention (in this case, pointing at fish) and pretend playing can lay the groundwork for the acquisition of language skills and subsequent normal development. (Photo credit: Wikipedia)

Hi and welcome to Ask Missy Mondays where I answer a question from a reader. Today’s question comes from a mom with a newly diagnosed child on the autism spectrum. She is searching for answers at all hours of the night. Marie says,

“Hi Missy, I am very new to this autism thing. I have heard that children with autism can get better–even lose the diagnosis completely. Is this true or is this some quackery to get me to buy something I cannot afford? Where can I read more about this treatment and how do I know if it’s real?”

Hi Marie and thanks for stopping by the blog. You are not being sold “quackery”. The truth is that children with autism CAN recover–even lose the diagnosis. I have written about this before (here, here, and here), which is probably how you found this blog.

Applied Behavior Analysis (ABA) therapy is the only treatment that has been proven to help children recover from autism. Dr. Lovaas is best known for his study describing the improvements of almost half the children who received the treatment. Other scientists have replicated his research with similar outcomes. Unfortunately, scientists do not yet know which children will recover, only that some recover.

We do know that intervention must start early, it must be intense (40 hours of therapy per week), and that it must last for 2 years or more. We also know that therapy must address all areas of development including speech and language, social and emotional skills, gross and fine motor, self-help and adaptive skills, as well as academic skills.

ABA is an appropriate treatment for children with autism. In fact, 32 states have legislation requiring certain types of insurance to cover ABA therapy. Check

out this resource to see if your state is included.

You may also find some of the work by Dr. Fein helpful. She has no association with ABA whatsoever and she has published several papers on this topic as well.

Finally, we know that many children on the autism spectrum are sick. The illnesses include GI disease, food allergies, mitochondrial disorders, and other things. Thus, in addition to using ABA to teach your child, you will need to include medical support to address any underlying medical condition that your child may have.

I am sorry that your child has been diagnosed but I hope that you will pursue active treatment as soon as you possibly can.

If you have a question email askmissy at applied behavioral strategies dot com.

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