Enhanced Milieu Teaching Strategies for Preschool Children with Autism Spectrum Disorder

2020 ◽  
pp. 109625062092833
Author(s):  
Megan Dunn Davison ◽  
Cathy Huaqing Qi ◽  
Ann P. Kaiser
Autism ◽  
2021 ◽  
pp. 136236132110016
Author(s):  
Eliana Hurwich-Reiss ◽  
Colby Chlebowski ◽  
Teresa Lind ◽  
Kassandra Martinez ◽  
Karin M Best ◽  
...  

This study identified patterns of therapist delivery of evidence-based intervention strategies with children with autism spectrum disorder within publicly funded mental health services and compared patterns for therapists delivering usual care to those trained in AIM HI (“An Individualized Mental Health Intervention for ASD”). Data were drawn from a randomized community effectiveness trial and included a subsample of 159 therapists (86% female) providing outpatient or school-based psychotherapy. Therapist strategies were measured via observational coding of psychotherapy session recordings. Exploratory factor analysis used to examine patterns of strategy delivery showed that among therapists in the usual care condition, strategies loaded onto the single factor, General Strategies, whereas for therapists in the AIM HI training condition, strategies grouped onto two factors, Autism Engagement Strategies and Active Teaching Strategies. Among usual care therapists, General Strategies were associated with an increase in child behavior problems, whereas for AIM HI therapists, Active Teaching Strategies were associated with reductions in child behavior problems over 18 months. Results support the effectiveness of training therapists in evidence-based interventions to increase the specificity of strategies delivered to children with autism spectrum disorder served in publicly funded mental health settings. Findings also support the use of active teaching strategies in reducing challenging behaviors. Lay abstract This study was conducted to identify patterns of therapist delivery of evidence-based intervention strategies with children with autism spectrum disorder receiving publicly funded mental health services and compare strategy use for therapists delivering usual care to those trained to deliver AIM HI (“An Individualized Mental Health Intervention for ASD”), an intervention designed to reduce challenging behaviors in children with autism spectrum disorder. For therapists trained in AIM HI, intervention strategies grouped onto two factors, Autism Engagement Strategies and Active Teaching Strategies, while strategies used by usual care therapists grouped onto a broader single factor, General Strategies. Among usual care therapists, General Strategies were related to an increase in child behavior problems, whereas for AIM HI therapists, Active Teaching Strategies were related with reductions in child behavior problems over 18 months. Findings support the use of active teaching strategies in reducing challenging behaviors in children with autism spectrum disorder and provide support for the effectiveness of training therapists in evidence-based interventions to promote the delivery of targeted, specific intervention strategies to children with autism spectrum disorder in mental health services.


2016 ◽  
Vol 47 (2) ◽  
pp. 424-438 ◽  
Author(s):  
M. F. Westerveld ◽  
J. Paynter ◽  
D. Trembath ◽  
A. A. Webster ◽  
A. M. Hodge ◽  
...  

Author(s):  
И.А. Конева ◽  
Н.В. Карпушкина ◽  
А.Н. Щербакова

В статье рассматривается актуальная проблема психологического сопровождения дошкольников с расстройствами аутистического спектра (РАС), в частности психокоррекция их игровой деятельности. Проведенное авторами психологическое исследование позволило констатировать, что основными особенностями игры дошкольников с РАС являются преобладание в ней предметно-манипулятивной деятельности, выраженный сенсорный раздражитель как основной мотив для игры; трудности в использовании предметов-заместителей, свойств игрушек, использование их не по назначению, стереотипность игровых действий. Сделанные выводы позволили разработать коррекционно-развивающую программу, направленную на развитие процессуальной игры дошкольников с РАС с целью формирования предпосылок развития у них навыков сюжетно-ролевой игры и оптимизации их общего психического развития. В статье раскрыты принципы такой коррекционно-развивающей работы; подробно описана структура коррекционно-развивающей программы, направленной на формирование процессуальной игры дошкольников с РАС, которая является базовой для развития игровой деятельности более высокого уровня, методика ее проведения и сформулированы психологические рекомендации по организации и содержанию коррекции игровой деятельности детей с РАС. После реализации программы и формирования у рассматриваемой категории детей навыков процессуальной игры возможен переход к разработке и реализации коррекционно-развивающих программ, направленных на формирование навыков игры с элементами сюжета, а в последующем — сюжетно-ролевой игры, что определяет перспективы дальнейшей работы и научных исследований. The article treats psychological support of preschool children with autism spectrum disorder and focuses on psycho-corrective play activities. The psychological research enables the authors to state that preschool children with autism spectrum disorder prefer play activities which allow manipulation of objects, demonstrate stereotypical behaviors, experience difficulties with substituting play objects, engage in playing activities when experiencing sensory stimulation. The outcomes of the research enable the authors to develop a correctional program aimed at the development of play activities in preschool children with autism spectrum disorder in order to prepare them for role-play activities and enhance their psychological development. The article describes the principles and the structure of correctional activities aimed at the development of play activities in preschool children with autism spectrum disorder in order to prepare them for more complicated role-play activities. The article provides a structure program for teaching children with autism spectrum disorder to play and underlines the correctional potential of play activities. When the program is implemented and autistic preschoolers know how to play, they can be taught to role-play, which can be treated as an issue requiring further research.


2017 ◽  
Vol 11 (1) ◽  
pp. 185-193 ◽  
Author(s):  
Eric Rubenstein ◽  
Laura Schieve ◽  
Chyrise Bradley ◽  
Carolyn DiGuiseppi ◽  
Eric Moody ◽  
...  

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