Intensive behavioral treatment for a toddler at high risk for autism
Intensive behavioral treatment for a toddler at high risk for autism
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DOI：
10.1177/0145445502026001005
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发表时间：
2002-01-01
影响因子：
2.3
通讯作者：
Fein, D
中科院分区：
文献类型：
--
作者：
Green, G;Brennan, LC;Fein, D
使用各种应用行为分析方法对一名一岁左右被确定为自闭症高危儿童的幼儿进行强化、综合治疗。最初，治疗是在儿童家中和其他环境中以一对一的成人-儿童形式提供的，并逐步过渡到早期干预和学龄前课堂的小组指导。强化治疗持续了3年；到4岁时，孩子大部分时间都在正常的学龄前教室里度过，只接受最少的持续一对一指导。直接观察数据和常模参考测试的结果证明，在治疗过程中，语言、社交、认知和日常生活技能都有了很大的提高。4年后，孩子没有表现出任何行为或发育异常，在认知和语言技能的常模参考测试中的表现超过了她的实际年龄水平，在正常的公立学校幼儿园教室里表现得就像一个典型的孩子。
Intensive, comprehensive treatment using a variety of applied behavior analysis methods was provided to a toddler who was determined to be at high risk for autism at the age of about I year. Initially, treatment was delivered in a one-to-one adult-child format in the child's home and other settings, with gradual transitions to group instruction in early intervention and preschool classrooms. Intensive treatment continued for 3 years; by the 4th year, the child was spending most of her time in a regular preschool classroom, with minimal ongoing one-to-one instruction. Direct observational data and results of norm-referenced tests documented large increases in language, social, cognitive, and daily living skills over the course of treatment. After 4 years, the child demonstrated no behavioral or developmental abnormalities, performed above her chronological age level on norm-referenced tests of cognitive and language skills, and was functioning as a typical child in a regular public school kindergarten classroom.