EFFECTS OF A MODEL TREATMENT APPROACH ON AUTISTIC ADULTS

本提案的主要目的是评估 由TEACCH司实施的新住院治疗模式， 成年自闭症患者这一住宅项目是 在北卡罗来纳州开创并实施了二十年的共同治疗模式 前它现在已经扩展到居民之间的合作， 程序工作人员，其中每个工作人员也教他的程序 为居民服务。由此产生的技能将使居民能够 参加该计划，并准备他们的职业安置， 社会各界30名受试者将被纳入治疗计划， 卡罗莱纳学习中心对照组将由30名 在等候名单上的自闭症成年人。受试者还将担任 他们自己的控制，接受四个等间隔的评估开始 入院前六个月。住院医生的技能和 将对工作人员建立的环境结构进行评估。 措施将评估自助、沟通技能、职业技能 受试者的适应行为、社交和休闲技能。环境 结构将通过标准化访谈、问卷调查 直接观察。这些措施将评估 治疗方案包括直接治疗和间接治疗 成本，员工的态度和行为。分析将比较 群体之间的进步，以及个人在 基线与治疗。其他分析将描述社会 个体受试者的过程和行为特征。

The primary purpose of this proposal is to evaluate the effectiveness of a new residential treatment modality implemented by Division TEACCH for adults with autism. This residential program is an extension of the cotherapy model pioneered and implemented in North Carolina twenty years ago. It is now extended to the collaboration between residents and program staff, in which every staff member also teaches his program function to the residents. The resulting skills will enable residents to participate in the program and prepare them for vocational placement in the community. Thirty subjects will be admitted to the treatment program, the Carolina Learning Center. A control group will be composed of 30 matched autistic adults on the waiting list. Subjects will also serve as their own controls, receiving four equally spaced evaluations beginning six months prior to admission. Both the residents' skills and the environmental structure developed by the staff will be evaluated. Measures will assess self-help, communication skills, vocational skills adaptive behavior, social and leisure skills for subjects. Environmental structures will be evaluated by standardized interview, questionnaires and direct observations. These measures will assess the degree to which the treatment programs are in effect, direct and indirect treatment costs, and staff attitudes and behavior. The analyses will compare the progress between groups, as well as the individuals' progress during baseline versus treatment. Additional analyses will describe the social processes and behavior profiles of individual subjects.