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Pivotal response treatment is a naturalistic intervention model derived from the principles of applied behavior analysis.Rather than target individual behaviors one at a time, PRT targets pivotal areas of a child's development such as motivation, [3] responsiveness to multiple cues, [4] self-management, and social initiations. [5]
Most parents report that the onset of autism features appear within the first or second year of life. [11] [12] This course of development is fairly gradual, in that parents typically report concerns in development over the first two years of life and diagnosis can be made around 3–4 years of age. [9]
The intervention begins with measuring the child's skill levels in language, social skills, imitation, cognition, play, and motor and self-help skills. The assessment serves as a baseline for future reassessments, which are rerun every 12 weeks, [ 7 ] and a model of it is presented in Rogers and Dawson's 2010 book, [ 1 ] being called the ESDM ...
Intensive, sustained special education programs and behavior therapy early in life can help children acquire self-care, social, and job skills, [5] and often improve functioning and decrease symptom severity and maladaptive behaviors; [8] claims that intervention by around age three years is crucial are not substantiated. [28]
The Autism Treatment Evaluation Scale (ATEC) is a 77-item diagnostic assessment tool that was developed by Bernard Rimland and Stephen Edelson at the Autism Research Institute. The ATEC was originally designed to evaluate the effectiveness of autism treatments, but it may also be beneficial as a screening tool for children.
For ASD other than autism the association is much weaker: the same study reported typical levels of intelligence in about 94% of 53 children with PDD-NOS. [49] Estimates are that 40–69% of individuals with ASD have some degree of an intellectual disability, [ 31 ] with females more likely to be in severe range of an intellectual disability.
The Modified Checklist for Autism in Toddlers (M-CHAT) is a psychological questionnaire that evaluates risk for autism spectrum disorder in children ages 16–30 months. The 20-question test is filled out by the parent, and a follow-up portion is available for children who are classified as medium- to high-risk for autism spectrum disorder.
Early childhood intervention came about as a natural progression from special education for children with disabilities (Guralnick, 1997). Many early childhood intervention support services began as research units in universities (for example, Syracuse University in the United States and Macquarie University in Australia) while others were developed out of organizations helping older children.
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