Interagency Autism Coordinating Committee Budget Recommendation
individuals across the autism spectrum and lifespan In the 2016-2017 IACC Strategic Plan, the IACC has identified 22 new strategic objectives that represent areas of significant opportunity in the autism field that with enhanced funding have the potential to address critical needs of the autism community
IACC Strategic Plan ASD Research Budget Recommendation
Autism Research Funding Trends Overall (Federal + Private) ASD Research Funding Trends Actual vs 2008 Constant Dollars $450 $408 6M $250 $300 $350
Autisme et autres troubles envahissants du développement
bonne pratique « Autisme et autres TED : diagnostic et évaluation chez l’adulte » publiées en juillet 2011 (mesure 11 du plan) Cette délimitation du thème ne signifie en aucun cas que les interventions proposées aux personnes avec autisme ou autres TED s¸arrêtent à l¸âge adulte Objectif de la recommandation
Haute Autorité de santé
Décembre 2017 RECOMMANDATION DE BONNE PRATIQUE Ces recommandations de bonnes pratiques sinscrivent dans le cadre du plan Autisme 2013-2017
EVIDENCE-BASED PRACTICES FOR INDIVIDUALS WITH AUTISM SPECTRUM
Autism Program would be available in June 2017 In response, ONTABA formed the Ontario Scientific Expert Taskforce for the Treatment of Autism Spectrum Disorder (OSETT-ASD) to examine the research evidence and accepted practice guidelines related to effective interventions for individuals with ASD,
Getting started with a therapy tailored - OVA Suisse Autisme
The « Haute Autorité de la Santé » (HAS) published a Recommandation de Bonne Pratique – Autisme et Autres Troubles Envahissants du Développement : Interventions Thérapeutiques Coordonnées chez l’Enfant et l’Adolescent (2012) The following recommendations are based on the document established by the consensus of the HAS team:
5 JOURNÉE REGIONALE SUR L’ AUTISME « Evaluation des besoins
à Boulazac la 5ème journée régionale sur l’autisme « Évaluation des besoins des personnes autistes » A l’heure où l’objectivisation des pratiques professionnelles est encouragée (Plan autisme 2013-2017, Recommandation de bonnes pratiques professionnelles de la HAS et de lANES’ M), la question
Rapport sur les résultats de l’OMS : Rapport sur les - WHO
L’exercice 2016-2017 a été synonyme de changement radical pour l’OMS, qui s’est lancée dans de nouveaux projets et a défini de nouvelles orientations Les objectifs de développement durable, adoptés par l’Assemblée générale des Nations Unies en 2015,1 ont établi un tout nouveau programme de travail
Présentation de la série LEVIERS PRS
En septembre 2017, en se fondant sur des recherches jugées crédibles, il a révisé le guide pratique élaboré quelques années plus tôt et proposé quatre recommandations pour la conception et la mise en œuv e d’inteventions p éventives en matière de décrochage scolaire,
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REPORT OF THE ONTARIO
SCIENTIFIC EXPERT TASKFORCE
FOR THE TREATMENT OF
AUTISM SPECTRUM DISORDER
April 2017
EVIDENCE-BASED PRACTICES
FOR INDIVIDUALS WITH
AUTISM SPECTRUM DISORDER:
Recommendations for
Caregivers, Practitioners,
and Policy MakersONTABA EXPERT REPORT |
2Dear Reader,
In the summer of 2016, in response to intense public debate regarding the existing research evidence and best practices for the treatment of autism spectrum disorder (ASD), the Ontario Association for Behaviour Analysis (ONTABA) formed the Ontario Scientific Expert Task Force for the Treatment of Autism Spectrum Disorder (OSETT-ASD). Drawing upon the organization's membership, we assembled a group of behaviour analysts with prominent research and practice expertise. Over the next several months, the Task Force worked diligently to evaluate the current state of evidence that exists for this population in order to answer pertinent questions being posed by caregivers, advocates, policy makers, and practitioners across the province. We hope that this report will serve as a guide in the development of policy and practices in Ontario that are evidence based and result in the best possible outcomes for individuals with ASD and their loved ones. ONTABA would like to thank the many contributors to this report, including the Task Force members, the external reviewers, the subcommittee members, the ONTABA Board of Directors, and the research assistants and volunteers that made it possible. This report is dedicated to our closest partners - the individuals, families, and caregivers to whom this work is of the utmost importance.Sincerely,
Louis Busch, BST, M.Ed., BCaBA
President, ONTABAJulie Koudys, Ph.D., C.Psych., BCBA-DChair, OSETT-ASDTable of Contents
ONTABA EXPERT REPORT |
3TABLE OF CONTENTS
Executive Summary
4 Task Force Members, Reviewers, and Research Assistants 61. Introduction and Purpose
72. Background and Key Concepts
133. Scientific Evidence Review and Synthesis
274. Practice Guidelines for the Treatment of Autism Spectrum Disorder
745. Recommendations
93References
103Appendix A. Committee Member Biographies
111Appendix B. Misconceptions about ABA
113Appendix C. Glossary of Terms
116Appendix D. Definitions of Intervention Methods
123Appendix E. Definitions of Intervention Target Domains 132
Executive Summary
ONTABA EXPERT REPORT |
4EXECUTIVE SUMMARY
Over its 24 years of existence, the Ontario Association for Behaviour Analysis (ONTABA) has developed
into the single largest organization representing behaviour analysts in Canada. During this time, ONTABA
has forged partnerships with families, government, and other organizations to advocate for improvements
in the accessibility and quality of behaviour analytic services for those in need. As a logical extension
of this role, ONTABA identified the need to produce a comprehensive examination of evidence-basedpractices and to make recommendations for the provision of behaviour analytical services to individuals
with ASD in Ontario. This undertaking reflects ONTABA's ongoing commitment to individuals with ASD based on the best available evidence.families over the last several decades, the number of children with ASD in Ontario waiting for behaviour
analytic services has increased. In March of 2016, the Ontario government announced that a new Ontario
Autism Program would be available in June 2017. In response, ONTABA formed the Ontario Scientific Expert Taskforce for the Treatment of Autism Spectrum Disorder (OSETT-ASD) to examine the research and to provide recommendations based on a synthesis of these information sources.Our expert task force began its process of developing this report by first identifying critical questions
What interventions should be supported for individuals with ASD? For what individuals, at what ages, should these interventions be made available? Who should supervise and who should deliver these services? How much service should be delivered, and for how long? services for each individual? First, we identified a transparent and objective process for examining the research literature and accepted practice guidelines. Next, we used expert consensus as the basis for making our recommendations. Through this process, we identified two recent comprehensive research reportswhich used rigorous selection criteria for the identification of evidence-based practices for children
with ASD, one published by the National Autism Center in 2015 and the other by the National Professional Development Center in 2014. We also identified four ABA practice guidelines by three large professional organizations (Association for Behavior Analysis International, the California Association for Behavior Analysis, and the Minnesota Association for Behavior Analysis) and one international credentialing body (the Behavior Analyst Certification Board). These sources formed the basis for the conclusions about evidence-based practices for individualsExecutive Summary
ONTABA EXPERT REPORT |
5 with ASD and how behaviour analytic services should be delivered. This process is consistent with commonly accepted definitions of evidence-based practice which integrate the best availableevidence with clinical expertise and client values and context (Slocum et al., 2014). It was clear from
the comprehensive reports, which considered over 38,000 studies and systematically reviewed more than 2000, that almost all the interventions for ASD determined to be evidence-based were either behaviour analytic interventions or included components derived from behaviour analytic principles. These evidence-based interventions are divided into comprehensive and focused ABA interventions. Comprehensive ABA interventions address multiple targets across developmental domains and typically require a high number of hours of service per week. Focused ABA interventions address one or few targets and typically involve fewer hours of service. Twenty-six recommendations and a brief commentary for each are provided to address the five questions outlined above. The report and its recommendations include input from some of the mostprominent behaviour analysts in the field, the consensus of the OSETT-ASD committee, and ratification
by the ONTABA Board of Directors. It is the most comprehensive examination of the research of evidence-
Our recommendations are based on the following foundational beliefs: lifespan. ABA is the principal evidence-based approach for individuals with ASD. unqualified practitioners. Individuals with ASD receiving services and their families should be partners in decision-making when considering behaviour analytic interventions. The targets, design, and implementation of behaviour analytic interventions should be individualized to the needs of the individual with ASD. The amount of treatment and settings of behaviour analytic interventions should be selected to maximize outcomes for the individual with ASD. Goals of treatment should be set in advance, defined in measurable terms, and evaluated by direct and repeated measurement. Data collection systems should be customized to the needs of each unique individual. These data must be applied in the clinical decision-making process. No one organization has the ability to bring about and sustain the supports needed to significantly what is needed for the treatment of individuals with ASD. ONTABA remains committed to working with Task Force Members, Reviewers, and Research AssistantsONTABA EXPERT REPORT |
6TASK FORCE MEMBERS, REVIEWERS,
AND RESEARCH ASSISTANTS
MEMBERS OF THE ONTARIO SCIENTIFIC EXPERT TASK FORCE: Julie Koudys, Ph.D., C.Psych., BCBA-D, Brock University (Chair) Joel Hundert, Ph.D., C.Psych., BCBA-D, Behaviour Innovations, McMaster University Nancy Marchese, M.A., C.Psych., BCBA, Breakthrough Autism Adrienne Perry, Ph.D., C.Psych., BCBA-D, York University Stasia Rossinsky, M.ADS, BCBA, Surrey Place Centre Kimberley Zonneveld, Ph.D., BCBA-D, Brock University For brief biographical sketches of Expert Panel members, please seeAppendix A
EXTERNAL REVIEWERS
William Ahearn Ph.D., BCBA-D, LABA, Western New England University James Carr, Ph.D., BCBA-D, Behavior Analyst Certification Board Maurice Feldman, Ph.D., C. Psych, BCBA-D, Brock University Gina Green, Ph.D., BCBA-D, Association of Professional Behavior AnalystsEric V. Larsson, Ph.D., LP, BCBA-D, The Lovaas Institute for Early Intervention, University of Minnesota
OSETT-ASD SUBCOMMITTEE MEMBERS:
Ksusha Blacklock, Ph.D., C. Psych. (Supervised Practice), Holland Bloorview Kids Rehabilitation Hospital
Milena Kako, M.ADS, BCBA, Centre for Addiction and Mental Health Melissa Legree, M.ADS, BCBA, Lake Ridge Community Support ServicesTricia Vause, Ph.D., BCBA-D, Brock University
RESEARCH ASSISTANTS
Hilda Ho M.A., M.P.H.
Jacqueline Pachis, M.A.
Krysten Thompson, B.A.
Introduction and Purpose
ONTABA EXPERT REPORT |
71. INTRODUCTION AND PURPOSE
Since 1994, the Ontario Association for Behaviour Analysis (ONTABA) has worked to foster a culture of excellence, integrity, and expertise for the advancement and promotion of the science of behaviour analysis in Ontario. ONTABA is the largest professional organization representing behaviour analystsfor practitioners and recipients of behaviour analytic services, a respected community partner, and a
dedicated advocate for individuals in need of life-changing behaviour analytic services.Behaviour analysis is a scientific discipline whose subject matter is individual behaviour interacting
with environmental events. Like other scientific disciplines, behaviour analysis has theoretical, experimental, and applied branches, journals, scholarly and professional organizations, university training programs, and professional credentials. The applied branch of the discipline (applied and applied research to improve socially significant behaviour to a meaningful degree. The defining features of ABA have been well-specified since 1968 (Baer, Wolf, & Risley, 1968). They are: Applied - addresses behaviours that are socially significant for the client and his/her significant others. Behavioural - focuses on the client behaviour(s) in need of improvement and measures those directly. Analytical - consistently produces change in a measured aspect of the target behaviour(s) when the intervention is in place vs. when it is not. reader has a reasonable chance of replicating the intervention. Conceptually systematic - grounded in the conceptualization that behaviour is a function of environmental events and described in terms of behaviour analytic principles. degree. Generalization - produces changes in target behaviours that last over time, occur in situations other than those in which the interventions were implemented initially, and/or spread to behaviours that were not treated directly. Thousands of studies published in peer-reviewed scientific journals have demonstrated the skills and reducing problem behaviours in many clinical and non-clinical