Autism Spectrum Disorders: Guide to Evidence-based ...

1 Sponsored by the Thompson Foundation for Autism ; the Division of Developmental Disabilities, missouri Department of Mental Health; the Office of Special Education, missouri Department of Elementary and Secondary Education; and Mercy Children s Hospital St. Louis and SpringfieldA 2012 CONSENSUS PUBLICATIONG uide to Evidence-based Interventions Autism Spectrum Disorders: This publication was developed as a result of a partnership between the Thompson Foundation for Autism , the Office of Special Education of the missouri Department of Elementary and Secondary Education, the Division of Developmental Disabilities of the missouri Department of Mental Health, Mercy Children s Hospital St.

2 Louis and Springfield, and members of the missouri Autism Guidelines Initiative. All rights under federal copyright laws are held by the Division of Developmental Disabilities except for those previously published materials included in this document. All parts of this publication, except for previously published materials credited to the authors and/or publishers, may be reproduced in any form of printed or visual medium. Any reproduction of this publication may not be sold for profit or reproduction costs without the exclusive permission of the Division of Developmental Disabilities.

3 Any reproduction of this publication, in whole or in part, shall acknowledge, in writing, the Thompson Foundation for Autism , the Division of Developmental Disabilities, the Office of Special Education, and Mercy Children s Hospital St. Louis and Springfield. This publication is available at no charge at from previously published articles included in this document are reprinted with permission from the author and/or publishers and are for personal use only. They may not be reproduced without the express written consent of the author and/or publisher.

4 Funding for the printing and dissemination of this Guide was provided in whole by the missouri Foundation for Health. The missouri Foundation for Health is a philanthropic organization whose vision is to improve the health of the people in the communities it serves. MO DivisiOn Of DevelOpMental Disabilities DepartMent Of Mental HealtH Guide to Evidence-based interventions3A 2012 Consensus PubliCAtionGuide to Evidence-based Interventions Autism Spectrum Disorders: Guide to Evidence-based interventionsiMissouri Autism Guidelines Initiative oversight CommitteeJoan E.

5 Armstrong, MS, LPCJoel D. Bregman, MDJanet E. Farmer, PhD, ABPPDawn Huber, PhDMichele Kilo, MDJohn F. Mantovani, MDVicki McCarrell, MAKim Goodrich Ratcliffe, EdDAdvisory CommitteeJanice AmleshiSally Becker, OTR/LG. Elaine Beussink, MA, CCC-SLPR ebecca Blackwell, MA, BCBA, LBAC ynthia Bliem-Sharp, MSAmy Buie, MEd, BCBAJohn N. Constantino, MD Marilyn CoxJulie A. Donnelly, PhDBeth Emmendorfer, EdDLisa Fowler-Koeppe, OTR/LJenny Frisbee, MA, BCBA, LBAJ ennifer GrayJohn M. Guercio, PhD, BCBA-D, CBIST, LBAL auree HeadConnie H bert, MS EdSusan Henderson, MSPatricia Kopetz, EdDRonald Kruse, EdDJulia LePage, MS, BCBALori Lewis, MS, CCC-SLP/MACM elinda Long, MS, CCC-SLPJ eanne Marshall, MEd, MA, BCBA, LBAB renda Martien, MS, CCC-SLP/MACS tacey Martin, MA, MACR olanda Maxim, MDMicah Mazurek, PhDDonald McCary, MS, BCBAV icky Mieseler, MS Victoria Moore, PsyDKaye Otten, PhDColin M.

6 Peeler, PhD, BCBA-D, LBAS hula Portnoy, MDClaudia Preuschoff, MD, FAAPJena Randolph, PhDGregory R. Robinson, PhDRobin RussellDuru Sakhrani, MDKristin A. Sohl, MD, FAAPTodd Streff, MS, BCBAK eenan Stump, MS, SLPJoAnn Youngblood, PhDLaine Young-Walker, MDstAffKaren Bodenhorn, MPH, Project DirectorDawn Huber, PhD, Senior Project Staff WriterLee Falk, BJ, Communications DirectorRon Huff, PhD, Senior Project Staff ii Autism Spectrum disordersTable of ContentsAcknowledgments ..ivChapter 1: IntroduCtIon Introduction.

7 1 The Need for This Guide ..3 Overview of Evidence-based Practice ..5 Evidence-based Practice as a Framework for ASD Intervention ..6 Systematic Reviews Provide the Best Available Research to Support Evidence-based Practice ..7 Research Reviews that Inform This Guide ..8 Core Values of the missouri Autism Guidelines Initiative ..9 Family-centered Care ..9 Early Intervention and Ongoing Support ..10 Informed Professional Judgment ..10 The Interdisciplinary Team ..10 Community Collaboration ..10 How to Use This Guide ..12 Chapter 2: Evidence-based InterventIon Introduction.

8 13 Importance of Community Collaboration ..15 Evidence-based Practice Provides a Framework for Effective ASD Intervention ..16 Best Available Research ..17 Individual Characteristics ..17 Professional Expertise ..18 The Intervention Process ..19 Step One. Conduct Assessment ..19 Essential Components of Assessment ..19 Step Two. Develop Intervention Plan ..22 Component One. Identify Component Two. Select Interventions ..24 Component Three. Determine Progress Monitoring Procedures ..24 Step Three. Monitor Progress.

9 25 Families and the Intervention Process ..26 The Intervention Process Across Service Delivery Systems ..27 Special Considerations for Service Delivery Systems ..30 Special Considerations for Healthcare ..30 Healthcare Case Example ..35 Special Considerations for Other Service Systems ..36 Other Service Systems Case Example ..37 Special Considerations in Public Education ..39 Case Examples Illustrating the Intervention Process in Public Education Systems.

10 45 Transitions Between Delivery Systems ..50 Medical and Healthcare Issues ..50 Educational Transitions ..51 Transition from School to Adult Services ..52 Transition Case Example ..53 Guide to Evidence-based interventionsiiiChapter 3: researCh Findings Introduction ..55 Importance of Systematic Reviews ..57 Overview: Six Systematic Reviews 2009-2011 ..58 Cross-cutting Implications ..62 Challenges of Drawing Conclusions Across Reports ..62 Methodology to Identify Effective ASD Interventions.