Autism spectrum disorder has received increasing research in recent years, with more information on assessment and treatment than can be readily assimilated from primary literature by clinicians. Clinical Assessment and Intervention for Autism Spectrum Disorders summarizes evidence-based assessments and intervention for Autism across the life-span, providing clinicians with a practical overview of how best to assess and treat this disorder. The book begins with a discussion of what warrants a determination of being "evidence based" and a description of the disorder from a life span perspective. The book also provides a chapter on differential diagnosis of autism relative to other disorders. What follows are separate sections on assessment and intervention. These chapters discuss first how to assess and then separately how to treat behavioral problems, communication and social skills issues, academic and vocational skills, and the use of pharmacology and an assessment of possible pharmacological effects. Intended for practitioners assessing and treating children with developmental delays, the book provides clinicians with best practices for assessing and treating delays associated with autism. * Covers the full range of Autism Spectrum Disorders * Covers the lifespan * Focuses on evidence-based asssessment and treatment
Author(s): Johnny L. Matson
Series: Practical Resources for the Mental Health Professional
Edition: 1
Publisher: Academic Press
Year: 2008
Language: English
Pages: 447
Front Cover......Page 1
Clinical Assessment and Intervention for Autism Spectrum Disorders......Page 4
Copyright Page......Page 5
Table of Contents......Page 6
Preface......Page 14
Contributors......Page 16
Part I Introduction......Page 20
Introduction......Page 22
Autism and Asperger’s Disorder: Historical Aspects......Page 23
The Historical Development of Standard Diagnostic Criteria......Page 27
Historical Aspects of Assessing ASDs......Page 29
Autism Treatment......Page 34
References......Page 43
Introduction......Page 52
Autism Spectrum Disorders: An Overview......Page 53
Guidelines for Consumers of Treatments for Individuals with Autism......Page 54
Treatment of Autism Spectrum Disorders......Page 59
Summary and Future Directions......Page 72
References......Page 76
Introduction......Page 84
Lifespan Theories......Page 85
Outcomes Across the Lifespan......Page 86
Adolescence......Page 87
Adulthood: Transition Planning......Page 93
Adulthood: Ongoing Functional Supports......Page 94
Conclusions and Areas for Future Research......Page 99
References......Page 100
Part II Assessment......Page 108
Introduction......Page 110
Genetic......Page 111
Immunological......Page 112
Perinatal......Page 113
Prevalence and Incidence......Page 114
Lifespan Development......Page 115
Differential Diagnoses within the Spectrum......Page 116
Comorbid Psychopathology and Differential Diagnoses......Page 118
Intellectual Disabilities......Page 119
Sleep Problems......Page 120
Feeding Problems......Page 121
Tics and Tourette’s Syndrome......Page 122
Anxiety Disorders......Page 123
Obsessive-Compulsive Disorder......Page 125
Autism Spectrum Disorders Assessment Measures......Page 128
Conclusions......Page 137
References......Page 138
Introduction......Page 150
Functions of Assessment......Page 153
Assessment of Topography......Page 155
Assessment of Function......Page 157
Aggression, Tantrums, and Related Behavior......Page 159
Restrictive Intervention Procedures and Assessment......Page 164
Stereotypy......Page 166
Eating Problems......Page 168
Psychiatric Disorders and Challenging Behaviors......Page 173
References......Page 175
Introduction......Page 184
Defining Communication and Social Skills......Page 187
Theoretical Conceptualizations of Communication and Social Skills......Page 191
Classifying Communication and Social Skills......Page 194
Purposes of Assessment......Page 195
Assessment Procedures......Page 200
Reliability and Validity......Page 205
References......Page 207
Introduction......Page 212
Home-Based or Parent/Caregiver-Report Assessments......Page 216
School-Based or Teacher-Report Assessments......Page 221
Clinic-Based or Clinician-Report Assessments......Page 226
Self-Report Assessments......Page 230
Summary and Conclusions......Page 231
References......Page 234
Introduction......Page 240
General Considerations......Page 241
Behavioral and Emotional Problems in People with ASD......Page 250
Dimensional Rating Scales......Page 251
Prevalence of Drug Therapy......Page 254
Measures of Therapeutic Improvement......Page 256
Measures of Adverse Events......Page 267
Summary......Page 270
References......Page 271
Appendix A: Side Effects Review Form Used in Risperidone Study (RUPP, 2005)......Page 279
Appendix B: Side Effects Review Form Used in Methylphenidate Study (RUPP, 2002)......Page 281
Part III Interventions......Page 284
Introduction......Page 286
Prevalence of Challenging Behaviors in Autistic Spectrum Disorders (ASDs)......Page 287
Chronicity of Challenging Behaviors and Effects on Carers......Page 289
Approaches to Intervention......Page 290
Functional Assessment Methods......Page 293
Behavioral Interventions Selected by Maintaining Function......Page 295
Challenging Behavior Maintained by Positive Reinforcement......Page 297
Challenging Behavior Maintained by Negative Reinforcement......Page 300
Challenging Behavior Maintained by Automatic Reinforcement......Page 303
Concluding Summary and Recommendations......Page 308
References......Page 310
Introduction......Page 318
Methods......Page 319
Speech-Based Interventions......Page 320
Milieu-Based Interventions......Page 322
Social Interaction Interventions......Page 323
AAC Interventions......Page 325
Introducing Speech Generating Devices......Page 328
Introducing Non-Electronic Selection-Based Systems with Graphic Symbols......Page 329
Teaching Manual Signs and Gestures......Page 330
Functional Communication Training......Page 333
Summary......Page 338
References......Page 339
Introduction......Page 346
Applied Behavior Analysis......Page 347
Task Analysis......Page 348
Visually Cued Instruction......Page 349
Modeling......Page 350
Natural, Simulated, or Virtual Environments......Page 351
Self-Management......Page 353
Vocational Skills......Page 354
Domestic Skills......Page 355
Self-Care......Page 357
Community Skills......Page 359
Leisure Skills......Page 362
Future Directions......Page 363
Conclusion......Page 364
References......Page 365
Introduction......Page 370
Model Programs Approach......Page 371
Evidenced-Based Treatment......Page 372
Comprehensive Treatment Packages......Page 373
Survey of Status of Intervention Types and Research Support......Page 374
Consumer Perspective......Page 381
Review of Important Family Factors in Comprehensive Treatment......Page 392
Recommendations......Page 395
References......Page 396
Introduction......Page 402
Rationales for Pharmacotherapy in ASD......Page 403
Importance of Learning about Pharmacotherapy in ASD......Page 407
Evidence-Based Pharmacotherapy......Page 408
Review of Relevant Pharmacotherapy in ASD......Page 409
Perform a Complete Functional Behavior Analysis Prior to Pharmacotherapy......Page 419
Baseline Medical Assessment......Page 420
Monitoring of Pharmacotherapy Effects......Page 423
Recogniting Adverse or Side Effects Caused by Pharmacotherapy......Page 424
Prevention of Development of Side Effects......Page 425
Clinical Indications for Pharmacotherapy in ASD......Page 427
Summary......Page 430
References......Page 432
Index......Page 438
