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The field of Applied Behavior Analysis has identified
many of the specific teaching and treatment components, which consistently
lead to higher levels of functioning.
Maurice, Green and Luce (1996) have concluded, that while many questions
remain about the treatment of autism spectrum disorders, current research
indicates that:
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Intensive intervention based upon Applied Behavior Analysis
is the treatment of choice.
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The treatment must be delivered by therapists with training in
Applied Behavior Analysis.
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The therapists must be under the supervision of professionals
who have advanced training and experience in the principles and procedures
of Applied Behavior Analysis.
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Similar conclusions have been drawn by the New York State
Department of Health, Early Intervention Program's Clinical Practice
Guideline Development Panel (1999, Clinical Practice Guideline, Report
of the Recommendations, Autism/Pervasive Developmental Disorders,
Assessment and Intervention for Young Children). See this report at:
www.health.state.ny.us/nysdoh/eip/menu.htm.
See also the endorsement of intensive treatment based on Applied
Behavior Analysis by the US Surgeon General at:
www.surgeongeneral.gov/library/mentalhealth/chapter3/sec6.html
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The cost of providing intensive behavioral treatment for
a young child with autism is substantial. However, intensive
early intervention is not only consistent with Federal Legislation
(i.e., I.D.E.A.), and The Lanterman Disabilities Act, it is also cost
effective.
- The estimated cost of a 3-year intensive treatment program
for a child diagnosed with autism can range from $150,000 - $210,000.
However, this is substantially lower than the cost of treating
autistic adults. The minimum estimated average cost of providing
services in California for one adult diagnosed with autism, between
the ages 21 and 45, alone, is more than $1.5 million. Jacobson, Mulick
& Green, 1998, have projected similar savings from intensive treatment,
based on a range of outcomes (normal functioning, more independent but
still requiring adult support services, etc.
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