The need for effective, research-based, and person-centered services for individuals with autism has never been greater.
At May Institute, we strive for clinical excellence to achieve outstanding life outcomes.
Cynthia M. Anderson, Ph.D., BCBA-D, Senior Vice President of Applied Behavior Analysis and Director or the National Autism Center at May Institute, explains in clear and concise language what applied behavioral analysis is and how it can help individuals on the autism spectrum.
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Applied behavior analysis (ABA) is the application of principles of learning to achieve meaningful outcomes. It is a well-developed discipline that is used by many professionals.
ABA emphasizes direct observation, objective measurement, and evaluation of the effects of assessments and interventions to be sure they are having the desired outcome.
At May Institute, we use the principles of ABA to support individuals with autism spectrum disorder (ASD) and their families to:
Interventions based on ABA for people with ASD and other intellectual and developmental disabilities can be categorized as either comprehensive interventions or focused interventions. Comprehensive interventions target a range of critical developmental skills, including communication, social interaction, and adaptive skills. In contrast, focused interventions target a specific concern, such as decreasing tantrums or increasing play skills.
Recent reviews of the literature have shown that behavior analytic interventions are the only treatment approach with a significant body of empirical support documenting effectiveness (National Standards Project, Phase 2, 2015).
Comprehensive interventions are so called because they address most or all of the core and associated deficits of ASD. These interventions are often referred to as early-intensive behavioral interventions, or EIBI. In a comprehensive intervention, most or all of the following are addressed: communication, social skills, self- management, functional and daily living skills, and pre-academic skills.
Intervention typically occurs over an extended period of time, often a year or more, and therapy is generally delivered multiple times per week, often for between 10 and 40 hours in a given week. In comprehensive interventions, evidence-based teaching strategies are used, including discrete-trial teaching, incidental teaching, and naturalistic environment teaching.
Comprehensive interventions are usually delivered by a behavior analyst and can occur in a center-based pro- gram or through in-home services.
Focused interventions address a specific target or a small set of targets. Examples include interventions to teach requesting, reduce tantrums, or enhance play with peers. Focused interventions tend to be time-limited, occurring across a few weeks or months. Focused interventions also use evidence-based strategies such as functional behavior assessment, incidental teaching, and discrete-trial teaching.
People can benefit from ABA interventions at any age. We implement ABA within a developmental framework, meaning that the ways we teach and the skills we teach are developmentally appropriate. For example, a behavior analyst working with a 3-year-old might embed instruction in play, whereas a behavior analyst working with a teenager might teach within a group format or during an academic routine.
Adults can also benefit from ABA. At May Institute, we use ABA with the individuals we support across the lifespan. For example, ABA might be used to teach an adult with autism how to perform job-related tasks, such as serving coffee in a restaurant and restocking shelves. We also would use ABA to teach adults daily living skills, such as cooking, cleaning, and hygiene.
ABA techniques work across all environments — in homes, centers, schools, and places of employment. At May Institute, we use ABA across all these environments.
In-home therapists can work directly with a child to teach skills to the child and/or assist parents as they learn how to help their child acquire appropriate communication skills and functional living techniques.
Center-based programs are attended by children and often parents as well. Children attend center-based programs on a regular schedule. These programs can be used to teach all aspects of communication and interaction.
In schools, ABA techniques are used to teach academic skills such as reading, teach communication and social interaction skills, and address problem behavior.
In places of employment, ABA techniques are used to provide supports, such as on-the-job coaching and job training.