APPLIED BEHAVIOR
ANALYSIS
WHAT IS APPLIED BEHAVIOR ANALYSIS?
 Applied Behavior Analysis (ABA) is a therapy based on the
science of learning and behavior.
 Behavior analysis helps us to understand:
 How behavior works
 How behavior is affected by the environment
 How learning takes place
 ABA therapy applies our understanding of how behavior works
to real situations. The goal is to increase behaviors that are
helpful and decrease behaviors that are harmful or affect
learning.
 ABA therapy programs can help:
 Increase language and communication skills
 Improve attention, focus, social skills, memory, and academics
 Decrease problem behaviors
HOW DOES ABA THERAPY WORK?
 Applied Behavior Analysis involves many
techniques for understanding and changing
behavior. ABA is a flexible treatment:
 Can be adapted to meet the needs of each unique
person
 Provided in many different locations – at home,
at school, and in the community
 Teaches skills that are useful in everyday life
 Can involve one-to-one teaching or group
instruction
 “Applied Behavior Analysis is the process of
systematically applying interventions based upon
the principles of learning theory to improve
socially significant behaviors to a meaningful
degree, and to demonstrate that the interventions
employed are responsible for the improvement in
behavior.”
Baer, Wolf & Risley, 1968
ABA
 Applied Behavior Analysis (ABA) is the only
scientifically validated treatment for autism and
is recommended by the U.S. Surgeon General.
 Antecedent--Behavior--Consequences
A—B—C
 Applied Behavior Analysis (ABA) given in early
then it is called Early intensive behavior analysis
(EIBI)
COMPREHENSIVE ABA
PROGRAMS
 Earliest versions of ABA programs focused mostly on
discrete trial training (DTT)
 Comprehensive ABA programs now include a variety of
behavioral teaching strategies
 DTT
 Natural Environment Training (NET)
 Verbal Behavior
 Challenging behavior
 Fluency based instruction Programme
 Programming for generalization
PRINCIPLES OF BEHAVIOR
Reinforcement
Generalization
Extinction
THE BEHAVIORAL CONTINGENCY
A
Antecedent
B
Behavior
C
Consequence
STAGE 1
Antecedent
Ali is in super
market with his
mother, with
candies displayed
in front of him.Ali
wants candy.
Behavior
The behavior is
that Ali is crying
Consequence
The consequence
is that his mother
gives him candy.
STAGE 1
Antecedent
Ali is in super
market with his
mother, with
candies displayed
in front of him.Ali
wants candy.
Behavior
The behavior is
that Ali says I
want candy
Consequence
The consequence
is that his mother
gives him candy.
Antecedent
Ali is in super
market with his
mother, with
candies displayed
in front of him.Ali
wants candy.
Behavior
The behavior is
that Ali is crying
Consequence
The consequence
is that his mother
does not give him
candy.
Applied Behavior Analysis (ABA) is an evidence-
based, intensive education therapy for children
with an Autism Spectrum Disorder (ASD). It is
scientifically proven to be effective and is the
preferred method of treatment for ASD,Mental
retardation, Down syndrom,Attention Deficit
Hyperactive disorders,Trumatic Brain Injury and
other developmental disabilities.
COMPONENTS PROGRAMME
OF EFFECTIVE ABA
1. Antecedent Package
2. Behavioral Package
3. Comprehensive Behavioral Treatment for
Young Children
4. Joint Attention Intervention
5. Modeling
6. Naturalistic Teaching Strategies
7. Peer Training Package
8. Pivotal Response Treatment
9. Schedules
10. Self-management
11. Story-based Intervention Package
ANTECEDENT PACKAGE
Antecedent manipulation - modification of
situational events that precede the target
behavior. These alterations are designed to
increase the likelihood of success of the targeted
behavior. Examples include:
 Prompt/fading procedures
 Behavioral momentum
 Contrived motivational operations (EO-AO)
 Inter-trial intervals
 Incorporation special interests etc.
PROMPT/FADING PROCEDURES
 Prompts are instructions, gestures,
demonstrations, touches, or other things that we
arrange or do to increase the likelihood that
children will make correct responses. In other
words, it is a specific form of assistance given by
an adult before or as the learner attempts to use a
skill.
 Prompting procedures provide a systematic way
of providing and removing prompts so that the
learner begins to perform skills independently.
These procedures rely on reinforcing correct
responses that are both prompted and not
prompted.
TYPES OF PROMPTS
BEHAVIORAL MOMENTUM
 Also known as, High-Probability Command
Sequence (HPCS) is an
effective antecedent strategy that increases
compliant behaviors.
 Can be used for behavior compliance, the child is
likely to follow directions because they are
getting reinforced for easy behaviors. Reduces
frustration levels, because students are having
success on easy tasks, increasing the likelihood
that they will try harder behaviors.
 In working with a young student start with
presenting three high-­
p behaviors prior to one
low-­
p behavior. Teacher should be in close
proximity to model and reinforce high-­
p and low-­
p behaviors.
1. “Clap hands”…(model if needed) “Wonderful
clapping hands!”
2. “Touch nose”…. (model if needed) “Super job
touching nose! Tickle attack!” Give tickles.
3. “High five”…(extend hand as a model) “Thanks
buddy!”
4. “Sit down” (low-­
p behavior), walk with student
to desk, once seated, “You are sitting so nicely!”
SUMMARY
 Behavioral Momentum essentially means to
build up momentum to what you really want the
child to do, by giving them easy tasks or
demands, that they are highly likely to do first
before presenting them with more difficult tasks.
Instead of approaching the child with what you
want them to do, you start with what they are
most likely to want to do.
CONTRIVED MOTIVATIONAL OPERATIONS
(EO-AO)
 What is AO and EO in ABA?
 MO's are environmental factors that impact how
effective a reinforce is. MO's can either be
 Establishing Operations (EO's)
 Abolishing Operations (AO's)
An EO is that increases how reinforcing something
is, and an AO is that decreases how reinforcing
something is.
INTERTRIAL INTERVAL
 The intertrial interval is a 3-5 second pause
between the consequence and presentation of the
discriminative stimulus signifying a new trial.
INCORPORATION SPECIAL
INTERESTS
Many autistic people have intense and highly-
focused interests, often from a fairly young age.
These can change over time or be lifelong. It can
be art, music, gardening, animals, postcodes or
numbers. For many younger children it's Thomas
the Tank Engine, dinosaurs or particular cartoon
character.
BEHAVIORAL PACKAGE
Behavioral treatment -programs designed to
decrease problem behaviors and to increase
functional alternative behaviors. Examples include:
 Functional communication training
 chaining
 discrete trial training
 mand training
 generalization training
 reinforcement
 shaping etc.
DISCRETE TRIAL TRAINING (DTT)
 Breaks down learning opportunities into well-controlled,
discrete teacher-student interactions
Instruction → Correct Response → Reward
OR
Instruction → Incorrect Response → Correction

Each discrete trial includes, at a minimum:
 *Discriminative Stimulus (SD) or in this case, “instruction”
 *Response (R)
 *Reinforcing stimulus (Sr+) - a stimulus that strengthens
or weakens the behavior that occurred prior to it.

Other parts that could be included in a discrete trial
are:
 *Prompting stimulus, which occurs after the Sd but before
the R.
 *Inter-trial interval (ITI), which is the time between the
Sr+ and the start of a new trial.
A typical example of a teaching trial follows:
 Suppose the target is to teach the child to imitate touching
his/her toes.
 *The Sd will be “Do this/Copy me”.
 *The target response will be that he/she touches his/her toes
within 2 seconds of being given the Sd.
*Teacher: “Do this”, while touching her own toes. [This is
the Sd.]
*Teacher and Student: at the same time as giving the Sd the
teacher is physically prompting (assisting) the child to also
touch his/her toes. [The prompt is the Sp.]
*Student: The student touches his/her toes. [This is the R.]
*Teacher: Gives verbal praise and maybe some tickles
immediately following the response (R). [This is the Sr+.]
COMPREHENSIVE BEHAVIORAL
TREATMENT
Comprehensive intervention - low student to
teacher ratio (1:1, or low as appropriate) in a
variety of settings, including home school and
community. Effective programs are based on a
treatment manual, provide intensive treatment
(25hrs/wk), and include data-driven decision-
making.
JOINT ATTENTION INTERVENTION
Joint attention intervention - programs designed to
teach a child to respond to the social bids of
another, or to initiate joint attention interactions.
Examples include:
 pointing to objects
 showing items
 activities to another
 following eye gaze.
MODELING
Modeling - adults or peers provide a demonstration
of the target behavior; the student is expected to
imitate. Thus, imitation skills are a necessary
prerequisite to this type intervention. Modeling is
often combined with prompting and reinforcement
strategies which can assist the student to acquire
imitation skills.
NATURALISTIC TEACHING
STRATEGIES
Naturalistic teaching strategies - use of child-
initiated interactions to teach functional skills in
the natural environment. This intervention
requires providing a
 stimulating environment,
 modeling play,
 providing choices,
 encouraging conversation
 and rewarding reasonable attempts
PEER TRAINING PACKAGE
Peer training - involves training peers without
disabilities strategies for interacting (play and
social) with children with autism. Some commonly
known peer-training programs include:
 circle of friends
 buddy skills
 peer networks etc.
PIVOTAL RESPONSE TREATMENT
Pivotal response training - program designed to
target specific, “pivotal,” behaviors that lead to
improvement across a broad range of behaviors.
These pivotal behaviors include: motivation to
engage in
 social communication
 self-initiation
 self-management
 responsiveness to multiple cues etc.
SCHEDULES
Schedules - teaching a student to follow a task list
(picture- or word-based) through a series of
activities or steps in order to complete a specific
activity. Schedules are accompanied by other
behavioral interventions, including reinforcement.
SELF-MANAGEMENT
Self-management - this treatment intervention
teaches a student to regulate his or her behavior by
recording the occurrence or non-occurrence of the
target behavior, and secure reinforcement for doing
so.
STORY-BASED INTERVENTION
PACKAGE
Story-based interventions - involves a written
description of the situations under which specific
behaviors are expected to occur. The stories seek to
teach the: who, what, when, where and why of
social interactions to improve perspective taking.
The most well-known of these interventions is
Carol Gray’s “Social Stories.”
FIRST STEPS IN GETTING
AN ABA PROGRAM
STARTED
EARLY INTENSIVE BEHAVIOR
INTERVENTION (EIBI)
Early and Intensive Behavioral Intervention (EIBI)
is an evidence-based intervention using principles
and procedures from Applied Behavior Analysis to
teach adaptive behaviors to young children with
autism spectrum disorders. Several outcome
studies have indicated that the best outcome is
achieved when treatment is started as early as
possible (before the age of 5) and with a high
intensity (30–40 h per week).
The treatment is carried out by parents and teachers
under supervision by a professional and consists of
identifying the skills that the child lacks, breaking
these tasks into components and teaching those
component behaviors separately. This enables the child
to succeed more easily. The child is provided with
guidance to learn novel behaviors, and this help is then
phased out until the child can perform the target skills
independently. The complexity of tasks is gradually
increased as the child progresses, so that the child can
master each consecutive step. Much emphasis is placed
on generalization of taught skills, meaning that skills
taught in an EIBI program must be functional for the
child in everyday life.
 EIBI consists of both one-to-one discrete trial
teaching for basic skills such as imitation (verbal
and motor), expressive and receptive language,
and matching, and less structured teaching such
as naturalistic and incidental teaching working
on all areas of functioning, such as
communication, self-help skills, and independent
functioning. From a behavior analytic view,
autism can be seen as a biologically based
disorder related to innate social and sensory
motivation.
10 COMPONENTS OF EIBI
PROGRAMS
1.
 Treatment should
begin early
 Prior to age 4 earlier
if diagnosed.
 Can still be effective if
initiated between ages
of 4 and 7
2.
 Intervention should
ne intensive
 Initially treatment
should be 1:1
 Intensity 30-40
hours/week
3.
 Intervention must be
behavioral
 Procedure
implemented must be
based on principles of
behavioral analysis
 Build appropriate
behavior
 Reduced problem
behavior
4.
 Treatment is
individualized for
each child.
 Child’s skills deficit
and behavior excesses
are identified and
treated.
5.
 Treatments are
 Designed specific to
each child’s
characteristics.
 Modified based on
child’s responses to
interventions
5.Treatment must be comprehensive
 All skill domain must be assessed and treated.
 Language/communication
 Play
 Social
 Perspective taking
 Motor
 Adaptive
 Academics
 Planning/Self management
 All problems behavior should be assessed.
6.
Treatment should occur
in natural environment.
 Treatment should be
conducted at
 Child’s home setting
 Centre based pre school
that implement EIBI
 Treatment later
transitioned to
 Community settings
7.
Active parental
involvement.
Parents are taught how
 Manage their child
problems behavior
 Teach their child new
skills
 Help their child to use
new skills in
everyday.
8.Opportunity to learn from and interact with
typical pears is provided.
9.Duration of treatment
 Two or more years are necessary to achieve
optimal outcomes.
10.
 Treatment supervision is only provided by
individuals experiences in autism.

Applied Behavior Analysis.Applied Behavior Analysis

  • 1.
  • 2.
    WHAT IS APPLIEDBEHAVIOR ANALYSIS?  Applied Behavior Analysis (ABA) is a therapy based on the science of learning and behavior.  Behavior analysis helps us to understand:  How behavior works  How behavior is affected by the environment  How learning takes place  ABA therapy applies our understanding of how behavior works to real situations. The goal is to increase behaviors that are helpful and decrease behaviors that are harmful or affect learning.  ABA therapy programs can help:  Increase language and communication skills  Improve attention, focus, social skills, memory, and academics  Decrease problem behaviors
  • 3.
    HOW DOES ABATHERAPY WORK?  Applied Behavior Analysis involves many techniques for understanding and changing behavior. ABA is a flexible treatment:  Can be adapted to meet the needs of each unique person  Provided in many different locations – at home, at school, and in the community  Teaches skills that are useful in everyday life  Can involve one-to-one teaching or group instruction
  • 4.
     “Applied BehaviorAnalysis is the process of systematically applying interventions based upon the principles of learning theory to improve socially significant behaviors to a meaningful degree, and to demonstrate that the interventions employed are responsible for the improvement in behavior.” Baer, Wolf & Risley, 1968
  • 5.
    ABA  Applied BehaviorAnalysis (ABA) is the only scientifically validated treatment for autism and is recommended by the U.S. Surgeon General.  Antecedent--Behavior--Consequences A—B—C  Applied Behavior Analysis (ABA) given in early then it is called Early intensive behavior analysis (EIBI)
  • 6.
    COMPREHENSIVE ABA PROGRAMS  Earliestversions of ABA programs focused mostly on discrete trial training (DTT)  Comprehensive ABA programs now include a variety of behavioral teaching strategies  DTT  Natural Environment Training (NET)  Verbal Behavior  Challenging behavior  Fluency based instruction Programme  Programming for generalization
  • 7.
  • 8.
  • 9.
    STAGE 1 Antecedent Ali isin super market with his mother, with candies displayed in front of him.Ali wants candy. Behavior The behavior is that Ali is crying Consequence The consequence is that his mother gives him candy.
  • 10.
    STAGE 1 Antecedent Ali isin super market with his mother, with candies displayed in front of him.Ali wants candy. Behavior The behavior is that Ali says I want candy Consequence The consequence is that his mother gives him candy.
  • 11.
    Antecedent Ali is insuper market with his mother, with candies displayed in front of him.Ali wants candy. Behavior The behavior is that Ali is crying Consequence The consequence is that his mother does not give him candy.
  • 12.
    Applied Behavior Analysis(ABA) is an evidence- based, intensive education therapy for children with an Autism Spectrum Disorder (ASD). It is scientifically proven to be effective and is the preferred method of treatment for ASD,Mental retardation, Down syndrom,Attention Deficit Hyperactive disorders,Trumatic Brain Injury and other developmental disabilities.
  • 13.
    COMPONENTS PROGRAMME OF EFFECTIVEABA 1. Antecedent Package 2. Behavioral Package 3. Comprehensive Behavioral Treatment for Young Children 4. Joint Attention Intervention 5. Modeling 6. Naturalistic Teaching Strategies 7. Peer Training Package 8. Pivotal Response Treatment 9. Schedules 10. Self-management 11. Story-based Intervention Package
  • 14.
    ANTECEDENT PACKAGE Antecedent manipulation- modification of situational events that precede the target behavior. These alterations are designed to increase the likelihood of success of the targeted behavior. Examples include:  Prompt/fading procedures  Behavioral momentum  Contrived motivational operations (EO-AO)  Inter-trial intervals  Incorporation special interests etc.
  • 15.
    PROMPT/FADING PROCEDURES  Promptsare instructions, gestures, demonstrations, touches, or other things that we arrange or do to increase the likelihood that children will make correct responses. In other words, it is a specific form of assistance given by an adult before or as the learner attempts to use a skill.  Prompting procedures provide a systematic way of providing and removing prompts so that the learner begins to perform skills independently. These procedures rely on reinforcing correct responses that are both prompted and not prompted.
  • 16.
  • 17.
    BEHAVIORAL MOMENTUM  Alsoknown as, High-Probability Command Sequence (HPCS) is an effective antecedent strategy that increases compliant behaviors.  Can be used for behavior compliance, the child is likely to follow directions because they are getting reinforced for easy behaviors. Reduces frustration levels, because students are having success on easy tasks, increasing the likelihood that they will try harder behaviors.
  • 18.
     In workingwith a young student start with presenting three high-­ p behaviors prior to one low-­ p behavior. Teacher should be in close proximity to model and reinforce high-­ p and low-­ p behaviors. 1. “Clap hands”…(model if needed) “Wonderful clapping hands!” 2. “Touch nose”…. (model if needed) “Super job touching nose! Tickle attack!” Give tickles. 3. “High five”…(extend hand as a model) “Thanks buddy!” 4. “Sit down” (low-­ p behavior), walk with student to desk, once seated, “You are sitting so nicely!”
  • 20.
    SUMMARY  Behavioral Momentumessentially means to build up momentum to what you really want the child to do, by giving them easy tasks or demands, that they are highly likely to do first before presenting them with more difficult tasks. Instead of approaching the child with what you want them to do, you start with what they are most likely to want to do.
  • 21.
    CONTRIVED MOTIVATIONAL OPERATIONS (EO-AO) What is AO and EO in ABA?  MO's are environmental factors that impact how effective a reinforce is. MO's can either be  Establishing Operations (EO's)  Abolishing Operations (AO's) An EO is that increases how reinforcing something is, and an AO is that decreases how reinforcing something is.
  • 22.
    INTERTRIAL INTERVAL  Theintertrial interval is a 3-5 second pause between the consequence and presentation of the discriminative stimulus signifying a new trial.
  • 23.
    INCORPORATION SPECIAL INTERESTS Many autisticpeople have intense and highly- focused interests, often from a fairly young age. These can change over time or be lifelong. It can be art, music, gardening, animals, postcodes or numbers. For many younger children it's Thomas the Tank Engine, dinosaurs or particular cartoon character.
  • 24.
    BEHAVIORAL PACKAGE Behavioral treatment-programs designed to decrease problem behaviors and to increase functional alternative behaviors. Examples include:  Functional communication training  chaining  discrete trial training  mand training  generalization training  reinforcement  shaping etc.
  • 27.
    DISCRETE TRIAL TRAINING(DTT)  Breaks down learning opportunities into well-controlled, discrete teacher-student interactions Instruction → Correct Response → Reward OR Instruction → Incorrect Response → Correction
  • 28.
     Each discrete trialincludes, at a minimum:  *Discriminative Stimulus (SD) or in this case, “instruction”  *Response (R)  *Reinforcing stimulus (Sr+) - a stimulus that strengthens or weakens the behavior that occurred prior to it.  Other parts that could be included in a discrete trial are:  *Prompting stimulus, which occurs after the Sd but before the R.  *Inter-trial interval (ITI), which is the time between the Sr+ and the start of a new trial.
  • 29.
    A typical exampleof a teaching trial follows:  Suppose the target is to teach the child to imitate touching his/her toes.  *The Sd will be “Do this/Copy me”.  *The target response will be that he/she touches his/her toes within 2 seconds of being given the Sd. *Teacher: “Do this”, while touching her own toes. [This is the Sd.] *Teacher and Student: at the same time as giving the Sd the teacher is physically prompting (assisting) the child to also touch his/her toes. [The prompt is the Sp.] *Student: The student touches his/her toes. [This is the R.] *Teacher: Gives verbal praise and maybe some tickles immediately following the response (R). [This is the Sr+.]
  • 30.
    COMPREHENSIVE BEHAVIORAL TREATMENT Comprehensive intervention- low student to teacher ratio (1:1, or low as appropriate) in a variety of settings, including home school and community. Effective programs are based on a treatment manual, provide intensive treatment (25hrs/wk), and include data-driven decision- making.
  • 31.
    JOINT ATTENTION INTERVENTION Jointattention intervention - programs designed to teach a child to respond to the social bids of another, or to initiate joint attention interactions. Examples include:  pointing to objects  showing items  activities to another  following eye gaze.
  • 32.
    MODELING Modeling - adultsor peers provide a demonstration of the target behavior; the student is expected to imitate. Thus, imitation skills are a necessary prerequisite to this type intervention. Modeling is often combined with prompting and reinforcement strategies which can assist the student to acquire imitation skills.
  • 33.
    NATURALISTIC TEACHING STRATEGIES Naturalistic teachingstrategies - use of child- initiated interactions to teach functional skills in the natural environment. This intervention requires providing a  stimulating environment,  modeling play,  providing choices,  encouraging conversation  and rewarding reasonable attempts
  • 34.
    PEER TRAINING PACKAGE Peertraining - involves training peers without disabilities strategies for interacting (play and social) with children with autism. Some commonly known peer-training programs include:  circle of friends  buddy skills  peer networks etc.
  • 35.
    PIVOTAL RESPONSE TREATMENT Pivotalresponse training - program designed to target specific, “pivotal,” behaviors that lead to improvement across a broad range of behaviors. These pivotal behaviors include: motivation to engage in  social communication  self-initiation  self-management  responsiveness to multiple cues etc.
  • 36.
    SCHEDULES Schedules - teachinga student to follow a task list (picture- or word-based) through a series of activities or steps in order to complete a specific activity. Schedules are accompanied by other behavioral interventions, including reinforcement.
  • 37.
    SELF-MANAGEMENT Self-management - thistreatment intervention teaches a student to regulate his or her behavior by recording the occurrence or non-occurrence of the target behavior, and secure reinforcement for doing so.
  • 38.
    STORY-BASED INTERVENTION PACKAGE Story-based interventions- involves a written description of the situations under which specific behaviors are expected to occur. The stories seek to teach the: who, what, when, where and why of social interactions to improve perspective taking. The most well-known of these interventions is Carol Gray’s “Social Stories.”
  • 39.
    FIRST STEPS INGETTING AN ABA PROGRAM STARTED
  • 40.
    EARLY INTENSIVE BEHAVIOR INTERVENTION(EIBI) Early and Intensive Behavioral Intervention (EIBI) is an evidence-based intervention using principles and procedures from Applied Behavior Analysis to teach adaptive behaviors to young children with autism spectrum disorders. Several outcome studies have indicated that the best outcome is achieved when treatment is started as early as possible (before the age of 5) and with a high intensity (30–40 h per week).
  • 41.
    The treatment iscarried out by parents and teachers under supervision by a professional and consists of identifying the skills that the child lacks, breaking these tasks into components and teaching those component behaviors separately. This enables the child to succeed more easily. The child is provided with guidance to learn novel behaviors, and this help is then phased out until the child can perform the target skills independently. The complexity of tasks is gradually increased as the child progresses, so that the child can master each consecutive step. Much emphasis is placed on generalization of taught skills, meaning that skills taught in an EIBI program must be functional for the child in everyday life.
  • 42.
     EIBI consistsof both one-to-one discrete trial teaching for basic skills such as imitation (verbal and motor), expressive and receptive language, and matching, and less structured teaching such as naturalistic and incidental teaching working on all areas of functioning, such as communication, self-help skills, and independent functioning. From a behavior analytic view, autism can be seen as a biologically based disorder related to innate social and sensory motivation.
  • 43.
    10 COMPONENTS OFEIBI PROGRAMS 1.  Treatment should begin early  Prior to age 4 earlier if diagnosed.  Can still be effective if initiated between ages of 4 and 7
  • 44.
    2.  Intervention should neintensive  Initially treatment should be 1:1  Intensity 30-40 hours/week
  • 45.
    3.  Intervention mustbe behavioral  Procedure implemented must be based on principles of behavioral analysis  Build appropriate behavior  Reduced problem behavior
  • 46.
    4.  Treatment is individualizedfor each child.  Child’s skills deficit and behavior excesses are identified and treated.
  • 47.
    5.  Treatments are Designed specific to each child’s characteristics.  Modified based on child’s responses to interventions
  • 48.
    5.Treatment must becomprehensive  All skill domain must be assessed and treated.  Language/communication  Play  Social  Perspective taking  Motor  Adaptive  Academics  Planning/Self management  All problems behavior should be assessed.
  • 49.
    6. Treatment should occur innatural environment.  Treatment should be conducted at  Child’s home setting  Centre based pre school that implement EIBI  Treatment later transitioned to  Community settings
  • 50.
    7. Active parental involvement. Parents aretaught how  Manage their child problems behavior  Teach their child new skills  Help their child to use new skills in everyday.
  • 51.
    8.Opportunity to learnfrom and interact with typical pears is provided.
  • 52.
    9.Duration of treatment Two or more years are necessary to achieve optimal outcomes. 10.  Treatment supervision is only provided by individuals experiences in autism.