| The number of children diagnosed as autistic
      has jumped significantly. In California
      alone,
      the incidents have increased more than
      six
      fold in the last 15 years. 
 Different explanations could be offered,
      from diet to environmental pollution.
      But
      the most likely explanation of the
      increase
      in autistic population is that people
      realize
      great progress can be achieved if the
      disease
      is diagnosed early in life and treatment
      applied in time. Another reason for
      the jump
      in number is the heightened awareness
      of
      developmental problems and language
      malfunction
      in children, forcing society and schools
      to deal with the affliction. In this
      sense,
      the increasing prevalence of autistic
      children
      represents a healthy attempt at helping
      children.
 
 The most effective treatment is still behavioral
      therapy based on functional analysis. Many
      studies now indicate that autistic children
      undergoing consistent and well design- ed
      behavioral intervention at a young age can
      often make tremendous strides. In fact, the
      American Academy of Pediatrics, in calling
      for early intervention, recommends a minimum
      of 25 hours a week, 12 months a year, of
      individual behavioral therapy.
 However, in addition to intensive one-to-one
      therapy (the quantity issue), the quality
      of treatment is just as essential.
      Actual
      progress can still be elusive if the
      following
      ingredients are lacking:
 
 1. a thorough and logical analysis
      of the
      autistic child's needs and functioning
      level
      (Ah, don't we know the individual differences!);
 
 2. skillful application of the principle
      of applied behavior analysis in designing
      the treatment,
 
 3. staff training to carry out the
      treatment,
 
 4. careful monitoring of progress (and
      non-progress),
      and
 
 5. timely modification of treatment
      procedures.
 
 
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