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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