Tag Archive for 'intervention'

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CCBD on seclusion and restraint

The Council for Children with Behavior Disorders (CCBD), an international group concerned about children and youths with EBD, published statements about the use of seclusion and restraint with students. Although the documents appear to be in preliminary form, they began circulating on the Internet today, so I’m posting copies of the PDFs here. Watch for an update of them.

Link to the CCBD Web site.

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Does Rossignol et al. show HBOT’s effective?

“Hyperbaric treatment for children with autism: a multicenter, randomized, double-blind, controlled trial” by Daniel A. Rossignol, Lanier W. Rossignol, Scott Smith, Cindy Schneider, Sally Logerquist, Anju Usman, Jim Neubrander, Eric M. Madren, Gregg Hintz, Barry Grushkin, Elizabeth A. Mumper appeared as an on-line publication 13 March 2009 and will appear in print in BMC Pediatrics. The article URL is http://www.biomedcentral.com/1471-2431/9/21

The recently published study by Rossignol and colleagues about hyperbaric oxygen therapy (HBOT) for Autism has generated lots of commentary and is sure to lead to more. Because it is a treatment study and employs more careful methods than are common in many of the therapies promoted these days, I sat up and said, “Hmm. I ought to read this one.”

So I did. And I found it to be, indeed, a cut above much of the ersatz research that’s passed off as evidence in the Autism arena. But, I found some concerns, too.

Those concerns led me to poke about a bit on the Internet to see whether there were any others who were raising questions. There are. And I still have some more poking to do. But, I thought I ought to record my concerns. Thus this post.

Continue reading ‘Does Rossignol et al. show HBOT’s effective?’

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ABA Autism blogs

Over on Behavior Mod Info, I’ve dropped a post about blogs from which one can learn about applications of behavior analysis to autism. Some of the readers of EBD Blog may find this of interest. Here’s the link.

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New therapy

Here’s a description of a highly touted intervention.

[Method X] is recognized worldwide as a general method to reinforce the body’s protective abilities for people of all ages who suffer from various disorders and pre-illness conditions, i.e. practically healthy people.

[Method X] involves the organized interaction between [therapy agent] and person, with optimal conditions to offer benefits to the person as well as the [therapy agent].

[Method X] can assist in the following tasks:

- Correction of psychological development for people with nervous system disorders
- Development of cognitive activity for people with psycho-neurological disorders
- Development of children’s speech
- Removal of chronic pain
- Reduction of neurological and vegetative-vascular reactions
- Relief from psychosomatic conditions
- Reduction of unintentional movements, tics and spasms
- Rehabilitation of people, victims of violence or other stressful situations
- Psycho-emotional training for specialists whose work is connected with extremely stressful situations
- Leisure and relaxation for healthy people–children and adults

The main component of [Method X] is the psychological effect from the interaction between [the client] and [the therapy assistant] in an unaccustomed environment and the physical therapy effect from [Y and Z] made by these [therapists].

Would you want to use this therapy for yourself or your child?

I would! But, that’s because I know what the therapy is.

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Time out

Mrs. Ris, one of my favorite reads, used an entry in her blog to review her use of “detention” in her classroom. She took the opportunity to develop describe her policy and procedures—as well as rationale—for using detention in her classroom.

Detention is the last phase of a multi-step intervention strategy designed to address dangerous /unsafe behaviors. It is the period of time after a child has moved through the crisis cycle, and is ready to demonstrate behaviors incompatible with the negative, inappropriate behavior previously noted.

Mrs. Ris goes on to (a) say that her students need time to settle down, (b) describe “unsafe behavior,” (c) place detention in an array of disciplinary practices, (d) explain that failing to have a child settle down increases the chances of repeated, relatively immediate failure, and (e) suggest that perhaps “detention” should be replaced with a different term. It’s an thoughtful article and it set me to thinking.

Although I’ve read the piece a couple of times, I’m still a little at sea about what, procedurally, “detention” is. Elsewhere, Mrs. Ris describes it a little more as “an extended time out.” I understand “time out” as a brief period when reinforcers are not available to an individual; usually this is accomplished by isolating an individual from usual classroom activities for a few minutes. Mrs. Ris’ procedures describe detention, “extended time out,” as occurring a step or two after regular time out.

Time out is one of the most well-researched behavior management procedures teachers have available. It is an unusually effective method for reducing inappropriate behavior, provided that it is used in the ways that research has shown contribute to its effectiveness. What are the relevant ways of implementing time out effectively and ineffectively? They include having a very reinforcing time in environment, focusing time out on a specific behavior, using time out consistently, limiting the duration of time out, and so forth; all of these can be found in most credible behavior management books. Each of these topics (and other related ones) deserves a post of its own.

Link to Mrs. Ris’ entry. A relevant earlier entry is here.

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