Tag Archive for 'therapy'

Students with EBD Hit Hardest by Texas Cap in Special Ed Enrollment

According to reports Brian M. Rosenthal published in the Houston (TX, US) Chronicle, since the early 2000s when the Texas Education Agency (TEA) essentially limited enrollment in special education to 8.5% of the school population, the category of students with disabilities that saw the largest decline in enrollment was emotional disturbance.

Mr. Rosenthal published a series of articles reporting his investigation of systematic denial of services to students with disabilities in Texas beginning in September 2016. The TEA created a system for rating local education agencies’ special education programs that included a benchmark for how many students should be be enrolled. In an installment published 19 November 2016 and entitled “Mentally ill lose out as special ed declines,” he begins the report with the story of Alston Jeffus, an adolescent who is on his way home after spending months in a state hospital. Here are a few paragraphs from Mr. Rosenthal’s article:

The Texas Education Agency’s decision to set an 8.5 percent target for special education enrollment has led schools to cut services for children with all types of disabilities, but mentally ill students like Alston have been disproportionately affected, the Houston Chronicle has found.

Federal law requires schools to provide counseling, therapy, protection from discipline and other support to children with “emotional disturbances,” including severe anxiety, depression, bipolar disorder and post-traumatic stress disorder. Today, however, Texas schools serve 42 percent fewer of those students, relative to overall enrollment, than when the TEA set the benchmark in 2004.

It is a bigger drop than has occurred in almost any other disability category.

In all, an estimated 500,000 school-age children in Texas have a serious mental illness that interferes with their functioning in family, school or community activities, according to the state Health and Human Services Commission.

Only 30,034 receive special education services.

There is a lot more to this story (subscription may be required). I recommend it to readers. Also, I encourage readers haven’t been following Mr. Rosenthal’s excellent reporting on this matter to catch up; the Chronicle published a guide to the series.

Gerald R. Patterson, 1926-2016


Gerald R. Patterson
1926-2016

Gerald Roy Patterson, internationally renowned scientist and psychologist, died 22 August 2016 in Eugene, Oregon (US). Born in Lakota, North Dakota (US), on 26 July 1926, Patterson was considered by many to be among the founders of contemporary family psychology, particularly for his contributions to the scientific understanding of parent-child and marital relations. In addition, however, those who knew “Jerry” knew that he also embraced life closely, engaging in many outdoors activities, enjoying fine dining, and gathering with friends.

After serving in the Army in the Pacific theater in World War II, Patterson returned home and began post-secondary studies at Northland College in Ashland, Wisconsin, and then Gustavus Adolphus in St. Peters, Minnesota. Ultimately, he earned a bachelors degree and then a masters degree in psychology from the University of Oregon. He then matriculated at the University of Minnesota, from which he earned a Ph.D. in 1956, defending a dissertation entitled “A Tentative Approach to the Classification of Children’s Behavior Problems.”

Over 50 years later, the University of Minnesota recognized Patterson’s contributions by awarding him its Outstanding Achievement Award. The Minnesota award is one among many Patterson received during his lifetime. The American Psychological Association (APA) and groups within it recognized him repeatedly. He received the Distinguished Scientific Award for the Applications of Psychology from the APA, itself; the G. Stanley Hall Award and the Urie Bronfenbrenner Award for Lifetime Contribution to Developmental Psychology in the Service of Science and Society from the APA’s Developmental Psychology, Division 7; the Distinguished Scientist Award from from the APA’s Section III, Division 12; the Distinguished Professional Contribution Award from the APA’s Section I, Division 12. Other awards include the James McKeen Cattell Fellow Award from the American Psychological Society; the Trailblazer Award from the American Association of Behavior Therapists’ Parenting and Families Special Interest Group; Presidential Award from the Society for Prevention Research; the Award for Distinguished Scientific Contributions to Developmental Psychology from the Society for Research in Child Development; the Cumulative Contribution to Research in Family Therapy Award from the American Association for Marriage and Family Therapy; and the Distinguished Contributions to Family Therapy award from the American Family Therapy Association.

The reasons for Patterson receiving such substantial recognition are many, but they reduce to just a few major themes. He and his colleagues considered it sensible to study social aggression (or conduct problems) in children by closely examining the interactions between children and others—particularly their parents—in their environments; using intensive observations of these interactions, they were able to identify basic psychological mechanisms (especially negative reinforcement) the led to the development of coercive family processes (Patterson, 1982). Using this understanding, Patterson and his colleagues were able to develop and refine a successful method for teaching parents how to manage the behavior of their socially-aggressive children by, essentially, learning to manage their own parenting behavior. Having a stable way to examine coercive family processes and a powerful program for changing them allowed the group then to examine systematically other contributors (e.g., maternal depression, child abuse, stress) to difficulty in family processes.

Patterson and his colleagues insisted on employing strong scientific methods throughout their work. He was, he said, as much concerned with the methods employed to study phenomena as he was concerned with what he learned from the studies; if he couldn’t trust the methods, then he couldn’t trust the findings. Although he was a capable designer of studies and data analyst, Patterson collaborated with measurement experts and other methodologists, as well. He regularly engaged in detailed discussions about not just the theoretical aspects of scientific problems but also how different analyses might lead to different conclusions. His attention to such matters enhanced the strength of his contributions.

Patterson documented his work in 100s of articles, chapters, and books, often collaborating with the late John B. Reid, Thomas Dishion, and his long-time companion, Marion Forgatch. Many of the books (e.g., Antisocial Boys) were resources for scholars, but other books (e.g., Living with Children) were widely distributed because they clearly explained important principles to general audiences.

According to his own Web site and the published obituary, Jerry grew up in the northern woods and lakes and had a great love of the outdoors. He joked about catching fish from a canoe, cutting them open to examine the contents of their stomachs, conducting a quick analysis of variance, and then choosing which flies to use for his next casts accordingly. When I first got to know him in the mid-1970s, he and Marion were preparing to hike part of the north slope of Alaska—starting from inside the Arctic Circle and crossing the Brooks Range—before the area was going to be opened for oil drilling and the “arctic pipeline.” They returned with magnificent pictures of wilderness accompanied by superb stories of wearing bells on their packs and “tussocking” across the tundra.

A gentle man and a scholar graced our time and left us gifts. I’ll cherish them.

Patterson, G. R. (1982). Coercive family process. Eugene, OR: Castalia.

Patterson, G. R., & Gullion, M. E. (1968). Living with children: New methods for parents and teachers. Champaign, IL: Research Press.

Patterson, G. R., Reid, J. B., & Dishion, T. J. (1992). A social learning approach: IV. Antisocial boys. Eugene, OR: Castalia.

Matt Brodhead on halting the spread of FC

While we’re on the topic of facilitated communication (FC or “supported typing” or “rapid prompting”), readers might want to watch a TEDx presentation by Professor Matt Brodhead. As though familiar with TED talks know, this is brief presentation and in it Professor Brodhead focuses squarely on a clear presentation about FC: “We must stop this now.”

Little Keswick to feature talk by Ross Greene

The Little Keswick Foundation for Special Education, a philanthropic group associated with the Little Keswick School in central Virginia, announced that Ross Greene, author of The Explosive Child and Lost at School, will speak at its 16th Annual Education Symposium scheduled for 10 October 2013 from 7:00 to 9:00 PM at Piedmont Virginia Community College’s V. Earl Dickinson Center. The session, entitled “Collaborative & Proactive Solutions: Understanding and Helping Behaviorally Challenging Kids (and their Caregivers),” is open to the public and there is no admission fee.

A child psychologist, Ross Greene has taught courses for the Department of Psychiatry at Harvard Medical School and the Department of Psychology at Virginia Tech. He is founder of Lives in the Balance, a non-profit devoted to explaining and supporting his theraputic approach, called “Collaborative Problem Solving.” In addition to his books, Professor Greene has published research articles in well-respected journals such as Journal of Consulting and Clinical Psychology, American Journal of Psychiatry, and Journal of Emotional and Behavioral Disorders.
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US health agency warns against use of HBOT for Autism

The US Food and Drug Administration (FDA) issued a advisory statement warning the public against the use of hyperbaric oxygen therapy (HBOT) for Autism 22 August 2013. The action, which also notes concern about other unproven uses of HBOT, apparently was predicated on the FDA’s receipt of multiple complaints from consumers, and it is consistent with long-standing concerns about this therapy that I have raised here on EBD Blog: 17 October 2008, 21 March 2009, 17 August 2009, 12 November 2009, 18 November 2009, 21 November 2009.

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Are insurers dragging their feet?

Are some insurance companies slow in providing coverage for behavioral therapies that families deserve for their children with Autism? According to a report by Alan Zarembo in the Los Angeles (CA, US) Times, the problem is great enough in California that a government agency is considering emergency regulations to force insurers to comply with their obligation to provide coverage.

Insurers have been skirting their obligation under recently enacted state law to provide costly behavioral therapies for autism, according to the Department of Insurance, which is proposing emergency regulations aimed at enforcing the law.
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Autism, recovery, CAM, placebo, and research

Thought experiment: Suppose that scientists want to compare a new therapy for children with Autism. They’ll need to compare the New Therapy to a control condition and evaluate it over time using multiple different outcome measures. I’m going to describe this because I want to talk about the effects of “recovery” in Autism in the control group, the perception of the effectiveness of complimentary and alternative therapies, and the placebo effect.

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ASAT newsletter pending

Do you want to know more about evidence-based interventions for Autism? Are you weary of wading through a lot of over-hyped-and-not-well-tested methods hoping to find one gem? Do you come back to EBD Blog because you pine for trustworthy news about Autism?

There is an alternative, another source: The Association for Science in Autism Treatment has a regular newsletter and a new one is about to be released. If readers hustle their bustles, they can register in time to receive the next issue which includes (according to a mailer I received)

  • A feature article in which Dr. Thomas Zane discusses the adoption of Fad Treatments in Autism.
  • Four research article summaries (ranging from treatment comparisons to prevalence of adults with autism).
  • Spotlight on a new organization Advancing Futures for Adults with Autism.
  • Two Clinical Corners (Food Selectivity and Help with the Dentist).
  • Consumer Corner (Review of Transition Resources for Adolescents and Adults with Autism).
  • An in-depth group interview about fostering positive portrayals of science-based treatment in the media.

…and for the rest, you’re just going to have to read to find out!

Here’s a link to register for the newsletter: http://www.asatonline.org/signup. I encourage folks to do.

And, if you ever forget how to find ASAT, you don’t have to poke around looking for this message. Just check over there in the siderail. You’ll find it listed in the “Web Resources.”