Thanks to Roger Bass who shared important insights into behavioral therapy with particular emphasis on Autism. He also prompted us to count our blessings!

1. Roger Bass, PhD, BCBA-D
Representative at Large for the
Wisconsin Association for Behavior Analysis

2. Consider this…

3. Positive Approach to SIB
 What those data represent
 http://www.youtube.com/watch?v=WPGhg1asyG8

4. Imagine that’s your child…
 You’d want numerous proven procedures:
 Positive methods
 Mild negative methods used only when necessary
 For example, SIBIS
http://www.youtube.com/watch?v=JCHtVLqJWpg&NR=1

5. Families are Transformed
 When SIBIS device is used—SIB reduces so other skills can
be taught. This is Jamey’s mother:
 As the months passed, head hitting faded to a trickle. Jamey’s
teacher wrote: “He’s gone from 32 hits last week to zero.”
“The device is great,” wrote one of Jamey’s aides. “I spend
more time teaching Jamey how to use a fork, than managing
the SIB (self-injurious behavior).” Oh, happy, happy days!

6. A Graph of “O Happy Days”
“Across all of
the SIBIS-
active sessions
combined,
Donna
received 32
electric
stimulations
lasting a total
of 2.6
seconds.”

7. Some Video Resources
 BAAM Video (90 seconds)
 BAAM Library (Variety of Videos)
 Richard Foxx—Harry from Research Press
 Freedom from restraints
 Hand Picking SIB

8. Wm Ahearn-NECC: Food Refusal

9. Wm Ahearn-NECC

10. Within Reach: A better life for persons
with severe developmental disabilities
 Life Skills
 Self-management
 Mobility (e.g., buses)
 Eating
 Toileting
 Speech and Langauge
 Job Skills
 Handling Emergencies
 Recreation

11. Analysis
A Sampler
 Child abductions  Bullying
 Addictions (all types)  Smoking
 Academics  College Teaching
 Autism/Asperger Syndrome  Vocational Training
 Public Safety  Anxiety (clinical issues)
 Medication (pharmacology)  Criminal Justice
 Child abduction  Public and Employee Safety
 Self-management  Eating Disorders
 Gambling addiction  Special/General Education
 Brain Injury  Gymnastics & Sports
 Preschool Children/Education  Self-injurious Behavior
 Creativity/Insight  Speech/Language
 Problem Solving  Following Rules
 Poison Prevention  Self-Control
 Children’s Physical Activity  Social Skills
 Parenting  Violent Offenders

12. Within Reach: A Better Life for Persons with Autism
 Epidemic (1/110)
 High-vs-Low Functioning
 Cause: Unknown
 Early Identification Video (symptoms video--login)
http://autismspeaks.player.abacast.com/asdvideoglossary-0.1/player/autismspeaks
 Treatment:
 Early Intensive Behavioral Interventions (EIBI)
 -30+ Hours/week
 Video-ABA (6:00)
Effective Therapies

13. Some Autism Videos
• General Introduction to ABA (3:37)
• Descrete Trial Training (Amy & Dane) (1:43)
• Nathan’s Matching (DTT) (9:35)
• PECS 1: Cukes (22 seconds)
• PECS-The Physical Exchange (3:01)
• PECS-Communicative Partner (3:07)
• Pivotal Response Training-General Overview (5:16)
• Pivotal Response Training—Overselectivity (5:50)
• Pivotal Response Training—Generalization/Maintenance
(4:48)

14. Objects thrown per session
7/
27
/2
0
5
10
15
20
25
30
00
7/
29 0
/2
00
7/
31 0
/2
00
8/ 0
2/
20
8/ 00
4/
20
00
8/
6/
20
00
8/
8/
2
8/ 000
10
/2
00
8/
12 0
/2
8/ 000
14
/2
00
8/
16 0
/2
00
baseline
8/
18 0
/2
00
8/
20 0
/2
00
8/
22 0
/2
00
Brushing
8/
24 0
/2
8/ 000
26
/2
00
8/
Interventions for Throwing
28 0
/2
00
8/
30 0
/2
No Brushing
00
9/ 0
1/
20
00
9/
3/
20
DRO
9/ 00
5/
20
00
9/
7/
20
00
9/
9/
ABA Technique
2
Debunking Fads: Shannon Kay’s Data on Brushing
Parents as Researchers
9/ 000
11
/2
00
9/
13 0
/2
9/ 000
15
/2
00
0

15. Researchers
Debunking Fads: Shannon Kay’s Data on Brushing
Problem: Aggression: hitting, kicking, or hair pulling inflicted upon adults & kids.
Therapy: Brushing and joint compressions to help Evan “organize his experience” and
would reduce his aggressive behavior.
Interventions for Aggression
45
40
ggressions per 3 hour instructional session
35
30
25
ABA Technique
20
15
10
A
5
0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
session number for each treatment condition
baseline brushing and Joint Comp no brushing schedule w/time timer

16. Parents as Researchers
Debunking Fads: Shannon Kay’s Data on Brushing
Problem: Self-Injurious Behavior
Therapy: Brushing and joint compression
Interventions for Aggression
45
40
ggressions per 3 hour instructional session
35
30
25 ABA Technique
20
15
10
A
5
0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
session number for each treatment condition
baseline brushing and Joint Comp no brushing schedule w/time timer

17. Some Data
 Discussion
 This article reports the results of intensive behavioral
treatment for young autistic children.
 O. Ivar Lovaas (1987). Behavioral Treatment and
Normal Educational and Intellectual Functioning in
Young Autistic Children. University of California, Los
Angeles.
 47% of the experimental group achieved normal
intellectual and educational functioning in contrast to
only 2% of the control group subjects.

18. IQ Changes Following ABA

19. Data: Early Intensive Behavior Interventions
 Proportions of children who moved from delayed to
normal range on IQ (most also in regular classrooms
without specialized services):
 Intensive ABA: 56/120 = 47%
 Typical special ed: 11/58 = 19%
 Intensive eclectic: 4/28 = 14%
 Several uncontrolled studies corroborate these findings
 Estimated savings from investment in early intensive
ABA: $2 million+ per individual (Jacobson, Mulick, &
Green, 1998)

20. Behavior Analysis: Gaining Recognition
 ABA recognized by:
 AAP
 ABAI
 APBA
 WI State Law
 Amy’s story
 Effective techniques aren’t enough
 Green’s data: Price of failure/Price of success
 Families/society/quality of life for children…

21. Lots of Good News
 Assessments and techniques work
 Research models improve our methods
 Credentialing system (BACB)
 Ethics controls
 State License
 State Insurance Mandate
 And….

22. Increasing Coverage

23. Thank You
 Roger Bass, PhD, BCBA-D
 Ph: 262.853.1951
 Email: rfb53074@aol.com
Questions/Comments