ABSTRACT
Promoting excellence in autism intervention is arguably more urgent than ever for the field of applied behavior analysis. To fulfill this objective, autism agencies must operate from validated program systems and do so with fidelity. Program components include, but are not limited to, staff training and evaluation of clinical skills, functional personnel roles designed to promote positive outcomes for those served, and professional staff-communication-skill repertoires. Data on client outcomes must be tied to implementation of core program variables; and, contingencies between the data on client outcomes and staff performance must exist. Furthermore, these contingencies must be yoked across members of the organization to ensure a sustainable and effective program model. Finally, data on consumer satisfaction must be collected and used to evaluate program components and agency practices. Members of the Alliance for Scientific Autism Intervention have implemented key program-wide systems based upon the work of McClannahan and Krantz Journal of Applied Behavior Analysis, 26, 589-596 (1993) for decades and across various agency cultures. Data collected by six independent educational agencies on client outcomes, program implementation, and consumer feedback for a 10-year time span demonstrate the sustainability of the model and support the importance of key organizational systems and the relationship between implementation of the model and high-quality outcomes for individuals with autism.
ABSTRACT
This article describes a behavioral intervention program for adults with autism, suggests that preparation for adulthood should begin in early childhood, asserts that the curriculum should be just as comprehensive and evaluation criteria just as rigorous in programs for adults as in programs for children, and proposes that close examination of adults' repertoires may lead to key modifications of services delivered to children. Along the way, the authors provide some data on the progress of 15 people who are now adults and whom they have known for 15 to 25 years. Finally, the authors argue that, because of the diversity of skills and skill deficits displayed by adults with autism, a program model that prevents "falling through the cracks" must provide an array of options--from training center to supported employment.
