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etadd_47(3) - Division on Autism and Developmental Disabilities

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TABLE 1<br />

Demographic Characteristics<br />

play scale <strong>and</strong> a Mean Length of Utterance<br />

(MLU) was calculated.<br />

Instructi<strong>on</strong> phase. Children were brought<br />

into a therapeutic envir<strong>on</strong>ment/room twice<br />

weekly for 15 minutes (unless absent from the<br />

program). All training sessi<strong>on</strong>s were c<strong>on</strong>ducted<br />

in the speech therapy room. The training<br />

sessi<strong>on</strong> involved video model viewing <strong>and</strong><br />

structured toy play time at the table. Video<br />

models represented play skills at each level of<br />

the developmental play scale, with each video<br />

model also incorporating language appropri-<br />

Ian Jeremy Ryan J<strong>on</strong>ah<br />

Age in m<strong>on</strong>ths 59 69 37 37<br />

First Diagnosis pediatrician parent c<strong>on</strong>cern psychiatrist psychiatrist<br />

Regi<strong>on</strong>al Center* <strong>Autism</strong> <strong>Autism</strong> <strong>Autism</strong> <strong>Autism</strong><br />

School**<br />

PEP-R***<br />

<strong>Autism</strong> <strong>Autism</strong> <strong>Autism</strong> <strong>Autism</strong><br />

Percepti<strong>on</strong> 21 m 38 m 48 m 34 m<br />

Imitati<strong>on</strong> 22 m 30 m 41 m 37 m<br />

Cognitive Verbal 36 m 33 m 35 m 41 m<br />

Cognitive Perform<br />

Vinel<strong>and</strong> II<br />

39 m 31 m 29 m 48 m<br />

Communicati<strong>on</strong> 76 SS 54 SS 94 SS 76 SS<br />

Daily Living Skills 55 SS 53 SS 91 SS 69 SS<br />

Social Skills 63 SS 55 SS 82 SS 74 SS<br />

Motor Skills 70 SS 70 SS 93 SS 88 SS<br />

Composite<br />

PLS-4****<br />

63 SS 55 SS 87 SS 73 SS<br />

Overall 50 SS/20 m 50 SS/25 m 92 SS/34 m 94 SS/34 m<br />

Auditory Comp 50 SS/22 m 50 SS/25 m 109 SS/44 m 96 SS/37 m<br />

Expressive Comm 50 SS/19 m 50 SS/25 m 76 SS/27 m 93 SS/35 m<br />

MLU between 0–1 between 0–1 between 0–1 2–3 words<br />

Play Levels Mastered 1 (Indisc Act) 4 (Pres. Co.) 6 (Pret. Self) 8 (Child Ag)<br />

2 (Discr Act) 5 (Gen. Co.)<br />

No initiating No initiating<br />

Qualitative Descrip. communicati<strong>on</strong> communicati<strong>on</strong> Sev. apraxia Requesting<br />

Maximum prompts No c<strong>on</strong>versati<strong>on</strong>/<br />

for <strong>on</strong>e word pragmatics Basic requests No comments<br />

No word<br />

Stereotyped<br />

combinati<strong>on</strong>s Poor verbal<br />

utterances No questi<strong>on</strong>s<br />

Stereotyped<br />

Echolalic Imitati<strong>on</strong> Echolalic<br />

utterances<br />

Echolalic No comments Echolalic<br />

* The State Regi<strong>on</strong>al Center system uses a licensed clinical psychologist to determine diagnosis <strong>and</strong><br />

eligibility. <strong>Autism</strong> is 299.0 DSM Category.<br />

** The State Educati<strong>on</strong> Code eligibility category is “<strong>Autism</strong> or Autistic-Like Characteristics”<br />

*** Psychoeducati<strong>on</strong>al Profile Revised (PEP-R), (Schopler et al., 1990)<br />

**** Preschool Language Scale, 4th Editi<strong>on</strong> (PLS-4) (Zimmerman, Steiner, & P<strong>on</strong>d, 2002).<br />

ate for the developmental level of play modeled.<br />

For example, for <strong>on</strong>e of the toy presentati<strong>on</strong>s<br />

at the level 8 (Child as Agent), an<br />

actress had a figure <strong>and</strong> sat the figure in a<br />

chair. The language used was, “Sit down boy.”<br />

Each skill was modeled with three different<br />

sets of toys. Each child watched a video at the<br />

next most advanced level, after the level in<br />

which the child had dem<strong>on</strong>strated mastery in<br />

a generalized setting. The video was shown <strong>on</strong><br />

a desktop computer with a m<strong>on</strong>itor measuring<br />

19” diag<strong>on</strong>ally at a viewing distance of approx-<br />

306 / Educati<strong>on</strong> <strong>and</strong> Training in <strong>Autism</strong> <strong>and</strong> <strong>Developmental</strong> <strong>Disabilities</strong>-September 2012

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