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etadd_47(3) - Division on Autism and Developmental Disabilities

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Figure 2. Jeremy’s Progress in Play Skills <strong>and</strong> MLU. Jeremy’s baseline was 7 sessi<strong>on</strong>s (3.5 weeks), instructi<strong>on</strong><br />

<strong>and</strong> generalizati<strong>on</strong> were 13 sessi<strong>on</strong>s (6.5 weeks), <strong>and</strong> maintenance was two sessi<strong>on</strong>s (1 week) with a<br />

total of 35 sessi<strong>on</strong>s (11 weeks). In training sessi<strong>on</strong> #4, Jeremy mastered play level 5. In training<br />

sessi<strong>on</strong> #7, Jeremy mastered play level 6. In training sessi<strong>on</strong> #12, Jeremy mastered play level 8. At<br />

training sessi<strong>on</strong> #13, Jeremy was at level 10 (not mastered/left at this level). The highest level of play<br />

observed in any sessi<strong>on</strong> was level 13.<br />

the generalizati<strong>on</strong> sessi<strong>on</strong>s as well. Although<br />

his play skills in generalized sessi<strong>on</strong>s were not<br />

as developmentally high as in the instructi<strong>on</strong><br />

sessi<strong>on</strong>s, he clearly showed progress in his play<br />

skills. In terms of MLU, Jeremy was primarily<br />

n<strong>on</strong>-verbal (MLU 0) throughout baseline<br />

<strong>and</strong> for the first 5 weeks of the interventi<strong>on</strong>,<br />

after which his average MLU increased from<br />

week 6 <strong>and</strong> through the end of the interventi<strong>on</strong>.<br />

Jeremy’s average MLU was 1.7 (sessi<strong>on</strong><br />

range of 0–2.7) during interventi<strong>on</strong>, <strong>and</strong> his<br />

average MLU in the maintenance phase was<br />

1.6. In generalized sessi<strong>on</strong>s, Jeremy began to<br />

use some language even before he showed<br />

that language in the instructi<strong>on</strong>al sessi<strong>on</strong>s.<br />

This was positive <strong>and</strong> c<strong>on</strong>tinued in the generalized<br />

sessi<strong>on</strong>s fairly c<strong>on</strong>sistently. Jeremy’s<br />

PLS-4 receptive scores improved to 39 m<strong>on</strong>ths<br />

<strong>and</strong> expressive scores improved to 41 m<strong>on</strong>ths.<br />

Ryan showed a progressi<strong>on</strong> during the interventi<strong>on</strong><br />

phase which was notably main-<br />

tained in the generalizati<strong>on</strong> sessi<strong>on</strong>s based <strong>on</strong><br />

average level of play achieved (Figure 3). It is<br />

to be noted that during Ryan’s baseline, he<br />

exhibited single acts at level 7/9, but his average<br />

level of play was 4.9 (range 2–7/9). Thus,<br />

we began instructi<strong>on</strong> at level 6. He immediately<br />

showed mastery of this level in generalized<br />

situati<strong>on</strong>s after <strong>on</strong>e training sessi<strong>on</strong>, so we<br />

moved to instructi<strong>on</strong> at level 7/9 <strong>and</strong> he progressed<br />

through emergence at level 10. In the<br />

maintenance phase, the highest level of play<br />

exhibited by Ryan was level 14, <strong>and</strong> his average<br />

level of play was 9.8 (range of 2–14). Ryan was<br />

primarily n<strong>on</strong>-verbal (MLU 0) throughout<br />

baseline, but made rapid initial gains in his<br />

MLU during the interventi<strong>on</strong> phase (MLU <br />

1.7, with sessi<strong>on</strong> range of 0–3.0) <strong>and</strong> in the<br />

generalized sessi<strong>on</strong>s. Those gains which were<br />

maintained in the maintenance phase<br />

(MLU 2.9) with variati<strong>on</strong> in his MLU from<br />

sessi<strong>on</strong> to sessi<strong>on</strong>. His PLS-4 scores improved<br />

312 / 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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