Background: Autism Spectrum Disorder (ASD) is a neurodevelopmental disability diagnosed in an increasing number of children. ASD has few effective treatment options. This study describes ASD prevalence and use of psychotropic medications among children and youth in Manitoba. Methodology: Administrative data from the Repository at the Manitoba Centre for Health Policy (MCHP) were used to create a cohort of children born in Manitoba. Diagnoses of ASD were based on medical claim records, hospital abstracts, or special education funding data. Results: Between 2010 and 2014, 3079 Manitoba children aged 0-14 had an ASD diagnosis (1.2% prevalence). Child demographic, health and education, and family environmental characteristics were compared between children with ASD and children in the general population; children with ASD with and without psychotropic medications; and among all children with psychotropic medications. Children with ASD were more likely to have a psychotropic medication than children in the general population. Children with ASD were more likely to receive a psychotropic medication if they were older than age 4, were diagnosed with ASD later than age 4, received special education funding, had participated in behavioural programming, had a co-occurring psychiatric condition, had a sibling diagnosed with ASD or had ever been in the care of child welfare. This study demonstrated that children with ASD received a greater number and intensity of psychotropic medications than children in the general population with similar demographic and psychiatric conditions. Conclusions: In Manitoba, the prevalence of ASD is increasing and differences exist between children with ASD and children in the general population. Future research and treatment planning for children with mental disorders and developmental disabilities should consider the appropriateness of the patterns of medication use and equity of treatment interventions found in this study. / October 2016

Autism spectrum disorder (ASD) has been attributed to genetic and non-genetic risk factors. Of the non-genetic factors, prenatal and perinatal complications have been extensively investigated, though few associations have been replicated consistently. We selected 2,562 families with at least one individual with ASD and one unaffected sibling. We investigated the relationships between 29 prenatal and perinatal complications and ASD, while considering the influences of confounding factors, comorbid conditions, and different ASD definitions. Although many complications were associated with ASD in the pairwise comparisons, only haematological disorders of the newborn and lower Apgar scores remained significant after adjusting for the effects of the confounders. After removing individuals with congenital anomalies, only 5-minute Apgar scores were associated with ASD. In conclusion, after considering confounding effects and four ASD definitions, several perinatal complications were associated with ASD with moderate effect sizes. Furthermore, comorbid conditions with ASD appear to be intertwined in these relationships. / October 2016

The purpose of this study was to examine the efficacy of an ancillary procedure, the Mowrer imitation paradigm, in conjunction with an ongoing generalized imitation program. It was hypothesized that the ancillary program would accelerate the acquisition of vocal imitation relative to a situation In which the generalized imitation procedure was employed alone.

No description available.

The effect of a reinforcer on behavior is largely determined by the schedule in which it is implemented. One type of reinforcement schedule that has not been explored extensively is conjugate reinforcement. Previous researchers have used conjugate schedules to evaluate a reinforcer's effects on behavior and as an assessment tool. However, none have explored how to effectively engineer conjugate schedules in applied settings. The current study explores the effectiveness of conjugate reinforcement implemented by several interventionists across a variety of responses, reinforcers, and in a wide range of participants with autism. The results indicated that delivering social, audio/visual, and tangible stimuli in a conjugate schedule resulted in increased durations of various target responses (e.g. social skills, motor skills) and non-targeted measures (e.g., approach, social bids, speed) across participants. Considerations regarding reinforcer and response selection in implementing conjugate schedules in applied settings are provided.

The aim of this work is to describe cognitive processing of a child with autistic spectrum disorder, to pause on its mechanisms and causes. The first part of the work presents a theoretical background for following interpretation of the data acquired in the research. Firstly it briefly defines autistic spectrum disorders, cognitive functioning of individuals with the disorder and above all two main psychological theories of autism: Theory of Mind (S. B. Cohen) and Weak Central Coherence Theory (U. Frith). The second part of the work recounts a process of the research. Its focus lies in a long-lasting work with a girl with autistic spectrum disorder and a girl from intact population. The both girls went through standard theory of mind tests, reading exams aimed at apprehension and mathematic written exercises. Research data come mainly from following interviews with the girls and observation of their procedure of thinking. Gained data were confronted with the mentioned psychological theories of autism. Final analysis shows typical characteristics of cognitive processing of the particular child with autism: detail focusing, physical thinking and perseverance.

This case study research was conducted to determine if three moderately priced iPad apps could assist children with autism in the area of social skill development. Five participants from Grades 6-12 were selected for this study. The researcher met with each participant three times. After being given a demonstration, each participant was observed using the apps and then asked questions relating to their experiences using them. The researcher and participants discussed the themes of the apps to determine whether the participant comprehended the social situations that were presented. The results of each case study varied based on the cognitive abilities of the participant. All participants had success with at least one app and indicated that they would continue using the apps in the future. More research is needed to determine the true potential of the iPad as a tool for children with autism to enhance their social skills. / May 2016

Early intensive behavioral intervention (EIBI) is currently the most studied and most practiced intervention for children with autism spectrum disorder. There has been increasing evidence supporting the use of EIBI, but there have been limited evaluations of the effectiveness of EIBI intensity. The current study addressed this gap using data obtained from St.Amant Autism Program and comparing children receiving an average of 22 and 30 hours per week for a period of one year. Significant main effects of time were found for standardized measures of cognitive functioning, adaptive functioning, and autism severity. Future research should aim to address this research question with a larger sample size and a low-intensity control group. / May 2016

Acceptance and Commitment Therapy (ACT) is a behaviorally-based intervention that promotes values-driven behavior change. ACT teaches skills such as acceptance, present-moment awareness, commitment to values-based actions, and new ways to interact with stressful and anxiety provoking thoughts and feelings. Mindfulness is a popular component of present moment awareness that is often taught within an ACT model of intervention. The purpose of this study was to determine if mindfulness alone or ACT could influence the psychological flexibility and attention of children with autism and related disabilities aged 7-18. Ten participants received 4 weeks of either ACT or mindfulness training in a group therapy setting twice a week. A series of psychological flexibility and mindfulness questionnaires were administered to the participants along with computerized and physical attention tasks prior to and after completing the series of ACT and mindfulness activities sequence. The overall result of the study indicated that ACT may be a way to provide more wholistic services to children and adolescents with autism compared to mindfulness only, but that both interventions have value within this serviced population.

The purpose of the current study is to apply delay and probability discounting in areas of treatment options, problem behaviors, and restraint usage with staff members. There was a total of 31 participants that completed three probability and delay discounting surveys either on the computer or by paper/pencil. Before the three surveys, they completed a demographic questionnaire. Participants had to choose from two choice, one that was immediate and the other had a delay in time. Survey one gave a scenario for treatment options, survey two had a scenario for problem behavior management, and then survey three’s scenario was about engaging in restraints. For each of the surveys, the results showed that staff did not engage in discounting. Survey one the AUC scores ranged from 0 to 0.99 (M= 0.77, SD=0.31) with R² value of 0.4156, survey two’s AUC score ranged from 0 to 0.99 (M= 0.54, SD=0.38) with R² value of 0.4356 and survey three’s AUC scores ranged from 0 to 0.99 (M= 0.53, SD=0.40) and R² value of 0.3498. Three different functions were used to show the best fit for the discounting curve, exponential, logarithmic, and polynomial. Overall, the three surveys showed that the participants had a lower level of impulsivity.