This case study is a performance improvement project focusing on the organizational system and management practices in a center for children with autism. Staff interviews and a process improvement map were used to assess the organization and assist in identifying potential solutions. The analysis led to treatment integrity as the key outcome measure. The center's administrative team decided to implement treatment delivery process changes to impact treatment integrity measures. This study measured data sheet changes and treatment implementation to determine the impact of process changes on treatment integrity. High levels of variability in treatment integrity across all teams were observed, and results suggest that a process change was not enough to increase treatment integrity. Further study is necessary to investigate measurement and impact of treatment integrity on desired outcomes for children with autism.

Behaviors related to joint attention have been described by behavior analysts and developmental psychologists alike as having a distinctly social function. Children with autism often do not emit these behaviors. Research on the collateral effects of teaching joint attention suggests far reaching consequences. Given the reported benefits of using these behaviors, and the theoretical descriptions of their function, we assessed joint attention as a collateral effect of a naturalistic parent training program. Data suggest that although these behaviors were not directly targeted, they increased in all 3 children. Implications of parent training goals and child intervention targets are discussed in terms of a behavior analysis of joint attention and child development.

Applied behavior analysis (ABA) remains at the forefront of effective interventions for children with autism. In some cases, the high cost of treatment and other environmental factors limit families from accessing services. The Easter Seals North Texas (ESNT) Autism Treatment Program (ATP) was created to reach high risk, underserved families in the North Texas area by providing early intensive behavioral intervention (EIBI) services to children with autism. This evaluation was conducted to analyze the success of meeting the ESNT ATP program mission to provide culturally responsive ABA to children. The evaluation includes the design of assessments, the analysis of the assessment data, and a set of recommendations to maintain and increase program accessibility.

Fung, Suk Chun. / Thesis (Ed.D.)--Chinese University of Hong Kong, 2011. / Includes bibliographical references (leaves 328-337). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract also in Chinese.

University of Macau / Faculty of Social Sciences and Humanities / Department of Psychology

This study reports and evaluates child outcome measures at a non-profit autism treatment program providing applied behavior analysis (ABA) based services to children age 3 to 8. To accomplish this, a review was conducted of available outcome data for a 1 year period. Several categories of outcome measures have been reported in the autism treatment literature (post-intervention educational placement, cognitive status, developmental and achievement status and/or progress, autism symptom reduction, and diagnostic reclassification). This study found that the program relied on 2 sources of data to evaluate child outcome: Hawaii Early Learning Profile® and program goal mastery. Children are making progress as indicated by these measures. The findings are discussed in relation to broader outcome recommendations.