Advertisement

Behavioral Interventions and Supports in Preparation for and During Transitions in Life Stages

  • Ronne Justine Proch
  • Benjamin Lee BatesEmail author
Chapter

Abstract

Comprehensive treatment of patients with IDD is multidimensional and can have a lasting impact on patients starting in childhood and as they transition into adulthood. Notably, pharmacology does have an important role in treatment; however, the best outcomes typically result from a combination of both pharmacotherapy and alternative behavioral therapies such as applied behavior analysis (ABA). ABA and similar therapies are often most effective when used in multiple settings (i.e., home, school, clinic) and include family involvement in collaboration with providers. Research has also shown that patients with IDD seek to be understood and those whom are encouraged to participate in their care via self-determination and choice, especially with respect to transitional topics such as employment and living environment, tend to have better overall outcomes than those who do not. This chapter explores the different types of behavioral therapies used for patients with IDD, the importance of family and patient involvement in formulating care plans, and the universal transitional phases that these patients encounter from a perspective that is unique to those with IDD.

Keywords

Self-determination and choice Early Start Denver Model Supported employment Independence Transition into adulthood 

Abbreviations

ABA

Applied behavior analysis

IPS

Individual placement support

PBS

Positive behavior support

SIT

Sensory integration therapy

References

  1. 1.
    Ben-Itzchak E, Zachor DA. The effects of intellectual functioning and autism severity on outcome of early behavioral intervention for children with autism. Res Dev Disabil. 2007;28(3):287–303.  https://doi.org/10.1016/j.ridd.2006.03.002.CrossRefPubMedGoogle Scholar
  2. 2.
    Burke MM, et al. Individual and family correlates of community living options among adults with intellectual and developmental disabilities. Inclusion. 2017;5(4):279–92.  https://doi.org/10.1352/2326-6988-5.4.279.CrossRefGoogle Scholar
  3. 3.
    Carr EG, et al. Positive behavior support. J Posit Behav Interv. 2002;4(1):4–16.  https://doi.org/10.1177/109830070200400102.CrossRefGoogle Scholar
  4. 4.
    Dawson G, et al. Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model. Pediatrics. 2009;125(1)  https://doi.org/10.1542/peds.2009-0958.CrossRefGoogle Scholar
  5. 5.
    Henninger NA, Taylor JL. Family perspectives on a successful transition to adulthood for individuals with disabilities. Intellect Dev Disabil. 2014;52(2):98–111.  https://doi.org/10.1352/1934-9556-52.2.98.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Kraemer BR, Blacher J. Transition for young adults with severe mental retardation: school preparation, parent expectations, and family involvement. Ment Retard. 2001;39(6):423–35.  https://doi.org/10.1352/0047-6765(2001)039<0423:tfyaws>2.0.co;2.CrossRefPubMedGoogle Scholar
  7. 7.
    Lovaas OI. Behavioral treatment and normal educational and intellectual functioning in young autistic children. J Consult Clin Psychol. 1987;55(1):3–9.  https://doi.org/10.1037//0022-006x.55.1.3.CrossRefPubMedGoogle Scholar
  8. 8.
    Pfeiffer BA, et al. Effectiveness of sensory integration interventions in children with autism Spectrum disorders: a pilot study. Am J Occup Ther. 2011;65(1):76–85.  https://doi.org/10.5014/ajot.2011.09205.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Schalock RL, et al. Conceptualization, measurement, and application of quality of life for persons with intellectual disabilities: report of an international panel of experts. Ment Retard. 2002;40(6):457–70.  https://doi.org/10.1352/0047-6765(2002)040<0457:cmaaoq>2.0.co;2.CrossRefPubMedGoogle Scholar
  10. 10.
    Sugai G, et al. Applying positive behavior support and functional behavioral assessment in schools. J Posit Behav Interv. 2000;2(3)  https://doi.org/10.1177/109830070000200302.
  11. 11.
    Thompson C, et al. To be understood: transitioning to adult life for people with autism spectrum disorder. Plos One. 2018;13(3)  https://doi.org/10.1371/journal.pone.0194758.CrossRefGoogle Scholar
  12. 12.
    Virués-Ortega J. Applied behavior analytic intervention for autism in early childhood: meta-analysis, meta-regression and dose–response meta-analysis of multiple outcomes. Clin Psychol Rev. 2010;30(4):387–99.  https://doi.org/10.1016/j.cpr.2010.01.008.CrossRefPubMedGoogle Scholar
  13. 13.
    Wehman P, et al. Effect of supported employment on vocational rehabilitation outcomes of transition-age youth with intellectual and developmental disabilities: a case control study. Intellect Dev Disabil. 2014;52(4):296–310.  https://doi.org/10.1352/1934-9556-52.4.296.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Wright State University, Boonshoft School of MedicineDaytonUSA
  2. 2.Wright-Patterson AFB, Department of PsychiatryDaytonUSA
  3. 3.Registered Behavior Technician, S/OTUniversity of Findlay, Department of Occupational TherapyFairbornUSA

Personalised recommendations