The article I chose
for this week’s blog discusses strategies and intervention for students who are
diagnosed with autism and emotional behavior disorders. I was interested in this article because at
the alternative school I work at, there has been several students I have worked
with that are diagnosed with both ASD and EBD.
The authors in this article researched a multi-tiered problem solving
model (MTPS) and how to implement this model for these students.
The authors begin
the article with a brief review of the prototypical MTPS model which is a
useful framework to address a wide range of student learning and behavioral
problems.
According to Magyar
and Pandolfi, “Several core components
guide assessment and intervention practices and include: (a) a standardized
assessment protocol with decision making guidelines for evaluating and
addressing student support and intervention needs, (b) use of evidence-based
interventions and protocols to address skill deficits related to participation
and learning, (c) a professional development protocol for capacity building,
and (d) a protocol for monitoring the integrity of model implementation.” (Magyar,
Pandolfi, 2012)
The assessment
protocol includes activities such as surveillance, screening, and progress
monitoring. “The assessment protocol
enables personnel to describe the student’s unique developmental, learning, and
behavioral characteristics.” (Magyar, Pandolfi, 2012) The authors also suggest that the
surveillance must be formal for students with ASD regardless of their
placement. The reason the surveillance
must be formal is because of the neurodevelopmental nature of ASD, specific
symptoms can change over time and through interactions with different
contexts. The author recommends that
this assessment is applied prior to the emergence of EBD issues. The next component in the MTPS model is the
intervention protocol. The structure and
interventions of this protocol are very similar to the three tier RTI triangle
model. The first tier is supports and
interventions, the second is targeted intervention, and the third tier is more
targeted supports and interventions.
According to Magyar
and Pandolfi, “Tier 1 supports include: (a) direct instruction on classroom
routines and the establishment and training on scheduling and visual support
systems to support independence in executing the routines, (b) a formalized
classroom management system to assist students in meeting behavioral
expectations that includes posting of classroom rules/expectations, teaching of
the behaviors that enable a student to meet expectations, and differential
reinforcement for appropriate behavior, and (c) various incidental teaching
methods to assist the student to learn and apply functional communication and
social interaction skills needed for classroom participation.” (Magyar,
Pandolfi, 2012)
According to Magyar and Pandolfi, “Tier 2 targeted interventions will be
needed for functional communication, social skills, self-regulation of
repetitive and stereotyped behaviors, and the self-regulation of emotions and
behavior.” (Magyar, Pandolfi, 2012)
According to Magyar
and Pandolfi, Tier 3 addresses student problems that have not responded to Tier
1 and 2 interventions. They include
development of formalized behavior support plans, referral for wraparound and
mental health services, and in some cases, placement in specialized settings
(for those students in the general education setting).” (Magyar, Pandolfi, 2012)
Finally, the authors discussed a case study of this model
at a rural school serving about 5,500 students from diverse backgrounds. The superintendent reported that
approximately five percent of students are diagnosed with ASD. However, the superintendent believes that
many more students present ASD symptoms and are either undiagnosed or not
diagnosed with ASD. Also, the
superintendent reported a high percentage of EBD students among the ASD student
population. To implement this model the
school had to establish a professional learning committee, establish an
assessment protocol, establish the intervention protocol, professional
development: implementing the ASD support model, and monitoring
implementation. The authors reported
that the school had success with the MTPS model. The short comings of the program were the
teachers needed additional professional development, and the teachers who were
not part of the PLC needed the most training on how to implement the
model. The author did not discuss the
success rates of the students or if the model was more effective in a general
education setting or an alternative setting.
Next, I will discuss if the article is useful and if I
would recommend this article to other professionals. Overall, I thought this article was well
written and the research was clear and to the point. I liked how the authors summarized the model
and the methods to implement the model in a school. I thought the three tier intervention graphic
and explanation of the tiers was very informative. Also, I thought case study was informative and
after reading how the school was able to roll out the model, I was clear about
the process. However, the authors in
this article did not discuss the students and there was not data to state if
the program was successful. I would have liked to see more technology examples
and examples of activities the PLC team used as interventions. I would recommend this article to my
colleagues mainly because the tier graphic and explanation of the tiers was
very informative.
In conclusion, because ASD is now classified as a
high-incident disability, and many of the symptoms of EBD can co-exist in
students with ASD. I believe it is
important to find more interventions and research to best serve students who
are diagnosed with ASD and EBD.
References
Magyar, C.
I., & Pandolfi, V. (2012). Considerations
for Establishing a Multi-Tiered Problem-Solving Model for Students with Autism
Spectrum Disorders and Comorbid Emotional-Behavioral Disorders. Psychology
In The Schools, 49(10), 975-987.
I enjoyed reading your review of this model of intervention. I agree that to have some specific examples would have been beneficial to the reader. I think it is interesting that the connection between ASD and EBD go hand-in-hand, and are growing among our special ed population. I also thought it fascinating, and understandable, that the EBD would be added to the diagnosis after the ASD. I think that since the students with ASD have so much trouble with communication, that the EBD grows from that. It also reminded me of the article I did about miscommunication/misbehavior. I wonder if some of the symptoms of EBD that are being observed are not the child's way of communicating and of social interaction that we are misinterpreting as behavior problems. It's an interesting topic to explore.
ReplyDeleteI always appreciate how thorough you are with your blog posts. I enjoyed reading through the research and seeing the connections between ASD and EBD, but I agree that I would have also wanted to know the outcome of whether the program was successful.
ReplyDelete