13.07.2015 Views

Supporting adults with autism spectrum disorders in the ... - IOS Press

Supporting adults with autism spectrum disorders in the ... - IOS Press

Supporting adults with autism spectrum disorders in the ... - IOS Press

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

114 C.M. Schall / PBS: <strong>Support<strong>in</strong>g</strong> <strong>adults</strong> <strong>with</strong> ASD <strong>in</strong> <strong>the</strong> workplaceior. The true success of <strong>the</strong> plan was that DJ’s job wasmore secure after than prior to <strong>the</strong> implementation ofPBS.4. Directions for future researchThis paper has reviewed <strong>the</strong> research on employmentcharacteristics and supports for persons <strong>with</strong> ASD,described <strong>the</strong> PBS approach, and presented a case todemonstrate <strong>the</strong> application of PBS at work. Despite<strong>the</strong> f<strong>in</strong>d<strong>in</strong>g that PBS is an evidence-based practice for<strong>in</strong>dividuals <strong>with</strong> ASD, <strong>the</strong>re is little research confirm<strong>in</strong>gthat f<strong>in</strong>d<strong>in</strong>g <strong>in</strong> workplace sett<strong>in</strong>gs [7, 34]. Given<strong>the</strong> challenges that <strong>in</strong>dividuals <strong>with</strong> ASD confront atwork, research<strong>in</strong>g <strong>the</strong> implementation of PBS at workis a critical research priority. There are many questionsthat arise <strong>in</strong> this context. First, I proposed thatassess<strong>in</strong>g behavior and implement<strong>in</strong>g positive behaviorsupports <strong>in</strong> <strong>the</strong> workplace may present challengesthat could <strong>in</strong>terfere <strong>with</strong> <strong>the</strong> daily operation of <strong>the</strong> bus<strong>in</strong>ess.Thus <strong>the</strong> first question is; what assessments andwhat types of work supports are most likely to <strong>in</strong>creasesuccess <strong>in</strong> <strong>the</strong> work place <strong>with</strong>out disruption? Second,what array of supports will lead to <strong>in</strong>dependence, orbetter said, <strong>in</strong>terdependence at work? It is unreasonableto expect employers to implement highly stylizedbehavioral <strong>in</strong>terventions, thus <strong>the</strong> concept of contextualfit is an important one [1]. What are <strong>the</strong> types of assessments,<strong>in</strong>terventions, and data collection proceduresthat are most acceptable to employers? Individuals <strong>with</strong>ASD have demonstrated an <strong>in</strong>creased need for <strong>in</strong>tensityacross <strong>the</strong>ir lifespan, from early childhood throughadulthood. Yet, <strong>the</strong> availability of supports dim<strong>in</strong>ishesgreatly <strong>in</strong> adulthood. Therefore, from a policy perspective,what services are necessary to prepare and support<strong>in</strong>dividuals <strong>with</strong> ASD at work? F<strong>in</strong>ally, what work supportmodels result <strong>in</strong> <strong>the</strong> highest level of successfulplacement for <strong>in</strong>dividuals <strong>with</strong> ASD?Most <strong>adults</strong> <strong>with</strong>out disabilities def<strong>in</strong>e <strong>the</strong>mselves by<strong>the</strong>ir work. Work is, arguably one of <strong>the</strong> most importantendeavors <strong>in</strong> which humans engage. Yet, researchregard<strong>in</strong>g <strong>in</strong>dividuals <strong>with</strong> ASD has largely focusedon supports for toddlers and young children between<strong>the</strong> ages of three to six [21]. Clearly, it is a priority toidentify <strong>the</strong> skills and supports necessary to <strong>in</strong>crease<strong>in</strong>dividuals <strong>with</strong> ASD’s participation <strong>in</strong> employment.As demonstrated through out <strong>the</strong> school life of childrenand youth <strong>with</strong> ASD, PBS is a highly successful <strong>in</strong>terventionthat results <strong>in</strong> significant reductions <strong>in</strong> problembehavior [7]. There is every reason to believe that PBSwill play an important role <strong>in</strong> <strong>the</strong> adult work lives of<strong>in</strong>dividuals <strong>with</strong> ASD.References[1] R.W. Alb<strong>in</strong>, J.M. Lucyshyn, R.H. Horner and K.B. Flannery,Contextual fit for behavioral support plan: A model for goodnessof fit, <strong>in</strong>: Positive Behavior Support: Includ<strong>in</strong>g People<strong>with</strong> Difficult Behavior <strong>in</strong> <strong>the</strong> Community, L.K. Koegel, R.L.Koegel and G. Dunlap, eds, Brookes, Baltimore, 1996.[2] L.M. Bambara and L. Kern, Individualized Supports for Students<strong>with</strong> Problem Behaviors: Design<strong>in</strong>g Positive BehaviorPlans, Guilford <strong>Press</strong>, New York, 2005.[3] L.M. Bambara and T.P. Knoster, Design<strong>in</strong>g Positive BehaviorSupport Plans (2nd ed.), American Association on MentalRetardation, Wash<strong>in</strong>gton, DC, 2009.[4] S. Bell<strong>in</strong>i and J. Akullian, A meta-analysis of video model<strong>in</strong>gand video self-model<strong>in</strong>g <strong>in</strong>terventions for children and adolescents<strong>with</strong> <strong>autism</strong> <strong>spectrum</strong> <strong>disorders</strong>, Exceptional Children 73(2007), 264–287.[5] E. Billstedt, C. Gillberg and C. Gillberg, Autism after adolescence:Population-based 13–22 year follow-up study of 120<strong>in</strong>dividuals <strong>with</strong> <strong>autism</strong> diagnosis <strong>in</strong> childhood, Journal ofAutism and Developmental Disorders 35 (2005), 351–360.[6] E.G. Carr, G. Dunlap, R.H. Horner, A.P. Turnbull, W. Sailor,J.L. Anderson, R.W. Alb<strong>in</strong>, L.K. Koegel and L. Fox, Positivebehavior support: Evolution of an applied science. Journal ofPositive Behavior Interventions 4 (2002), 4–16.[7] E.G. Carr, R.H. Horner, A.P. Turnbull, J.G. Marquis, D.M.McLaughl<strong>in</strong>, M.L McAtee, C.E. Smith, K.A. Ryan, M.B. Ruef,A. Doolabh and D. Braddock, Positive Behavior Support forPeople <strong>with</strong> Developmental Disabilities: A Research Syn<strong>the</strong>sis,AAMR, Wash<strong>in</strong>gton, DC, 1999.[8] E.G. Carr, L. Lev<strong>in</strong>, G. McConnachie, J.I. Carlson, D.C. Kempand C.E. Smith, Communication-Based Intervention for ProblemBehavior: A User’s Guide for Produc<strong>in</strong>g Positive Change,Brookes, Baltimore, 1995.[9] M. Cederlund, B. Hagberg, E. Billstedt, I.C. Gillberg andC. Gillberg, Asperger syndrome and <strong>autism</strong>: A comparativelongitud<strong>in</strong>al follow-up study more than 5 years after orig<strong>in</strong>aldiagnosis. Journal of Autism and Developmental Disorders 38(2008), 72–85.[10] R.E. Cimera and R.J. Cowan, The costs of services and employmentoutcomes achieved by <strong>adults</strong> <strong>with</strong> <strong>autism</strong> <strong>in</strong> <strong>the</strong> US,Autism 13 (2009), 285–302.[11] L. Crane, L. Goddard and L. Prang, Sensory process<strong>in</strong>g <strong>in</strong><strong>adults</strong> <strong>with</strong> <strong>autism</strong> <strong>spectrum</strong> <strong>disorders</strong>, Autism 13 (2009),215–228.[12] G. Dunlap and E.G. Carr, Positive behavior support and developmentaldisabilities: A summary and analysis of <strong>the</strong> research,<strong>in</strong>: Handbook of Developmental Disabilities, S.L. Odom, R.H.Horner, M.E. Snell and J. Blacher, eds, Guilford <strong>Press</strong>, NewYork, 2007.[13] G. Dunlap, R. Iovannone, C. English, D. K<strong>in</strong>caid, K. Wilson,K. Christiansen and P. Stra<strong>in</strong>, Prevent-Teach-Re<strong>in</strong>force: TheSchool Based Model of Individualized Positive Behavior Support,Brookes, Baltimore, In <strong>Press</strong>.[14] V.M. Durand and E. Merges, Focus on Autism and O<strong>the</strong>r DevelopmentalDisabilities 16 (2001), 110–119.[15] L.C. Eaves and H.H. Ho, Young adult outcome of <strong>autism</strong> <strong>spectrum</strong>disorder, Journal of Autism and Developmental Disorders38 (2008), 739–747.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!