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E-raamat: Treating Feeding Challenges in Autism: Turning the Tables on Mealtime

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(Director of Feeding Services and Program Director, FirstSteps for Kids), (University of Southern California and FirstSteps for Kids, Los Angeles, CA, USA)
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Treating Feeding Challenges in Autism: Turning the Tables on MealtimeSuurem pilt
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Treating Feeding Challenges in Autism: Turning the Tables on Mealtime distills existing research on feeding disorders treatment into the very best, most effective and most practical strategies for practitioners to implement with their clients who have autism and other developmental and behavioral disorders. The book focuses on the few but highly effective feeding treatment procedures that work in the large percentage of cases.

The book describes each procedure in practical, how-to language, with the goal of explaining how to implement them in the real-life settings in which practitioners actually work. The book includes a large variety of sample datasheets, intervention plans and graphs of sample data to serve as practical examples to guide clinicians through the process of selecting, implementing, analyzing and troubleshooting feeding interventions.

  • Summarizes the basic behavioral principles underlying feeding disorders
  • Discusses the origin and function of feeding disorders
  • Details the assessment of feeding disorders
  • Covers practical issues related to feeding environment
  • Lists materials needed for implementing feeding interventions
  • Explains how to transfer strategies and procedures from the practitioner to parents and caregivers
  • Includes sample datasheets, intervention plans and graphs of sample data

Muu info

A thorough treatment of evidence-based approaches for treating feeding challenges in individuals with autism and other developmental and behavioral disorders
Biography xi
Series Foreword: Critical Specialities in Treating Autism and Other Behavioral Challenges xiii
Acknowledgments xv
Chapter 1 Introduction
1(6)
1.1 Common Feeding Problems
2(4)
1.1.1 Selectivity by Type
3(1)
1.1.2 Selectivity by Texture
4(1)
1.1.3 Selectivity by Presentation
4(1)
1.1.4 Food/Fluid Refusal
4(1)
1.1.5 Behavior Problems
5(1)
1.1.6 Skill Deficits
5(1)
1.1.7 Medical Involvement
5(1)
1.2 Prevalence and Social Significance
6(1)
Chapter 2 Medical and Behavioral Origins of Feeding Problems
7(10)
2.1 Medical Origins and Physiological Considerations
7(3)
2.1.1 Autism-Specific Origins
8(1)
2.1.2 Oral Motor Strength
8(1)
2.1.3 Multidisciplinary Assessment
9(1)
2.2 Behavioral Origins of Feeding Problems
10(3)
2.2.1 Escape Function
11(1)
2.2.2 Attention Function
12(1)
2.2.3 Tangible Function
12(1)
2.3 Behavioral Assessment
13(4)
2.3.1 Indirect Assessment
13(1)
2.3.2 Food Log
13(1)
2.3.3 Functional Assessment
14(1)
2.3.4 Texture Assessment
15(1)
2.3.5 Idiosyncratic Assessments
16(1)
2.3.6 Ecological Variables
16(1)
Chapter 3 Preparing for Meals
17(18)
3.1 Prerequisite Skills
17(1)
3.1.1 Utensil Usage
17(1)
3.1.2 Building Rapport
18(1)
3.1.3 Instructional Control
18(1)
3.2 Treatment Initiation
18(1)
3.2.1 Age
18(1)
3.2.2 Individual Factors
19(1)
3.3 Setting Treatment Objectives and Parameters
19(4)
3.3.1 Target Behaviors
20(3)
3.4 Measuring Effectiveness: Data Collection
23(5)
3.4.1 Trial by Trial
23(2)
3.4.2 Frequency Count
25(1)
3.4.3 Weighing the Food
26(1)
3.4.4 Weighing the Client
26(1)
3.4.5 Interobserver Agreement Data
26(2)
3.5 Setting Meal Parameters
28(5)
3.5.1 Meal Size/Duration
28(1)
3.5.2 Bite Size
28(1)
3.5.3 Selecting Foods
28(1)
3.5.4 Fluid Intake
29(1)
3.5.5 Food Preparation
30(1)
3.5.6 Meal Termination Criteria
30(1)
3.5.7 Eating Environment
31(1)
3.5.8 Placement
31(1)
3.5.9 Feeding Schedule
32(1)
3.5.10 Creating a Written Feeding Intervention Protocol
32(1)
3.6 Programing for Generalization From the Start
33(2)
Chapter 4 Treatment Components: Positive Reinforcement and Escape Extinction
35(14)
4.1 Positive Reinforcement
35(6)
4.1.1 Choosing Reinforcers
36(3)
4.1.2 Reinforcement Schedules
39(1)
4.1.3 Magnitude/Duration
39(1)
4.1.4 Reinforcement Contingencies
40(1)
4.2 Escape Extinction
41(8)
4.2.1 Procedural Variations of Escape Extinction
42(4)
4.2.2 When Escape Extinction is Not Possible
46(1)
4.2.3 Combining Reinforcement and Extinction
47(2)
Chapter 5 Treatment Components: Antecedent Variables
49(10)
5.1 Exposure
49(1)
5.2 Hunger
50(1)
5.3 Bite Size
50(2)
5.3.1 Advantages
51(1)
5.3.2 Disadvantages
51(1)
5.4 Bite Requirement/Demand Fading
52(1)
5.4.1 Advantages
52(1)
5.4.2 Disadvantages
52(1)
5.5 Blending and Simultaneous Presentation
53(1)
5.5.1 Advantages
53(1)
5.5.2 Disadvantages
54(1)
5.6 Texture Fading and Chewing
54(2)
5.6.1 Chewing Training
55(1)
5.6.2 Advantages
56(1)
5.6.3 Disadvantages
56(1)
5.7 Noncontingent Reinforcement
56(2)
5.7.1 Advantages
57(1)
5.7.2 Disadvantages
57(1)
5.8 High-P/Low-P Sequence
58(1)
5.8.1 Advantages
58(1)
5.8.2 Disadvantages
58(1)
Chapter 6 Common Treatment Packages
59(8)
6.1 Stimulus Fading Plus Differential Reinforcement of Alternative Behavior
59(2)
6.1.1 Advantages
60(1)
6.1.2 Disadvantages
61(1)
6.2 Differential Reinforcement of Alternative Behavior Plus Escape Extinction
61(1)
6.2.1 Advantages
61(1)
6.2.2 Disadvantages
61(1)
6.3 Differential Reinforcement of Alternative Behavior Plus Reinforcement Thinning Plus Demand Fading Plus Escape Extinction
62(1)
6.3.1 Advantages
63(1)
6.3.2 Disadvantages
63(1)
6.4 Noncontingent Reinforcement Plus Escape Extinction
63(1)
6.4.1 Advantages
63(1)
6.4.2 Disadvantages
64(1)
6.5 Noncontingent Reinforcement Plus Nonexclusionary Timeout
64(3)
6.5.1 Advantages
66(1)
6.5.2 Disadvantages
66(1)
Chapter 7 Treatment Management
67(16)
7.1 Staffing
67(3)
7.1.1 Therapists
67(3)
7.1.2 Supervisors
70(1)
7.2 Management Models
70(3)
7.2.1 Direct Supervision
71(1)
7.2.2 Telemedicine
72(1)
7.3 Choosing Treatment Components and Initial Treatment Design
73(2)
7.4 Treatment Evaluation via Graphing and Data Analysis
75(8)
7.4.1 Visual Analysis
76(1)
7.4.2 Experimental Designs
76(7)
Chapter 8 Caregiver Training and Follow-Up
83(14)
8.1 Caregiver Training
83(6)
8.1.1 When to Include Parents
84(1)
8.1.2 Variables that Affect Parent Training
85(2)
8.1.3 Incorporating Values
87(1)
8.1.4 Short-Term Versus Long-Term Outcomes
88(1)
8.2 Collaboration With Other Professionals
89(1)
8.3 Planning for Generalization and Maintenance
90(7)
8.3.1 Generalization
90(1)
8.3.2 Maintenance
91(6)
Chapter 9 Troubleshooting
97(6)
9.1 Problematic Behaviors
97(6)
9.1.1 Expels
97(1)
9.1.2 Packing
98(1)
9.1.3 Vomiting
99(1)
9.1.4 Gagging
100(1)
9.1.5 Discontinuing Target Foods
100(1)
9.1.6 Discontinuation of Intervention
101(2)
Conclusion 103(2)
Appendix A Further Reading 105(2)
Appendix B Sample Feeding Protocol 107(4)
Appendix C Sample Feeding Protocol 111(4)
Appendix D Sample Feeding Protocol 115(4)
References 119(4)
Index 123
Dr. Jonathan Tarbox is the Co-Founder and Program Director of the Master of Science in Applied Behavior Analysis program at the University of Southern California, as well as Director of Research at FirstSteps for Kids. Dr. Tarbox is the past Editor-in-Chief of the journal Behavior Analysis in Practice, a Board Member of the ABA Task Force to Eradicate Social Injustice, and a member of the Advisory Board of the Women in Behavior Analysis (WIBA) conference. He has published five books on applied behavior analysis and autism treatment, is the Series Editor of the Elsevier book series Critical Specialties in Treating Autism and Other Behavioral Challenges, and an author of over 90 peer-reviewed journal articles and chapters in scientific texts. His research focuses on behavioral interventions for teaching complex skills to individuals with autism, Acceptance and Commitment Training (ACT), and applications of applied behavior analysis to issues of diversity and social justice. Taira Lanagan Bermudez, MS, BCBA, is the Director of Feeding Services and Clinical Program Director at FirstSteps for Kids. Ms. Bermudez is devoted to treatment evaluation, research, and the dissemination of behavior analysis, particularly related to behavioral feeding intervention. She regularly presents at autism and ABA conferences and is an author of several scientific papers and book chapters. Currently, she directly implements and supervises feeding intervention, as well as telehealth treatment and training of parents and professionals.
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