ASD ASD Intervention and Treatment Approaches 2 — Questions and Answers
Question 1: Pivotal Response Treatment (PRT) targets which 'pivotal' areas to produce broad improvements in ASD?
- Motivation, self-management, and responsivity to multiple cues (Correct answer)
- Verbal behavior and imitation only
- Fine motor skills and self-care
- Academic readiness and literacy
Correct answer: Motivation, self-management, and responsivity to multiple cues
PRT targets pivotal areas like motivation and self-management because improvements in these areas generalize to many other behaviors.
Question 2: A behavior intervention plan (BIP) for a student with ASD should ALWAYS be based on results from which process?
- Standardized IQ testing
- Functional Behavior Assessment (FBA) (Correct answer)
- Adaptive behavior rating scales alone
- Parent interview only
Correct answer: Functional Behavior Assessment (FBA)
An FBA identifies the function of the behavior (attention, escape, sensory, access) so the BIP can teach a functionally equivalent replacement behavior.
Question 3: Which medication is FDA-approved specifically for the treatment of irritability associated with ASD in pediatric patients?
- Methylphenidate
- Aripiprazole (Abilify) (Correct answer)
- Fluoxetine
- Clonidine
Correct answer: Aripiprazole (Abilify)
Aripiprazole (Abilify) and risperidone are the only FDA-approved medications for irritability (aggression, self-injury, tantrums) in ASD.
Question 4: Naturalistic Developmental Behavioral Interventions (NDBIs) combine which two theoretical frameworks?
- Psychoanalysis and cognitive therapy
- ABA principles and developmental science (Correct answer)
- Occupational therapy and speech-language pathology
- Floortime and RDI
Correct answer: ABA principles and developmental science
NDBIs like JASPER and PRT blend ABA's reinforcement principles with developmental science's focus on social-communication and play.
Question 5: When implementing a token economy with a learner with ASD, tokens should be exchanged for backup reinforcers on a schedule that is INITIALLY:
- Very thin (every 20+ responses)
- Very dense (every 1–2 responses) (Correct answer)
- Fixed at 10 responses per token
- Variable and unpredictable
Correct answer: Very dense (every 1–2 responses)
Beginning with a dense schedule ensures the token quickly gains value as a conditioned reinforcer before gradually thinning the schedule.
Question 6: Which of the following is a KEY principle distinguishing SCERTS (Social Communication, Emotional Regulation, Transactional Support) from other ASD models?
- It focuses exclusively on verbal communication
- It prioritizes spontaneous and functional communication over prompted responses (Correct answer)
- It is designed only for adults with ASD
- It eliminates all behavioral supports
Correct answer: It prioritizes spontaneous and functional communication over prompted responses
SCERTS emphasizes genuine, unprompted communication and emotional regulation as primary goals within meaningful social contexts.
Pivotal Response Treatment (PRT) targets which 'pivotal' areas to produce broad improvements in ASD?