Skip to main content
×
×
Home

Multidisciplinary Teamwork in Autism: Can One Size Fit All?

  • Karola Dillenburger (a1), Hanns-Rüdiger Röttgers (a2), Katerina Dounavi (a1), Coleen Sparkman (a3), Mickey Keenan (a4), Bruce Thyer (a5) and Christos Nikopoulos (a6)...
Abstract

Multidisciplinary practice has become an accepted approach in many education and social and health care fields. In fact, the right to a multidisciplinary assessment is enshrined in the United Nations Convention of the Rights for Persons with Disabilities (United Nations, 2007). In order to avert a ‘one size fits all’ response to particularly heterogeneous diagnoses, such as autism spectrum disorders (ASD), the National Institute for Clinical Excellence (NICE) recommends multidisciplinary input. Yet, multidisciplinarity lacks empirical evidence of effectiveness, is fraught with conceptual difficulties and methodological incompatibilities, and therefore there is a danger of resorting to an ill-defined eclectic ‘hodgepodge’ of interventions. Virtually all evidence-based interventions in autism and intellectual disabilities are behaviourally based. Not surprisingly, therefore, professionals trained in behaviour analysis to international standards are increasingly becoming key personnel in multidisciplinary teams. In fact, professionals from a range of disciplines seek training in behaviour analysis. In this article we brought together a multidisciplinary group of professionals from education, health, and social care, most of whom have a dual qualification in an allied health, social care, or educational profession, as well as in behaviour anlaysis. Together we look at the initial training in these professions and explore how behaviour analysis can offer a common and coherent conceptual framework for true multidisciplinarity, based on sound scientific knowledge about behaviour, without resort to reifying theories. We illustrate how this unifying approach can enhance evidence-based multidisciplinary practice so that ‘one size’ will fit all.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Multidisciplinary Teamwork in Autism: Can One Size Fit All?
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Multidisciplinary Teamwork in Autism: Can One Size Fit All?
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Multidisciplinary Teamwork in Autism: Can One Size Fit All?
      Available formats
      ×
Copyright
Corresponding author
Address for correspondence should be addressed to: Karola Dillenburger, School of Education, Queen's University Belfast, Belfast, Northern Ireland. Email: k.dillenburger@qub.ac.uk
References
Hide All
American Psychological Association. (2009). Inaugural editorial for Journal of Educational Psychology. Journal of Educational Psychology, 101, 259261.
American Psychiatric Association. (2013). DSM-5. Retrieved November 2, 2011, from www.dsm5.org/
Associated Press. (2014). Autism families push for better, uniform coverage. Retrieved May 27, 2014, from www.journalnow.com/news/state_region/autism-families-push-for-better-uniform-coverage/article_993124b8-e489-11e3-a6b2-001a4bcf6878.html
Australian Psychological Society. (2013). APS College of Educational and Developmental Psychologists. Retrieved May 23, 2013, from www.groups.psychology.org.au/cedp/
Bahsoun P. (2012). Government expands insurance coverage of ABA therapy for treatment of autism. Retrieved July 28, 2013, from www.examiner.com/article/government-expands-insurance-coverage-of-aba-therapy-for-treatment-of-autism
Behavior Analyst Certification Board (BACB). (2014). Eligibility standards. Retrieved June 28, 2014, from http://www.bacb.com/index.php?page=53
Bond C. & Eldridge S. (2012). A challenge of identity for academic primary care: Keeping the whole greater than the sum of its parts. Primary Health Care Research & Development, 13, 403405
British Psychological Society (BPS). (2012). Accreditation through partnership handbook: Guidance for undergraduate and conversion programmes in psychology. Retrieved November 2, 2013, fromhttps://www.bps.org.uk/system/files/user-files/Society%20Member/undergraduate_accreditation_2013_web.pdf
Centres for Disease Control and Prevention. (2013). Data & statistics. Retrieved from www.cdc.gov/ncbddd/autism/data.html
Chasson G.S., Harris G.E., & Neely W.J. (2007). Cost comparison of early intensive behavioral intervention and special education for children with autism. Journal of Child and Family Studies, 16, 401413.
Chiesa M. (2006). ABA is not a therapy for autism. In Keenan M., Henderson M., Kerr K.P., & Dillenburger K. (Eds.), Applied behaviour analysis and autism: Building a future together (pp. 225240). London: Jessica Kingsley Publishers.
Cooper J.O., Heron T.E., & Heward W.L. (2007). Applied behaviour analysis. New York: Macmillan Publishing Company.
Crowder D., & Nordal K. (2013, March). How should the practice of behavior analysis be regulated? Paper presented at the Association for Professional Behavior Analysts 3rd Annual Convention, Las Vegas.
Department of Health, Social Services, and Public Safety. (2013). The estimated prevalence of autism in school age children Northern Ireland. Belfast: Author.
Dillenburger K. (2011). The Emperor's new clothes: Eclecticism in autism treatment. Research in Autism Spectrum Disorder, 5, 11191128.
Dillenburger K. (2012) Autism Spectrum Disorder: Evidence-based interventions. National Association of Primary Care (NAPC) Review, Spring/Summer, 134135.
Dillenburger K., & Keenan M. (2009). None of the As in ABA stands for autism: Dispelling the myths. Journal of Intellectual & Developmental Disability, 34, 193195.
Dillenburger K., McKerr L., & Jordan J.A. (2014). Lost in translation: Public policies, evidence-based practice, and autism spectrum disorder. International Journal of Disability, Development and Education, 61, 134151.
Dounavi K., & Dillenburger K. (2013). Behaviour analysis and evidence-based education. Effective Education, 4 (2), 191207.
Ernsperger L. (2002). Key to success for teaching students with autism. Arlington, TX: Future Horizons.
Fein D., Barton M., Eigsti I.M., Kelley E., Naigles L., . . . Tyson K. (2013) Optimal outcome in individuals with a history of autism. Journal of Child Psychology and Psychiatry, 54, 195205
Freeman S. (2003). Science for sale in the Autism Wars: Medically necessary autism treatment, the court battle for health insurance and why health technology academics are enemy number one. Langley, BC: SKF Books.
Friman P.C., & Jones , K.M. (2005). Behavioral treatment for nocturnal enuresis. Journal of Early and Intensive Behavior Intervention, 4, 259267.
Fryling M.J. (2013). Theory, philosophy, and the practice of applied behavior analysis. European Journal of Behavior Analysis, 14, 4554.
Hart J.E., & Malian I. (2013). A statewide survey of special education directors on teacher preparation and licentiate in autism spectrum disorders: A model for university and state collaboration. International Journal of Special Education, 28, 313.
Health and Care Professions Council. (August 2012). Practitioners psychologists: Standards of proficiency. Retrieved May 20, 2013, from www.hpc-uk.org/assets/documents/10002963SOP_Practitioner_psychologists.pdf
Heward W.L., Heron T.E., Neef N.A., Peterson S.M., Sainato D.M., Cartledge G.Y., . . . Dardig J.C. (2005). Focus on behavior analysis in education: Achievements, challenges, & opportunities. Upper Saddle River, NJ: Pearson/Merrill/Prentice Hall.
Hilton J. (2012). Senate hearing on medical necessity of autism care for military families. Retrieved November 2, 2013, from www.huffingtonpost.com/jeremy-hilton/medical-necessity-of-autism_b_1646537.html
Howard J., Sparkman C., Cohen H., Green G., & Stanislaw H. (2005). A comparison of intensive behavior analytic and eclectic treatments for young children with autism. Research in Developmental Disabilities, 26, 359383.
Howley M. (2009). Foreword. In Cumine V., Dunlop J., & Stevenson G. (Eds.), Autism in the early years: A practical guide (2nd ed., pp. viiviii). New York: Routledge.
Howlin P. (2010). Evaluating psychological treatments for children with autism-spectrum disorders. Advances in Psychiatric Treatment, 16, 133140.
Howlin P. (2013). 70 years of autism research-how far have we come? Autism Europe Newsletter, December, 4–6.
Jacobson J.W., Mulick J.A., & Green G. (1998). Cost-benefit estimates for early intensive behavioral intervention for young children with autism — General model and single state case. Behavioral Interventions, 13, 201226.
Johnston J.M., & Pennypacker H.S. (1993). Strategies and tactics of behavioral research. Hillsdale, NJ: Lawrence Erlbaum.
Jordan R. (2005). Autistic spectrum disorders. In Lewis A. & Norwich B. (Eds.), Special teaching for special children? Pedagogies for inclusion (pp. 110220). Maidenhead, UK: Open University Press.
Keenan M. (1997). W-ing: Teaching exercises for radical behaviourists. In Dillenburger K., O’Reilly M., & Keenan M. (Eds.), Advances in behaviour analysis (pp. 4880). Dublin: University College Dublin Press.
Keenan M. & Dillenburger K., (2012). If all you have is a hammer . . . RCTs and hegemony in science. Research in Autism Spectrum Disorders, 5, 113.
Keenan M., Gallagher S., Dillenburger K., Byrne T., Booth N., Martin N., . . . Douvani K. (2013). Simple Steps Autism: An online teaching platform for the treatment of autism. Retrieved July 23, 2013, from www.simplestepsautism.com
Keenan M., Henderson M., Kerr K.P., & Dillenburger K. (Eds.) (2006). Applied behaviour analysis and autism: Building a future together. London: Jessica Kingsley Publishers.
Lang R., O’Reilly M., Healy O., Rispoli M., Lydon H., Streusand W., . . . Giesbers S. (2013). Sensory integration therapy for autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders, 6, 10041018.
Lord C., Rutter M., Goode S.Heemsbergen J., Jordan H., Mawhood L., & Schopler E. (1989). Autism diagnostic observation schedule: A standardized observation of communicative and social behavior. Journal of Autism and Developmental Disorders, 19, 185212.
Lord C., Rutter M., & LeCouteur A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659685.
McDaniel B., & Dillenburger K. (2014). Child neglect and behavioural parent education: Research and practice. Dorset, UK: Russell House Publishing Ltd.
Maginnis K. (2008). Independent review of autism services. Belfast: Department of Health, Social Services and Public Safety.
Maglione M.A., Gans D., Das L., Timbie J., & Kasari C., for the Technical Expert Panel, and HRSA Autism Intervention Research — Behavioral (AIR-B) Network. (2012). Nonmedical interventions for children with ASD: Recommended guidelines and further research needs. Pediatrics, 130, 169178.
Maine Department of Health and Human Services and the Maine Department of Education. (2009). Interventions for autism spectrum disorders: State of the evidence (Maine Review). Augusta, ME: The Maine Department of Health and Human Services and the Maine Department of Education.
Motiwala S.S., Gupta S., Lilly M.B., Ungar W.J., & Coyte P.C. (2006). The cost-effectiveness of expanding intensive behavioural intervention to all autistic children in Ontario. Healthcare Policy, 1, 135151.
National Autism Center. (NAC). (2009). Evidence-based practice and autism in the schools: A guide to providing appropriate interventions to students with autism spectrum disorders. Randolph, MA: Author. Retrieved June 23, 2013, from http://www.nationalautismcenter.org/pdf/NAC%20Ed%20Manual_FINAL.pdf
National Institute for Health Care Excellence (NICE). (2011). Autism: recognition, referral and diagnosis of children and young people on the autism spectrum. Retrieved from http://guidance.nice.org.uk/CG128.
National Institute for Health Care Excellence (NICE). (2012). Autism: recognition, referral, diagnosis and management of adults on the autism spectrum. Retrieved from http://guidance.nice.org.uk/CG142
National Institute for Health Care Excellence (NICE). (2013a). Autism in general practice (Royal College of General Practitioners). Retrieved from http://www.nice.org.uk/usingguidance/education/AutismInGeneralPractice.jsp
National Institute for Health Care Excellence (NICE). (2013b). Autism: Management of autism in children and young people. Retrieved from www.nice.org.uk/nicemedia/live/14257/64946/64946.pdf
Nuñez J.C. (2011). Psicólogo Educativo. Papeles del Psicólogo, 32, 202203.
Odom S., Hume K., Boyd B., & Stabel A. (2012). Moving beyond the intensive behavior treatment versus eclectic dichotomy: Evidence-based and individualized programs for learners with ASD. Behavior Modification, 36, 270297.
Offit P.A. (2010). Autism's false prophets: Bad science, risky medicine, and the search for a cure. New York: Columbia University Press.
Ontario Ministry of Education. (2007). Incorporating methods of Applied Behaviour Analysis (ABA) into programs for students with Autism Spectrum Disorders (ASD) (Policy/Program Memorandum. No 140). Toronto, ON: Author.
Orinstein A.J., Helt M., Troyb E., Tyson K.E., Barton M.L., Eigsti I-M., Naigles L., & Fein D.A. (2014). Intervention for optimal outcome in children and adolescents with a history of autism. Journal of Developmental and Behavioral Pediatrics, 35, 247256.
Oxford Educational Assessment Centre. (2011). White Paper — Autism and educational psychology. Retrieved August 5, 2013, from www.oeac.co.uk
Psychoeducational Profile (PEP; 2013). Psychoeducational Profile — Third Edition (PEP-3). Retrieved July 29, 2013 from http://portal.wpspublish.com/portal/page?_pageid=53,70083&_dad=portal&_schema=PORTAL
Queens University. (2013). Doctorate in Educational, Child & Adolescent Psychology (DECAP): Program specification. Retrieved July 23, 2013, from www.qub.ac.uk/schools/psy/StudyingAtTheSchool/PostgraduateTaught/DECAP/ProgrammeSpecification/
Rhoten D. (2003). A multi-method analysis of the social and technical conditions for interdisciplinary collaboration. San Francisco, CA: The Hybrid Vigor Institute. Retrieved October 31, 2013, from www.hybridvigor.net/interdis/pubs/hv_pub_interdis-2003.09.29.pdf
Ryle G. (1949). The concept of mind. Chicago, IL: University of Chicago Press.
Science and the Treatment of Autism (STAMPPP). (2013). A multimedia package for parents and professionals Retrieved May 15, 2014, from www.stamppp.com
Simple Steps. (2013). The online teaching platform for the treatment of autism. Retrieved May 15, 2014, from www.simplestepsautism.com
Surgeon General. (1999). Surgeon General report. Retrieved from http://profiles.nlm.nih.gov/ps/access/NNBBHS.pdf
The Option Institute. (2014). The Son-Rise Program. Retrieved from www.autismtreatmentcenter.org
Thyer B.A., & Kropf N.P. (Eds.) (1995). Developmental disabilities: A handbook for interdisciplinary practice. Cambridge, MA: Brookline Books.
Thyer B.A., & Pignotti M. (2010). Science and pseudoscience in developmental disabilities: Guidelines for social workers. Journal of Social Work in Disability and Rehabilitation, 9, 110129.
United Nations. (2007). United Nations Convention on the Rights of Persons with Disabilities. Retrieved from http://treaties.un.org/doc/Publication/CTC/Ch_IV_15.pdf
Van Houten R., Axelrod S., Bailey J.S., Favell J.E., Foxx R.M., Wata B.A., & Lovaas O.I. (1988) The right to effective behavioral treatment. Journal of Applied Behavior Analysis, 21, 381384.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Educational and Developmental Psychologist
  • ISSN: 2059-0776
  • EISSN: 2059-0784
  • URL: /core/journals/educational-and-developmental-psychologist
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 41
Total number of PDF views: 273 *
Loading metrics...

Abstract views

Total abstract views: 464 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 15th December 2017. This data will be updated every 24 hours.