About the Book
New content, new format!
PRT guidance from infancy to adulthood
One of the most respected and widely used autism interventions, Pivotal Response Treatment uses natural learning opportunities to modify key behaviors in children—leading to widespread positive effects on communication, behavior, and social skills. Now the pioneering experts behind PRT have created a comprehensive modern guide to this research-based approach, completely reworked and revised for today's therapists, educators, and parents.
Strengthened with new research and more step-by-step guidance, this bestselling PRT guidebook is now reorganized to support children on their whole developmental trajectory, from infancy through adulthood. New and revised chapters cover critical topics—including assessment, self-management, and life beyond the classroom—and the book's down-to-earth, accessible style ensures that all readers can grasp PRT principles and apply them effectively. With this proven approach backed by more than 25 years of research, professionals and families will support children with autism as they enjoy more positive interactions, more effective communication, and higher academic achievement.
USE THE PROVEN PRT APPROACH TO:
advance children's communication and language skills, even in extremely challenging cases
aid early identification and intervention
improve children's motivation and performance in school
foster friendships with peers during play dates and other social interactions
increase positive behavior by combining functional assessment and self-management strategies
decrease disruptive behavior
help young adults make a smooth transition to college, career, and community life
PRACTICAL MATERIALS: Each chapter features learning goals, key insights to remember, and helpful study questions (also available online to download and print).
WHAT'S NEW
New and completely reworked chapters on:
Working with infants and toddlers
Linking strengths-based assessment to treatment planning
Improving adolescents' communication and social skills
Teaching parents how to implement PRT
Combining functional behavioral assessment and self-management strategies
Helping young adults succeed in college and the workplace
PLUS: The book is now organized by developmental stage, so you can help children from the cradle to college—and beyond!
Table of Contents:
About the Downloads
About the Authors
About the Contributors
For the Reader
Acknowledgments
Introduction
Section I Overview: Pivotal Response Treatment in Context
Chapter 1 The History and Basic Components of Pivotal Response Treatment
Robert L. Koegel and Lynn Kern Koegel
Chapter Goals
History: Applied Behavioral Analysis and Children With Autism Spectrum Disorder
The Role of Motivation in Learning
Learned Helplessness, Motivation, and Children With ASD
Motivational Components of PRT
The Overall Motivational Package
Key Insights: Components of PRT
Summary
Study Questions
References
Chapter 2 Assessment, Feedback, and Treatment Planning
Lynn Kern Koegel
Chapter Goals
Challenges Facing Parents of Children Diagnosed With ASD
Testing Individuals With ASD: The Limits of Standardized Testing
Getting a More Complete Picture: Behavioral Assessment
The Value of Strength-Based Assessment
Assessment Leading to Treatment Goals
Putting It All Together: Assessment, Diagnosis, and Treatment
Key Insights: Working With Parents at the Beginning
Summary
Study Questions
References
Chapter 3 Ecocultural Theory and Cultural Diversity
Sunny Kim, Lynn Kern Koegel, and Robert L. Koegel
Chapter Goals
Tenets of Ecocultural Theory
Cultural Considerations and Sensitivity
Embedding Cultural Beliefs and Values Into Treatment
Matching Culturally Competent Service Providers With Families
Key Insights: Addressing Cultural and Linguistic Diversity
Summary
Study Questions
References
Section II Beginning Stages: Early Intervention
Chapter 4 Intervention for Infants and Young Toddlers
Jessica Bradshaw and Lynn Kern Koegel
Chapter Goals
Guidelines for Early Diagnosis
Intervention With Infants and Toddlers
Key Insights: Working Effectively With Infants, Toddlers, and Their Families
Summary
Study Questions
References
Chapter 5 Teaching First Words
Lynn Kern Koegel and Daina Tagavi
Chapter Goals
Understanding Early Language Development
Early Communication and First Words in Children With ASD
Interventions to Elicit First Words: A Brief History
Using PRT to Elicit First Words: Specific Components
Research Support for Including Motivational Components
Creating Ample Opportunities for Verbal Communication
Working With Nonresponsive Children
Using PRT With Infants
Key Insights: Working to Produce a Child's First Words
Summary
Study Questions
References
Chapter 6 Expanding Friendship Opportunities for Children with ASD Grace W. Gengoux and Laurie A. Vismara
Chapter Goals
Potential Benefits of Intervention
Assessing a Child's Social Opportunities
Field-tested Strategies for Expanding Friendship Opportunities During Play Dates
Beyond Play Dates: Expanding Friendship Opportunities Across Settings
Key Insights: Expanding Friendship Opportunities
Summary
Study Questions
References
Section III Childhood: Treatment Options at Home and at School
Chapter 7 Parent Education in Pivotal Response Treatment
Lynn Kern Koegel, Kelsey Oliver, and Robert L. Koegel
The Importance of Parent Education
Fidelity of Implementation of PRT
Models of Parent Education
Key Insights: Helping Parents Effectively Teach Their Children With ASD
Summary
Study Questions
References
Chapter 8 Inclusive Education
Robert L. Koegel and Kelsey Oliver
Chapter Goals
Making Education a Top Priority for Children With ASD
Inclusion of Children with ASD
Revisiting the Debate Over Full Inclusion
Key Insights: Providing Inclusive Education for Children With ASD
Summary
Study Questions
References
Chapter 9 Motivational Academics
Lynn Kern Koegel and Samantha Poyser
Chapter Goals
The Relationship Between Behavior and Academics
Incorporating Motivational Variables to Improve Academic Engagement and Behavior
Parent Involvement
Key Insights: Improving Academics and Behavior Through Motivational Strategies
Summary
Study Questions
References
Section IV Adolescence and Young Adulthood: Moving Toward Independence
Chapter 10 Functional Behavior Assessment and Self-Management
Brittany Lynn Koegel, Amy Barrett, and Lynn Kern Koegel
Chapter Goals
The History of Behavioral Interventions
The Development of Positive Behavioral Support
Analyzing a Behavior's Function and Teaching Replacement Behaviors
The Role of Reinforcement in Maintaining Replacement Behaviors
Self-Management as a Behavioral Intervention
Benefits and Versatility
Using Self-Management With Individuals With ASD
Using Self-Management for Individuals with Greater Support Needs
How to Develop a Self-Management Program
Step 1: Define the Target Behavior
Step 2: Measure the Target Behavior
Step 3: Choose a Reward
Step 4: Set an Initial Goal
Step 5: Gather Materials
Step 6: Teach Discrimination Between Behaviors
Step 7: Record (Monitor) the Behavior
Step 8: Fade Reliance on Prompts
Step 9: Increase Time Intervals or Tallies Required for Rewards
Step 10: Fade the Presence of the Treatment Provider
Making Sure Self-Management Will Occur in Additional Settings
The Widespread Applicability of Self-Management
Cautions When Using Self-Management
Key Insights: Functional Behavioral Assessment and Self-Management
Summary
Study Questions
References
Chapter 11 Improving Communication Skills in Adolescents and Adults with ASD
Lynn Kern Koegel and Shereen J. Cohen
Chapter Goals
Video Modeling in PRT
Visual Frameworks
Instruction in Empathy
Question Asking and Question Banks
Self-Management
Key Insights: Improving Young Adults' Communication Skills
Summary
Study Questions
References
Chapter 12 Improving Socialization in Adolescents and Adults with ASD
Lynn Kern Koegel, Kristen Ashbaugh, and Daina Tagavi
Chapter Goals
The Impact of Social Difficulties
Interventions for Improving Socialization
Foundational Studies Using Restricted and Preferred Interests to Improve Socialization
Developing Interest-Based Social Activities for Adolescents and Young Adults
Training Paraprofessionals to Implement Social Programs
Structured Social Planning: Improving Opportunities for Adults
Key Insights: Targeting Socialization
Summary
Study Questions
References
Section V Adulthood: Higher Education and Employment
Chapter 13 Improving Outcomes in Higher Education for Adults With ASD
Kristen Ashbaugh, Erin Engstrom, Lynn Kern Koegel, and Katarina Ford
Chapter Goals
Supporting Individuals With ASD in Higher Education
Common Challenges
Methods for Addressing Challenges
Key Insights: Helping College Students With ASD Succeed
Summary
Study Questions
References
Chapter 14 Supporting Individuals with ASD in Employment Settings
Erin Engstrom, Kristen Ashbaugh, Lynn Kern Koegel, and Katarina Ford
Barriers to Employment
Vocational Rehabilitation and Related Programs
Behavioral Interventions That Support Employment
Integrating Strengths Into the Workplace
Supported Employment
Key Insights: Fostering Successful Employment
Summary
Study Questions
References
About the Author :
Robert Koegel, Ph.D., is a senior researcher at the Stanford School of Medicine. His research is in the area of autism, specializing in language intervention, family support, and school integration. He has published over 200 articles and papers relating to the treatment of autism, and several books on the treatment of autism and positive behavioral support. He is the Founding Editor of the Journal of Positive Behavior Interventions. Models of his procedures are used in public schools and in parent education programs throughout the world. He has trained many health care and special education leaders in the United States and abroad. Lynn Kern Koegel, Ph.D., CCC-SLP, is a clinical professor at the Stanford School of Medicine. She has been active in the development of programs to improve communication in children with autism, including the development of first words, grammatical structures, pragmatics, and social conversation. In addition to her published books and articles in the area of communication and language development, she has developed and published procedures and field manuals in the area of self-management and functional analysis that are used in school districts and by parents throughout the United States and have been translated in other major languages. Dr. Lynn Koegel is the author of Overcoming Autism and Growing Up on the Spectrum with parent Claire LaZebnik, published by Viking/Penguin and available in most bookstores. In addition, she appeared on ABC's hit show “Supernanny” working with a child with autism.
Amy Barrett is completing her Ph.D. in Counseling, Clinical, and School Psychology (clinical emphasis) at the University of California, Santa Barbara. She is completing her pre-doctoral internship and post-doctoral fellowship at the Yale Child Study Center within Yale University's School of Medicine. Her clinical and research interests lie in early social engagement and language development of young children with autism.Grace W. Gengoux, Ph.D., BCBA-D, Division of Child and Adolescent Psychiatry, Department of Psychiatry, Stanford University School of Medicine, Stanford, CA. Dr. Gengoux is a clinical psychologist and Board Certified Behavior Analyst who directs the Autism Intervention Program within the Stanford Autism Center at Lucile Packard Children's Hospital. Dr. Gengoux received her Ph.D. in Clinical Psychology from the University of California Santa Barbara and completed her clinical internship and postdoctoral fellowship at the Yale Child Study Center. Her research specifically focuses on the development and evaluation of NDBI for young children with ASD. Dr. Gengoux's previous publications have focused on models for enhancing functional communication and social development and for providing effective parent training.
Review :
"Drs. Robert and Lynn Koegel are at the vanguard of the autism intervention field with their remarkable applications of Pivotal Response Treatment for every age group and developmental level. They hit a home run with the second edition of this book, offering both parents and practitioners clear explanations of how to implement these groundbreaking practices and covering important contemporary issues such as cultural adaptation and the use of the internet in autism interventions." --Jeffrey J. Wood, Ph.D.