Here are some suggested organisations that offer expert advice on SN.
Anyone done any RDI or HANDLE stuff?(17 Posts)
Never heard of HANDLE but I'm interested in RDI so would be interested in whatever you found out
Hi all, just following on from this old thread, just wondered if you ever followed this up, Hothead, or if anyone else has any experience of HANDLE? (details here)
I've just booked a screening for my 5 year old ds. It's a low-cost version as it's being carried out by students under supervision so I thought it was worth a go. If anyone has any info to share (or if anyone's interested in details of the low cost screenings in Brighton), let me know.
No evidence at all for HANDLE. For sure it is lovely but what does the child actually learn?
There is some evidence for RDI, but I think that is more because of the intensive nature rather than it being an especially efficient form of education.
Star, 'no evidence' isn't quite fair. There is very good evidence that placebo therapies have quite substantial non-specific beneficial effects.
This type of intervention would probably (incidentally but fairly systematically) reinforce parents' attempts at helping their child in a structured, gradual, logged and reviewed fashion. And deliberately engaging in any parent-directed programme of activities could teach skills leading to joint attention, wanting to please, listening
In counselling-type interventions, continuous care from a supportive practitioner who believes in their approach and ability is also of proven benefit, regardless of the underlying theories or methodologies.
Yes Maria, you are right but if you thought of an hours therapy as a token to spend, where would you spend it?
In most cases you'd spend it where you'd get the most value.
When I started ABA, I knew very little about it. I chose it for strategic reasons - being that it produced data which could be shown in the face of OUR LA intervention which was worse than rubbish. I was desperate for any alternative and my feelings then was that actually ANY intervention that was 15 hours a week and focused on interaction with the wellbeing of the child at the centre was going to be heaps better than 15 hours untrained TA time in a nursery with random visits from generic autism 'specialists'.
And actually I still stand by that. In some ways it really doesn't matter what you do, it will still be better than my LA's provision.
Thanks for the comments. I really don't know too much about HANDLE - the first mention I'd seen of it was Hothead's post here, and then I came across this low-cost screening so thought I'd give it a go.
As far as I'd understood it, there's more of a focus on sensory/neurological things than ABA so I'd seen it as tackling things from a different angle, but I might be completely wrong. I don't have the money to embark on a programme of ABA but thought this screening might give me a clearer picture of why ds finds certain things difficult.
I don't know that much about ABA either though, so sorry if this is a misunderstanding of both approaches. I certainly don't want to be controversial .
ABA is usually very expensive because of the way it is done in this country and the lack of proper regulation and the fact that to access it you have to almost go 'underground' to get it on a private and explotative market.
But as a science and way of teaching it is probably the most effective thing you can do because it is basically anything you want to do, but measuring carefully the impact and refining and refining until you get your child engaged and learning at the optimal speed, and with a recognition that you'll only manage this with full cooperation and motivation from the child, so that is where you start.
DIY applied behavioural analysis is cheap and effective. It teaches you how to teach your child, the next issue is what to teach them. So the methods should work for any child, but depending on their difficulties, the content will vary.
A general all-over assessment eg bibic, handle or whatever, might help you clarify where you think your child's priority needs lie. Spending a huge amount of time on various muscular exercises should probably be avoided, unless that's their main need and treatment is obviously generating major benefits. Or of course if the spin-off benefits (non-specific and/or indirect positive effects) are huge. And given just how poor standard provision is, those non-specific benefits often look very effective.
Much ABA stuff was designed for dc with ASD because that's their biggest market. To most people autism starts out as a mystery, and dc with asd can be challenging to motivate, so many ASD parents also get professional guidance for their programmes.
We didn't have any, just applied the principles consistently (and in fact, I've only recently realised that our last 9y of structured, reinforced, directed, advance planned uber-parenting was a pretty comprehensive ABA programme) Hanen book helps sort out any communication needs. Early start Denver isn't quite aba but it isn't far off. Even ordinary early years stuff or Montessori can give you a curriculum for addressing developmental delays.
my DS pretty much taught himself to read by sight at a similar age to your DS, hothead, despite trying out headsprout (to be fair, we didn't use it often enough as in year R me and DS both had a bad year for bugs/infections etc). BUT I still think the headsprout grounding in phonics was useful, as it ties in with how schools approach teaching reading/decoding.
Personally I am a big fan of Hanen, and as it is used by NHS salt depts in this country, has the advantage of being uncontroversial (and has an evidence base!). I liked the look of what little I read of RDI but it seemed too pricey to get clued up on, and less straightforward than Hanen. No experience of Handle.
star. Was hiding from mil in kitchen so that's why it was a long one
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