TEACHH vs ABA

[StarlightMcKenzie]

4.3. Potential downsides of a name-brand

A name-branded intervention frequently combines a variety of elements that are not assessed separately. Namely, the brand frequently advocates for a “treatment package” preventing separate analyses of specific treatment components. Unlike TEACCH, approaches to treatment based on applied behavior analysis are supported by a large corpus of molecular analyses in the form of single-subject experimental studies. Treatment evaluations of TEACCH focusing on specific treatment components and specific treatment outcomes are sorely needed. Finally, branded interventions tend to centralize services and training, which may harm the scientific integrity of the intervention by limiting the opportunities of widespread dissemination and evaluation.

In summary, the following considerations may be relevant for future research: (a) adherence to the general quality standards of controlled trials including randomization, intention to treat analysis, and treatment fidelity; (b) prioritization of controlled studies as pre–post designs may be subjected to developmental confounders; (c) implementation of standardized assessments developed outside the TEACCH tradition including standardized measures of both intellectual functioning and actual achievement; (d) improvement of the comparability of the intervention and control groups in terms of hours of intervention on occasions when a no-intervention control group is not feasible, and (e) prioritization of studies comparing more than one form of intervention in order to establish the relative advantages and disadvantages of TEACHH.

www.sciencedirect.com/science/article/pii/S0272735813000937

Bump.

I am bad at reading these statistical research papers:( What are they saying??

My main problem with TEACHH is that the child just sits in a corner away from everyone else.. That's not how life is going to be post 16

Yeah. Good summary!

Might post bits in a bit. Useful for tribunals.

That is my understanding of TEACHH too, that the day is structured around the workstation.

My LA are obsessed with work stations

I havent read the article sorry star my head is already spinning this week!

Yes all the school in my LA are doing the workstation too. Isolating an already isolated child

I feel like I am constantly fightimg against the LA advisor about workstations.

A LO I am working with would sit with one adult at a workstation completing activties until the cows come home!

But play alongside or interact with other children.... not happening

I want to keep her as far away from the workstation as possible!!

But that's successful intervention insofar as the child is occupied and contained in a mainstream school, not suffering the consequences of bullying, mental health issues, anxiety from poor social skills, as the child is not subjected to them in the first place.

Doing so woukd require specific and possible expensive expertise to make it successful, as well as ongoing training of staff as the individual child moved onto the next stage.

Btw, evidence shows it isn't actually more expensive if done at whole-school level ie. economies of scale and significantly cheaper over the lifetime of the child in cost of required support.

Yes star contained is the right word.

If everyone was on board with proper inclusion then it would work...Wouldn't it??

Our Asd children need to be taught how to manage at school, how to understand teachers making weird random comments and how to cope with the day to day changes that happen in a mainstream setting and how are they going to do that shoved up the corner at a workstation

How does a child who has spent their primary years at a workstation adjust to secondary school where they may have to change classroom 6 times a day?

Serious question this - as I'm still being told DS is "mainstream".

How does being stuck at a work station all day not make the child eventually become aware of their "difference", and how does TEACHH address any self-confidence issues that may result from this? (DS's last school didn't handle this bit at all well tbh).

Pure TEACHH is impossible to implement in a mainstream primary setting, I just don't see how it can be even attempted in secondary. Still researching units and SS's and oh Lordy do they vary quality-wise from the original TEACHH stuff. In some places it's become so warped and diluted from it's origins & intentions it's amazing they aren't sued for referring to it iykwim.