Friday, October 28, 2016

EVIDENCE-BASED PRACTICE IN AUTISM SPECTRUM DISORDERS

Почитувани колешки и колеги,
Ова е насловот на мојот труд што требаше да го презентирам на конгресот во организација на „Дате ни крилја" на 15.10.2016 година. За жал уште пред 9 месеци ја имав договорено конференцијата во Суботица и не можев да присуствувам на двете конференции во исто време. Затоа, ви го споделувам апстрактот.
Претседател на МНЗА

Abstract
Background: Autism spectrum disorder (ASD) encompasses wide variation in symptom severity and functional impact. The core features of ASD include impairments in social communication, repetitive behaviours and restricted interests. Evidence-based practice includes a combination of the best available scientific evidence, professional expertise, and understanding of client characteristics.
The aim of this article is to show the best evidence based practice in the field of ASD.
Methodology: The PubMed database and Google Scholar was searched using the keywords: autism, evidence-based, and practice.
Results and discussion: The inclusion of various measures and tests in each evaluation should be based on the relevance and application of the individual client’s needs and what services are necessary for the person to best function with the disorder. The core autism assessment domains for best practice procedures are: Record review; Developmental and medical history; Medical screening and/or evaluation; Parent/caregiver interview; Parent/teacher ratings of social competence; Direct child observation; Cognitive assessment; Academic assessment; Adaptive behavioral assessment; Communication and language assessment.
The goal of existing interventions is to facilitate the acquisition of skills, remove barriers to learning
and improve functional skills and quality of life. The review of literature show that established treatments are: Antecedent Package; Behavioral Package; Comprehensive Behavioral Treatment for Young Children; Joint Attention Intervention; Modeling; Naturalistic Teaching Strategies; Peer Training Package; Pivotal Response Treatment; Schedules; Self-management; Story-based Intervention Package; and Medication Management.
Conclusions: ASD is a remarkably heterogeneous constellation of conditions that covary with other disabilities and disorders (e.g., intellectual disability, epilepsy, ADHD, anxiety disorders) and various medical problems. New experimental therapeutics hold promise for the treatment of core symptoms and have the potential to alter developmental trajectories. Future research should focus on how we can better match interventions to child and family characteristics through personalized medicine over the lifetime of the patient.

Key words: autism spectrum disorders, evidence-based practice, assessment, treatment

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