
Recently Wayne Robb spoke at
a Family Care Council-Area 15 meeting that I was lucky enough to
attend. Mr.
Robb has worked for more than 20 years with many Human Service
Organizations
and has provided services in diverse settings to children and adults
with
developmental disabilities, mental illness, learning disabilities and
severe
behavior problems. He has conducted trainings and workshops in cities
across
the U.S. helping parents, staff and administrators to improve the
quality of
services to individuals with developmental disabilities. In this talk,
Mr. Robb
shared a lot of important information on topics such as the "Medication
Merry
go Round", What is Behavior Analysis?, Bribery verses Reinforcement,
Things in
the environment that can affect behavior, and questions to ask when
selecting
among potential alternative treatments. Since I knew this issue would
be
covering alternative treatments, I asked Mr. Robb to share his
information and
questions in this area with our readers.
If you were to do a Google Web
Search for Autism
Cures you would get the following figures:
Autism
Cures: 193,000 hits
Autism
Treatments: 356,000 hits
The amount of information
on Treatments and "Cures" for Persons with Developmental Disabilities
is
Overwhelming it's every where.
Talk
shows • The TV "News"
& print media • Magazine shows • Direct mailings • Invitations
to local
workshops • Celebrity endorsements • Blogs, websites, newsgroups •
"This is my
story" books
• New
organizations pop up
almost daily
Important
Questions to ask when Selecting
Among Potential Treatment Options
*Who is and who is not a
candidate for this treatment?
*What
are your success and
failure rates?
*How
do you define and
measure success and failure?
*Have
you published the
results of your therapy in a peer-reviewed scientific journal?
*Which
accreditation
agencies (or anyone outside of your org.) validate the effectiveness of
your
treatment?
*What
do you do when an
individual does not respond positively to your treatment?
*Describe
the worst
treatment failure you've had thus far
*Talk
to professionals in
that field (e.g., dietician) who has no affiliation with the treatment
*Look
for scientific
evidence that supports or does not support the treatment
*Talk
to people who were
using the treatment and stopped using it. Find out why they stopped
When you decide to try a
treatment do the following:
*Decide
on specific
measurable outcomes
*Decide
on what objective
measures you will use to evaluate the effectiveness of the treatment
(e.g., #
of hours of sleep, # of tantrums, minutes spent doing a task without
wandering
*Stay
away from
questionnaires, checklists and rating scales as they are subject to
observer
bias
*Stop
the treatment for a
while and continue to collect data
*Decide
whether to
reintroduce the treatment comparing the data "with and without
treatment"
Remember, as the Parents and
caregivers to our children, we have every right to ask the above
questions in
order to protect and ensure the best possible care for our children.
Thank you Mr. Robb for sharing
and we look forward to hopefully hearing more from you in future issues.