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Autism, Vol. 11, No. 3, 205-224 (2007)
DOI: 10.1177/1362361307076842

Pilot study of a parent training program for young children with autism

The PLAY Project Home Consultation program

Richard Solomon

Ann Arbor Center for Developmental and Behavioral Pediatrics, Michigan, USA, dr.ricksol{at}comcast.net

Jonathan Necheles

Northwestern University Feiberg School of Medicine, Chicago, USA

Courtney Ferch

Wayne State University Medical School, Detroit, USA

David Bruckman

Cleveland Department of Public Health, Ohio, USA

The PLAY Project Home Consultation (PPHC) program trains parents of children with autistic spectrum disorders using the DIR/Floortime model of Stanley Greenspan MD. Sixty-eight children completed the 8—12 month program. Parents were encouraged to deliver 15 hours per week of 1:1 interaction. Pre/post ratings of videotapes by blind raters using the Functional Emotional Assessment Scale (FEAS) showed significant increases (p ≤ 0.0001) in child subscale scores. Translated clinically, 45.5 percent of children made good to very good functional developmental progress. There were no significant differences between parents in the FEAS subscale scores at either pre-or post-intervention and all parents scored at levels suggesting they would be effective in working with their children. Overall satisfaction with PPHC was 90 percent. Average cost of intervention was $2500/ year. Despite important limitations, this pilot study of The PLAY Project Home Consulting model suggests that the model has potential to be a cost-effective intervention for young children with autism.

Key Words: autism • DIR model • intervention • parent • training


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S. I. Greenspan, T. B. Brazelton, J. Cordero, R. Solomon, M. L. Bauman, R. Robinson, S. Shanker, and C. Breinbauer
Guidelines for Early Identification, Screening, and Clinical Management of Children With Autism Spectrum Disorders
Pediatrics, April 1, 2008; 121(4): 828 - 830.
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