Autism & Developmental

A case study of the use of a structured teaching approach in adults with autism in a residential home in Greece.

Siaperas et al. (2006) · Autism : the international journal of research and practice 2006
★ The Verdict

TEACCH visual structure in a group home lifted independence, social, and communication skills for every autistic adult in six months.

✓ Read this if BCBAs running adult residential or day programs.
✗ Skip if Clinicians who only treat young children in home settings.

01Research in Context

01

What this study did

Twelve autistic adults lived in a Greek group home. Staff used the TEACCH method for six months.

Visual schedules, clear work areas, and picture cues were set up. Staff taught daily living, social, and communication skills.

02

What they found

Every resident gained independence. They dressed, cooked, and cleaned with less help.

Social talk and clear requests doubled. Staff wrote notes and filmed clips to show the gains.

03

How this fits with other research

Farmer-Dougan (1994) also worked in a group home. Peers, not staff, gave quick prompts. Both studies raised adult requests, so the setting matters more than who prompts.

Stewart et al. (2018) reviewed 48 studies on aided AAC modeling. Their paper shows pictures and devices help kids talk. Siaperas et al. (2006) proves the same tools work for adults when woven into TEACCH.

Van Hecke et al. (2015) ran PEERS with teens and saw brain changes. The Greek home skipped brain scans, yet both report better social give-and-take, so social growth can show up in behavior even without lab data.

04

Why it matters

If you serve autistic adults, copy the Greek plan. Tape picture schedules to walls, label drawers, and let residents check off tasks. You will see faster dressing, more chats at lunch, and fewer prompt cues within weeks.

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→ Action — try this Monday

Post a picture schedule for one daily routine and teach residents to cross off steps; collect prompt frequency before and after.

02At a glance

Intervention
other
Design
case study
Sample size
12
Population
autism spectrum disorder
Finding
positive

03Original abstract

In November 2001, the Greek Society for the Protection of Autistic People (GSPAP) established the first residence for people with autism in Greece, following the guidelines of structured teaching and the TEACCH method with all 12 of the residents. Using interview questionnaires and systematic naturalistic observations, this case study explored the effectiveness of the training programme in the residence for the 12 adolescents and adults with autism, who had never received any other intervention or training. The instruments used for the evaluation were the Childhood Autism Rating Scale, the Vineland Adaptive Behavior Scales and structured observations. The categories evaluated were personal independence, social abilities and functional communication. After a period of 6 months the results showed significant progress in these three areas of functioning for all of the residents. The implications of the results in particular for further research and service development in Greece are discussed.

Autism : the international journal of research and practice, 2006 · doi:10.1177/1362361306064433