Autism & Developmental

Retrospective evaluation of an intensive method of treatment for children with pervasive developmental disorder.

Vorgraft et al. (2007) · Autism : the international journal of research and practice 2007
★ The Verdict

A three-week intensive center start followed by six months of home coaching yields small, steady improvements in autism symptoms.

✓ Read this if BCBAs designing early-intervention blends for toddlers with ASD.
✗ Skip if Clinicians seeking large, rapid symptom reductions or adult services.

01Research in Context

01

What this study did

Vorgraft et al. (2007) looked back at 23 toddlers who spent three weeks at the Mifne Institute in Israel. The kids got 24-hour therapy, then six months of home follow-up.

Staff used play, feeding, and daily routines to teach social, language, and self-help skills. Parents learned to run the same drills at home.

02

What they found

Autism scores on the CARS dropped a little right after camp. Scores kept inching down during the six-month home phase.

The Social Behavior Rating Scale also showed small but steady gains. No child lost skills.

03

How this fits with other research

Libero et al. (2016) ran a true experiment and saw the same small social gains. Their stronger design tells us the Mifne results are probably real, just modest.

Perera et al. (2016) got bigger improvements using only home therapy in Sri Lanka. The difference: they treated 2- to 4-year-olds for three months, while Mifne mixed center and home. Same age group, but home-only moved the needle more.

Dixon et al. (2017) show why center time can still help. Kids mastered twice as many learning targets per hour in a clinic than at home. Mifne’s blend may balance the speed of center work with the real-life practice of home sessions.

04

Why it matters

You now know that a short, very intensive burst plus steady home coaching can nudge autism symptoms in the right direction, but do not expect big leaps. If you run home programs, borrow Mifne’s 24-hour routine mindset: embed teaching in meals, baths, and play. If you use clinic rooms, keep them dense and fast like Dixon’s center model. Either way, track small weekly gains; they add up over months.

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Pick one daily routine (snack, bath, dressing) and embed five clear teaching trials; tally correct responses each day.

02At a glance

Intervention
comprehensive aba program
Design
pre post no control
Sample size
23
Population
autism spectrum disorder
Finding
positive
Magnitude
small

03Original abstract

The objective of this preliminary study was to evaluate a novel intensive therapy program in young children with pervasive developmental disorder (PDD). Twenty-three children treated at the Mifne Institute in Israel between 1997 and 1999 were assessed. Videos taken before coming to Mifne and after intensive treatment at the institute and before and after another 6 months of continued treatment at children's homes were coded and blind rated by trained personnel using the Childhood Autism Rating Scale (CARS) and the Social Behavior Rating Scale (SBRS). Total scores on both scales improved significantly after 3 weeks and after 6 months. There were some significant improvements at item level although the magnitude of the changes was modest. Despite the small number of participants, the modest increase in test scores, and the retrospective study design, these preliminary results are promising. There is a case for performing a full prospective, comparative investigation of this treatment approach.

Autism : the international journal of research and practice, 2007 · doi:10.1177/1362361307079605