Service Delivery

Autism treatment survey: services received by children with autism spectrum disorders in public school classrooms.

Hess et al. (2008) · Journal of autism and developmental disorders 2008
★ The Verdict

Georgia teachers mostly use unproven strategies, even though proven ABA tactics for inclusion have been catalogued since 2001.

✓ Read this if BCBAs who consult in public schools or train teachers.
✗ Skip if Clinicians who only work in clinic or home settings.

01Research in Context

01

What this study did

Matson et al. (2008) mailed a survey to Georgia public-school teachers who had students with autism.

The survey asked which practices the teachers used every day. It listed ABA tactics, sensory tools, and other common strategies.

Teachers checked boxes for the ones they used most often.

02

What they found

Most teachers picked strategies that have little or no research support.

Few said they used peer-mediated help, self-management, or other ABA tools that reviews call evidence-based.

Grade level and class type changed the picks, but the pattern stayed the same: weak strategies ruled.

03

How this fits with other research

Simpson et al. (2001) and Crosland et al. (2012) already showed that antecedent cues, peer buddies, and self-monitoring help students with autism stay in general-ed classes. The 2008 survey shows these exact tools are scarce in real schools.

Van Hanegem et al. (2014) later proved that a short peer-support plan cut off-task behavior for three elementary students. Matson et al. (2008) found almost no teacher using that tactic, so the gap between proof and practice is wide.

Gitimoghaddam et al. (2022) scanned 770 ABA studies and saw gains in language, social, and daily-living skills. Yet the teachers in Matson et al. (2008) rarely tapped this large evidence base, highlighting a pipeline problem from journal to classroom.

04

Why it matters

If you consult in schools, do not assume teachers know the ABA playbook. Bring a short menu of high-impact tactics like peer tutoring, visual schedules, and self-monitoring. Offer ready-made materials and model one lesson. A twenty-minute demo can replace years of guesswork.

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Pick one evidence-based tactic from K et al. (2001) and script it for the teacher to try this week.

02At a glance

Intervention
not applicable
Design
survey
Sample size
226
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The Autism Treatment Survey was developed to identify strategies used in education of children with autism spectrum disorders (ASD) in Georgia. Respondents of the web-based survey included a representative sample of 185 teachers across the state, reporting on 226 children with ASD in grades preschool-12th. The top five strategies being used in Georgia (Gentle Teaching, sensory integration, cognitive behavioral modification, assistive technology, and Social Stories) are recognized as lacking a scientific basis for implementation. Analysis revealed the choice of strategies varied by grade level and classroom type (e.g., general education, special education). Results highlight clear implications for preservice and inservice educator training, and the need for continued research to document evidence-based strategy use in public schools for students with ASD.

Journal of autism and developmental disorders, 2008 · doi:10.1007/s10803-007-0470-5