Service Delivery

Development of a continuum of services for children and adults with autism and other severe behavior disorders.

Luce et al. (1992) · Research in developmental disabilities 1992
★ The Verdict

A 12-step lifespan roadmap gives BCBAs a checklist to spot and fill service gaps, as long as you add modern equity and autistic voice standards.

✓ Read this if BCBAs who coordinate autism services across clinics, schools, or adult agencies.
✗ Skip if Clinicians who only run one-to-one discrete-trial sessions and never touch service planning.

01Research in Context

01

What this study did

Repp et al. (1992) drew a 12-step roadmap for autism services.

It starts with parent outreach and ends with adult jobs.

The paper says every step must track data on clients and staff.

02

What they found

The roadmap is a story, not a trial.

No numbers are given.

The value is the full-life frame and the call for data at each step.

03

How this fits with other research

Fedoroff et al. (2016) counted real services and found the cliff: help drops sharply after high school.

This looks like a clash, but C et al. only drew the map; they did not claim it was built.

Dyer et al. (2006) tested a preschool slice of the map and showed more parts equals better parent report, giving early proof one slice can work.

Vassos et al. (2023) later scanned 31 studies and said the field still forgets autistic voices and equity, showing the 1992 map needs new lanes.

04

Why it matters

Use the 12 steps as a checklist when you design a service plan.

Match each step to a data probe: client progress and staff skill.

If a step is missing, flag it in the IEP or transition plan and start pilot data now.

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→ Action — try this Monday

Print the 12 steps, circle any missing in your current case, and write one data question you can track this week.

02At a glance

Intervention
not applicable
Design
narrative review
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The development of a 12-step continuum of services for individuals with autism is described. The operation and funding of outreach parent training; homebased early intervention; preschool, vocational, and adult intermediate care; and school consultation programs are outlined. The use and importance of evaluative data on both treatment outcome and staff skills are emphasized.

Research in developmental disabilities, 1992 · doi:10.1016/0891-4222(92)90037-7