Service Delivery

Lovaas Institute for Early Intervention (LIFE).

Smith (2013) · Behavior analysis in practice 2013
★ The Verdict

The 1987 Lovaas study sparked huge demand for early ABA, but later research shows real-world gains are smaller than the first headlines promised.

✓ Read this if BCBAs who field parent questions about "cure" rates or plan community EIBI programs.
✗ Skip if Clinicians looking for new treatment tactics or child-level outcome data.

01Research in Context

01

What this study did

Smith (2013) tells the story of the Lovaas Institute for Early Intervention. The paper tracks how the clinic grew after the famous 1987 EIBI study and the 1993 Maurice family book.

It is a case study, not an experiment. There are no new child data. The goal is to describe how demand for 30-plus hours a week of ABA exploded in the 1990s.

02

What they found

The clinic went from a small university lab to a multi-site program almost overnight. Parents who read Let Me Hear Your Voice flew to Los Angeles asking for the same therapy.

The paper shows that one research article plus one parent memoir can spark a world-wide service boom.

03

How this fits with other research

Shea (2004) throws cold water on the boom. That review says the 47% "recovery" number is shaky. So the same study that lit the fuse also faces doubt.

Allen et al. (2001) looked at kids who got EIBI in regular towns, not the UCLA lab. None reached typical development and all kept heavy services. The real-world picture is less shiny than the clinic story.

Studer et al. (2017) gives a middle view. A Swiss hospital ran EIBI and saw solid gains, but smaller than the first UCLA claims. Together these papers say: EIBI helps, yet the miracle headline was too loud.

04

Why it matters

When you talk with families, share hope but skip the 47% sound bite. Point to later studies that show steady, modest gains instead of "recovery." Use the history lesson to push for realistic goals, strong staff training, and long-term funding.

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→ Action — try this Monday

Drop the word "recovery" from your parent intro packet; replace it with "meaningful learning gains" and show Studer et al. (2017) graphs.

02At a glance

Intervention
comprehensive aba program
Design
case study
Population
autism spectrum disorder
Finding
not reported

03Original abstract

For many years, O. Ivar Lovaas ran a small clinic for children with autism through the department of psychology at UCLA, with undergraduate students providing most of the direct instruction. Throughout the 1970s, the clinic enrolled just a few children in treatment at a time. By the early 1980s, the active caseload had increased to about 5-10 children, and this number rose slowly over the next few years. However, after the publication of Lovaas's landmark study of early intensive behavioral intervention (EIBI) in 1987, followed by an extraordinary firsthand account of one family's experience with the intervention (Maurice, 1993), Lovaas began receiving more requests for treatment in a single day than he had previously received over an entire year.

Behavior analysis in practice, 2013 · doi:10.1007/BF03391807