Service Delivery

Seeking Team Collaboration, Dialogue and Support: The Perceptions of Multidisciplinary Staff-Members Working in ASD Preschools.

Sinai-Gavrilov et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Israeli preschool teams say poor staff dialogue blocks good ASD service, so daily structured talk time is low-hanging fruit.

✓ Read this if BCBAs consulting to or working inside multidisciplinary preschool classrooms.
✗ Skip if Clinicians who only see clients in 1:1 center or home settings with no team overlap.

01Research in Context

01

What this study did

Researchers talked to 42 staff in Israeli ASD preschools. The group included teachers, aides, therapists, and principals.

They asked open questions about teamwork, daily hiccups, and what help they wanted. No tests or scores were used.

02

What they found

Staff said they rarely had real back-and-forth talks. Many felt lonely and unsure how to mesh their roles.

They wanted set times to meet, clear leader support, and national policy that values joint planning.

03

How this fits with other research

Drahota et al. (2008) surveyed U.S. parents who were already unhappy with preschool service cohesion. Yana’s team digs deeper and shows one reason why: staff themselves feel disjointed.

Brandi Gomes Godoy et al. (2024) later found Brazilian parents welcomed a parent-mediated therapy when clinicians talked well together. Both studies echo Yana’s call for stronger staff dialogue before parents can trust the plan.

Rosales et al. (2021) heard Latino families struggle to even start ABA because of language gaps. Pair that with Yana’s picture of weak staff links and you see two cracks in the same bridge—families and staff both need clearer communication paths.

04

Why it matters

If you supervise or work in preschool ASD rooms, carve out ten protected minutes each day for the team to share quick wins and snags. One short huddle can cut the isolation Yana describes and boost the smooth hand-offs that parent-mediated models like Priscilla’s and Ruppel’s require.

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→ Action — try this Monday

Start a ten-minute standing huddle right after morning drop-off; each member states one child goal and one support need.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
21
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Autism spectrum disorder (ASD) impacts various developmental domains, requiring interventions by professionals from multiple disciplines. In Israel, ASD community preschools' multidisciplinary teams aim to provide each child with an integrative intervention program. The current study focused on the working experience of 21 professionals from multidisciplinary teams in ASD-preschools, with special emphasis on their perceptions of the intra-staff dialogue in their teams. Interviews were transcribed verbatim and analyzed through grounded theory. Arising themes covered: challenges characterizing the delivery of intervention to children with ASD in a community setting; challenges met by professionals when attempting to navigate multidisciplinary teamwork; and factors that facilitate multidisciplinary work. Practices that support multidisciplinary team cohesion at the team, the organizational, and the policy-making levels are discussed.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-019-04175-x