Service Delivery

Services for children with autism spectrum disorder in three, large urban school districts: Perspectives of parents and educators.

Iadarola et al. (2015) · Autism : the international journal of research and practice 2015
★ The Verdict

Urban schools keep saying the same thing—staff need side-by-side ASD training and better team chemistry.

✓ Read this if BCBAs who consult in public schools and write staff training plans.
✗ Skip if Clinic-only BCBAs who never enter a school building.

01Research in Context

01

What this study did

Suzannah and her team visited three big-city school districts. They talked with 42 parents and 36 educators about autism services.

The chats were long and open-ended. The goal was to learn why these schools struggled to serve autistic students.

02

What they found

Three roadblocks popped up in every district. Staff fought with each other. Training was too general. The school culture felt unwelcoming.

Parents said they had to push hard to get basic help. Teachers said they had never been shown how to teach an autistic child.

03

How this fits with other research

Colombo et al. (2021) asked 400 BCBAs the same question and got the same answer: half had zero training before their first severe-behavior case. The 2015 schools and the 2021 survey echo each other—practical ASD training is missing.

Van Cleave et al. (2018) moved the lens to pediatric clinics. Doctors and nurses also said, “We need hands-on ASD guidance.” The barrier list is almost identical: poor teamwork and weak training.

Sevon (2022) adds a twist. The author says turf wars can hide racial bias. When staff clash, Black students are more likely to be removed, not helped. Suzannah et al. saw tension; Sevon names one possible root.

Kemmerer et al. (2023) scanned the caregiver-training studies. Most papers measured social validity only at the end and used vague forms. The gap spotted in 2015—weak training design—is still unfilled eight years later.

04

Why it matters

Your next in-service should model real classroom moments, not slides. Pair teachers, aides, and parents in the same room. Run a 10-minute mock lesson with an autistic volunteer student. Stop every two minutes to ask, “What could we do differently?” This live, shared practice chips away at both tension and training gaps in one swoop.

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Invite one teacher and one parent to your next session and jointly rehearse a prompt-fading routine.

02At a glance

Intervention
not applicable
Design
qualitative
Population
autism spectrum disorder
Finding
not reported

03Original abstract

This study used qualitative methods to evaluate the perceptions of parents, educators, and school administrators in three large, urban school districts (Los Angeles, Philadelphia, and Rochester) regarding services for children with autism spectrum disorder within the context of limited district resources. Facilitators followed a standard discussion guide that contained open-ended questions regarding participants' views on strengths and limitations of existing services and contextual factors that would facilitate or inhibit the process of introducing new interventions. Three primary themes were identified: (1) tension between participant groups (teachers and paraprofessionals, staff and administration, teachers and parents, special education and general education teachers), (2) necessity of autism spectrum disorder-specific and behavioral training for school personnel, and (3) desire for a school culture of accepting difference. These themes highlight the importance of developing trainings that are feasible to deliver on a large scale, that focus on practical interventions, and that enhance communication and relationships of school personnel with one another and with families.

Autism : the international journal of research and practice, 2015 · doi:10.1177/1362361314548078