Perspectives & Tutorials

Providing supportive hospital environments to promote the language development of infants and children born prematurely: insights from neuroscience

 This article is an excellent intro (or reminder) of the basics of best-practice for developmental care in the NICU, with an emphasis on language development and tips for training parents and hospital caregivers on how to support these babies.

 

How meaningful is more? Considerations regarding intensity in early intensive behavioral intervention

Most SLPs who work with young children with autism are well-aware of the 10–40 hours per week of EIBI (Early Intensive Behavioral Intervention) that’s often recommended by private practices, centers, and the Behavior Analyst Certification Board (BACB). This editorial turns those recommendations upside down, pointing out that:

  • There is no strong evidence to show that a high level of EIBI is necessary or appropriate for all children with autism.

  • There is no strong evidence to show that increasing the hours of EIBI leads to better child outcomes. There simply aren’t many studies on treatment dose.

  • Recommending high levels of EIBI ends up excluding other educational opportunities and services the child may need (like speech­–language therapy) which can be detrimental.

  • Overall, this editorial doesn’t advise against a high dose of ABA treatment; rather, they’re saying that recommending high doses across the board, for all children with autism, isn’t backed by the science.