Baio J, Wiggins L, Christensen DL, et al. Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014. MMWR Surveill Summ 2018;67(No. SS-6):1–23. DOI: http://dx.doi.org/10.15585/mmwr.ss6706a1
The latest findings from the ADDM Network provide evidence that the prevalence of ASD is higher than previously reported ADDM estimates and continues to vary among certain racial/ethnic groups and communities. The overall ASD prevalence estimate of 16.8 per 1,000 children aged 8 years in 2014 is higher than previous estimates from the ADDM Network. With prevalence of ASD reaching nearly 3% in some communities and representing an increase of 150% since 2000, ASD is an urgent public health concern that could benefit from enhanced strategies to help identify ASD earlier; to determine possible risk factors; and to address the growing behavioral, educational, residential and occupational needs of this population.
Implementation of the new DSM-5 case definition had little effect on the overall number of children identified with ASD for the ADDM 2014 surveillance year. This might be a result of including documented ASD diagnoses in the DSM-5 surveillance case definition. Over time, the estimate might be influenced (downward) by a diminishing number of persons who meet the DSM-5 diagnostic criteria for ASD based solely on a previous DSM-IV-TR diagnosis, such as autistic disorder, PDD-NOS or Asperger disorder, and influenced (upward) by professionals aligning their clinical descriptions with the DSM-5 criteria. Although the prevalence of ASD and characteristics of children identified by each case definition were similar in 2014, the diagnostic features defined under DSM-IV-TR and DSM-5 appear to be quite different. The ADDM Network will continue to evaluate these similarities and differences in much greater depth, and will examine at least one more cohort of children aged 8 years to expand this comparison. Over time, the ADDM Network will be well positioned to evaluate the effects of changing ASD diagnostic parameters on prevalence.
Autism Speaks’ article on the report: https://www.autismspeaks.org/science/science-news/cdc-increases-estimate-autism%E2%80%99s-prevalence-15-percent-1-59-children
Oregon Tech faculty and colleagues are conducting a survey on behavior analysis practices. The survey seeks to identify the common processes used by practicing behavior analysts to solve clinical problems. The purpose of this survey is to inform the development of practical experience opportunities for students that will best prepare students to successfully work in applied settings after they have graduated and obtained certification.
If you decide to participate in this 10-15 min research study, you will be asked to respond to several demographic and experience-related questions and then no more than 11 questions about the steps you take when addressing novel clinical problems. There are opportunities for you to comment or add additional information to restricted choice questions, however, this is not required.
All responses will be anonymous. Participation in this survey does not involve more than minimal risk. Benefits for participation may include a contribution to the field in the form of academic and experience programs focused on developing more highly qualified practitioners in the future and the potential to re-evaluate some of your own current clinical practices.
Please use the link below to access this survey. We appreciate your time and thank you.
As a result of the last Rules Advisory Committee meeting, the Health Licensing Office has updated the forms from the Behavior Analysis Regulatory Board! New fillable PDFs allow tabbing between fields (for some forms) and the Competency Assessment/Knowledge Skills List has been updated to reflect the wording in the full document (e.g. RBAIs no longer need to understand the difference between EAB and Methodological Behaviorism).
This change was adopted into the permanent rules on 7/28/17
From Oregon Health Licensing Office:
Monday, June 05, 2017
House Bill 2931 has added an option for behavior analysis interventionist applicants. Now, individuals can submit documentation of a high school diploma or General Educational Development (GED) certificate OR a degree from a post-secondary institution. (OAR 824-030-0040 will be amended to reflect the change.) All other rules regarding registration remain in effect.
Currently, anyone wishing to become a Registered Behavior Analysis Interventionist must submit proof of education in the form of a high school diploma or GED certificate. This proposed rule change will amend OAR 824-030-0040 to allow those who do not hold a HS diploma or GED but have received a degree from a post-secondary institution to apply for RBAI status. See text from a recent letter sent out from Anne Thompson, policy analyst at Oregon’s Health Licensing Office.
Date: June 1, 2017
To: All interested parties
From: Anne Thompson, policy analyst
Subject: Behavior Analysis Regulatory Board registration change
Gov. Kate Brown has signed House Bill 2931, which adds a qualification option for registering behavior analysis interventionists. It amends administrative rule 824-030-0040.
Now, applicants for registration can: Submit documentation of a high school diploma or General Educational Development (GED) certificate or a degree from a post-secondary institution. All other administrative rules regarding qualifications remain in effect. The documentation option has been added to application forms available on the Health Licensing Office’s website. The rulemaking process has begun to align the rules with the statutory change. The proposed rule can be seen at: http://www.oregon.gov/OHA/HLO and will appear in the July 1, 2017, Oregon Bulletin. If anyone wishes to comment on the change, comments will be taken from 9 a.m. July 1 to 9 a.m. on July 28, 2017. The proposed administrative rule is scheduled to become permanent on Aug. 1, 2017.
Submit all comments to Anne Thompson at firstname.lastname@example.org or 1430 Tandem Ave. Suite 180, Salem, OR 97301-2192. Comments received after 9 a.m. on July 28 will not be considered. For more information, call (503) 373-1904 or email email@example.com
Access to insurance-funded ABA in Oregon involves a combination of five state and federal laws/statues. Changes to the Affordable Care Act could have a huge impact on our clients’ ability to acquire/access coverage for those services. A big post on this topic coming in the next day or so with information on how to contact your senators and support upholding the full ACA.
In the meantime, please read Autism insurance expert Paul Terdal’s website: Autism Insurance of Oregon and subscribe to his email list. He recently posted on some big changes to OHP and on the potential effects of an ACA repeal. Here is a quote from his summary:
“Autism Health Insurance Reform in Oregon relies on a complex combination of state and federal laws, including:
These laws overlap and enhance each other; for instance, SB365 required coverage of treatment for autism, but allowed for some age and visit limits on care; ORS 743A.168 and MHPAEA overrode those limits to provide coverage for all ages, limited only by medical necessity. The ACA extended that enhanced coverage to individual plans that anyone could purchase through the health exchange, even if they had a pre-existing condition (such as autism).
Even with a full repeal of the Affordable Care Act, health insurance policies in Oregon will still need to provide coverage of treatment for autism, with significant gaps and issues:
If you have ideas for action, please contact ORABA!
It’s been a very long time since ORABA held a state ABA conference. We held out first one back in 2010 (featuring Dr. Vince Carbone!) but have been very busy with legislative issues, licensure, creating local ABA education opportunities, and building capacity in Oregon over the past few years. We hope to host another conference soon and will keep you all updated. In the meantime, here are the ABA conferences/conventions coming up over the next 6 months. ORABA will have representatives at CALABA and ABAI. Hope to see you there!
California Association for Behavior Analysis (CALABA) 2017 Annual Western Regional Conference on Behavior Analysis: February 10-12, 2017, Anaheim CA
Women in Behavior Analysis (WIBA) First annual conference: March 9-10, Nashville TN
Association of Professional Behavior Analysts (APBA) 2017 Annual Convention: March 23-25 2017, New Orleans LA
Applied Behavior Analysis International (ABAI) 2017 43rd Annual Convention: May 25-29, 2017, Denver, CO
Oregon’s Behavior Analysis Regulatory Board approved new permanent rules at its meeting on Nov. 18, 2016.
Read the new permanent rules which go into effect on Jan. 1, 2017, affecting licensure of behavior and assistant behavior analysts, registration of behavior analysis interventionists, and permanent grandfathering rules for declarants. If you are already practicing, there are some big changes regarding supervision of RBAIs.