My boy was born full term in March 2003, weighing 8 lbs with Apgar scores of 9/9. His development as an infant was uneventful and on track – he cooed, rolled, crawled, and walked right on time. At around 9th month of age, I began to be concerned when he failed to point. (My pediatrician told me that pointing is a precursor to speech). We decided to wait and see, but such skill never developed. As we anxiously waited through his 1st birthday, our concern grew even more.
The child seemed “stuck” in the babbling stage and could not advance. He could not vocalize mama or dada, and worse, he didn’t seem interested in talking at all – he made no attempt to imitate me when I numerously modeled “Maa- Mee” in exaggerated version in front of him. In retrospect, he didn’t have many social smiles either but because he giggled with the cutest laugh whenever we lifted him up and he loved roughhousing, we mistakenly believed that his social skills were on track. His favorite thing to do was to play with cars, mainly spinning the wheels. (I’d walk into his room to see all the cars, big and small, resting on the floor upside down.) Shortly after his second birthday, his sister was born, and we decided not to wait any longer and called the Regional Center per my pediatrician’s advice. A duo team of psychologist and a speech therapist at the Regional Center assessed him for about an hour and a half and handed us the life-altering diagnosis of autism spectrum disorder. I remember the day so vividly, because it was one of the saddest days of my life. After bawling for a month, I picked myself up and was determined to find a cure for him. (I later learned that the “cure” of autism is still subject of debate amongst professionals, but everyone agrees that it is definitely “treatable”.)
I began my research into ASD and the treatment options available. When I learned of ABA, I wholeheartedly agreed with their systematic approach towards ASD. ABA made sense to me not only intellectually – it satisfied my need to actively engage the spectrum with thoughtfully measured goals.Once I decided to take the ABA route, I let my case manager at Regional Center know during our first IFSP meeting. She gave me a name of ABA agency and told me that they would contact me soon to do the assessment. Shortly after, the ABA agency came to assess him and recommended 25 hours of ABA therapy a week. It took about three months from the IFSP meeting to the first day of therapy. During the three months of waiting which seemed forever, I set down with him and started the “work”. Without any knowledge of ABA but relying solely on motherly intuition coupled with a great sense of urgency, I started to teach him some basic skills as understanding the command of “give it to me” at which he learned to hand over to me whatever item I pointed. I also worked on receptive labeling of simple things such as book, apple, cup, car, etc and identification of numbers and letters using the puzzle boards; I would ask “where is J?” and he learned to point at “J” on the puzzle (And thankfully, he was a quick learner!) His first words emerged during the three months wait period, which were “Hot” “Fire” and “Apple” in that order. Then, we finally began the treatment.
Fast forward thirteen years, my son is now a junior in high school; he has tested and got accepted to a magnet STEM public high school for gifted students and is thriving there. Without the four years of 30-hours a week of intensive ABA program he received in his early childhood, this would not have been possible. Now he’s studying for the SAT to get into college of his choice (Carnegie Mellon is his dream school) andwants to studyApplied Mathematics. Through the years, ABA program transformed a non-verbal 3-year-old boy who could not even point to the things he desired, to a typically awkward teenagerwho enjoys his friends and looks forward to going to school (for most days). From what I personally experienced and how ABA changed our lives forever, I learned the following:
- ABA, as a treatment option, was not readily available to me; I had to do a lot of research on my own to learn about ABA.
- ABA really works! But in order to reap the maximum benefit, the ABA therapy should be intensive (30-40 hours a week), individualized, and be constantly monitored by highly trained professionals (BCBA) to ensure the quality.
- Many children diagnosed with autism DO NOT receive quality ABA therapy; I met many families with children on the spectrum who have never heard of ABA, getting very small number of ABA hours, or offered “ABA-based environment” but not the quality ABA therapy I am talking about here.
- Quality ABA is not a rigid intervention spent mostly at the table to make a child talk like a robot. On the contrary, ABA is based on a principal of positive reinforcement and adaptive to the ever-evolving needs of the child; towards the end, 90% of my child’s program consisted of play dates and school shadowing to better address his social skills deficit.
- All the autism treatments ARE NOT equal in efficacy. The type of intervention the child receives is absolutely critical to his/her improvement. The researches show that the usual “Special Day Class” offered by the local school districts or “eclectic treatment of autism” (special education autism classrooms staffed by teachers using a variety of teaching methods, including discrete trials, PECS, sensory integration and TEACH model activities) are not effective in treating autism, i.e., at the end of the program, it is not effective in closing the developmental gap between the child and the typical peers.
- There are many rogue autism treatments out there in the market, each claiming to be the “THE” treatment which parents cannot afford to miss. Parents must remain skeptical and ask whether such “treatment” has any scientific basis or is just basing its claim on anecdotes.
- Not all ABA agencies are created equal; there are the good, the bad and the ugly. You must exercise much caution in choosing your ABA agency as this will ultimately affect your child’s treatment outcome. Some “ABA” providers referred by the school district or regional centers do not provide a research-based program, and are sometimes not allowed to advocate for the child they serve. It is good idea to remain skeptical, ask questions, and consult with other parents who already have their ABA program in place.
- Depending on where you live, it can be very challenging to get funding for the ABA program from the local school district/ health insurance /regional centers that are legally responsible for your child’s autism intervention. Many families had to resort to attorneys/ advocates to secure a high quality, intensive ABA program for their children. (And unfortunately, and tragically, local school districts often spend exorbitant sums on attorneys and expert witnesses to fight the families pursuing an effective ABA program.)
- ABA is not just a treatment for autism, but rather a way of life. After all, we all respond to positive reinforcement.
- At the end, it is all worth it. My child may not “recover” or be “cured” from autism per se, but he is functioning at a level now where he could not have been without ABA.
Looking back over the years, it was not exactly a stroll in the park. In addition to managing the logistics of intensive intervention that he required (which meant putting a long pause in my legal career as corporate counsel), I attended resolution meetings, mediation meetings, a 3-day due process hearing, and numerous settlement conferences, in an effort to obtain support for my son. With my school district, we could not come to an agreement in what constitutes “Free Appropriate Public Education” for my child, and had to resort to an attorney specializing in Special Education. We filed two due process hearings during the past three years. Advocating for my child meant tremendous sacrifices and commitment for my family – financially, emotionally and physically. At the same time however, I never felt I had an option – I could not “stop” advocating for my child, and to discard whatever promises his future held.
As a great beneficiary of ABA program, I found this Foundation with a help of a great uncle, a philanthropist and a co-founder, who listened to my story and supported my cause. The Spectrum of Hope Foundation wishes to cast hope for the families in their darkest moment by providing critical information on how to go about placing early, intensive, and high-quality ABA program for their children with autism. You have a friend in this journey, and we look forward to serving you. Thank you.