Home-Based Services

  • Jonathan TarboxEmail author
  • Angela Persicke
  • Amy Kenzer
Part of the Issues in Clinical Child Psychology book series (ICCP)


Home-based services for individuals with developmental disabilities have been implemented successfully for several decades and have been the subject of a large amount of research demonstrating their effectiveness. This chapter reviews research on several varieties of home-based service delivery. In particular, home-based early intensive behavioral intervention (EIBI) for young children with autism is discussed, including research on EIBI implemented by university clinics, community-based agencies, and treatment directed by parents. The effects of age at intake and treatment intensity on EIBI outcomes are also reviewed. Research on other home-based services is also reviewed, including procedures for parent training and the reduction of challenging behavior. The latter section of the chapter discusses the relative strengths and limitations of home-based service delivery, as well as the importance of the quality of treatment. The chapter concludes with a discussion of variables to consider when selecting the most appropriate treatment setting for any given individual.


Autism Spectrum Disorder Developmental Disability Parent Training Challenging Behavior Apply Behavior Analysis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Anderson, S. R., Avery, D. L., Dipietro, E. K., Edwards, G. L., & Christian, W. P. (1987). Intensive home-based early intervention with autistic children. Education and Treatment of Children, 10, 352–366.Google Scholar
  2. Berg, W. K., Wacker, D. P., Harding, J. W., Ganzer, J., & Barretto, A. (2007). An evaluation of multiple dependent variables across distinct classes of antecedent stimuli pre and post functional communication training. Journal of Early and Intensive Behavioral Intervention, 3(4)–4(1), 305–333.Google Scholar
  3. Bibby, P., Eikeseth, S., Martin, N. T., Mudford, O. C., & Reeves, D. (2002). Progress and outcomes for children with autism receiving parent- managed intensive interventions. Research in Developmental Disabilities, 23, 81–104.PubMedCrossRefGoogle Scholar
  4. Birnbrauer, J. S., & Leach, D. J. (1993). The Murdoch early intervention program after 2 years. Behavior Change, 10(2), 63–74.Google Scholar
  5. Boyd, R. D., & Corley, M. J. (2001). Outcome survey of early intensive behavioral intervention for young children with autism in a community setting. Autism, 5, 430–441.PubMedCrossRefGoogle Scholar
  6. Brookman-Frazee, L., Vismara, L., Drahota, A., Stahmer, A., & Openden, D. (2010). Parent training interventions for children with autism spectrum disorders. In J. L. Matson (Ed.), Applied behavior analysis for children with autism spectrum disorders: A handbook. New York: Springer.Google Scholar
  7. Cohen, H., Amerine-Dickens, M., & Smith, T. (2006). Early intensive behavioral treatment: Replication of the UCLA model in a community setting. Journal of Development and Behavioral Pediatrics, 27, 145–155.CrossRefGoogle Scholar
  8. Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis (2nd ed.). Upper Saddle River, NJ: Prentice Hall.Google Scholar
  9. Derby, K. M., Wacker, D. P., Berg, W., DeRaad, A., Ulrich, S., Asmus, J., et al. (1997). The long-term effects of functional communication training in home settings. Journal of Applied Behavior Analysis, 30, 507–531.PubMedCrossRefGoogle Scholar
  10. Feldman, M. A., & Werner, S. E. (2002). Collateral effects of behavioral parent training on families of children with developmental disabilities and behavior disorders. Behavioral Interventions, 17, 75–83.CrossRefGoogle Scholar
  11. Fenske, E. C., Zalenski, S., Krantz, P. J., & McClannahan, L. E. (1985). Age at intervention and treatment outcome for autistic children in a comprehensive intervention program. Analysis and Intervention in Developmental Disabilities, 3, 49–58.CrossRefGoogle Scholar
  12. Gabovitch, E. E., & Curtin, C. (2009). Family-centered care for children with autism spectrum disorders: A review. Marriage & Family Review, 45, 469–498.CrossRefGoogle Scholar
  13. Granpeesheh, D., Dixon, D. R., Tarbox, J., Kaplan, A. M., & Wilke, A. E. (2009). The effects of age and treatment intensity on behavioral intervention outcomes for children with autism spectrum disorders. Research in Autism Spectrum Disorders, 3, 1014–1022.CrossRefGoogle Scholar
  14. Granpeesheh, D., Tarbox, J., & Dixon, D. (2009). Applied behavior analytic interventions for children with autism: A description and review of treatment research. Annals of Clinical Psychiatry, 21, 162–173.PubMedGoogle Scholar
  15. Harris, S. L., & Handleman, J. S. (2000). Age and IQ at intake as predictors of placement for young children with autism: A four- to six-year follow-up. Journal of Autism and Developmental Disorders, 30, 137–142.PubMedCrossRefGoogle Scholar
  16. Hayward, D., Eikeseth, S., Gale, C., & Morgan, S. (2009). Assessing progress during treatment for young children with autism receiving intensive behavioural interventions. Autism, 13, 613–633.PubMedCrossRefGoogle Scholar
  17. Howard, J. S., Sparkman, C. R., Cohen, H. G., Green, G., & Stanislaw, H. (2005). A comparison of intensive behavior analytic and eclectic treatments for young children with autism. Research in Developmental Disabilities, 26, 359–383.PubMedCrossRefGoogle Scholar
  18. Kaminski, J. W., Valle, L. A., Filene, J. H., & Boyle, C. L. (2008). A meta-analytic review of components associated with parent training program effectiveness. Journal of Abnormal Child Psychology, 36, 567–589.PubMedCrossRefGoogle Scholar
  19. Kuhn, S. A. C., Lerman, D. C., & Vorndran, C. M. (2003). Pyramidal training for families of children with problem behavior. Journal of Applied Behavior Analysis, 36, 77–88.PubMedCrossRefGoogle Scholar
  20. Lafasakis, M., & Sturmey, P. (2007). Training parent implementation of discrete-trial teaching: Effects on generalization of parent teaching and child correct responding. Journal of Applied Behavior Analysis, 40, 685–689.PubMedGoogle Scholar
  21. Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55, 3–9.PubMedCrossRefGoogle Scholar
  22. Luiselli, J. K., Cannon, B. O., Ellis, J. T., & Sisson, R. W. (2000). Home-based behavioral intervention for young children with autism/pervasive developmental disorder. A preliminary evaluation of outcome in relation to child age and intensity of service delivery. Autism, 4, 426–438.CrossRefGoogle Scholar
  23. Magiati, I., Charman, T., & Howlin, P. (2007). A two-year prospective follow-up study of community-based early intensive behavioural intervention and specialist nursery provision for children with autism spectrum disorders. Journal of Child Psychology and Psychiatry, 48(8), 803–812.Google Scholar
  24. Matson, M., Mahan, S., & Matson, J. (2009). Parent training: A review of methods for children with autism spectrum disorders. Research in Autism Spectrum Disorders, 3, 868–875.CrossRefGoogle Scholar
  25. McConachie, H., & Diggle, T. (2005). Parent-mediated early intervention for young children with autism spectrum disorder: A systematic review. Journal of Evaluation in Clinical Practice, 13, 120–129.CrossRefGoogle Scholar
  26. McEachin, J. J., Smith, T., & Lovaas, O. I. (1993). Long-term outcome for children with autism who received early intensive behavioral treatment. American Journal on Mental Retardation, 97, 359–372.PubMedGoogle Scholar
  27. Mueller, M. M., Piazza, C. C., Moore, J. W., Kelley, M. E., Bethke, S. A., Pruett, A. E., et al. (2003). Training parents to implement pediatric feeding protocols. Journal of Applied Behavior Analysis, 36, 545–562.PubMedCrossRefGoogle Scholar
  28. Patterson, S. Y., Smith, V., & Mirenda, P. (2012). A systematic review of training programs for parents of children with autism spectrum disorders: Single subject contributions. Autism. doi: 10.1177/1362361311413398.
  29. Perry, A., Cummings, A., Geier, J. D., Freeman, N. L., Hughes, S., LaRose, L., et al. (2008). Effectiveness of intensive behavioral intervention in a large, community-based program. Research in Autism Spectrum Disorders, 2, 621–642.CrossRefGoogle Scholar
  30. Reed, P., Osborne, L. A., & Corness, M. (2007). Brief report: Relative effectiveness of different home-based behavioral approaches to early teaching intervention. Journal of Autism and Developmental Disorders, 37, 1815–1821.PubMedCrossRefGoogle Scholar
  31. Remington, B., Hastings, R. P., Kovshoff, H., Espinosa, F., Jahr, E., Brown, T., et al. (2007). Early intensive behavioral intervention: Outcomes for children with autism and their parents after two years. American Journal on Mental Retardation, 112, 418–438.PubMedCrossRefGoogle Scholar
  32. Roberts, M. Y. & Kaiser, A. P. (2011). The effectiveness of parent-implemented language intervention: A meta-analysis. American Journal of Speech-Language Pathology, 20, 180–199.Google Scholar
  33. Sallows, G. O., & Graupner, T. D. (2005). Intensive behavioral treatment for children with autism: Four-year outcome and predictors. American Journal of Mental Retardation, 110, 417–438.PubMedCrossRefGoogle Scholar
  34. Schopler, E., Reichler, R., & Rochen Renner, B. (1988). The childhood autism rating scale. Los Angeles: Western Psychological Services.Google Scholar
  35. Schwarz, S. M. (2003). Feeding disorders in children with developmental disabilities. Infants and Young Children, 16, 317–330.CrossRefGoogle Scholar
  36. Smith, T., Buch, G. A., & Gamby, T. E. (2000). Parent-directed, intensive early intervention for children with pervasive developmental disorder. Research in Developmental Disabilities, 21, 297–309.PubMedCrossRefGoogle Scholar
  37. Smith, T., Groen, A., & Wynn, J. (2000). Randomized trial of intensive early intervention for children with pervasive developmental disorder. American Journal of Mental Retardation, 105(4), 269–285.PubMedCrossRefGoogle Scholar
  38. Sparrow, S. S., Balla, D. A., & Cicchetti, D. V. (1984). Vineland adaptive behavior scales. Circle Pines, MN: American Guidance Service.Google Scholar
  39. Tarbox, J., Schiff, A., & Najdowski, A. C. (2010). Parent-implemented procedural modification of escape extinction in the treatment of food selectivity in a young child with autism. Education and Treatment of Children, 33, 223–234.CrossRefGoogle Scholar
  40. Tarbox, R., Wallace, M., Penrod, B., & Tarbox, J. (2007). Effects of three-step prompting on compliance with caregiver requests. Journal of Applied Behavior Analysis, 40(4), 703–706.PubMedGoogle Scholar
  41. Tiger, J. H., Hanley, G. P., & Bruzek, J. (2008). Functional communication training: A review and practical guide. Behavior Analysis in Practice, 1, 16–23.PubMedGoogle Scholar
  42. Wacker, D. P., Berg, W. K., Harding, J. W., Barretto, A., Rankin, B., & Ganzer, J. (2005). Treatment effectiveness, stimulus generalization, and acceptability to parents of functional communication training. Educational Psychology, 25, 233–256.CrossRefGoogle Scholar
  43. Ward-Horner, J., & Sturmey, P. (2008). The effects of general-case training and behavioral skills training on the generalization of parents’ use of discrete trial teaching, child correct responses, and child maladaptive behavior. Behavioral Interventions, 23, 271–284.CrossRefGoogle Scholar
  44. Werle, M. A., Murphy, T. B., & Budd, K. S. (1993). Treating chronic food refusal in young children: Home-based parent training. Journal of Applied Behavior Analysis, 26, 421–433.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Center for Autism and Related DisordersTarzanaUSA

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