This is one of my pet peeves in Speech Therapy. It seems like it doesn't
In the case of autism, research indicates that kids that get it earlier, get better at a faster rate. Kids that get more of it, get better at a faster rate. Kids that get certain kinds of it, get better at a faster rate. A variable that can't be changed is the non-verbal intelligence of the kids. Kids with higher non-verbal IQ get better at a faster rate.
So why do insurance companies and institutional payor sources all say "we'll pay for 30 minutes of therapy per week." There's no research to indicate that 30 minutes is the most appropriate number. There's tons of research to indicate that 5 hours per week is much more effective. I'm certain there is or will be at some point, research that shows that 40 hours per week is even better. These things make the difference between a productive member of society with positive and meaningful relationships, and the guy that sits in front of the TV all day rocking back and forth.
Another pet peeve is not having enough doctors (only certain MDs specialize in this field) to diagnose autism. As speech therapists, we know who has autism, we know how severe it is, and most of us know what should be done for maximum gains, and yet, if an MD hasn't made the diagnosis official, then the kids 'don't have' autism, and they can miss the most important therapeutic time of their lives.
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