Pivotal Response Treatment (PRT): Research Findings Over 30 Years

Pivotal Response Treatment (PRT) is an evidence-based practice that focuses on key “pivotal” areas to produce improvements in targeted areas as well as untargeted areas. The first pivotal area researched was motivation, using a package of components that were developed to improve engagement and responding, during intervention for social communication. The effect of incorporating the motivational procedures improves responsiveness, correct responding, engagement, and affect. Additional pivotal areas that have been researched to date include initiations, self-management, and empathy. These areas are described along with procedures for adapting the PRT procedures for different age groups, including infants and adults.

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Authors and Affiliations

1. Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA Lynn Kern Koegel, Elizabeth Ponder, Katie Stolen Nordlund & Brittany L. Koegel

1. Lynn Kern Koegel