PRT is based on four pivotal areas: motivation, initiation, responding to multiple cues, and self-management.

PRT is based on applied behavioral analysis (ABA) but departs from ABA in important ways.

Paz Ruiz Luque / Getty Images

What Are the Components of Pivotal Response Training?

therapist helping child

Paz Ruiz Luque / Getty Images

Pivotal response training (PRT) is a treatment for ASD that targets skills pivotal to a childs development.

Another key component of PRT is using strategies to increase a childs motivation during treatment.

Other PRT strategies include:

PRT vs. ABA Therapy

PRT is based on applied behavioral analysis principles.

By doing so, PRT allows for improvements in not just behaviors but also social interactions and communication.

What Are the Pivotal Areas in PRT?

PRT focuses on four areas that are thought to lead to broad improvements in other core areas of functioning.

How Does PRT Treatment Work?

Thus, a PRT treatment plan will be tailored to the child’s unique needs.

The number of hours spent in PRT varies.

PRT Treatment Examples

PRT treatment techniques will vary based on the childs needs and progression.

This is an opportunity to demonstrate play and social skills, like talking about the toy.

How Effective Is PRT?

PRT has been proven to be an effective treatment for children with ASD.

Is PRT Covered by Insurance?

Whether PRT is covered by insurance may depend on the pop in of insurance.

Its best to call your insurance company to learn exactly whats covered and for how many sessions.

Medicaid, a public insurance plan, covers medically necessary treatments.

Thus, if a physician prescribes PRT for a child with autism, it is likely covered by Medicaid.

Summary

PRT is an evidence-based therapeutic approach shown to be effective in treating children with ASD.

PRT includes four pivotal areas: motivation, initiation, responding to multiple cues, and self-management.

2015;88(1):37-44.

Lei J, Ventola P.Pivotal response treatment for autism spectrum disorder: Current perspectives.Neuropsychiatr Dis Treat.

2022;52(12):5414-5427. doi:10.1007/s10803-021-05397-8

Applied Behavioral Analysis Programs Guide.What is pivotal response treatment?

American Psychological Association.Does your insurance cover mental health services?