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| Child Clinical Applications of Behavior Analysis |
| Sunday, May 28, 2006 |
| 9:00 AM–10:20 AM |
| Kennesaw |
| Area: CBM; Domain: Service Delivery |
| Chair: Teresa A. Rodgers (Agency for Persons with Disabilities) |
| CE Instructor: Jeannie A. Golden, Ph.D. |
| Abstract: Children and adolescents can be treated effectively using functional behavioral assessment and behavioral interventions for social, emotional and medical difficulties in a variety of settings. These settings include: a hospital treating children for chronic or terminal illnesses, a permanent residence with a loving family, a group home specifically designed to treat adolescents with multiple diagnoses, and a regular public school. The speakers in this symposium will present research-based approaches from the behavioral literature, as well as techniques they have used in clinical case studies, that effectively deal with numerous social, emotional and medical difficulties in children. Diagnoses that have been given to the children in these case studies include: Cancer, Diabetes, Attention Deficit Hyperactivity Disorder, Oppositional Defiant Disorder, Conduct Disorder, Moderate Mental Retardation, Post-Traumatic Stress Disorder, Obsessive-Compulsive Disorder, Motor Stereotypy, Depression, Psychosis, Learning Disability, School Phobia with Panic Attacks and Social Anxiety Disorder. In each of the case studies discussed, these children either: were able to be receive necessary medical treatments that were previously refused, had one or more of their diagnostic labels removed or were able to be served in a typical setting after previously being removed due to their behavioral, social and emotional difficulties. |
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| Using Functional Behavioral Assessment to Identify Appropriate Treatment Strategies for Children in Hospital Settings. |
| LYNN A. OLSON PAGE (Regent University) |
| Abstract: Children with chronic and acute medical conditions face a number of challenges, both medically and psychologically. Pediatric psychologists are often to assist with issues that arise during hospitalization. Concerns about patient functioning may revolve around the physical consequences of emotional or behavioral distress, emotional or behavioral symptoms resulting from the diagnosis, or psychological trauma (Kush & Campo, 1998). Often these difficulties require an individualized, problem-solving approach to address difficulties quickly. A functional behavioral assessment approach represents a feasible and effective means of addressing problems within the hospital setting, but there is a paucity of research documenting the use of functional behavioral assessment in the acute hospital setting. Three case examples are used to provide a model of functional behavioral assessment in the hospital setting to improve coping, increase exercise and physical activity, and decrease distress to a medical procedure. |
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| Using Applied Behavior Analysis & Cognitive Behavioral Methods to Promote Long-Term Emotional & Moral Development in a Child with Attachment Problems. |
| JEANNIE A. GOLDEN (East Carolina University) |
| Abstract: A five-and-a-half-year-old girl with diagnoses of ADHD, Depression & Psychoses was placed in foster care after having been removed from her biological home due to abuse and neglect, two other foster homes and several day care settings. The foster mother was a behavioral psychologist who used several behavioral interventions including: positive reinforcement, tokens, role-playing, feedback, coordinating of all adult caregivers, and consistent follow-through. The child was taken off of all medications within three weeks, was adopted two-and-a-half years later, and is currently twelve-and-a-half years old and in a regular seventh-grade class. The child has, however, experienced some attachment problems and receives ongoing treatment in order to promote emotional and moral development. |
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| Using Applied Behavior Analysis to Treat School Phobia with Panic Attacks & Social Anxiety Disorder: Two & Three Year Follow-Up. |
| ADAM A. SPENCER (East Carolina University), Troy Roberts (East Carolina University), Jeannie A. Golden (East Carolina University) |
| Abstract: A twelve-year-old boy who appeared to have been the victim of a traumatic event developed school phobia and was being home-schooled one hour a week due to his school avoidance. When attempting to return to school, he was told by the principal to return for a full day or he would be expelled from school. Working with another school principal who was willing to try a more gradual approach, the behavioral consultant was able to use systematic desensitization, shaping, token reinforcement, role playing, and feedback to return the child to full days at school. Comparison of several treatments from the research literature will be discussed, as well as the use of functional behavioral assessment to understand school avoidance. |
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| Managing the Behavior of Elementary School Children with Various Behavioral & Learning Problems. |
| BRYAN CRISP (East Carolina University), Jeannie A. Golden (East Carolina University) |
| Abstract: Differential reinforcement has been demonstrated to be an effective strategy to reduce or eliminate behavior without the presentation of a punishing stimulus. The purpose of this study was to decrease the out of seat behavior of students in a general education elementary classroom. Data for the reduction of out of seat behavior of three elementary students is presented. Problems associated with the use of differential reinforcement in the general education classroom are discussed. Additionally, a training tape in the implementation of differential reinforcement procedures in a class of students with severe behavior problems and learning difficulties will be shown and discussed. |
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