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| Applications of Behavioral Assessment Procedures to Distinct Outpatient Clinic Settings |
| Thursday, November 29, 2001 |
| 11:00 AM–11:50 AM |
| Barbantini Hall |
| Area: CBM; Domain: Applied Behavior Analysis |
| Chair: David P. Wacker (The University of Iowa) |
| Abstract: In this symposium, we provide recent applications of behavioral assessment procedures to outpatient clinic settings. Each presenter will first describe the outpatient clinic and general setting within which they work, and the general population of individuals who receive services within those settings. Next, the presenters will describe the specific behavioral assessment procedures employed in the clinic and provide a rationale for their use in the clinic. Specific case examples and general summaries of the individuals receiving assessment will be presented with outcome data. Finally, the benefits and limitations will be discussed along with suggestions for clinicians and behavior analysts who are providing services and wish to incorporate these procedures into their clinical settings. David Wacker (The University of Iowa) will describe how functional analyses have been adapted for use with normally developing children who have common behavior problems. |
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| The Behavioral Pediatrics Clinic: Applications of Brief Functional Analysis to Normally Developing Children with Behavioral Problems |
| DAVID P. WACKER (The University of Iowa), Anne Hartson (The University of Iowa), Linda J. Cooper-Brown (The University of Iowa) |
| Abstract: We adapted functional analysis procedures used with persons who have both developmental and behavioral disorders to an outpatient clinic specializing in behavioral problems displayed by children with normal development. As part of a comprehensive, interdisciplinary evaluation, we conducted brief functional analyses of problem behavior and generated both diagnostic and treatment recommendations. In this presentation, we will describe the children served in the outpatient clinic, the role of the behavior analysts within the team as well as the role of other team members, and how functional analyses are incorporated into the clinic. We will provide a summary of the children assessed and present specific case examples that illustrate distinct assessment protocols across subgroups of children. We will then describe how functional analysis has become a common procedure used in the clinic and how the data are used in conjunction with other analyses to diagnose and treat the behavior problems assessed within the clinic. |
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| The NBU Outpatient Clinic: Intensive Services for Individuals with Developmental Disabilities and Severe Destructive Behavior |
| PATRICIA F. KURTZ (Kennedy Krieger Institute), Julia T. O'Connor (Kennedy Krieger Institute), Michelle D. Chin (Kennedy Krieger Institute), Theodosia R. Paclawskyj (Kennedy Krieger Institute) |
| Abstract: The Outpatient Neurobehavioral Programs at Kennedy Krieger Institute provide intensive clinic and home-based services to children with developmental disabilities and severe destructive behavior. Typically, patients participate in preference assessments, analogue functional analyses, and reinforcement-based treatment analyses. Parent training as well as generalization and maintenance of treatment gains are strongly emphasized. One major focus of the program is modifying and/or extending the application of behavioral assessments. For example, over the last 2 years parents have been systematically trained to conduct extended functional analyses, and the integrity of their procedural implementation has been monitored. Parents also have been trained to conduct stimulus choice assessments in order to independently identify their children’s reinforcers on a regular basis. Additionally, we have modified functional analyses and preference assessments in accordance with children’s developmental and behavioral needs. A significant proportion of our current work focuses on assessments adapted to very young children. |
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| The Development of In-Home and Outpatient Consultations with Parents in Assessment and Treatment of Problem Behavior |
| CLAIRE LACEY (National University of Ireland), Mark O'Reilly (National University of Ireland), Margaret M. O'Halloran (National University of Ireland), Yvonne Barnes-Holmes (National University of Ireland), Francis Doolin (National University of Ireland), Nicole E.M.C Murray (National University of Ireland) |
| Abstract: We provided ongoing consultation to families of children with behavioural difficulties as part of a new treatment programme. The focus of this program was to conduct assessments both within the home and outpatient settings. Parents were trained for their involvement in assessment procedures, treatment development and implementation. A number of strategies were employed to assess problem behaviour. Assessment within the home included interviews, direct observation, parental recordings of target behaviours and functional analysis. Information and data obtained from these assessments were combined with results of outpatient functional analysis to identify the function of target behaviour(s). This facilitated ongoing analysis of behaviour in natural and analogue settings. Treatment plans were developed to match the function of behaviour. Parents were trained to implement treatment plans in the home. Ongoing consultation in the home allowed us to monitor parents’ effectiveness in implementing treatments and to evaluate the long term effects of treatment on behaviour in the home. |
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