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| Behavioral Assessment and Self-Management |
| Saturday, May 24, 2014 |
| 3:00 PM–3:50 PM |
| W179a (McCormick Place Convention Center) |
| Area: CBM |
| Chair: Robson Zazula (Universidade Estadual de Londrina) |
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| Problem Behavior and Medical Treatment: Direct and Indirect Measures in Behavioral Assessment |
| Domain: Applied Research |
| ROBSON ZAZULA (Universidade Estadual de Londrina), Márcia Cristina Gon Caserta (Universidade Estadual de Londrina) |
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| Abstract: One of the most common problems with children and their caregivers in medical treatment is the non- following medical recommendations, frequently described as a problem behavior. Althought, it is unusually to evaluate behaviors associated to the disease and treatment to identify some important control variables, and increase the following medical recommendations of children associated to the medical treatment. The aim objectives of this paper is: to present the importance of behavioral assessment of problem behavior in medical settings; to present strategies to evaluate problem behavior in medical settings with direct and indirect measures. We will discuss and present some direct measures to evaluate behavior problems applied to medical settings (Direct Observation System - DOF; Achenbach, 1991), structured observation system to evaluate problem behavior in medical and outcome settings, (Cooper , 1990; 1992; Hupp, 2008) and direct observation in natural and structured settings. We will discuss and present some indirect measures to evaluate problem behavior, as structured, semi-structured and unstructured interviews, behavioral checklists (CBCL; Achenbach, 1991) and others psychological tests to evaluate problem behavior. It is important to identify the positive and negative points of each strategy and instrument to identify the variables that affect the following of medical recommendations during treatment in medical and outcome settings. |
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| Self-Management: Self-Monitoring, Self-Regulating and the Escalation Chain |
| Domain: Applied Research |
| CHRIS M. SCHAUB (ReMed) |
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| Abstract: I just lost it, I dont know what happened, and nobody saw that coming are familiar refrains across the brain injury landscape. Self management is both a concept and a set of skills, critical to the successful community reintegration of individuals with brain injuries. The skill and proficiency an individual develops in managing issues such as agitation, sobriety, pain and the myriad other residuals that can be part of a brain injury has a significant impact on their need for support and structure, and ultimately determines the level of independence that can be achieved after brain injury. Self monitoring and self regulation will be described as the essential, complementary components of self management. Suggestions for tools and strategies based on behavior analytic concepts and principles will be reviewed; to include assessing an individuals ability to accurately describe their own behavior. The escalation chain will be presented as the centerpiece of the self-management plan. Its individualized and integrated features will be highlighted, including interdisciplinary team input across various components. Also, the role of the environment in helping to establish and/or maintain a self-management plan will be presented, including the relevance and impact of private and public events. |
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