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Have We Forgotten Our Roots? Applied Behavior Analysis and the Assessment and Treatment of Significant Behavioral Challenges in Adults With Autism and other Intellectual Disabilities |
Sunday, May 29, 2022 |
6:00 PM–6:50 PM |
Meeting Level 2; Room 258B |
Area: AUT/CBM; Domain: Applied Research |
Chair: Jennifer Rebecca Weyman (University of Missouri) |
CE Instructor: John M. Guercio, Ph.D. |
Abstract: This symposium will cover comprehensive assessment protocols as they apply to serving adults and adolescents with autism and other intellectual disabilities (ID). The information will go beyond basic functional assessment tools and methodology to cover environmental assessment measures. This training will also cover various elements of the Happy, Relaxed and Engaged assessment and treatment approach espoused by Greg Hanley and its applications with adults on the autism spectrum. Our clinical journeys have shifted us from a caretaking model of support to creating a new comprehensive, value-driven, and evidence-based treatment and teaching model. The spirit of this work creates a more compassionate environment where we aim to promote dignity, safety, and rapport. A recent survey by Reed and Henley ((2015) reported on the various types of training offered to BCBA’s and aspiring certificants. Following up on this study, Columbo, Taylor and Henley (2021) commented on the state of current training for severe problem behavior. This symposium will follow up on both studies, discuss the concept of those suggesting a change to the DSM V criteria to include profound autism, and review the need for training and compensation for a differential level of training and support. |
Instruction Level: Intermediate |
Keyword(s): ACCEA, Adults, Autism, Severe aggression |
Target Audience: Experience working with functional assessment and severe problem behavior. |
Learning Objectives: Participants will identify the design of environmental assessments in residential settings where clients display severe depression. Participants will select how to better quantify aggressive behavior in terms of its impact on the environment and those that serve them. Participants will be trained on specific aspects of operationally defined self-esteem behaviors and will select the best options for those that they serve. |
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Looking Back and Looking Ahead: The Broadening of the Construct of Autism in the Form of the Diagnostic and Statistical Manual (DSM-5) Criteria for Autism Spectrum Disorder |
KELLY MCKINNON-BERMINGHAM (The Center for Autism & Neurodevelopmental Disorders) |
Abstract: Reed and Henley (Behavior Analysis in Practice, 8, 16-26, 2015) conducted study to evaluate the various types of training offered to BCBA’s and aspiring certificants. Following up on this study, (Columbo, Taylor and Henley, Behavior Analysis in Practice, 14, 11-19, 2021) followed up on this study to comment on the state of current training for severe problem behavior. This training will follow up on both studies, discuss the concept of those suggesting a change to the DSM V criteria to include profound autism, and review the need for training and compensation for a differential level of training and support. |
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The Assessment of Adult Core Competencies: Teaching Skills to Adults With Autism and Severe Behavioral Challenges |
JOHN M. GUERCIO (Benchmark Human Services) |
Abstract: This training will cover comprehensive assessment protocols as they apply to serving adults and adolescents with autism and other intellectual disabilities (ID). The information will go beyond basic functional assessment tools and methodology to cover environmental assessment measures as well as the ability of the person with ID to fully pursue their values and goals that they have set for themselves. This training will also cover the vast influence that a capable staff can have in the successful management of aggressive responding in residential settings. The module will present the nationwide issues of turnover and burnout that are experienced by direct support professionals (DSPs). The national staff crisis will also be presented and the barriers that our current reimbursement structure places on the DSP profession. This context will then be utilized to outline key areas in which DSP staff can be trained to provide the safety and security that are required in residential settings. Crucial skill sets such as a characteristically positive interaction style and successful data collection skill sets will also be covered. |
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Happy, Relaxed, and Engaged When Discussing Severe Challenging Behavior: Creating a New Comprehensive, Evidence-Based Treatment and Teaching Model to Deliver Essential Outcomes |
ERIK JACOBSON (Upstate Cerebral Palsy) |
Abstract: Happy, relaxed, and engaged is a phrase seldom used when discussing severe challenging behavior; however, over the past several years, it has become more and more prevalent at Upstate Cerebral Palsy. The phrase is not only used in the context of addressing challenging behavior, but is used to describe the context in which we strive to provide all services. At the beginning of 2020, we set upon a bold journey to create a new culture and service model built on this Happy, Relaxed, and Engaged mindset. This journey has shifted us from a caretaking model of support to creating a new comprehensive, value-driven, and evidence-based treatment and teaching model to deliver essential outcomes for the people we support. The spirit of this work creates a more compassionate environment where we aim to promote dignity, safety, and rapport. Participants in this training will have the opportunity to understand this model, learn about the underlying innovative treatments used at Upstate Cerebral Palsy, and see how we are measuring outcomes. Videos will be shown that highlight crucial aspects of our new model and provide staff and parent testimonials. We will also discuss various barrier we encountered and solutions discovered along the way. |
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