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A Practitioner's Guide to Mitigating Treatment Relapse |
Monday, May 27, 2019 |
3:00 PM–3:50 PM |
Hyatt Regency East, Ballroom Level, Grand Ballroom EF |
Area: PRA; Domain: Service Delivery |
BACB/PSY/QABA CE Offered. CE Instructor: Wayne Fisher, Ph.D. |
Chair: David Bicard (Great Leaps Learning Center) |
Presenting Authors: : WAYNE FISHER (Munroe-Meyer Institute, University of Nebraska Medical Center) |
Abstract: Treatment relapse is a common problem after destructive behavior has been successfully treated using differential reinforcement procedures, such as functional communication training (FCT). Three forms of treatment relapse are resurgence, renewal, and reinstatement. These forms of treatment relapse are much more common that previously thought. For example, a recent prevalence study from our research lab showed that resurgence of problem behavior occurred in 75% of cases during reinforcer schedule thinning with FCT. Researcher have identified a number of specific procedures that practitioners can incorporate into FCT treatment packages that can mitigate, and in some cases prevent, resurgence and other forms of treatment relapse. In this presentation, I will discuss translational research on treatment relapse and describe specific and practical treatment procedures that practitioners can readily integrate into their practice. |
Instruction Level: Intermediate |
Target Audience: Board certified behavior analysts; licensed psychologists; graduate students. |
Learning Objectives: At the conclusion of the presentation, participants will be able to: (1) define the three major forms of treatment relapse at the completion of this presentation; (2) describe the treatment procedure that reduces two of the three major forms of treatment relapse. |
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WAYNE FISHER (Munroe-Meyer Institute, University of Nebraska Medical Center) |
Wayne Fisher is the H.B. Munroe professor of behavioral research in the Munroe-Meyer Institute and the Department of Pediatrics at the University of Nebraska Medical Center. He is also the director of the Center for Autism Spectrum Disorders at the Munroe-Meyer Institute, a board certified behavior analyst at the doctoral level (BCBA-D), and a licensed psychologist. He was previously a professor of psychiatry at Johns Hopkins University School of Medicine and served as executive director of the Neurobehavioral Programs at the Kennedy Krieger Institute and the Marcus Behavior Center at the Marcus Institute, where he built clinical-research programs in autism and developmental disabilities with international reputations for excellence. Fisher’s methodologically sophisticated research has focused on several intersecting lines, including preference, choice, and the assessment and treatment of autism and severe behavior disorders, that have been notable for the creative use of concurrent schedules of reinforcement, which have become more commonplace in clinical research primarily as a result of his influence. He has published over 180 peer-reviewed papers in over 30 different behavioral and/or medical journals, including: the Journal of Applied Behavior Analysis; Journal of the Experimental Analysis of Behavior; American Journal on Intellectual and Developmental Disabilities; Pediatrics; and The Lancet. Fisher has had near-continuous federal grant support for his research for 19 years. He is a past editor of the Journal of Applied Behavior Analysis, a past president of the Society for the Experimental Analysis of Behavior (SEAB), a fellow in the Association for Behavior Analysis International, and recipient of (a) the Bush Leadership Award; (b) the APA (Division 25) Award for Outstanding Contributions to Applied Behavioral Research; (c) the UNMC Distinguished Scientist Award; (d) the University of Nebraska system-wide Award for Outstanding Research and Creativity Activity; and (e) the SEAB, Don Hake Translational Research Award from APA (Division 25). |
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