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| Delivering Behavior Analytic Consultation Services in Rural and Resource-Restrained Locales: An Exploration of Challenges and Outcomes |
| Monday, May 27, 2019 |
| 5:00 PM–5:50 PM |
| Swissôtel, Event Center Second Floor, Vevey 3/4 |
| Area: CBM/CSS; Domain: Service Delivery |
| Chair: Patrick E. McGreevy (Patrick McGreevy and Associates) |
| CE Instructor: Theodore A. Hoch, Ed.D. |
| Abstract: Growth of the natural science of behavior analysis, and the credentialing of behavior analytic practitioners has accelerated over the last thirty years. The availability of services, however, has only unevenly kept up with the demand for service, with many areas of the world underserved, and many more unserved. In this symposium, we describe implementation of service provision at a distance in three venues. First, we describe providing distance based behavior analysis services to reach otherwise unserved service participants in largely rural Idaho. Next, we describe a combination of behavior analytic teaching and up-to-date technology to provide services to families of underserved children in urban, suburban, and rural Virginia, using an innovative web-based platform. Finally, we describe providing services from US-based behavior analysts to families of children with disabilities in Pakistan, using easily accessed internet platforms. We present outcome and satisfaction data which speak to the effectiveness of service provision in each ofd these modalities. |
| Instruction Level: Basic |
| Keyword(s): behavioral consultation, distance, rural, telehealth |
| Target Audience: Practicing behavior analysts and behavior consultants. Individuals providing services or supporting those that provide services to rural, unserved, or underserved populations. |
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| Delivering Behavioral Coaching and Consultation Services in Rural Idaho |
| AUDREY ALBERSTADT (Boise State University) |
| Abstract: With less than 40 certified behavior analysts in Idaho, and less than 20 registered behavior technicians (BACB, 2018) access to behavioral service delivery, coaching, and consultation can be constrained and compromised; especially in rural counties. Rural counties represent at least 80% of the state of Idaho. We examine a model for behavioral coaching and consultation practices. Machalicek, W., O'Reily, M. F. et al. successfully utilized videoconferencing technology to conduct functional analysis and develop classroom behavior supports. Our model also includes the use of video conferencing and telehealth technologies in order to address concerns for access to professional development and behavioral consultation services in the school setting. In utilizing our current model, challenges and concerns have arose. Some of these concerns include implementer and team buy-in for behavior change procedures, pairing procedures and rapport between consultant and team, and teams' access to video conferencing technology. Considerations for further modifications to optimize service delivery are presented. |
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| Behavior Analytic Distance Consultation in Pakistan |
| THEODORE A. HOCH (George Mason University), Adam Dreyfus (Sarah Dooley Center for Autism) |
| Abstract: As a natural science, behavior analysis transcends cultures and societies. Indeed, it’s these naturally occurring contingencies that underlie cultures and societies. Our experiences in consulting and training in a variety of countries have been that parents of children with behavioral difficulties have the same sorts of questions, regardless of nation in which those parents live. Getting those questions answered, however, and getting help for these children is often difficult when there are few to no qualified behavior analysts in the countries in which these families reside. In this presentation, we discuss distance consultation to families in Pakistan, to include behavioral assessment, instruction, intervention, and parent training. We also discuss overcoming obstacles such as large differences in time zones, using technology that complies with relevant regulations (e.g., HIPAA), and respecting differing cultural and religious customs. Outcome data include measures of parent efficacy and child improvement. Suggestions for conducting this kind of consultation are offered. |
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Helping to Solve the Autism Puzzle With AnswersNow |
| ADAM DREYFUS (Sarah Dooley Center for Autism) |
| Abstract: In 1968, Dr. Skinner laid out an elegant description of how to deliver effective instruction. Fast forward 50 years, and the field of behavior analysis has changed dramatically. There has been a huge proliferation of training programs, and there are more than 90,000 people in the world who are credentialed by the Behavior Analyst Certification Board. Applied behavior analysis has become a widely recognized, mainstream treatment modality for children and adults with a variety of disabilities. Ninety thousand credentialed professionals, however, is not enough to meet the need for behavior analytic services, and many go unserved or underserved, even in locations where behavior analysts may be relatively plentiful. AnswersNow combines Dr. Skinner’s technology of teaching with an innovative technology platform, leveraging technology with good, old-fashioned behavior analysis to deliver a first-of-it’s-kind service dedicated to improving the lives of children diagnosed with disabilities worldwide. We will share the results of early beta testing, parent survey results, ongoing data, and platform design. Implications for future uses of technology will be explored. |
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