Association for Behavior Analysis International

The Association for Behavior Analysis International® (ABAI) is a nonprofit membership organization with the mission to contribute to the well-being of society by developing, enhancing, and supporting the growth and vitality of the science of behavior analysis through research, education, and practice.

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47th Annual Convention; Online; 2021

All times listed are Eastern time (GMT-4 at the time of the convention in May).

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Symposium #478
CE Offered: BACB
Individualized Functional Analysis Conditions and Function-Based Treatment for High-Intensity, Low-Frequency Disruptive Behavior
Monday, May 31, 2021
5:00 PM–5:50 PM
Online
Area: DDA; Domain: Applied Research
Chair: David W. Sidener (ROOTS Applied Behavior Analysis Autism Treatment Center)
Discussant: Ruth M. DeBar (Caldwell University)
CE Instructor: David W. Sidener, Ph.D.
Abstract:

High-Intensity / Low-Frequency behavior poses specific challenges to assess and treat because there are fewer opportunities to observe the behavior including that the behavior may not occur at all during Functional Analysis sessions. We conducted two functional analyses in our clinic. Originally, both standard Functional Analyses were inconclusive. Upon more detailed observation of clients’ behavior, experimenters were able to alter functional analysis conditions such that both resulted in clearly differentiated responding. These individualized functional analysis findings were then used to develop treatment packages. Individualized, function-based treatment of High-Intensity, Low-Frequency behavior for two young adults resulted in substantial reductions in sometimes dangerous levels of disruptive behavior. We developed individualized treatment packages to treat aggressive and self-injurious behavior. Both treatment packages utilized Functional Communication Training for Escape-maintained behavior. Both also included Demand-Fading, Schedule-Thinning and chain schedules via token boards. A noteworthy component used to manage Demand Fading was a Progressive VR token board that allowed small but systematic shifts in response requirements in order to move from very rich schedules of reinforcement to more natural and manageable demand to reinforcement ratios.

Instruction Level: Advanced
Keyword(s): High-intensity, low-frequency,
Target Audience:

Functional Analysis of Disruptive Behavior

Learning Objectives: Better analyze functional analysis data Discuss individualizing functional analysis conditions Discuss individualizing function-based treatment
 
High-Intensity, Low-Frequency Behavior I: Individualizing Functional Analysis Conditions
DAVID W. SIDENER (ROOTS Applied Behavior Analysis Autism Treatment Center), Michael DeFilippo (ROOTS Applied Behavior Analysis Autism Treatment Center)
Abstract: High-Intensity / Low-Frequency behavior poses specific challenges to assess and treat because there are fewer opportunities to observe the behavior including that the behavior may not occur at all during Functional Analysis sessions. Additionally, because the behavior is Low Frequency, there may be a partial tolerance or insensitivity to EOs or it may be only sensitive to combined EOs. The “High-Intensity” part of this category increases the importance of developing an effective treatment. We conducted the following analyses in our clinic. The following two studies represent two cases in which we were contracted to analyze and treat severe, disruptive behavior that had been highly resistant to previous, multi-year treatment efforts. Originally, both standard Functional Analyses were inconclusive. Upon careful observation of clients’ behavior both in-session and out-of-session, experimenters were able to alter functional analysis conditions such that both effective EOs as well as effective consequences resulted in clearly differentiated responding.
 
High-Intensity, Low-Frequency Behavior II: Developing Individualized Function-Based Treatment for Treatment-Resistant Behavior
David W. Sidener (ROOTS Applied Behavior Analysis Autism Treatment Center), CYBIL DONNELLY (ROOTS Applied Behavior Analysis Autism Treatment Center), Michael DeFilippo (ROOTS Applied Behavior Analysis Autism Treatment Center)
Abstract: Individualized, function-based treatment of High-Intensity, Low-Frequency behavior for two young adults resulted in substantial reductions in sometimes dangerous levels of disruptive behavior. We developed individualized treatment packages to treat aggressive and self-injurious behavior. Both treatment packages utilized Functional Communication Training for Escape-maintained behavior. Both also included Demand-Fading, Schedule-Thinning and chain schedules via token boards. A noteworthy component used to manage Demand Fading was a Progressive VR token board that allowed small but systematic shifts in response requirements in order to move from very rich schedules of reinforcement to more natural and manageable demand to reinforcement ratios.
 

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