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| Navigating Service Delivery for Challenging Behavior in Outpatient Healthcare Settings |
| Saturday, May 25, 2024 |
| 5:00 PM–5:50 PM |
| Marriott Downtown, Level 4, Franklin Hall 9-10 |
| Area: CBM/DDA; Domain: Service Delivery |
| CE Instructor: Sara R. Jeglum, Ph.D. |
| Chair: Sara R. Jeglum (Blank Children's Hospital) |
| WILLIAM SULLIVAN (Golisano Children's Hospital & Center for Special Needs; SUNY Upstate Medical University) |
| BENJAMIN R. THOMAS (University of Rochester Medical Center) |
| EMILY SEALS MATHIS (Micheal R. Boh Center at Ochsner Hospital for Children) |
| Abstract: Behavior analysts are increasingly being employed in healthcare settings (hospitals, clinics, primary care) to provide behavioral support across the lifespan, such as increasing compliance with prescribed medications or procedures, reducing interfering challenging behavior (e.g., aggression, self-injurious behavior, destructive/disruptive behaviors), and preventing injury to patients and staff members (Romani et al., 2020). Some behavior analysts also focus on assessment and treatment of challenging behavior for children, adolescents, and adults with intellectual or developmental disabilities in outpatient settings (Hagopian et al., 2023). Providing challenging behavior services on an outpatient basis is practical in many respects. It assists generalization of skills by allowing for practice outside of session times in naturalistic settings (e.g., home, school), maximizes the number patients and families that can be served, and is cost-effective. Despite the positive effects of behavioral assessment and intervention being well-established in the literature, navigating the provision of outpatient services for challenging behavior can be highly difficult. For example, staff turnover, injuries, and allocating appropriate resources to outpatient behavioral clinics can significantly complicate the delivery of care. This panel will focus on discussing models of outpatient behavioral services across 2 different regions of the country, ethical considerations, and facilitators and barriers. |
| Instruction Level: Advanced |
| Target Audience: This panel is best for audiences who are very familiar and comfortable with behavior analytic procedures, such as experimental functional analysis, differential reinforcement, and other advanced procedures. This likely includes individuals who have completed graduate level coursework in applied behavior analysis, are licensed and/or certified to ethically provide behavior analytic services, and have experience in healthcare settings, particularly outpatient settings. |
| Learning Objectives: At the conclusion of the presentation, participants will be able to: 1) describe model(s) of outpatient service delivery for challenging behavior exhibited by individuals with intellectual or developmental disabilities in healthcare settings; 2) demonstrate awareness of ethical considerations for behavioral services in healthcare settings; and 3) communicate common facilitators and barriers to behavioral outpatient services in healthcare settings. |
| Keyword(s): challenging behavior, healthcare, program development |
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