Association for Behavior Analysis International

Misophonia is an understudied but relatively common learned respondent behavior condition, the impact of which ranges from annoying to debilitating. Misophonia is known as a condition where commonly occurring innocuous stimuli (e.g. chewing sound, specific voice) elicit anger and accompanying physiological responses which function as motivating operations for overt aggression, escape, and avoidance. Although there are many common misophonic stimuli, each person has a unique set of trigger stimuli. Misophonia has similarities with general sensory sensitivity which is common with autism, but is distinctly different. Misophonia was first identified and named by audiologists and has been considered a hearing disorder. Recently misophonia has come to be viewed as an anger disorder and the focus of psychologists and neuroscientists, however our research indicates the core of misophonia is a Pavlovian conditioned muscle reflex, so it may be more appropriate to view misophonia as a conditioned behavioral disorder. Once a misophonic respondent behavior develops, it generally strengthens with repeated exposure to the trigger stimulus and persists indefinitely unless there is an intervention to reduce the respondent behavior. One intervention that has been effective for misophonia is counterconditioning of trigger stimuli by paring a continuous positive stimulus with an intermittent trigger.

basic

Misophonia is a disorder in which specific innocuous stimuli trigger negative emotional and physiological responses. Reactions can range from annoyance to fight-or-flight. Commonly occurring triggers are oral and nasal sounds, but can be any stimulus. This study reports a successful intervention of a male high school student diagnosed with the primary educational classification of intellectual disability, a secondary classification of autism spectrum disorder, and speech and language impairment. Prior to intervention, the student was frequently triggered by vocal stimuli of one student, and he was continually removed from class due to aggressive and perseverative episodes towards that student. Pre-intervention rate of perseverative behavior was 12.3 times per hour. The intervention consisted of 10-30 minute counterconditioning sessions in a public education setting for three recorded trigger stimuli. Counterconditioning was accomplished by pairing continuous preferred stimuli (e.g., video or music) while the trigger played intermittently using the Misophonia Trigger Tamer app on an iPad. Staff observed overt behavior which indicated physiological responses after the trigger played and increased or decreased volume to maintain a minimal response. The intervention successfully reduced the misophonic respondent behavior, and the aggressive behavior extinguished. Preliminary post intervention rate of perseverative behavior is 0 times per hour.

Adults with autism spectrum disorder (ASD) often engage in challenging behaviors that require intensive intervention. Due to the lack of services for adults with ASD, their caregivers are often responsible for providing behavioral support. However, caregivers, including grandparents, often lack adequate training and have limited access to ongoing support from professionals that prevents them from providing high-quality behavioral intervention. Telehealth is a mechanism that can potentially increase access to effective intervention for adults with ASD and training for their caregivers. However, most telehealth research has been conducted with young children and their parents. There is limited research to support the use of telehealth as a mechanism for improving service delivery for adults and their caregivers. This study explored the effects of grandparent-implemented interventions on the challenging behavior of an adult male with ASD. Research staff used individualized telehealth training and coaching to teach a grandparent to implement two function-based behavioral interventions. Data were collected on the grandparent’s implementation fidelity of both interventions and on the challenging behavior of the adult with ASD. Results showed that both interventions resulted in low to moderate levels of challenging behavior and that telehealth training and coaching resulted in high levels of implementation fidelity.

Research supports parent-implemented, behavior-analytic sleep interventions to address sleep problems in children with autism spectrum disorder (Jin et al., 2013; Linnehan et al., 2021). Further, some research exists to support distance models of parent education and sleep intervention (Corkum et al, 2016). However, few studies directly assess parents’ ability to accurately implement sleep interventions (i.e., treatment fidelity). This limits our understanding of whether parents are implementing sleep interventions as designed and draws into question whether child behavior changes can be attributed to the interventions. As parents are typically the primary mediators of behavioural sleep interventions––and intervention success depends on the accurate implementation of the procedures and the consistency with which those procedures are implemented in the natural environment––this is a significant gap in the literature. The purpose of this concurrent multiple baseline design across participants study was to evaluate whether parents could accurately implement their child’s behavior-analytic sleep intervention. Four parent-child dyads were recruited. Behavioral skills training and nightly coaching support were provided to parents using a telehealth approach. Nightly coaching support was systematically faded. Results demonstrate that treatment fidelity increased for all participants. Interobserver agreement was above 80%. Clinical implications and future research recommendations will be discussed.

Caregiver-mediated early interventions have demonstrated positive child and family outcomes for young children with, or at high likelihood of having, autism (Zwaigenbaum et al., 2015; Burrell & Borrego, 2012). Additionally, there is consensus that effective early intervention includes a caregiver component, including input in the development of treatment goals and priorities, identifying support for the family, and learning specific strategies to support their child’s development. However, many intervention providers working with children with autism and their families have limited training in how to partner with parents or how to coach them in the use of evidence-based intervention strategies. Recent research has identified key elements for caregiver coaching and engagement (e.g., Pellecchia et al., 2020). This presentation will examine the literature on effective coaching strategies and provide methods to increase caregiver partnership in the intervention process. The use of telehealth to deliver coaching will be examined.

Discrete trial teaching (DTT) is one of the most widely implemented interventions for children with autism and at the same time one of the most maligned. It can be an incredibly powerful tool and is an acknowledged key component in intensive early intervention for children with autism. But it is also the intervention that everyone loves to hate: “It is too rigid and formulaic…Behavior change does not generalize to real-world contexts…It is overly contrived and unnatural…It does not have curb appeal.” But we have to consider whether all these purported shortcomings are inherent in the DDT model or are they by-products of rigidly formulated or incompletely implemented translations of the model. This talk will propose a broader conceptualization of DTT that allows for flexible application along a number of relevant continua according to the readiness of the learner. It will be argued that while the structure that is commonly viewed as a defining characteristic of DTT and arguably a major contributor to its effectiveness can and should be varied according to the needs of the student. In other words, we should aim to provide the just right amount of structure. This flexible but systematic approach has been referred to as progressive (e.g. Leaf et al., 2016). Within this progressive model all elements of DTT are fair game for rethinking what we do and why we do it. Willingness to contrive learning opportunities and space them closely together could actually be an advantage, not a shortcoming of DTT. The research behind this model will be described and the areas where more research is needed will be highlighted.

Instructional program developers and interventionists

In 1959 Noam Chomsky published a famously scathing review of Skinner’s 1957 book, Verbal Behavior. For the next 30 or so years, invoking the role of the child’s language environment in explaining acquisition was viewed positively only in limited clinical and restricted educational contexts, while the majority of legitimate child language researchers focused on children’s acquisition of rules and abstract patterns remote from their actual verbal behavior. However, the role of the child’s language environment was never fully ignored as a research topic, and in the last 30 years has regained legitimacy as an explanation for individual and group differences in rate and course of acquisition. Although some might take this as an affirmation of the claims in Verbal Behavior, child language researchers would vehemently reject that interpretation, noting, for example, the central role that must be attributed to infants’ innate social-pragmatic categories and their general cognitive capacities, which far transcend the learning mechanisms Skinner posited. This talk will summarize the findings supporting a role for variation in the child’s language environment in explaining aspects of language development, and argue that the polarizing dispute between Skinner and Chomsky retarded progress toward understanding how children’s innate socio-pragmatic skills and linguistic input interact to support language development.

Home-school partnerships are valuable and associated with improvements in students’ academic success. However, teachers often do not receive sufficient training to confidently collaborate with families. Furthermore, parents report feeling unsure of how to support learning at home and dissatisfaction with the special education process. The purpose of this study was to evaluate the use distance behavioral skills training on special educator’s use of evidence-based parent training to teach parents how to support individualized education programs at home. A multiple probe design was used to evaluate the effectiveness of the training. Pre and post data were also collected on teacher practices and confidence with working with families. All participants demonstrated a significant increase in steps completed following the training. The teachers reported high levels of satisfaction with the training and improved confidence in working with parents. Future research should examine parent perceptions of teachers’ use of the skills taught.

Gun violence in the United States (U.S.) persists as a public health crisis. Over 40,000 individuals die from firearm-related injuries each year and another 60,000 are shot. Of these, nearly 8,000 are children. And gun violence specifically within K-12 schools continues. Indeed, recent data have underscored that over 250,000 children in the U.S. have been exposed to gun violence specifically in K-12 schools since the Columbine High School mass shooting tragedy in 1999, with Black children disproportionately impacted in comparison to their White peers. And rates of gun violence have increased precipitously since the onset of the Covid19 pandemic.

The impact of gun violence on children is particularly concerning as exposure to gun violence is considered an adverse childhood experience (ACE). ACEs are potentially traumatic events that occur during childhood. An extensive body of research on exposure to ACEs has been linked to dozens of negative outcomes over the life course (poor mental health, increased risk for chronic disease, asthma, poor oral health, cancer, injury, suicide, premature mortality, and even decreased school success). They’re also highly prevalent: an estimated 30% of children report experiencing at least one ACE. Thus, preventing this kind of violence is of utmost importance. Despite this urgency, meaningful responses to the prevention of gun violence in K-12 schools over the past decade have been lacking and largely not informed by evidence.

In this presentation, I draw on existing research, novel data, and a child-centric framework to present a new model that reimagines what solutions to the persistence of gun violence in K-12 schools looks like. In pursuing this work, I seek to answer the following question: what if our collective response to school gun violence did not prepare our schools for the inevitability of the next school shooting, rather treated the eradication of gun violence in schools as a genuine possibility? Knowledge, support, prevention, policy, engagement, commitment, leadership, and consistency are guiding principles we can use to reimagine how our schools can be kept safe, while ensuring that our children thrive.

Researchers (e.g. in the behavioral sciences, public health, education, school psychology), school leadership (principals, superintendents), school health professionals, K-12 teachers

Dr. Sonali Rajan is an Associate Professor of Health Education in the Department of Health and Behavior Studies at Teachers College, Columbia University. She also holds a secondary faculty appointment in the Department of Epidemiology at the Mailman School of Public Health. Dr. Rajan is a school violence prevention researcher, studying gun violence, school safety, and adverse childhood experiences. She holds faculty affiliations with the CDC-funded Columbia Center for Injury Science and Prevention, the Columbia Scientific Union for the Reduction of Gun Violence, and the Institute for Urban and Minority Education. She also co-produces Re(Search) for Solutions, a podcast hosted by the Media and Social Change Lab at Teachers College devoted to amplifying creative and evidence-based solutions to the persistence of gun violence. For over a decade, Dr. Rajan has conducted research in K-12 public schools across the U.S.  And for nearly 15 years, Dr. Rajan has collaborated closely with the non-profit organization Girls on the Run; she currently serves on their National Board of Directors. Dr. Rajan has published over 50 peer-reviewed journal articles in additional to multiple talks, book chapters, and other written pieces. Her work has also been featured in multiple national media outlets (including National Public Radio, the Hechinger Report, and CSPAN).

Speakers from culturally and linguistically diverse backgrounds have been disproportionately identified with communication deficits, a defining feature of Autism Spectrum Disorder. Traditional approaches to language assessment focus on the topography of a response, without regard for the context in which it was emitted. In contrast, the functional analysis of verbal behavior offers a rigorous and innovative approach to language assessment that subsumes the cultural and linguistic diversity of the speaker. Through multiple-exemplar training, we demonstrate verbal operant experimental (VOX) analyses across different children with autism from a variety of culturally and linguistically diverse backgrounds. VOX analyses are used to identify specific functional language deficits, and differences in the strength of verbal operants are examined through non-parametric analyses. Moreover, the results can be used to develop an individualized treatment plan, using a most-to-least prompt hierarchy to shape a response topography specific to each unique verbal community. In this way, functional analyses of language are shown to be a verbal-community-centered approach to observing and measuring the verbal behavior of speakers from diverse backgrounds.

Practitioners (BCBAs, LSSPs, Educational Diagnosticians, etc) who work directly with children with autism from culturally and linguistically diverse backgrounds. Audience should be familiar with the concept of functional analysis and the verbal operants.

Functional analyses of language have been useful for measuring the strength of a speaker’s verbal repertoire, identifying verbal behavior deficits, and monitoring language development. An extension of the functional analysis methodology used to identify the variables that maintain challenging behavior, a verbal operant experimental (VOX) analysis is used to identify the variables that maintain a speaker’s verbal behavior. This presentation introduces the VOX analysis along with the procedures used to sample the speaker’s verbal repertoire. Using an English-speaking, three-year-old boy with autism as a case study, we demonstrate a pretreatment VOX analysis, describe how the results were used to develop an individualized intervention plan, and then show the results of a follow-up VOX analysis after six months of early intensive behavioral intervention. Whereas the pretreatment VOX results demonstrated examples of stimulus overselectivity, follow-up results show the development of more proportionate levels of stimulus control. Implications of VOX analyses for English-speakers with autism are discussed, and areas of future research are highlighted.

While all members of a verbal community speak a common language, not all speakers of a common language are members of the same verbal community. In addition to sharing a common language, members of a verbal community also share common reinforcing practices. Mere translation of an assessment into another language fails to address these critical issues of cultural and linguistic diversity. Consequently, topography-based language assessments provide an insufficient analysis of a speaker’s verbal behavior. Here we extend the research on functional analyses of verbal behavior to include speakers of a language other than English. Using a Spanish-speaking, five-year-old girl with autism as a case study, we demonstrate the use of a pretreatment VOX analysis conducted in the speaker’s native language, describe how the results were used to develop an individualized intervention plan, and then show the results of a follow-up VOX analysis after six months of referent-based verbal behavior instruction. Whereas the pretreatment VOX results demonstrated examples of stimulus overselectivity, follow-up results show the development of more proportionate levels of stimulus control. Implications of VOX analyses for Spanish-speakers with autism are discussed, and areas of future research are highlighted.

For speakers who belong to multiple verbal communities, functional analyses of verbal behavior allow for dynamic control of response topography. The simple practice of allowing the speaker the freedom to select the language of instruction minimizes cultural bias and hegemony. Here we extend the research on functional analyses of verbal behavior to include speakers of multiple languages. Using a multilingual, seven-year-old boy with autism as a case study, we demonstrate the use of a pretreatment VOX analysis, describe how the results were used to develop an individualized intervention plan, and then show the results of a follow-up VOX analysis after six months of behavior-analytic intervention. Notably, the follow-up VOX analysis was conducted in three different languages, and we compare the results of each. The results show a clear hierarchy of strength across English, Telugu, and Tamil, with overarching patterns across the three assessments. Implications of VOX analyses for multilingual-speakers with autism are discussed, and areas of future research are highlighted.

Within the context of cultural and linguistic diversity, speakers who use augmentative and alternative communication are often overlooked. The selection of augmentative/alternative communication (AAC) for non-vocal speakers with autism spectrum disorder has been described as more of an art than a science for the population of children with autism who do not develop functional speech. While the decision to use one AAC modality over another is largely subjective, what limited research exists primarily focuses on mand training. Here we extend the research on functional analyses of verbal behavior to include speakers who communicate with speech-generating devices. Using a non-vocal, five-year-old girl with autism as a case study, we demonstrate the use of a pretreatment VOX analysis conducted in which the speaker uses AAC, describe how the results were used to develop an individualized intervention plan, and then show the results of a follow-up VOX analysis after six months of early intensive behavioral intervention. Whereas the pretreatment VOX results demonstrated a functional mand repertoire, follow-up results show the development of more proportionate levels of stimulus control. Implications of VOX analyses for speakers with autism who use AAC are discussed, and areas of future research are highlighted.

Ableism involves stereotypes (biased verbal behavior) and discriminatory actions against disabled people. Ableism results from the assumption that there is a normative way of living that is superior and that being disabled reflects deficits in need of “fixing,” and are thus, inferior. The Practice Board of ABAI developed a “Beginner’s Guide to Dismantling Ableism in Your Practice” in recognition of the fact that ableism is ubiquitous in helping professions, and behavior analysis is no exception. Behavior analysts have a particularly heavy responsibility for dismantling ableism given the large number of contact hours they have with Autistic clients and the immediate and long-term problems resulting from this form of discrimination. This symposium will include the perspective of four behavior analysts contributing to the development of the “Beginner’s Guide” and will reflect their perspectives and barriers they have experienced as activists--including that of an Autistic, a doctoral student, a professor, and a Board Coordinator. The symposium will conclude with discussion from a neurodivergent behavior analyst who has not been involved in the development of the “Beginner’s Guide;” she will reflect on ways this and additional work is needed to actualize a paradigm shift in ABA.

Board certified behavior analysts; licensed psychologists; graduate students.

Studying behavior analysis involves a love for the science as well as a drive to support others. With the growing awareness of ableism and applied behavior analysis (ABA) as abuse, students are faced with challenging information and are required to navigate through the controversy in the field. It is critically important to inform these future practitioners and leaders in the field what ableism is and how to actively dismantle it in their practice. Ableist beliefs are present in everyone due to our society’s continuous reinforcement whether in the media (i.e. infantilizing, dehumanization) or in or taught in educational settings. The Beginner’s Guide to Dismantling Ableism in Your Practice is an introduction to these issues and a way to listen to Autistic voices. Listening to Autistic voices is essential to dismantling ableism in ABA. Learning that you have discriminated and caused harm can be an overwhelming realization. Students must learn how to move forward and practice using true client centered care and make the changes in the field that the people we support so desperately need from us.

Applied behavior analysts possess deep knowledge and strong skills in teaching desired behavior and addressing interfering behavior of individuals with a wide variety of needs. However, at least two issues interfere with practitioners’ ability to engage effectively with the people they aim to support. First, individual practitioners bring their own beliefs, values, and attitudes to their practice, yet their beliefs, values, and attitudes will inevitably vary from those of the people they serve. Second, applied behavior analytic practitioners have historically approached their work in a very technocratic manner – as elite technical experts. Behavior analytic practitioners must attend to these two issues and adjust their approach if they wish to achieve their aim of providing effective supports. Actively working to dismantle ableism is one approach to addressing these two issues, and training programs bear responsibility to teach aspiring behavior analysts how to think, talk about, and treat the people they serve and support in anti-ableist ways. I will discuss infusing a training program with instruction and practice in the use of anti-ableist attitudes, language, and practice.

The Practice Board redefined our mission in 2020 as, “The mission of Task Force for Quality and Values-Based ABA is to recommend systemic changes to ABAI and leaders in the field of applied behavior analysis regarding how best to meet the needs of the people we serve. We maintain that anti-ableist, person-centered services that promote meaningful outcomes through socially valid and effective intervention is the means to achieving this mission. We further recommend reflection, honesty, and effective communication regarding the strengths and limitations of evidence regarding the utility and adverse side effects of all interventions applied by behavior analysts.” The Beginner’s Guide to Dismantling Ableism in Your Practice is consistent with that mission and collaborating on this work with Practice Board members learning from Autistics who are outside the field of ABA led to growth opportunities. For example, I had learned that White people need to do the heavy lifting for producing systems change with respect to social justice and race because they (we) had created the structures that produce marginalization. I incorrectly generalized this thinking to the development of The Beginner’s Guide by having only one Autistic person on the original group writing the document. However, this decision violated the trust of the Autistic community by not sufficiently addressing the need for representation. This presentation will focus on lessons learned and the need for self-reflection and reconsideration of our positions as we all consider how to dismantle ableism in our practice and field.

Equitable and inclusive learning environments are built on the choices of individuals. This session will explore the notions of power and empowerment that are made evident in our decisions, our designs, and our outcomes. With antiracism and Universal Design for Learning we can begin inviting every voice to powerful positions by honoring identity, culture, and learning needs.

Anyone interested in deepening and solidifying the partnership toward creating equitable learning environments.

Recipients of behavior analytic services have traditionally been viewed through a medical model lens that treats deficits. Alternatively, a social model of disability views societal barriers and systemic biases as limiting people with disabilities’ ability to thrive and meet their own needs/wants. Some disciplines have increasingly acknowledged this social conceptualization of disability and begun to adopt more equitable language and practices across research and practice. In both research and practice, behavior analysts have generally have not ascribed to a social model of disability, perhaps contributing to ongoing negative perceptions of applied behavior analysis (ABA) in some communities. This panel will begin with a brief overview of terms and concepts relevant to equity in behavior analysis and disability research. Our panel will then discuss these concepts as they relate to ethical research and practice in ABA. Namely, the panel will (1) discuss the importance of considering these concepts as diversity issues in practice, (2) identify indicators of ableism in ABA research and discourse, and (3) consider how subtle ableism may influence behavior analytic interventions. Last, the panel will discuss initial steps behavior analysts may take to challenge their own assumptions and support equity for people with disabilities in our field.

Trainees, direct-care therapists, and active certified behavior analysts at the masters or doctoral level. Individuals that provide/supervise clinical services, consume research, and/or contribute to the empirical literature may benefit from this session.

Engaging learners is a difficult task. They are constantly confronted with distractions and demands on their time. So how can we create instruction that pulls learners into the content and helps them gain the knowledge required to be successful? How do we grab and hold a learner's attention? How do we motivate them to engage with the content we are teaching? There are techniques and factors that can be borrowed from games which are shown to influence the behavior of individuals. Incorporating these techniques and factors from games into learning is often called “gamification.” This decidedly unacademic presentation will model using those technique to engage and educate the learners. Attendees will discover firsthand how research-based practices and game-thinking are used to engage learners, increase learning, and lead to performance driven results.

Karl M. Kapp, Ed.D., is an award-winning professor of Instructional Technology at Bloomsburg University in Bloomsburg, PA. where he teaches instructional game design, gamification classes and online learning design.  He is the Director of Bloomsburg’s Institute for Interactive Technologies and is recognized internationally as an expert in the application of games, game-thinking and gamification to learning.  Karl earned his doctoral degree from the University of Pittsburgh.

He is currently a senior researcher on a grant sponsored by the National Institutes of Health (NIH) which involves the application of microlearning and gamification to help childcare workers identify child abuse. Karl has co-founder of Enterprise Game Stack, a company that has created a digital card game tool for instructional designers. He is also the creator of the popular web video series, “The Unauthorized, Unofficial History of Learning Game.”

Karl has authored or co-authored eight books including The Gamification of Learning and Instruction, its accompanying fieldbook and the widely popular, Play to Learn. His latest co-authored book with Robyn Defelice is Microlearning: Short and Sweet. Karl is author of ten LinkedIn Learning courses including Learning How to Increase Learner Engagement and has been a TEDx speaker. In 2019, he received the ATD Distinguished Contribution to Talent Development Award. The award is presented in recognition of an exceptional contribution that has had a sustained impact on field of the talent development.

Karl’s academic and practitioner work explores the research, theoretical foundations and practical application of gamification, game-thinking and activity-based learning to organizational performance issues. His goal is to help organizations create engaging learning experiences through intelligent, research-based application of instructional strategies and techniques. He shares his expertise and knowledge through consulting, workshops and one-on-one mentoring with start-up firms, Fortune 100 companies and various governmental agencies. Follow him on Twitter @kkapp or check out his website at www.karlkapp.com

In the summer of 2021, ABAI pulled together a team of professionals and created the Task Force for Quality and Values-Based ABA. This symposium begins with an overview of the Task Force and then brings together three members of the Task Force to discuss the topic of ableism and how that connects to the mission of the Task Force. This symposium discusses the importance of behavior analysts with different views about social justice--diversity, equity, and inclusion convening to discuss the topic of ableism so that we can all begin making substantive changes to the practice of ABA without sacrificing the technical precision that supports skill development in areas identified as important by Autistic clients. Each presenter will address how involvement with the Task Force has changed their views on ableism, their role in the field, or pivotal growth opportunities that have helped them evolve as behavior analysts. Reconsideration of the ways social validity should influence professional decision-making, an emphasis on compassionate care, the need to provide person-centered behavior analytic services, and the myriad ways behavior analysts should challenge their own assumptions as providers will be discussed.

Board certified behavior analysts; licensed psychologists; graduate students.

As an Autistic adult and member of the ABAI Task Force for Quality and Values-Based ABA, I have had the opportunity to bring a unique perspective to the Task Force’s work. My journey as a professional working in the field of ABA has dovetailed with my journey as a person on the autism spectrum understanding my own internalized ableism, and mention will be made of how each of these spheres work to inform the other. Emphasis will also be placed on the challenges faced as a member of the Task Force in overcoming the idea of my presence as an “other” in the group and the difficulties I experienced based on my own learning history. Engagement with and attitudes toward Autistic people influence the willingness of BCBAs to confront ableism and ultimately make changes to the culture of the field at large will be discussed. Examples of efforts that have been made to encourage dialogue between BCBAs and Autistic advocates will also be discussed, as well as the successes and limitations of these efforts.

As a person identifying as a behavior analyst for over 50 years, I have observed from a behavior analytic perspective many changes in my behavior, the scope and sophistication of behavior analysis, and in society in the United States during the time of that journey. Sometimes those changes are obvious and recognition of them unavoidable; at other times, they are noticed after comments by others or after times of personal reflection. Mention will be made of some relevant substantial changes in behavior analysis and in society at large as will changes in my personal perspective and practice as a behavior analyst during this 50-year journey. Particular emphasis will be given to changes in my personal and professional perspectives regarding persons said to have disabilities as well as persons whose behavior varies from what is commonly expected in society in the United States. One group of people regarding whom I have experienced and continue to experience changes in my perspective is the very homogeneous group of people identifying or identified as Autistic. As a member of the ABAI Task Force for Quality and Values-Based ABA, my thinking and behavior regarding the latter people, including regarding ableism, have changed and continue to change at an accelerated rate. Instances of the latter set of changes will be discussed.

Given the purpose of applied behavior analysis is to use our technology and principles to lead to socially meaningful improvements in quality of life, we should all be concerned with how ableism influences the way we interact with disabled people. According to the BACB, most behavior analysts serve Autistic clients, and Autistic clients often receive a large number of service hours. The Task Force for Quality and Values-Based ABA was convened, in large part, to identify and address some of the concerns raised about ableism in the practice of ABA. The need to coordinate and collaborate with others with whom you share differences of opinion have served as a growth opportunity for all Task Force members. But growth is always accompanied by some level of pain, and my role in the Task Force is no exception. For example, my effort to lead gave me insights into the differences between impact and intention that can cause pain based on the point of view of Autistics and neurotypical behavior analysts. Learning more about professional actions, I have historically taken that I have caused harm when I thought I was creating good, has also been painful. Balancing the need to regularly dedicate time to examine our own ableist thinking and actions with the self-care that is needed to maintain a long-term commitment to changing ableism in our practice, is challenging but critical for our success as a field.

In his 1988 chapter of a similar name, Don Baer described the then-current accomplishments of behavior-analytic approaches to public education. These included the ability to transform student and teacher behavior and refine curriculum; however rather than offer a laundry list of the ways behavior analysis has and could improve education, he instead reiterated the question he and Don Bushell asked seven years earlier: “Why hasn't behavior analysis done more?” Despite their incisive analysis of the school as an organization and the environment and cultural implications of change, almost 40 years later behavior analysts continue to lament a lack of widespread acceptance and use of behavior analysis in education. Perhaps our collective lamenting is misplaced. Perhaps behavior analysis is more pervasive in schools than we recognize. Perhaps we could do more by analyzing a network of contingencies--not just of education systems but of our own approaches. By fusing contingency analyses, education, and technologies (tools and processes), the current and future opportunities for behavior analysts are limitless.

Behavior Analysts, educators, psychologists, school personnel, students

Professional development resources for educators that are highly reliable, valid and practical for routine educational practices are warranted. Evidence-based resources are particularly needed for teachers and paraprofessionals who work in high-poverty schools as they experience higher rates of stress and turnover, as well as rates for classroom disruptive behaviors approximately three times higher than national averages. Dr. Reddy presents the development of new assessments and coaching models designed to support teacher and paraprofessional instructional and behavior management practices that maximize student learning and behavior. Specifically, she will describe the theory, reliability and validity of the Classroom Strategies Assessment System, a multi-method teacher assessment designed to measure empirically-supported instructional and behavior management practices. Dr. Reddy presents the theory and evidence of new data-driven coaching models, Classroom Strategies Coaching for Teachers and Behavior Support Coaching for Paraprofessionals supported by four randomized controlled trials conducted in diverse school settings.

Linda A. Reddy, Ph.D., is a Professor of School Psychology and Assistant to the Dean for Research and Innovations at Rutgers University who is passionate about helping schools maximize educator effectiveness and student success. She received her PhD in School Psychology from the University of Arizona and has published over 140 peer-reviewed publications and six books on coaching, school/classroom assessment, teacher effectiveness, disruptive behaviors, and educational technology. Her work has received awards and has been funded (over 60 million dollars) by the US of Department of Education, Institute of Education Sciences, Office of Special Education Programs, Office of Innovation and Improvement through Teacher Quality Programs, and private foundations. Dr. Reddy is a Fellow of the American Psychological Association, Fellow of the American Educational Research Association and inducted member of the Society for the Study of School Psychology. Dr. Reddy has held numerous national leadership roles (e.g., President of APA Division 16 School Psychology, member of APA Board of Professional Affairs, APA Council Representative, APA Task Force for Violence Againist Teachers). She is a licensed psychologist and nationally certified school psychologist. Most importantly, she is a proud mother of twin daughters, avid runner, hiker and alpine skier who lives in New Jersey.

The word "consent" may mean different things, depending on context and audience. Conceptualizations of sexual consent are often delivered in metaphor or acronym by sexuality educators and abuse prevention specialists. It is possible to use these frameworks to explain other consent-based behaviors. Additionally, it is our responsibility to think critically about how some of our practices may violate consent/assent without due care. This conversation will explore consensual behavior as a consideration when supporting clients, as well as our role in teaching others how to engage in consent behaviors.

BCBAs and BCaBAs

As the school-age population continues to diversify, it is now more important than ever that we provide services with a social justice focus that recognizes and values individuals’ unique identities and dismantles systems of oppression and marginalization. With a particular focus on school-based intervention, we will discuss a social justice approach to service delivery. Implications for integrating an ecological-behavioral framework with a social justice approach informed by critical race theory, intersectionality, and dis/ability critical race studies will be discussed. We will discuss the adaptation of evidence-based interventions to fit various contexts, as well as the development of novel interventions built specifically for minoritized populations. We will also examine peer-mediated interventions as a promising suite of culturally relevant strategies.

Peer relations serve many important functions in children’s development. Social reciprocity or reciprocal peer interactions occur when children engage in social interactions with one another or when their actions support each other in their relationships. In autism spectrum disorder (ASD), however, reciprocity of social exchange is missing and is manifest as a lack of both social responses and initiations to other people. Over the years, various behavioral strategies have been developed to promote social interactions between children with ASD and their peers for a successful integration in inclusion settings. Video modelling, as one of them, is not only an effective and evidence-based method for developing many social and play skills, but it can also be a practical and efficient tool that is well-suited to the school environment. In this presentation, pertinent video modeling methodologies will be explored and specific suggestions on the effective use of video modeling will be provided.

Graduate students; RBTs; board certified behavior analysts (BCBA); board certified assistant behavior analysts (BCaBA); psychologists; therapists and special educators working in a variety of applied and experimental settings as well as educational and social science settings who are interested in the promotion of social and play skills in children with ASD.

Health behavior promotion in childhood has been dominated by knowledge-centered paradigms. However, research shows that beliefs about what is healthy have a stronger influence on behavior than factual knowledge. Motivation and self-regulation frameworks highlight the agent role of the individual in controlling the personal, behavioral, and environmental influences that impact one’s behavior. Although individuals may be influenced and regulated by external factors and agents, exclusively relying on external regulation does not allow the individual to develop adaptive competences and skills, such as choosing a healthy snack. The aim of this presentation is to describe how healthy habits in childhood can be promoted, including diet and sleep, through the modelling of self-regulation skills via story-tools/narrative-based programs.

Anyone interested in motivation and self-regulation, and health behavior promotion

In early 2020, schools across the entire world transitioned from traditional school settings to crisis teaching in virtual spaces due to the global pandemic, coronavirus or COVID-19. During this time, equity gaps in digital resources and access to education became increasingly apparent as socioeconomic status and geographical location strongly influenced whether families were able to support remote access to learning opportunities. Yet, students with emotional and behavior disorders (EBD) tend to experience higher rates of peer victimization, struggle to obtain and maintain positive interpersonal relationships, and battle more mental health problems than other special education students. Students who had already been identified as having splintered skills or gaps in their learning history did not have access to interventions provided in the traditional classroom at the same time that all students were expected to engage in much higher forms of executive functioning skills than previously expected. This panel of school-based consultants will share their own experiences working in the schools throughout the pandemic in terms of challenges, steps for addressing challenges, and resources necessary for doing so.

This session is appropriate for professionals who interface directly with the highly applied school setting. Basic understandings of behavior analysis and varied applications of principles will be assumed as part of this conversation.

Previous research has demonstrated that children with ASD exhibit less sleep in a 24-hour period than their typically developing peers (Goodlin-Jones, 2008), and increases in problem behavior are associated with sleep deprivation (Goldman et al., 2011). However, there are few studies that evaluate this putative relation using direct measurement of both behavior and sleep. The general aim of this study is to extend the research on sleep and its relation to problem behavior. Using wearable and non-wearable sleep trackers, we collected data on various measures of sleep and compared them to in-clinic daytime problem behavior. Additionally, we conducted structured descriptive assessments (Anderson & Long, 2002) across days to evaluate if changes in sleep change how different establishing operations affect behavior. We will discuss how the social validity of well-established sleep treatments (e.g, Jin et al., 2013) would be greater if the effect of improved sleep on daytime behavior was directly evaluated.

Hagopian et al. (2015) delineated subtypes of self-injurious behavior maintained by automatic reinforcement partially based on occurrence of self-injury in the play condition (i.e., subtype one). They also analyzed treatment data with respect to subtypes and found that subtype one is less resistant to treatment than subtypes two and three. For one child with autism with oral-motor self-injury, we conducted a functional analysis and a more fine-grained analysis of engagement in the play condition. The functional analysis indicated that oral-motor self-injury was maintained by automatic reinforcement. However, oral-motor self-injurious behavior was reduced in the play condition. We used this information to conduct a component analysis of the play condition, and we found that combinations of stimuli reduced engagement in self-injurious behavior, with little differentiation across multiple stimuli used in this condition. We then conducted a competing stimulus assessment, both with items used in the play condition and with novel items, and found single stimuli were insufficient for reducing self-injury.

Rumination, repeated regurgitation of ingested food, can be a difficult problem to assess and treat. Early research focused on punishment of rumination (e.g., Becker et al., 1978 ) whereas more recent research has focused on the food quantity (e.g., Kenzer & Wallace, 2007). However, there is limited research on the influence of food type on rumination. We analyzed effects of several dimensions of food, including food type and food category, in addition to total quantity and total calories, on rumination with an adult with intellectual disability. Initially, we equated calories across food types, which involved different quantities of food based on food type. We observed that rumination was lower when our participant consumed larger quantities of food. Subsequent analyses suggested a more dynamic interaction between food type and food quantity – at least two foods with different quantities produced low levels of rumination. We will discuss how an analysis of parameters of food could advance effective treatment of rumination.

Structural racism is one of the most pervasive and impactful social paradigms in American life, and often works in tandem with systems of inequality to drive social factors that adversely affect child health. Understanding the influence of racism on these unjust systems can aid individuals in narrowing health disparities. First, individuals should acknowledge a shared definition of racism as a “system of structuring opportunity and assigning value based on the social interpretation of how one looks… that unfairly disadvantages some… unfairly advantages others, and saps the strength of the whole society through the waste of human resources.” Next, an identification of these systemic inequities should be made, with throughlines drawn connecting social adversity with poor health outcomes. Finally, intentional and evidence-based strategies should be employed to counteract these adverse influences in both health care and society, and these interventions studied to gauge efficacy and direct resources.

Healthcare providers

For over a decade, CABAS was implemented in Italy by several learning centers that aimed to test the effects of education as a social innovation tool. We found that this model can provide schools and health services with an evidence-based system to design interventions that are both effective and efficient. Also, it greatly contributed to maintaining treatment integrity for children and adults with autism spectrum disorder during the COVID-19 pandemic. During these challenging times of economic and health crisis across the world, consequences for failing to design early and efficient ABA treatments were being highlighted by researchers. In addition, all countries in terms of reaching the “sustainable development goals” (SDGs) for fighting educational poverty, can do so only by providing people with a disability with individualized proper interventions. CABAS was able to offer help with identifying criteria for effective behavioral interventions, with particular attention to highly critical groups, such as people with autism. Luckily, the science of teaching provides researchers all over the world with a system to measure education. A growing number of research findings show that CABAS is among the most cost-effective educational model in the world. Moreover, its implementation across all age groups and for both special and general education, suggest that it is a cross-cultural, flexible tool for different contexts. Therefore, in Italy, we implemented it as a tactic within social, health and school services, for individuals with and without disability, from 18 months to adulthood. We found that the implementation of such a comprehensive model of education fits the need for sustainability of welfare systems drastically different from those in the United States. CABAS® was first replicated in Italy in 1991 and further expended through a great deal of applied research across various fields and disciplines. International replications are paving the way for further research and trans-disciplinary analysis of its effects, using longitudinal measurements and both criterion and norm-based data.

ABA master and Ph.D. students, school directors, supervisors, service managers, community health advocates

With modern computers, there is an ever-increasing promise for the ability to conduct complex data analyses that are designed for behavior analysts and the types of data we collect. However, many of these useful techniques remain out of the grasp of the average behavior analyst because the techniques do not exist as a functional tools and are just promises. A wholly different behavioral repertoire related to data analysis and computer programming is necessary to translate the promises into functional tools. The goal of this symposium is to highlight the growing effort within behavior analysis to develop useful data analytic tools and applications for ourselves. Topics will cover efforts to analyze behavioral data in relation to environmental variables outside of the behavior analyst’s control (e.g., client medications), neural network computing to analyze multiple baseline data, methods to develop decision support systems for functional analysis, and development of a system for charting of single-subject design data that can be easily extended to support advanced statistical analysis.

Attendees should be aware of pharmacotherapy and should have knowledge of multiple baselines and functional analyses.

Researchers report increasing trends in psychotropic medication use to treat problem behavior in individuals with intellectual and developmental disability, despite some controversy regarding its application and treatment efficacy. While a substantial evidence-base exists supporting behavioral intervention efficacy, research evaluating separate and combined interventions (i.e., concurrent application of behavioral and psychopharmacological interventions) effects is scarce. This talk demonstrates a series of analysis using the clinical treatment data of four adolescent males who engaged in severe problem behavior to retrospectively explore separate and combined intervention effects. First, we calculated individual effect sizes and corresponding confidence intervals. The results indicated larger problem behavior decreases may have coincided more often with behavioral intervention adjustments compared to medication adjustments. Second, a conditional rates analysis indicated surges in problem behavior may not have reliably coincided with medication reductions. Spearman correlation analyses indicated a negative relationship between behavioral intervention phase progress and weekly episodes of problem behavior compared to a positive relationship between total medication dosage and weekly episodes of problem behavior. However, a non-parametric partial correlation analyses indicated individualized, complex relationships may exist between total medication dosage, behavioral intervention and weekly episodes of problem behavior. Although our conclusions are tentative, we will discuss many potential clinical implications, as well as rationale for behavioral researchers and practitioners to consider applying creative analytic strategies to evaluate separate and combined interventions effects on problem behavior to further explore this extremely understudied topic.

Applied work in Behavior Analysis is moving towards regularly integrating quantitative metrics in the design, delivery, and evaluation of behavioral interventions. Efforts in this area are constrained by the tools available to practitioners. Whereas commercially available spreadsheet software supports robust charting capabilities, only the most basic types of computations are supported. Furthermore, this approach cannot be fully automated and places significant demands on the analyst. The approach presented here leverages the capabilities of the free, open-source R program to support both quantitative as well as the existing charting conventions (e.g., style, formatting) expected of commercially available spreadsheet software. The combination of which is a toolset that supports both visual analysis and the integration of robust statistical methods (e.g., multi-level modeling). This paper ends with a discussion on the importance of statistical consultation and training and exploration of free and open-source alternatives to commercial software packages.

Applied behavior analysis (ABA) is the “gold standard” for service provision aimed at helping young children diagnosed with autism spectrum disorders (ASD). However, the increased attention to this population may be detracting from the value associated with taking an ABA approach to support individuals of all ages, across a range of diagnoses. Further, the shift to define ABA as medically necessary for individuals diagnosed with ASD (APBA, April 10, 2020) requires effective patient, provider, and payor collaboration, and recent publications have highlighted the need for structured approaches to decision-making based in analytical ethics to support this transition. Accordingly, APBA released guidelines directing practitioners to provide services based on individualized risk exposure requiring a more patient-informed approach to care. The purpose of the current presentation is to outline a collaborative risk-driven approach designed to help guide practitioners to make ethically informed decisions regarding ABA service delivery, regardless of setting, age, or severity. Considerations regarding a potential divide between science and ABA-based service delivery will be addressed, including misconceptions about that which defines our professional and ethical obligations; specifically, how our related responsibilities extend far beyond particular ABA-based clinical programming procedures, necessitating constant empirical evaluation of the overall continuity of care for a given individual (e.g., placement, transition, community-based activities, and more).

Board certified behavior analysts; licensed psychologists; graduate students

Motivating operations (MO) are antecedent variables responsible for the transitory effects of reinforcing consequences. The MO concept helped behavior analysts focus on environmental, rather than organismic variables when trying to predict and control someone’s wants and needs, as MOs can be defined, observed, measured, and manipulated. The MO also served to stimulate research and allow clinicians to better understand behavioral functions in clinical settings. Despite its obvious utility, the MO is a complex and controversial concept involving multiple origins, effects, and functions. The purpose of this talk is to describe the different types of MOs, differentiate between motivational and discriminative effects, and address some of the most common misconceptions about the concept regarding the utility of the value-altering effect, the direct nature of its control over behavior, its private nature, the multiple functions of MOs, and the need for the different types of Conditioned MOs.

Board certified behavior analysts; graduate students; licensed psychologists