Use of a short-term inpatient model to evaluate aberrant behavior: outcome data summaries from 1996 to 2001.
A 10-day hospital FA nails reinforcers and cuts severe behavior for most kids, and newer tools now give you the same answers in minutes.
01Research in Context
What this study did
The team ran full functional analyses inside a children’s hospital. Kids stayed about 10 days.
Staff tested what kept each child’s hitting, biting, or screaming going. They tried attention, toys, escape, and alone time.
The study covers 138 children with mixed delays and diagnoses from 1996-2001.
What they found
The FA found a clear reinforcer for 96% of the kids.
Problem behavior dropped at least 80% for 76% of the group before discharge.
Average stay was only 10 days.
How this fits with other research
LMcQuaid et al. (2024) later squeezed the same job into 42 minutes. Their super-short trial-based FA also cut self-injury and found competing items.
Livingston et al. (2021) sent the work home. Parents ran a 5-minute RAAT to pick the right kind of attention, then treated the behavior themselves.
Buitelaar et al. (1999) used RAMS in classrooms and homes. Like the hospital model, RAMS spotted natural reinforcers fast and turned them into treatments.
Why it matters
You don’t need weeks to find what fuels severe behavior. A tight inpatient stay, a 45-minute preschool session, or a parent-run RAAT can all do it. Pick the speed that fits your setting, then start treatment with the same-day answer.
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02At a glance
03Original abstract
Previous outcome studies have provided descriptions of functional analyses conducted in outpatient clinics (Derby et al., 1992), long-term inpatient programs (Iwata, Pace, et al., 1994), and home environments (Wacker et al., 1998). This study provides a description of 138 children and adults with and without developmental disabilities who were evaluated and treated for aberrant behaviors on a short-term inpatient unit. The results indicated that the functional analyses conducted during a short-term inpatient evaluation were successful for 96% of the participants in identifying maintaining reinforcers of aberrant behavior and leading to an 80% or greater reduction in aberrant behavior for 76% of the participants in an average of 10 days.
Journal of applied behavior analysis, 2004 · doi:10.1901/jaba.2004.37-283