Assessment-based intervention for severe behavior problems in a natural family context.

One mom learned to run a full FBA at home and in restaurants.

Trainers taught her to spot why her child hit, screamed, and threw things.

They then built a plan that gave the same payoff in safer ways.

The team tracked behavior across two daily family routines.

Severe problem behavior dropped in both routines once mom used the plan.

Gains held without extra staff in the house.

Mom kept high fidelity while cooking dinner and eating out.

Germansky et al. (2020) pooled 36 studies and found parents can run solid FAs and function-based plans.

The 1997 case is one of the earliest examples in their set.

Ingersoll et al. (2013) used the same multiple-baseline design to show moms mastering Project ImPACT.

Both papers prove mothers can hit fidelity targets when coaching is clear.

Liao et al. (2022) later moved training online with like results, showing the model survives a tech shift.

You can teach any caregiver to be the therapist.

Start with a brief FBA, write a one-page plan, and rehearse in the real routine.

Send mom a simple data sheet and check fidelity once a week.

You will free up hours and the behavior still drops.