Autism & Developmental

Clinical outcomes of behavioral treatments for elopement in individuals with autism spectrum disorder and other developmental disabilities.

Call et al. (2017) · Autism : the international journal of research and practice 2017
★ The Verdict

Real-world clinic data show behavioral plans slash elopement in kids with autism or delays.

✓ Read this if BCBAs who write elopement plans in clinics, schools, or homes.
✗ Skip if Practitioners only treating verbal adults with no bolting history.

01Research in Context

01

What this study did

The team looked back at 11 kids with autism or other delays who kept running off.

All kids got behavioral plans in the same day-treatment clinic.

Staff wrote down how often each child eloped before and after treatment.

02

What they found

Elopement dropped a lot after the plans started.

The size of the drop was large enough to see without stats glasses.

03

How this fits with other research

Nevill et al. (2025) later repeated the win with 14 kids in a hospital unit.

Their paper updates this one: more kids, same big drop.

Scheithauer et al. (2025) then showed parents can do it too.

They taught caregivers the same ideas in 12 short visits and elopement still fell.

Lang et al. (2009) had already said "use function-based plans." This clinic just proved it works in the real world.

04

Why it matters

You now have three layers of proof: clinic staff, hospital team, and trained parents all cut elopement hard. If a child on your casheet bolts, write a function-based plan today. Start with the common functions—toys, escape, or attention—and pick one tactic from Nevill or Mindy. You can run it at home, at school, or in clinic.

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→ Action — try this Monday

Pick one eloping client, run a 10-minute functional assessment, and start a simple FCT or extinction plan this week.

02At a glance

Intervention
other
Design
pre post no control
Sample size
11
Population
autism spectrum disorder, developmental delay
Finding
positive
Magnitude
large

03Original abstract

The external validity of behavioral treatments for elopement (i.e. leaving supervision without permission) remains unclear because studies to date include only small samples ( n = 1-3). This study quantified the overall effectiveness of behavioral treatments for elopement by retrospectively examining treatment data from all patients seen for the treatment of elopement at an intensive day treatment clinic ( n = 11), irrespective of treatment success. Reductions in elopement from baseline to the final treatment for each participant demonstrate that behavioral intervention is a highly effective treatment for elopement, as determined by the large effect size (Cohen's d = 1.18).

Autism : the international journal of research and practice, 2017 · doi:10.1177/1362361316644732