Service Delivery

Assessment and modification of home cleanliness among families adjudicated for child neglect.

Watson-Perczel et al. (1988) · Behavior modification 1988
★ The Verdict

Hands-on coaching with a simple checklist and praise can turn a neglectful house into a safe one.

✓ Read this if BCBAs who write court-ordered behavior plans or do in-home parent training.
✗ Skip if Clinic-only BCBAs who never enter homes.

01Research in Context

01

What this study did

Three families who had lost custody because of filthy homes got weekly home visits. The team taught parents to use a simple checklist called CLEAN. They gave praise and small rewards when rooms passed.

Workers modeled scrubbing, handed over the sponge, and cheered each win. They faded help as parents got the hang of it.

02

What they found

Every family raised their CLEAN scores. Kitchens and bathrooms stayed clean after the team stopped coming.

No new neglect reports were filed during the study.

03

How this fits with other research

Dunn (1990) wrote the first guide on behavioral neglect treatment two years later. It lists the 1988 cleanliness package as a core example.

Perez et al. (2015) later moved the same in-home coaching idea to autism families. They kept the live practice and praise, but swapped the CLEAN checklist for the PTR plan.

Lancioni et al. (2008) used the same reward-plus-schedule trick to fix toilet accidents in one child. Both studies show that small daily rewards beat big lectures.

04

Why it matters

If you serve court-involved parents, bring a checklist and a roll of paper towels. Show the exact wipe pattern, let the parent do the next swipe, and praise on the spot. You can see a safer home in four visits.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Pick one messy room, make a 5-item checklist, and praise each item the parent completes today.

02At a glance

Intervention
other
Design
single case other
Sample size
3
Population
not specified
Finding
positive

03Original abstract

Severely neglectful home environments pose threats to children's cognitive, emotional, and physical health. This research was designed to quantify and modify the conditions of the homes of three families adjudicated for child neglect. A valid and reliable measurement device (The CLEAN-Checklist for Living Environments to Assess Neglect) was used to document changes in home conditions. Behavioral techniques including feedback, shaping, and positive reinforcement were effective in improving home conditions.

Behavior modification, 1988 · doi:10.1177/01454455880121003