Chronic Versus Intermittent Problems: How They Relate to Medical/Medication Issues belongs in serious BCBA study because it shapes whether behavior-analytic decisions stay useful once they leave a clean training example and enter home routines, treatment sessions, interdisciplinary consultation, and health-related skill support. In Chronic Versus Intermittent Problems: How They Relate to Medical/Medication Issues, for this course, the practical stakes show up in safe, humane intervention that respects health variables and daily-life feasibility, not in abstract discussion alone.
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Join Free →The traditional Iwata-style functional analysis and even the more contemporary and highly customized Hanley-style synthesized functional analysis are more appropriate for traditional chronic behavior problems, those that occur highly frequently and regularly (typically dozens of times daily). These relatively high-frequency behaviors, although more time-consuming and resource intensive are also generally easier to analyze as there are more samples, and they're also generally easier to treat as there are many more teaching opportunities. Although not exclusively, these more high-frequency problem behaviors exist at such a high level because they are set in a context of few adaptive skills/repertoires. Consequently they occur at a crazy high level. That is, a person with almost zero adaptive/communicative skills will often have a very high-frequency, multiply maintained behavior problem. Individuals who are highly verbal and have large repertoires tend to know how to meet most of their own needs appropriately, they just have occasional problems (MOs) that contribute to the intermittent problem we are witnessing. Participants will learn the importance of discerning between the two general types of problems and strategies for each. Learning Objectives: Participants will be able to state multiple examples of chronic versus intermittent behavior as defined in the presentationParticipants will be able to ask 2 questions to get a frequency guesstimate. A preliminary and one follow-up question for greater detail.Participants will be able to explain to anyone why chronic problems are more likely to be multiply maintained than highly intermittent problemsParticipants will be able to explain at least 3 ways a chronic problem could be masquerading as an intermittent problemParticipants can explain the concept of "behavior bomb" and give real-life examples of long and short range "bombs."
| Certification Body | Credits | Type |
|---|---|---|
| BACB® | 1.5 | General |
Dr. Merrill Winston is a Board Certified Behavior Analyst who has worked in the field of Developmental Disabilities for over 35 years. He has worked in small group homes, large residential facilities, secured facilities, family homes, and schools and has worked with a broad population who exhibited behavior problems that ranged from mild to life-threatening. Dr. Winston is comfortable working with both verbal and non-verbal individuals and both children and adults with a range of diagnoses. His strengths are relating to direct-care staff in a manner that sets them at ease as well as working in real-time with children and adults. Dr. Winston excels in public speaking and has given numerous presentations at various professional conferences throughout the country. His areas of interest are crisis prevention and intervention, psychotropic medication usage with special populations, and the development and implementation of training programs designed to increase the skill levels of parents, professionals, teachers, and direct-care staff.
Dig into the research behind this topic — plain-English summaries written for BCBAs.
280 research articles with practitioner takeaways
258 research articles with practitioner takeaways
239 research articles with practitioner takeaways
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All behavior-analytic intervention is individualized. The information on this page is for educational purposes and does not constitute clinical advice. Treatment decisions should be informed by the best available published research, individualized assessment, and obtained with the informed consent of the client or their legal guardian. Behavior analysts are responsible for practicing within the boundaries of their competence and adhering to the BACB Ethics Code for Behavior Analysts.