Managing high-intensity and dangerous behaviors in behavior-analytic practice is among the most demanding aspects of clinical work. The safety of clients, the wellbeing of practitioners and caregivers, and the effectiveness of intervention all depend on the quality of clinical decision-making when challenging behaviors are present.
Provider: BehaviorLive — via Behavior Analysis Association of Michigan
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Join Free →Identifying needs for complex cases and increasing support within a large organization requires nuanced tools (Horner & Kittelman, 2021). According to Colombo et al., 2020 43% of Behavior Analyst got assigned their first severe challening behavior case without inital or ongoing support. This presentation will review the use of a questionnaire-based behavior categorization tool designed to categorize clients' level of high-intensity or dangerous behaviors based on risk, magnitude of behavior, and ability to predict Establishing Operations (EO;triggers) for challening behaviors. Based on the level of risk assigned by the questionnaire the client's team was provided with a three-tiered decision-making model aligned with the values of Foundations of Care. These actionable steps ensure clients are receiving services that are aligned with trauma-informed and compassionate care and clients progress towards decreasing challenging behaviors without the use of extinction or restrictive practice. Additional interventions, oversight, and recommendations were made for each tier based on the client's categorized risk and clinicians and technicians were provided initial and ongoing support through this process.
| Certification Body | Credits | Type |
|---|---|---|
| BACB® | 1 | Ethics |
| COA | 1 | — |
Adrienne Bradley is Board Certified Behavior Analyst, graduate school professor, and a Behavior Analyst on a mission to promote Applied Behavior Analysis (ABA) to underserved communities. She graduated from Central Michigan University, in 2014 with a Bachelors in Exercise Science, and a minor in Psychology where she developed an interest in human behavior. It wasn't until after her matriculation that she found a dire need to serve students with an Autism diagnosis in the public school system. This is where her love for ABA began. She later graduated from Wayne State University with a Master's in Education Psychology, and a concentration in Applied Behavioral Analysis. With her extensive experience working with children and adolescents within the home, school, and clinic settings, she has garnered a commitment to ethical leadership and high-quality therapeutic and parent services. She is a highly regarded speaker, focusing on using Acceptance and Commitment training within parent sessions and Leadership development. Additionally, Adrienne served as the past President, Partnership Liaison, and Conference chair for Black Applied Behavior Analysts, Inc, an organization that empowers the Black ABA community through a variety of different avenues. Adrienne also has passion for Diversity, Equity, and Inclusion within ABA. She engages in equity and inclusion research practices, serving as a research consultant for the Michigan Interagency Coordinating Council which aims to reduce barriers to accessing ABA services in the state of Michigan through the development and implementation of a statewide, comprehensive, multidisciplinary system to provide early intervention services for infants and toddlers with disabilities and their families. She is a master collaborator and bridge connector, using empathy and understanding to foster relationships with the purpose of advancing the science of ABA.
Dig into the research behind this topic — plain-English summaries written for BCBAs.
258 research articles with practitioner takeaways
256 research articles with practitioner takeaways
252 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.