A Review of Treatment Options Using Script and FCT to Address Challenging Behavior (Standard)

Dr. Jessica Korneder, Payton Boudreau, & Anna Jenkins

Abstract

Challenging behaviors are often the result of a child’s inability to meet their needs appropriately. One reason children with ASD engage in these responses may be due to insufficient learning opportunities in their environments. Scripts and script fading have shown to be effective at teaching language skills to individuals with ASD (Akers et al., 2015). Scripts can include pictures (Akers et al., 2018), text (Roche et al., 2019), or audio stimuli (Szmacinski et al., 2018) that function as prompts (which are systematically removed) for an individual to independently emit words or phrases. We sought out to see how scripts have been used to decrease maladaptive behaviors. However, the current literature doesn’t discuss the use of scripts as an intervention for decreasing maladaptive behaviors. Scripts have shown to be effective at promoting language development for manding (Brodhead et al., 2016), play skills (Ledbetter-Cho et al., 2015), and social interactions (Wichnick-Gillis et al., 2016). FCT is an evidenced-based treatment that abates maladaptive behaviors while teaching appropriate responses that serve the same function (Durand & Moskowitz, 2015). In the initial phases of FCT, similar to scripts, a prompt is provided to teach a functional communicative response (Tigers et al., 2008). Because FCT can easily incorporate scripts, we are presenting treatment options that incorporate using scripts as antecedent strategies to abate maladaptive behaviors while establishing functionally equivalent responses. We will discuss current literature and how these two interventions can be used together to decrease maladaptive behaviors by replacing them with functionally equivalent responses.

About the Speakers

Dr. Jessica Korneder is an Assistant Professor and Director the ABA Clinic at Oakland University. Payton Boudreau received her MEd in Special Education with a concentration in Applied Behavior Analysis from Oakland University and became a BCBA in 2020. She has been providing services to children diagnosed with ASD for five years, and is the founder of INSPIRE Autism. Anna Jenkins received her MEd in Special Education with a concentration in Applied Behavior Analysis from Oakland University and became a BCBA in 2020. She currently works as a BCBA at INSPIRE Autism and has been providing services to children diagnosed with ASD for five years.

Introduction to Acceptance and Commitment Training for Individuals with Developmental Disabilities (Standard)

Dr. Brooke Smith & Dr. Greg Smith

Abstract

Acceptance and Commitment Therapy (ACT) has been the subject of rapidly growing interest among applied behavior analysts interested in applying the technology to clients for whom it may be appropriate. Although ACT was initially developed as an acceptance- and mindfulness-based psychotherapy for neurotypical individuals, it can be repurposed into a skills-based training (sometimes referred to as ACTraining) to be delivered outside the formal psychotherapeutic setting. Goals of ACT-based skills trainings include increasing psychological flexibility and improving quality of life through targeting processes such as mindfulness, acceptance, cognitive diffusion, values, and values-aligned goals. In this talk, we will introduce these components of the ACT model and, importantly, tie them to basic behavioral principles pertaining to human language and cognition. We will provide examples of exercises to train these ACT-based skills and discuss important considerations when implementing ACT with individuals with developmental disabilities.

About the Speakers

Brooke Smith, Ph.D. is an assistant professor in the Department of Psychology, Clinical Psychology Program, at Western Michigan University. She received her Ph.D. from Utah State University in 2019 and completed her clinical internship at the VA Puget Sound, American Lake Division. Dr. Smith’s research and clinical interests include therapeutic processes of change and their translation from basic behavioral principles to applications in mindfulness, exposure, and acceptance-based psychotherapies, particularly Acceptance and Commitment Therapy (ACT). Gregory (Greg) S. Smith, Ph.D., BCBA-D, is a Board Certified Behavior Analyst at the doctoral level. He has more than 16 years of experience in behavior analysis, ranging from basic, translational, and applied research to implementation of Organizational Behavior Management and clinical work with children and adults with autism and other intellectual and developmental disabilities. His current research interests include assessment of implicit bias across a variety of domains, as well as complex human behavior (Relational Frame Theory, Acceptance and Commitment Training), OBM, and theory/philosophy issues.

Establishing Generative Learning for Children with Autism (Standard)

Dr. Mark Sundberg

Abstract

Typically developing children demonstrate an explosion of language skills between the ages of 2 and 3 (e.g., Hart & Risley, 1995). During this period, a child acquires new speaker and listener skills rapidly, often without direct training or reinforcement. However, many children with autism struggle with, or fail to make this critical linguistic leap. This learning barrier could be related to a child’s inability to benefit from generative learning. Generative learning occurs when existing skills enable or accelerate the acquisition of other skills, without direct teaching or reinforcement (Rosales-Ruiz & Baer, 1997). Children with autism may be able to benefit from the powerful effects of generative learning if they acquire certain prerequisite and component skills and are provided with some specific training. The VB-MAPP contains a number of milestones that can be identified as measures of generative learning, and a child’s performance on these measures can be used to guide an intervention program. Several strategies for establishing generative learning will be described.

About the Speaker

Mark Sundberg, Ph.D., BCBA-D received his doctorate degree in Applied Behavior Analysis from Western Michigan University (1980) under the direction of Dr. Jack Michael. He is the author of the VB-MAPP, and co-author of the original ABLLS and the book Teaching Language to Children with Autism or Other Developmental Disabilities. He has published over 50 professional papers and 6 book chapters. His latest publication is a book chapter titled “Verbal Behavior” in Applied Behavior Analysis (3rd ed.) by Cooper, Heron, & Heward (2020). Dr. Sundberg is the founder and past editor of the journal The Analysis of Verbal Behavior, a twice past-president of The Northern California Association for Behavior Analysis, a past-chair of the Publication Board of ABAI, an ABAI Fellow, and he served two terms on the Board of Directors of the B. F. Skinner Foundation. Dr. Sundberg has given hundreds of conference presentations and workshops nationally and internationally, and taught 80 undergraduate and graduate courses on behavior analysis, verbal behavior, sign language, and child development. He is a licensed psychologist with over 45 years of experience. His awards include the 2001 “Distinguished Psychology Department Alumnus Award” from Western Michigan University, and the 2013 “Jack Michael Outstanding Contributions in Verbal Behavior Award” from ABAI’s Verbal Behavior Special Interest Group.

Teaching Safety Skills to Children with Autism: What Works and What Doesn’t? (Standard)

Dr. Ray Miltenberger

Abstract

This presentation will discuss research conducted by the author on teaching safety skills, including abduction prevention, firearm injury prevention, and poison prevention. After a brief review of assessment issues, the presentation will discuss major findings from this research – what works and what doesn’t, accessibility of interventions, implementation fidelity, and issues of generalization and maintenance.  

About the Speaker

Ray Miltenberger received his Ph.D. in clinical psychology from Western Michigan University in 1985 after completing a predoctoral internship in developmental disabilities and behavioral pediatrics from the Kennedy Institute at Johns Hopkins University School of Medicine. He was a professor of psychology at North Dakota State University from 1985 to 2006. He is currently a professor in the Department of Child and Family Studies and the Director of the Applied Behavior Analysis programs at the University of South Florida. Dr. Miltenberger is a former President of the Association for Behavior Analysis International and has served on the Executive Committee of the Florida Association for Behavior Analysis and the Board of Directors of the Society for Advancement of Behavior Analysis. He serves or has served on the editorial boards of Journal of Applied Behavior Analysis, Journal of Behavioral Education, Behavioral Interventions, Journal of Positive Behavioral Interventions, and Education and Treatment of Children. Dr. Miltenberger also has been the Literature Review Editor for Education and Treatment of Children, an associate editor for Education and Treatment of Children and Behavior Analysis in Practice, and a guest associate editor for Journal of Applied Behavior Analysis. Dr. Miltenberger’s research in applied behavior analysis focuses on teaching safety skills to children and individuals with disabilities, ABA approaches in health, fitness, and sports, analysis and treatment of repetitive behavior disorders, and functional assessment and treatment of problem behaviors. He has published over 250 journal articles and chapters, has co-edited a text on analysis and treatment of tics and repetitive behavior disorders, and has written a popular behavior modification textbook, now in its sixth edition and in six languages. Dr. Miltenberger has received a number of awards for his teaching, research, and mentoring.

Advances in Functional Communication Training: Recent Procedural Refinements that Promote Durable Treatment Outcomes (Standard)

Dr. Adam Briggs

Abstract

Functional communication training (FCT; Carr & Durand, 1985) is a well-established treatment for socially mediated problem behavior exhibited by children diagnosed with autism spectrum disorder (Kurtz et al., 2011). FCT involves the delivery of the reinforcer responsible for maintenance of problem behavior contingent on a functionally equivalent communication response (FCR), usually in combination with extinction of problem behavior (Tiger et al., 2008). Although highly effective, FCT has been shown to fail in some cases following initial success (e.g., Greer et al., 2016; Saini et al., 2018), and previous reports have suggested that low rates of behavior do not always maintain when the schedule of reinforcement for the FCR is thinned (Briggs et al., 2018) or when FCT is implemented by caregivers in the everyday environment (Meuthing et al., 2020). Therefore, treatment relapse in FCT can be viewed as the failure to maintain treatment effects when environmental conditions change. That is, relapse during FCT could be regarded as the failure to generalize treatment gains across time, settings, situations, or individuals (Pritchard et al., 2014). Recent research focused on integrating stimulus control technology with consequent-based refinements offers promising strategies for promoting the practicality, generality, and durability of FCT treatment effects. Following a primer on FCT, recent advances in FCT research will be reviewed and their implications for practice will be discussed.

About the Speaker

Adam Briggs is an Assistant Professor of Psychology at Eastern Michigan University. Dr. Briggs is a board certified behavior analyst at the doctoral level and a licensed behavior analyst in the state of Michigan. He received a Bachelor of Science in Psychology from Western Michigan University, a Masters in Science in Applied Behavior Analysis in Developmental Disabilities from Auburn University, and a Ph.D. in Behavioral Psychology from the University of Kansas. His dissertation evaluated the effects of differential reinforcement of alternative behavior without the use of extinction for treating dangerous instances of severe destructive behavior. This project received several accolades, including the 2017 APA Division 25 SEAB Applied Dissertation Award. In addition, during his tenure at the University of Kansas, Dr. Briggs received the Baer, Wolf, and Risley Outstanding Graduate Student Award for excellence in teaching, research, and service. He later completed a two-year post-doctoral fellowship at the University of Nebraska Medical Center’s Munroe-Meyer Institute under the direction of Dr. Wayne Fisher. He has served on the Board of Editors for the Journal of Applied Behavior Analysis and Behavior Analysis in Practice and as an ad-hoc reviewer for a number of other behavior-analytic journals. Dr. Briggs has conducted research in the area of assessment and treatment of severe behavior disorders, including several grant-funded research projects focused on integrating stimulus control technology and consequent-based refinements in ways that mitigate relapse and improve the efficacy and generality of FCT interventions.

Selling Hype or Giving Hope: Science and Pseudoscience in Autism Treatment (Standard)

Dr. Thomas Zane

Abstract

Autism treatment has long been known as a ‘fad magnet’ that attracts well-vetted empirically-based effective treatments, but unfortunately, also attracts ill-advised, ineffective, and unethical treatments. Parents and caregivers seek effective ways of teaching skills, maximizing independence, and improving the quality of life for individuals with autism. They assume those professionals who have degrees, certifications, and visibility in the eld know what they are doing, and believe the hype and marketing that service providers disseminate about the methods they use. The proponents of all autism treatments assert that their treatments will work. They want parents and caregivers to be hopeful that their particular treatments will meet the goals and desires of those seeking treatment. However, the fact is that some treatment providers can only provide the hype without also delivering the effective outcomes of their therapy. Hype is freely given. Real hope, gleaned from evidenced-based strategies that produce objectively measured positive outcomes, is harder to come by.

About the Speaker

Dr. Thomas Zane is a Professor of Practice and the Director of Online Programs in Behavior Analysis in the Department of Applied Behavioral Science at the University of Kansas. Dr. Zane earned his Bachelor’s and Master’s degree in psychology at Western Michigan University and his doctorate in Applied Behavior Analysis at West Virginia University. He has served as a Post-Doctorate Research Associate at the University of Massachusetts and as a Research Scientist at Johns Hopkins University Department of Psychiatry. Dr. Zane serves on the Executive Board of the Cambridge Center for Behavioral Studies, the international organization that represents the eld of behavior analysis. He is also a member of the Scientific Council of the Organization of Autism Research, a group that funds innovative research in Autism Spectrum Disorders. Dr. Zane has been past President of the Ethics Special Interest Group of the International Association for Behavior Analysis. His research interests include online learning, evidenced-based practice in autism, and the philosophy of science and radical behaviorism. He is particularly interested in why some behavior analysts drift from the code and the importance of adhering to choosing scientifically supported treatments in clinical and educational work.

Impacts of Integrity Failures on Common Reinforcement-Based Interventions (Standard)

Dr. Claire St. Peter

Abstract

The term treatment integrity refers to the extent to which interventions are implemented as they are designed. For over 20 years, there have been calls for increased reporting of treatment integrity in research and consideration of treatment integrity in clinical practice. Yet, treatment integrity remains an infrequent research topic and rare practice consideration. In this presentation, I describe several studies evaluating levels of treatment integrity across commonly used, reinforcement-based interventions for challenging behavior. I hope to convince the audience that evaluations of treatment integrity are critical for research and practice if we hope to create sustainable change in socially significant behavior.

About the Speaker

Dr. St. Peter is a professor and area coordinator in behavior analysis, as well as the director of graduate training at West Virginia University (WVU). She received her Ph.D. in psychology with a specialization in behavior analysis in 2006 from the University of Florida. During her graduate training, she worked under the supervision of Timothy R. Vollmer. Dr. St. Peter joined the faculty at WVU in fall of 2006, and was promoted to associate professor in 2012.

What You Need to Know to Be a Behavior Analyst (Standard)

Dr. James Todd

Abstract

A couple generations ago a popular academic activity was to point out to behavior analysts their relative insularity. This was at a time when most behavior analysts came to the field from other areas. Even if some were island-bound, most had been to other places. They should see us now! With training and credentialing sequences aimed at everyone from high school camp counselors through the seasoned Ph.D.s, now expanding beyond the ability of some programs to contain them, we can keep our members’ attention so tightly focused inward that they don’t even notice there is a horizon, much consider that there might be interesting and useful things beyond it. Indeed, we have reached a point were many behavior analysts who treat children with autism have had a graduate sequence in child behavior. This cannot be good for us (or the kids), and as Edwin Willems predicted in 1974, there will be an inevitable narrowing of the field to practice in very specific areas. Of course, with a narrowing of our assessment and treatment choices, we will also find ourselves harboring the illusion of increased general effectiveness, including in areas where we don’t have a presence. This presentation will explore some of the variables that led us to this situation, including some of the actual disciplinary benefits of insularity, and how behavior analysts might nevertheless safely and politely travel to other traditions to find sound, evidence-based information and techniques that might be usefully incorporated into their own work.

About the Speaker

Dr. James Todd is a Professor of Psychology at Eastern Michigan University. Much of his recent work involves the analysis of ineffective and pseudoscientific interventions for autism and other developmental disabilities, especially “facilitated communication” and “rapid prompting.” He has served as an expert for the Defense in cases involving false accusations of abuse arising from these methods. Most recently he was an expert witness for the Prosecution in the Stubblefield assault case in New Jersey discussing the scientific evidence against the validity of facilitated communication.

Teleconsultation in Autism Treatment: Applications and Considerations (Standard)

Dr. Stephanie Peterson

Abstract

This presentation reviews the literature on teleconsultation as it applies to autism treatment. Examples of the variety of ways in which teleconsultation is being used as a part of the treatment of autism are discussed. Potential problems with the practice and future directions for research are also presented.

About the Speaker

Stephanie M. Peterson, Ph.D., BCBA-D, is a Professor of Psychology at Western Michigan University. She earned her doctorate in Special Education at The University of Iowa in 1994. Her primary research interests are choice making, functional communication training, reinforcement-based interventions for children with problem behavior, and concurrent schedules of reinforcement in the treatment of severe problem behavior and in functional analysis of problem behavior. She also has interests in applications of behavior analysis to educational interventions and teacher training. She currently serves on the Editorial Board of the Journal of Applied Behavior Analysis and is a Senior Editorial Consultant for Education and Treatment of Children.

Higher Ed, ASD, and Sexuality (Standard)

Dr. Chaturi Edrisinha

Abstract

When a high school student with ASD enters as a freshman at an university, he or she immediately loses access to the benefits and coverage of IDEA and enters the world of ADA and FERPA. The responsibility for identifying, documenting, initiating services and advocacy shift from the school personnel to the individual student. University students over 18 are considered adults. Issues related to relationships, sexuality, sexual health, consent and sexual behaviors are topics that are not always specifically addressed with students regardless of of their prior history of accessing services through K-12. Yet, we find that these are the very issues that high achieving students on the ASD spectrum struggle most with. Left unaddressed these behaviors may result in negative outcomes to the individual and their quality of life but also the university community affecting college attrition, completion rates, and campus culture. This presentation will discuss some ways to address this timely topic with students on the ASD spectrum that may have implications for neurotypicals who may have similar questions.

About the Speaker

Chaturi Edrisinha is a board-certified behavior analyst. She received her Ph.D. in autism and developmental disabilities and her M.Ed. in early childhood special education from The University of Texas at Austin. An overarching agenda in Dr. Edrisinha’s research is to develop instructional and support strategies in order to foster independence and inclusion for persons with autism spectrum disorders. She has been successful in obtaining multiple research grants totaling more than $100,000. She published more than 60 peer-reviewed articles, conference papers, and book chapters in many prestigious journals, including the Journal of Applied Behavior Analysis, Research in Developmental Disabilities, and the Journal of Autism and Developmental Disabilities and presented at numerous national and international conferences.

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