An Evaluation of an Intervention Sequence Outline in Positive Behaviour Support for People with Autism and Severe Escape-Motivated Challenging Behaviour

Autor/inn/en	McClean, Brian; Grey, Ian
Titel	An Evaluation of an Intervention Sequence Outline in Positive Behaviour Support for People with Autism and Severe Escape-Motivated Challenging Behaviour
Quelle	In: Journal of Intellectual & Developmental Disability, 37 (2012) 3, S.209-220 (12 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1366-8250
DOI	10.3109/13668250.2012.704982
Schlagwörter	Intervention; Autism; Health Conditions; Quality of Life; Mental Health; Behavior Modification; Reinforcement; Behavior Problems; Severe Disabilities; Positive Reinforcement; Arousal Patterns; Incidence; Interpersonal Relationship; Daily Living Skills; Behavior Change; Scores; Foreign Countries; Males; Ireland + Suchen Sie Ihr Suchwort? Autismus; Lebensqualität; Psychohygiene; Behaviour modification; Verhaltensänderung; Positive Verstärkung; Severe disability; Schwerbehinderung; Vorkommen; Interpersonal relation; Interpersonal relations; Interpersonelle Beziehung; Zwischenmenschliche Beziehung; Alltagsfertigkeit; Ausland; Male; Männliches Geschlecht; Irland
Abstract	Background: Positive behaviour support emphasises the impact of contextual variables to enhance participation, choice, and quality of life. This study evaluates a sequence for implementing changes to key contextual variables for 4 individuals. Interventions were maintained and data collection continued over a 3-year period. Method: Functional assessments were conducted with 4 individuals with exceptionally severe challenging behaviours. Interventions were based on the multi-element model of behavioural support (LaVigna & Willis, 2005a). Dependent variables were behavioural ratings of (1) frequency, (2) episodic severity, (3) episodic management difficulty, and measures of (4) mental health status, and (5) quality of life. The intervention sequence was low arousal environment, rapport building, predictability, functionally equivalent skills teaching, and differential reinforcement strategies. Results: Substantial reductions in target behaviours were observed, along with incremental improvement in mental health scores and quality-of-life scores. Conclusion: The study demonstrates the efficacy of positive behaviour support for people with exceptionally severe behaviour in individually designed services. (Contains 3 figures and 5 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10