Search

The advisory board's makeup tends to consist of professionals with domains of expertise relevant to the organization they serve. Organizations invite advisory board members to guide the organization's efforts over an extended period. Still, they do not have fiduciary, operational, or decision-making responsibilities for the organization in the way that a board of directors does. This article provides a framework for a behavior-analytic organization to (a) identify whether an advisory board would be feasible and beneficial, (b) establish an advisory board, and (c) engage and manage an advisory board to best leverage the unique skills and interests of the members. The article includes 2 examples of advisory boards to illustrate the suggested framework and recommendations.

The Journal of Applied Behavior Analysis is launching a special series on the topics of public health and telehealth. The special series begins with the articles in this issue and will continue for the next 2 to 3 issues with an open submission window until September 1, 2020. Behavior analysis has much to offer with respect to public health and much to gain from continued and expanded use of telehealth. This paper outlines the importance of these topics in the current crisis and in our ongoing evolution as a field. The historical literature in behavior analysis is reviewed for each topic along with suggestions for future research. The articles from the special series will be combined with historical contributions from JABA into a virtual issue. We encourage continued submissions on these topics even after the special series is completed as future papers will also be incorporated into the special issue.

In the past ten years, insurance funding has become a primary source of payment for applied behavior analytic services for individuals with autism spectrum disorders. The increased accessibility of...

Successfully working with families of children with autism requires technical behavior-analytic skills and critical interpersonal relationship-building skills. Taylor, LeBlanc, and Nosik (2018) suggested that many Board Certified Behavior Analysts might have been trained in graduate programs that focus primarily on conceptual and technical skills with little coverage of skills related to building therapeutic relationships. The current paper provides the results of an online survey of the precredential and postcredential training experiences of behavior analysts. The majority of behavior analysts surveyed indicated that they received no explicit didactic training or reading assignments on relationship-building skills in their graduate coursework in behavior analysis. Approximately half indicated that their practical experience supervisor provided guidance and mentoring on these skills. The majority of behavior analysts indicated that it is very important or extremely important that professional training programs develop formal training in this area.

This chapter examines the role of compassion in social justice efforts from a behavior analytic perspective. Social justice efforts rely on perspective taking skills and empathy as motivating operations for compassionate action on behalf of those who are suffering injustice. As a community of behavior analysts, our championing of social justice efforts are fully in line with words of Coretta Scott King who said, “The greatness of a community is most accurately measured by the compassionate action of its members.”

This article describes the development of a system, the Ethics Network, designed to promote discussion of ethical issues in a human services organization. The system includes several core components, including people (e.g., leaders, ambassadors), tools (e.g., hotline, training modules), and resources (e.g., monthly talking points). Data from 6 years of hotline submissions were analyzed to identify the most common concerns, and the data were compared to the pattern of violation notices submitted to the Behavior Analyst Certification Board. Recommendations are provided for creating similar systems in other organizations.

Cox, Plavnick, and Brodhead (2020, "A Proposed Process for Risk Mitigation During the COVID-19 Pandemic") published a position statement in the emergency section of Behavior Analysis in Practice in response to the COVID-19 crisis. They argued against a blanket interpretation that in-person applied behavior analysis services for all patients should continue during the pandemic. They strongly argued that the risks of continued services are almost always prohibitive and that only in rare cases would the continuation of in-person services be warranted. Colombo, Wallace, and Taylor (2020, "An Essential Service Decisions Model for Applied Behavior Analytic Providers During Crisis") soon thereafter published a response to the article pointing out the potential dangers associated with the position of the article by Cox et al. They included a detailed decision model to assist providers in making nuanced and informed data-based decisions that provide the opportunity to honor the ethical responsibility for not abandoning patients. We echo the importance of the Colombo et al. response and add points of response centered on balanced ethical decision making informed by compassionate family-centered care.

Telehealth delivery of applied behavior analysis treatment has focused on supervision or staff and parent training, rather than the direct delivery of treatment to clients. The novel coronavirus (COVID-19) crisis had the potential to significantly disrupt access to direct treatment for individuals with autism. We report a sample of 17 cases that transitioned from in-person to telehealth delivery of treatment when shelter-in-place orders were issued. Of these cases, 76% of participants transitioned to technician-delivered telehealth services whereas the rest transitioned to a caregiver-implemented telehealth model. Participants continued to access a similar dosage of treatment hours per week in spite of the treatment model transition (in-person M = 12; telehealth M = 11) and maintained or improved correct independent responding across all targets from in-person treatment (M = 75%) to telehealth treatment (M = 80%). These findings provide initial evidence that some clients with autism benefit from technician-delivered telehealth services.

Behavior analysts spend a great deal of time in meetings regardless of their specific professional role (e.g., academic, practice, administration), so effective meeting skills are important. Meetings can serve a variety of important purposes if they are planned and led well. However, many people are not explicitly taught how to plan or lead meetings effectively. The purpose of this paper is to describe the common purposes of meetings and to provide recommendations and tools for planning and leading effective meetings.

The practice of behavior analysis has become a booming industry with growth to over 30,000 Board Certified Behavior Analysts (BCBAs) who primarily work with children with autism and their families. Most of these BCBAs are relatively novice and have likely been trained in graduate programs that focus primarily on conceptual and technical skills. Successfully working with families of children with autism, however, requires critical interpersonal skills, as well as technical skills. As practitioners strive to respond efficiently and compassionately to distressed families of children with autism, technical skills must be balanced with fluency in relationship-building skills that strengthen the commitment to treatment. The current article provides an outline of important therapeutic relationship skills that should inform the repertoire of any practicing behavior analyst, strategies to cultivate and enhance those skills, and discussion of the potential effects of relationship variables on treatment outcomes.

This study examined the utility of a brief prerequisite assessment in predicting the subsequent effectiveness and rate of acquisition of mand training in each of three response modalities (sign, picture exchange, and vocalizations). Overall, the picture exchange was the most effective and efficient modality for acquiring the targeted mand. The vocal modality was the least effective except when the prerequisite assessment indicated that two-syllable vocal imitation was intact. The implications for selection of response modality for early mand training are discussed.

Motor imitation skills are usually targeted early in intervention with children with autism. Some children readily acquire motor imitation targets that involve objects (e.g., pushing a toy car) but do not acquire targets without objects (e.g., clapping hands). The disparity in acquisition could occur for various reasons, including differences in attending when an object is present as opposed to when no object is present. It also is possible that the delay in imitation that is required when no object is present could contribute to the discrepancy. The purpose of this study was to validate the use a brief assessment of delayed imitation and attending skills to predict the effectiveness of interventions specifically designed to address the identified deficits. The assessment showed one child with autism had deficits in attending, and an intervention that included a salient stimulus produced the quickest acquisition. The second participant’s assessment did not show any deficits in attending, but showed deficits in delayed imitation. For this participant, the intervention designed to address deficits in delayed imitation (i.e., a secondary prompter) was most successful in establishing motor imitation responses.

Conducting research in practice settings is the primary mechanism for establishing a strong foundation of evidence for clinical decision making. In behavior analysis, this type of research frequently originates from university-based systems that have established institutional review boards. Independent human service agencies that want to contribute applied research to the literature base that is clinically meaningful and conducted in an ethical fashion must establish a research review committee (RRC). The purpose of this article is to provide information and guidance for establishing and maintaining the activity of an RRC in a human service setting.

Discrete-trial teaching is an effective teaching procedure that must be implemented with high integrity to produce optimal learning. Behavioral Skills Training (BST) has proven effective for staff training; however, BST is time and labor intensive. Computer-based instruction (CBI) programs may provide a more efficient and cost-effective alternative to live training if the CBI program is as effective as BST in producing accurate implementation. The current study compared CBI to BST to train novice undergraduate students to conduct discrete-trial teaching. Participants were randomly assigned to one of the two conditions and assessed prior to and after the completion of training. Results indicated that although both BST and CBI were effective at training participants to implement discrete-trial teaching, BST was slightly but significantly more effective whereas CBI quickly created a return on the investment of product development.

This study assessed the effects of a vibrating pager on reduction of rapid eating. The study also evaluated two strategies for fading the pager, by intensity and by frequency. The pager was successful in decreasing the pace of eating to an appropriate level and the pager prompt was successfully faded. Fading by frequency was ineffective in maintaining an appropriate pace of eating while intensity fading was successful.

Discontinuous measurement involves dividing an observation into intervals and recording whether a behavior occurred during some or all of each interval (i.e., interval recording) or at the exact time of observation (i.e., momentary time sampling; MTS). Collecting discontinuous data is often easier for observers than collecting continuous data, but it also produces more measurement error. Smaller intervals (e.g., 5 s, 10 s, 15 s) tend to produce less error but may not be used in everyday practice. This study examined the most common intervals used by a large sample of data collectors and evaluated the effect of these intervals on measurement error. The most commonly used intervals fell between 2 and 5 min. We then analyzed over 800 sessions to evaluate the correspondence between continuous and discontinuous data at each commonly used interval. Intervals of 3 min or less produced the greatest correspondence, and MTS outperformed interval recording.

Behavior analysts rely on frequent access to graphed data to facilitate clinical decision making and enhance their programming. Several new electronic data collection (EDC) products have recently been developed and marketed to behavior analysts. We evaluated the effects of an EDC software system on the percentage of current graphs. We also evaluated the potential return on investment (ROI) of the tool for a large human services agency. During baseline, graphs were seldom updated at the designated time the supervisor examined the file. When the EDC software was implemented, 100% of graphs were updated at all checks for all consumers with minimal or no corresponding increase in clinician hours. A comprehensive index of ROI was calculated using various costs of implementation and observed and estimated savings. Implementing the EDC software across the human services agency resulted in a projected cumulative positive average ROI of 59% over five years. These results are discussed in terms of strategie...

Effective supervision practices can facilitate the professional development of the supervisee, the continued growth of the supervisor, and the overall development of our field and its practice. In addition to individual supervision, many aspiring certificants also participate in group supervision experiences either as part of their academic practicum or as part of a supervised independent fieldwork experience. Group supervision can provide unique opportunities to establish critical professional repertoires such as peer feedback skills and public speaking skills. However, the quality of the group supervision experience is impacted by the supervisor’s arrangement of the components of the experience in order to maximize the effectiveness of these learning opportunities. This paper focuses on those critical supervision characteristics and suggests ways behavior analysts can optimize the group learning experience.

Several papers have reviewed the literature based on Skinner’s conceptual framework presented in his 1957 book, Verbal Behavior. These reviews have called for more research on the topic of verbal behavior generally and often for more research on particular verbal operants. For example, Sautter and LeBlanc (2006) urged the behavior-analytic community to conduct more research on the intraverbal because of the scant existing literature base at that time. In the current review, we replicate the procedures used by Sautter and LeBlanc focusing specifically on the intraverbal relation and on the literature published in the 10 years since their call for research. We summarize the publication themes, provide graphs of the trends and types of published articles, and offer ideas for future research specific to the intraverbal.

Practicing behavior analysts and behavior analysts in academic settings often provide supervision for young professionals who are pursuing certification as a behavior analyst. Effective supervision is critical to the quality of ongoing behavioral services, the professional development of the supervisee, the continued growth of the supervisor, and the overall development of our field and its practice. The Behavior Analyst Certification Board recently instituted several new requirements including training in supervisory practices prior to supervising those who are accruing hours toward the experience requirement for certification. However, few published resources exist to guide supervisor activities and recommended practice. The paper summarizes five overarching recommended practices for supervision. For each practice, detailed strategies and resources for structuring the supervisory experience are provided.

Grow and LeBlanc (2013) described practice recommendations for conducting conditional discrimination training with children with autism. One recommendation involved using a specially designed datasheet to provide the preset target stimulus for each trial along with counterbalancing the location of stimuli if a three-item array of comparison stimuli. This study evaluated whether the recommended data sheet would lead to higher procedural integrity of counterbalancing trials compared to a standard data sheet (i.e., targets and arrays are not pre-set). Forty behavior therapists from two provider agencies participated. Participants were randomly assigned to either the standard data sheet condition or the enhanced data sheet condition. Participants watched a short video on Grow and LeBlanc's practice recommendations for a matching task and an orientation to the datasheet for the assigned condition, and then implemented the matching task with a confederate serving in the role of the child with autism. The enhanced data sheet resulted in higher accuracy of implementation on counterbalancing than the standard data sheet, with the largest difference for rotation of the target stimulus across trials and for counterbalancing the placement of the correct comparison stimulus in the array.

The current study evaluated the effects of behavioral skills training (BST) on acquisition of basic computer skills using Microsoft Word®, Microsoft Excel®, and Microsoft PowerPoint® by a 15-year-old male diagnosed with autism. A concurrent multiple-baseline design across computer programs (i.e., Word®, Excel®, and PowerPoint®) was used to evaluate the effects of BST on the acquisition of basic computer skills. BST was successful in teaching the participant to learn basic functions in each of the three programs, and he was able to use the programs to complete schoolwork independently following completion of the study.

Practicing behavior analysts frequently assess and treat problem behavior as part of their ongoing job responsibilities. Effective measurement of problem behavior is critical to success in these activities because some measures of problem behavior provide more accurate and complete information about the behavior than others. However, not every measurement procedure is appropriate for every problem behavior and therapeutic circumstance. We summarize the most commonly used measurement procedures, describe the contexts for which they are most appropriate, and propose a clinical decision-making model for selecting measurement produces given certain features of the behavior and constraints of the therapeutic environment.

The rapid growth in the number of behavior analysts and aspiring behavior analysts creates an imperative for effective and efficient supervisory practices. Many behavior analysts receive little to no explicit instruction and mentoring in supervision practices while they are in training themselves. Those behavior analysts may then be expected to provide supervision for a range of individuals soon after graduation and certification and throughout the remainder of their career. The papers included in this special issue offer guidance for establishing and maintaining supervisory relationships, understanding the importance of each of the ethical guidelines for supervision, structuring group supervision experiences, managing problems that can arise during the course of a supervisory relationship, and arranging models of supervision within human service organizations.

Individuals with dementia have difficulty distinguishing their personal items and spaces from others, which creates problems in long-term care (LTC). Prosthetic memory aids may help facilitate reco...

Paired-stimulus preference assessments have been used effectively with individuals with dementia to identify stimuli to increase engagement and to minimize negative affect and problem behavior. We evaluated whether a multiple-stimulus without replacement preference assessment could be used with older adults with dementia and whether preferences remained stable over time. Seven participants completed preference assessments and confirmatory engagement analyses every few weeks for 3 to 5 months; 1 participant failed to complete any preference assessments. Five of the 7 remaining participants displayed higher levels of engagement with the highest ranked stimuli than with the lowest ranked stimuli, confirming the hierarchy in the preference assessment. For the other 2 participants, lowest ranked items resulted in higher levels of engagement than the highest ranked items. Four participants exhibited stable patterns of preference over 3 to 5 months with correlation coefficients exceeding r = .5, suggesting that preferences may remain stable for some individuals with dementia.

Receptive language refers to responding appropriately to another person's spoken language. Most curricula dedicate a proportion of early intervention to developing receptive language skills. The specific terms used to refer to the receptive language programs and the recommendations for teaching such skills vary considerably across the early intervention curricula. The present paper will provide a conceptual analysis of the desired controlling variables for different receptive language programs, teaching recommendations, a brief review of the literature to substantiate the teaching recommendations, and a discussion of the potential negative effects of deviating from the recommendations.

Behavioral parent training has proven effective in improving the skill performance of foster caregivers and biological parents of dependent children during role-play assessments. To date, however, no studies have examined the impact of behavioral parenting skills training on child placement outcomes. We conducted a quasi-experimental archival analysis of the case files of 171 biological parents who completed a behavioral parent training program and 171 control families who did not participate in the program but were matched on the county of service and time of Child Protective Services involvement in Alabama. Results indicate that parents were not only able to demonstrate use of the new skills after behavioral parent training, but that skill acquisition was associated with better placement outcomes for their children compared to control families and a greater number of closed cases for the state service-delivery system.

The extensive clinical activity occurring in the area of early and intensive behavioral intervention (EIBI) for children with autism represents a promising opportunity to conduct research on clinically relevant problems and on effectiveness and efficiency of various procedures. However, many practitioners providing these services may not have received adequate training in conducting single-case design research in field settings. Training practitioners to implement such research has the potential to improve the use of the scientist-practitioner model in these settings and expand the base of scientific knowledge in this area. Through the current training program, we used a modified behavioral skills training (BST) approach to teach practi tioners to prepare and implement single-case design research protocols in an applied setting. Participants were able to learn and apply a number of important research skills as evidenced by statistically significant improvements on six tests throughout training and high scores on homework assignments that required staff to engage in various research-related behaviors. The results are discussed in the context of preparing EIBI settings for greater research productivity.

Discrete-trial teaching is an effective teaching procedure that must be implemented with high integrity to produce optimal learning. Behavioral Skills Training (BST) has proven effective for staff training; however, BST is time and labor intensive. Computer-based instruction (CBI) programs may provide a more efficient and cost-effective alternative to live training if the CBI program is as effective as BST in producing accurate implementation. The current study compared CBI to BST to train novice undergraduate students to conduct discrete-trial teaching. Participants were randomly assigned to one of the two conditions and assessed prior to and after the completion of training. Results indicated that although both BST and CBI were effective at training participants to implement discrete-trial teaching, BST was slightly but significantly more effective whereas CBI quickly created a return on the investment of product development.

This study assessed the effects of a vibrating pager on reduction of rapid eating. The study also evaluated two strategies for fading the pager, by intensity and by frequency. The pager was successful in decreasing the pace of eating to an appropriate level and the pager prompt was successfully faded. Fading by frequency was ineffective in maintaining an appropriate pace of eating while intensity fading was successful.

Little applied research focuses on teaching feminine hygiene skills to females with disabilities, yet this is a common clinical concern. The current study demonstrates the use of chaining to teach two young females with autism spectrum disorder feminine hygiene skills. A nonconcurrent multiple baseline across participants was utilized, and the results indicate that both participants acquired the skill. Generalization probes with one participant indicated the skill generalized to novel stimuli.

Linda A. LeBlanc, Ph.D., BCBA-D, MI Licensed Psychologist, is the Executive Director of Research and Clinical Services at Trumpet Behavioral Health. She received her Ph.D. in child clinical psychology in 1996 from Louisiana State University and completed her internship and postdoctoral fellowship at the Kennedy Krieger Institute and Johns Hopkins University School of Medicine. She served as a professor on the psychology faculties at Claremont McKenna College (1997–1999), Western Michigan University (1999–2008), and Auburn University (2009–2012) before becoming the Executive Director at Trumpet. She has served on the boards of directors of several national and regional professional associations and is a Fellow of the Association for Behavior Analysis International. She has served as an associate editor of the Journal of Applied Behavior Analysis, Behavior Analysis in Practice, and the Analysis of Verbal Behavior and Education and Treatment of Children and has authored many articles and book chapters on behavioral treatment of autism, technology-based behavioral interventions, behavioral gerontology, and system development in human services (Fig. 1).

Discrete trial teaching (DTT) procedures have proven effective in teaching language to children with autism. Discrete trial teaching uses a highly structured, fast-paced format of instruction that is typically conducted in a one-to-one situation at a desk or table with minimal distractions. We compared this traditional model of DTT to a version of DTT in which instruction was embedded within the context of a more naturalistic, activity-based environment. However, all of the other characteristics of DTT (e.g., pacing, tight stimulus control, targets selected by the teacher) were retained. Receptive discriminations were taught to 2 4-year-old boys, diagnosed with autism in traditional or embedded DTT. Results showed that for both boys, traditional and embedded DTT were equally effective and efficient. Additionally, measures were collected on participant affect and a concurrent-chains preference evaluation was used to determine which teaching procedure was preferred by the participants. The two procedures produced similar levels of positive and negative affect and were equally preferred by 1 participant while embedded DTT produced more positive affect and was more preferred by the other.

LeBlanc, Crossett, Bennett, Detweiler, and Carr (2005) described an outpatient model for conducting intensive toilet training with young children with autism using a modified Azrin and Foxx, protocol. In this article, we summarize the use of the protocol in an outpatient setting and the outcomes achieved with a large sample of children with autism spectrum disorders. Thirty archival clinical records were coded for several variables related to treatment implementation and outcome. The majority of participants achieved full continence in an average of approximately 2 weeks. Details on the typical implementation and course of treatment are presented to provide a profile for future practitioners.

Tact training is a common element of many habilitative programs for individuals with developmental disabilities. A commonly recommended practice is to include a supplemental question (e.g., "What is this?") during training trials for tacts of objects. However, the supplemental question is not a defining feature of the tact relation, and prior research suggests that its inclusion might sometimes impede tact acquisition. The present study compared tact training with and without the supplemental question in terms of acquisition and maintenance. Two of 4 children with autism acquired tacts more efficiently in the object-only condition; the remaining 2 children acquired tacts more efficiently in the object + question condition. During maintenance tests in the absence of the supplemental question, all participants emitted tacts at end-of-training levels across conditions with no differential effect observed between training conditions.

Research on functional response classes has applied significance because less severe forms of problem behavior have been found to co-occur with more severe forms. In addition, the most severe forms of problem behavior are sometimes targeted for intervention without monitoring other less severe forms. In such cases, it is unknown whether and how untreated forms of problem behavior covary with the targeted behaviors. The present study employed a translational procedure (with button presses as the target behavior) to investigate response covariation under noncontingent reinforcement with typically developing preschoolers. The results indicated that noncontingent reinforcement was generally effective in decreasing all response class members when only one member was targeted.

A growing workforce of behavior analysts provides services to individuals with autism and intellectual disabilities as legislative initiatives have spurred a growth of funding options to support these services. Though many opportunities currently exist for serving individuals with autism, the growing demand for these services may wane or, at some point, the growth in service providers will meet that demand. Other consumer groups could benefit from behavior analytic services, but typically have limited access to qualified providers. Individuals with dementia and traumatic brain injury are used as example consumer groups to illustrate the necessary tasks for a behavior analyst to expand their scope of practice to a new population. This paper provides strategies for developing competence and creating employment opportunities with new consumer groups.

The Picture Exchange Communication System (PECS) is a picture-based alternative communication method that is widely accepted and utilized with individuals with disabilities. Although prior studies have examined the clinical efficacy of PECS, none have experimentally evaluated its manualized training structure. We experimentally evaluated the effects of training during each of the 6 phases of PECS with 7 children with developmental or language disorders. For all 7 participants, PECS responses consistently increased only after training was completed for each of the first 4 phases, but increases in PECS responses occurred during tests of Phases 5 and 6 as soon as training was completed in Phase 4. Consistent with prior research, PECS was taught in a short period of time and required few prerequisite skills. However, 3 of the 7 participants had difficulty with some aspects of training and were able to acquire the targeted skills only after procedural modifications were made.

We examined whether typically developing preschoolers could learn to use a problem-solving strategy that involved self-prompting with intraverbal chains to provide multiple responses to intraverbal categorization questions. Teaching the children to use the problem-solving strategy did not produce significant increases in target responses until problem solving was modeled and prompted. Following the model and prompts, all participants showed immediate significant increases in intraverbal categorization, and all prompts were quickly eliminated. Use of audible self-prompts was evident initially for all participants, but declined over time for 3 of the 4 children. Within-session response patterns remained consistent with use of the problem-solving strategy even when self-prompts were not audible. These findings suggest that teaching and prompting a problem-solving strategy can be an effective way to produce intraverbal categorization responses.

The authors used a reinforcer assessment to evaluate possible interventions for hoarding in an older individual with dementia. The most preferred condition from the assessment (sorting activity) was compared to a staff developed treatment involving item removal and redirection. Hoarding was reduced during both interventions with a greater reduction in the sorting condition. The behavioral reductions were maintained during schedule thinning of social interactions and follow-up.

The substantial demand for behavior-analytic treatment of early childhood autism has been associated with rapid dissemination of treatment procedures to practitioners and caregivers. This level of demand could plausibly induce premature dissemination of treatments that do not yet have sufficient empirical support. We argue that this might have happened with the use of fluency training for learners with autism and identify four areas of research that are necessary to ensure that dissemination efforts are better matched to the available empirical support for this instructional strategy.

Although the awareness of autism in the general public has increased significantly over the past 20 years, much of the widely disseminated information is not fully grounded in scientific fact. In The Science and Fiction of Autism (2005), Laura Schreibman addresses a series of debates and controversies in areas ranging from diagnostic practices and etiological theories to effective clinical practices. This book provides an overview of the field of autism that is suitable for well-educated parents and new professionals in the field.