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Published on: February 16, 2011
Intensive positive behavior supports for adolescents with acquired brain injury: long-term outcomes in community
Rita M Gardner1, Frank L Bird, Helena Maguire
1Melmark New England, Woburn, Mass 01801, USA.
Background:
Based on the technologies of applied behavior analysis and person-centered planning, positive behavior support is a process for designing and implementing proactive behavioral interventions with the goal of positive lifestyle changes.
Participants:
The two adolescents who received the intensive, longitudinal, multicomponent intervention had experienced escalating behavior challenges over several years after brain injury in early childhood.
Main Outcome Measures:
Quantitative data included episodes of aggression and property destruction. Qualitative data included intensity of supports, family involvement, peer relationships, medication regime, vocational status, educational status, community access, and self-help skills.
Research Design:
A long-term, natural-environment, case-study method was used.
Results:
The targeted challenging behaviors were reduced to zero. In addition, the participants' domains of activity increased and self-management improved even as supports were systematically withdrawn.
Conclusions:
These results illustrate the potential for successfully treating extreme chronic behavior disorders after childhood brain injury.
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