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Description and evaluation of a function-informed and mechanisms-based framework for treating challenging behavior.

Joseph M Lambert¹, Bailey A Copeland¹, Jessica L Paranczak¹

¹Department of Special Education, Vanderbilt University.

Journal of Applied Behavior Analysis

|June 28, 2022

Summary

This study introduces a function-informed and mechanisms-based (FIMB) framework for treating challenging behavior. The framework shows effectiveness for some clients, highlighting the need for individualized treatment approaches in behavior analysis.

Keywords:

challenging behavior clinical judgment functional analysis scientist-practitioner treatment

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Area of Science:

Behavior Analysis
Clinical Psychology
Special Education

Background:

Individualized and iterative treatment design is crucial for challenging behavior.
Validated frameworks for iterative processes in behavior analysis are limited.
Evaluating decision-tree processes in single-case designs presents empirical challenges.

Purpose of the Study:

To describe a function-informed and mechanisms-based (FIMB) framework for selecting treatment components.
To evaluate the effectiveness of the FIMB framework in a university practicum setting.
To analyze treatment procedure selection and client outcomes over a 6-year period.

Main Methods:

Development and implementation of a function-informed and mechanisms-based (FIMB) framework.
Retrospective consecutive case series analysis over a 6-year period.
Technique analysis to identify commonly selected procedures and their impact on outcomes.

Main Results:

The FIMB framework was utilized in a university practicum for pre-service practitioners.
Analysis identified frequently selected treatment procedures within the practicum.
The model demonstrated effectiveness for a subset of clients, indicating variable outcomes.

Conclusions:

The function-informed and mechanisms-based (FIMB) framework offers a structured approach to individualized treatment for challenging behavior.
The framework's effectiveness varies across cases, underscoring the importance of ongoing assessment and adaptation.
Further research is needed to refine iterative processes and decision-making in behavior treatment.