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Understanding and Reacting to Relapse: Considerations for Practitioners
Jennifer A Neely1, Clare J Liddon2, Ryan T Kimball3
1Trumpet Behavioral Health, Lakewood, CO USA.
Behavior Analysis in Practice
|March 17, 2025
Summary
Relapse of severe challenging behaviors is common in autism spectrum disorder (ASD). This paper offers a framework and practical strategies for behavior analysts to manage and prevent relapse after treatment.
Area of Science:
- Behavior Analysis
- Clinical Psychology
- Developmental Disabilities
Background:
- Severe challenging behaviors, including aggression and self-injurious behavior, frequently co-occur with autism spectrum disorder (ASD).
- Despite effective treatments, relapse of these behaviors after intervention is highly prevalent.
- Upcoming 2025 Board Certified Behavior Analyst (BACB) requirements mandate planning for relapse mitigation.
Purpose of the Study:
- To provide practitioners with a clear framework for understanding behavior relapse.
- To offer practical considerations for managing relapse when it occurs in clinical practice.
Main Methods:
- This paper synthesizes existing research and clinical guidelines on behavior relapse.
- It focuses on developing a practical framework and actionable strategies for behavior analysts.
Main Results:
- A framework for understanding relapse is presented.
- Key considerations for practitioners in managing and preventing relapse are outlined.
Conclusions:
- Practitioners need accessible tools and frameworks to address the high prevalence of relapse in severe challenging behaviors associated with ASD.
- Understanding and proactively managing relapse is crucial for effective, long-term treatment outcomes in behavior analysis.
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