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The Performance-based IISCA Can Inform Effective and Socially Meaningful Skill-based Treatment.

Tess Fruchtman1,2, Joshua Jessel1,3, Bai Pan1

  • 1Department of Psychology, Queens College, City University of New York, Queens, NY USA.

Behavior Analysis in Practice
|January 12, 2026
PubMed
Summary
This summary is machine-generated.

A performance-based functional analysis, the interview-informed synthesized contingency analysis (IISCA), effectively identified triggers for dangerous behavior in children with autism. Subsequent skill-based treatment eliminated these behaviors and fostered new skills.

Keywords:
Challenging behaviorFunctional analysisSynthesized contingenciesTrauma-informed care

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Area of Science:

  • Behavior Analysis
  • Developmental Psychology
  • Clinical Psychology

Background:

  • Functional analyses, including the interview-informed synthesized contingency analysis (IISCA), are crucial for understanding behavior but may involve arranging conditions that evoke distress.
  • Jessel et al. (2024) demonstrated the efficacy of a performance-based IISCA, aligning with trauma-informed care principles.
  • This study aimed to replicate and extend these findings with children exhibiting dangerous behavior.

Purpose of the Study:

  • To replicate and extend the findings of Jessel et al. (2024) regarding the performance-based IISCA.
  • To evaluate a comprehensive skill-based treatment informed by the performance-based IISCA for children with autism.
  • To assess the social validity of the assessment and intervention procedures with participating families.

Main Methods:

  • A performance-based interview-informed synthesized contingency analysis (IISCA) was conducted with three children with autism exhibiting dangerous behavior.
  • A comprehensive skill-based treatment package was developed based on the IISCA findings.
  • Caregivers were involved in implementing treatment sessions for two participants.

Main Results:

  • The skill-based treatment led to the elimination of dangerous behavior in all participants.
  • Participants acquired multiple functional skills.
  • Caregiver involvement in treatment implementation was successful for two out of three participants.
  • All participating families provided social validation for the assessment and intervention procedures.

Conclusions:

  • The performance-based IISCA is a viable and effective method for assessing dangerous behavior in children with autism.
  • Skill-based treatment informed by the performance-based IISCA is effective in reducing dangerous behavior and promoting skill acquisition.
  • The findings support the integration of trauma-informed principles into functional analysis procedures.