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- Title
A mand analysis and levels treatment in an outpatient clinic.
- Authors
O'Connor, Julia T.; Sorensen-Burnworth, Rena J.; Rush, Karena S.; Eidman, Shannon L.
- Abstract
An adolescent with severe mental retardation and fragile X syndrome who displayed destructive behavior maintained by positive reinforcement in the form of adult compliance with mands was assessed and treated in an outpatient setting. A levels system treatment was assessed, consisting of a continuum of attention and reinforcement ranging from access to the functional reinforcer in level 3 contingent upon appropriate behavior to a 10 min room time-out for level 1 contingent upon aggressive and dangerous behavior. While the efficacy of this treatment has been demonstrated in an inpatient setting (Hagopian et al., <BIBR>2002</BIBR>), this application extended the findings to outpatient and community settings. The levels system treatment resulted in a 98.1% reduction in destructive behavior from baseline levels. Treatment was successfully transferred to the home and school and reductions were maintained at 6 and 9 months. Treatment acceptability ratings were high across both home and school staff. Copyright © 2003 John Wiley & Sons, Ltd.
- Subjects
TEENAGERS; INTELLECTUAL disabilities; X chromosome abnormalities; BEHAVIOR therapy; REINFORCEMENT (Psychology)
- Publication
Behavioral Interventions, 2003, Vol 18, Issue 2, p139
- ISSN
1072-0847
- Publication type
Article
- DOI
10.1002/bin.130