Individuals with intellectual and developmental disabilities who exhibit problem behavior often receive behavioral assessment and treatment in specialized inpatient and outpatient clinics. However, problem behavior sometimes reemerges as a function of changes in contexts and stimulus conditions, such as returning to the home environment. This reemergence is called renewal. Recently, Muething et al. (2020) found that renewal occurred in over half (67%) of cases from an outpatient clinic. Their sample was obtained exclusively from an outpatient setting and despite the applied relevance of renewal, its clinical prevalence in other populations is unknown. Accordingly, we replicated Muething et al.’s procedures and analyzed renewal in 37 inpatient treatment applications across 34 cases via consecutive‐controlled case series. Renewal was present in 59% of cases; however, we found that renewal occurred in only 24% of context changes compared to 42% reported by Muething et al. Various factors related to the prevalence of renewal were evaluated.
In higher education, instruction that incorporates effective performance skills training is vital to equipping pre-service teachers with the tools they will use to educate children. This study evaluated the effects of behavioral skills training (BST) on performance of evidence-based practices by undergraduate pre-service special education teachers. A prepost design was used to evaluate performance during roleplay. BST sessions produced higher levels of correct performance than baseline measures across all seven participants. We discuss limitations of these results with suggestions for future research, along with recommendations for incorporating BST into university settings.
Schedule thinning is a common clinical procedure used to make behavioral interventions such as functional communication training more feasible in the community. Unfortunately, problem behavior is likely to recur when schedule thinning is conducted (i.e., resurgence). Recent research has identified resurgence in a rather significant number of outpatient schedule thinning applications and suggest resurgence is relatively common in clinical settings. To examine the consistency and generality of these findings, we replicated the procedures described by recent investigations to quantify the prevalence of resurgence of problem behavior following schedule thinning in an inpatient setting. We identified resurgence in 91% of schedule thinning applications, indicating that resurgence is likely to occur regardless of the treatment setting. Clinical implications, recommendations, and future directions for building more durable behavioral treatments are discussed.
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