The role of the behavior analyst on interprofessional mental health teams: opportunities for collaboration and enhancing patient care

Summers, Jim; Busch, Louis; Kako, Milena; Lau, Catherine Y.

doi:10.1080/13561820.2021.1969345

Cited by 4 publications

(4 citation statements)

References 52 publications

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Section: Discussionmentioning

confidence: 99%

“…Results of this report suggest ABA methods show promise for addressing pica in pediatric SCD. Accordingly, pediatric psychologists may consider adopting FA and behavioral treatment methods or seek interprofessional collaboration with local ABAoriented providers in the treatment of SCDrelated pica behaviors (e.g., licensed behavioral psychologist, BCBA, or BCBA-D; Summers et al, 2022) Families with SCD are predominantly persons of color and have a long and well-documented history of systemic racism and inequalities in healthcare and education (Williford et al, 2023). There continues to be a dearth of psychosocial intervention research addressing these problems in pediatric SCD.…”

Section: Discussionmentioning

confidence: 99%

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Behavioral treatment of pica in a child with sickle cell disease.

Thomas,

Bali,

O'Connor

2024

Clinical Practice in Pediatric Psychology

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Objective: Children with sickle cell disease (SCD) have the highest population risk for pica, a dangerous feeding disorder that involves consuming nonnutritive and nonfood items. There are currently no evidence-based treatments for pica in children with SCD. This study describes an applied behavior analysis (ABA) treatment of pica in a child with SCD and autism spectrum disorder. Method: A pretreatment functional analysis revealed the child’s pica was maintained by automatic reinforcement (i.e., nonsocial consequences). The final behavioral treatment involved differential reinforcement of discarding pica items, communication, response interruption and redirection, and response cost. Results: Treatment resulted in near zero pica that was maintained across months of follow-up, new contexts, and with minimal supervision. Additionally, parents continued implementing the treatment with high integrity and reported satisfaction with the process. Conclusions: Results indicate the potential effectiveness of evidenced-based ABA methods in treating pica in SCD, and suggest treatment referrals to licensed professionals with Board Certified Behavior Analyst (BCBA or BCBA-D) credential or similar ABA experience.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Behavioral treatment of pica in a child with sickle cell disease.

Thomas,

Bali,

O'Connor

2024

Clinical Practice in Pediatric Psychology

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“…Specialists from both groups also alluded to advantages of partnering with colleagues who have complementary approaches to student support (e.g., perspectives and skillsets). This “Venn diagram” of training and expertise has been identified as an important component of interdisciplinary collaboration in both school mental health and behavior analytic literatures (e.g., Mellin, 2009; Summers et al, 2022). The importance of complementary approaches seems especially relevant for specialists who support students with SEB challenges, whose needs span multiple domains.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of Behavior Analysts and Mental Health Specialists on Collaborating to Support Students with Intensive Intervention Needs

Pollack,

Lloyd,

Crowell

et al. 2024

Behavioral Disorders

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Interdisciplinary collaboration is critical to address the multiple and varied needs of students with social/emotional and behavioral (SEB) challenges. Yet little is known about the nature of collaboration between two specialist groups who commonly support them: behavior analysts and mental health specialists. Considering expectations for collaboration, and the potential challenges unique to this partnership, we conducted a series of interviews to explore these specialists’ experiences and perspectives around collaboration. We used a qualitative description approach, which led to identifying themes related to (a) specialists’ preparation to collaborate, (b) facilitators and barriers to effective collaboration, and (c) supports needed to collaborate more effectively in their current roles. Specialists from both groups felt their pre-service training inadequately prepared them to collaborate with one another. They identified several factors that impacted their ability to meaningfully collaborate and expressed needs for cross-discipline education, collaborative conversations, and training on “soft skills” to partner more effectively. We highlight distinct and overlapping perspectives within and across themes between behavior analysts and mental health specialists and discuss implications for improving the quality of these important partnerships.

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“…Previous research has identified the beneficial role behavior analysis can play on interdisciplinary teams across various settings, including mental health, psychiatry, and other allied mental health professions. Specifically, added benefits may include structured components such as data collection, single-subject research design, and functional analysis of relevant environmental variables (Busch et al, 2020 ; Summers et al, 2022 ). Overall, behavior analysts can enhance treatment within facilities that provide mental health care, and professionals across disciplines would benefit from increased demonstrations of successful collaboration.…”

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confidence: 99%

An Interdisciplinary Approach to Treating Severe Behavior in a Juvenile Justice Facility: Teaching Behavioral Self-Management via Telehealth

et al. 2023

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Adolescents living in residential juvenile justice facilities often receive mental health services during their stay to address committed offenses, yet some display challenging behavior during moments of conflict within the facility. These challenging behaviors could result in risk of harm to self or others, or the individual may experience punishment from facility staff. The purpose of this study was to explore the effects of an additive voluntary focused intervention for individuals who continued to display challenging behavior despite participation in “treatment as usual” in a juvenile justice facility. We implemented a self-management intervention, supported through interprofessional collaboration, via telehealth with four male adolescents. Using Behavior Skills Training, we taught participants to self-monitor precursors for challenging behavior and identify an alternative behavior to engage in to prevent overt challenging behavior events. Alternative behaviors were responses incompatible with the challenging behavior, or served as a rule to prompt self-management of further behavior. Results show all four participants increased their selection of alternative behaviors when presented with an evocative situation and a precursor for a severe behavior event during simulations. In addition, three participants stated they would use alternative behaviors across precursors not presented during teaching; however, two participants required booster sessions to maintain appropriate responding during simulations. Outside of simulated sessions, facility staff reported modest decreases in participants’ challenging behavior during and after the intervention.

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The role of the behavior analyst on interprofessional mental health teams: opportunities for collaboration and enhancing patient care

Cited by 4 publications

References 52 publications

Behavioral treatment of pica in a child with sickle cell disease.

Behavioral treatment of pica in a child with sickle cell disease.

Perspectives of Behavior Analysts and Mental Health Specialists on Collaborating to Support Students with Intensive Intervention Needs

An Interdisciplinary Approach to Treating Severe Behavior in a Juvenile Justice Facility: Teaching Behavioral Self-Management via Telehealth

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