Crisis stabilisation services for people with intellectual disabilities: A systematic review.

People with intellectual and developmental disabilities sometimes engage in challenging behaviours. When behaviours escalate to the point where they pose imminent risk to the safety of people and environments, a crisis occurs that jeopardises community living and participation. In these situations, timely access to crisis stabilisation services is required. We conducted a systematic review of the literature to synthesise evidence on effective crisis stabilisation service models for challenging behaviours. A total of 46 publications met the inclusion criteria. The literature describes a spectrum of crisis stabilisation services of varying intensities including: outreach, outpatient, inpatient, respite, and capacity building through education and training. However, there is limited guidance on how to best structure service models. This review highlights the need for comprehensive and person-centred programme evaluations.

Establishing motion control in children with autism and intellectual disability: Applications for anatomical and functional MRI.

Excessive motion makes magnetic resonance imaging (MRI) extremely challenging among children with autism spectrum disorder (ASD). The medical risks of sedation establish the need for behavioral interventions to promote motion control among children with ASD undergoing MRI scans. We present a series of experiments aimed at establishing both tolerance of the MRI environment and a level of motion control that would be compatible with a successful MRI. During Study 1, we evaluated the effects of prompting and contingent reinforcement on compliance with a sequence of successive approximations to an MRI using a mock MRI. During Study 2, we used prompting and progressive differential reinforcement of other behaviors (DRO) to promote motion control in a mock MRI for increasing periods of time. Finally, during Study 3, some of the participants underwent a real MRI scan while a detailed in-session motion analysis informed the quality of the images captured.

Causes of Behavioral Processes: An Interview with Mario A. Bunge / Causas de los Procesos Comportamentales: Un diálogo con Mario Bunge

Mario A. Bunge is one of the most prominent philosophers and humanists of our time. His vast record of publications has covered, among others, episte-mology, ontology, ethics, philosophy of natural and social sciences, philosophy of technology, and philosophy of mind. A topic that intersects many of these areas and is recurrent in Bunge's work is causality. His analyses of the causal principle, and the redefinition of determinism into near-determinism have been applied to different philosophical issues that range from the causal role of neuronal functioning to the laws of social phenomena. Bunge has criticized functionalism, cognitivism, computationalism, behaviourism, and idealism in their attempt to explain human and non-human behaviour. This article results from an extensive interview held with Dr. Bunge in which we discussed a variety of conceptual issues related to the notions of causality and explanation in psychology.

On the relation between reinforcer efficacy and preference.

Most research on stimulus preference and reinforcer assessment involves a preference assessment that is followed by a reinforcer assessment. Typically, the most and least preferred stimuli are tested as reinforcers. In the current study, we first quantified the reinforcing efficacies of six food items and then assessed relative preference for each item. Relative preference ranking and reinforcer efficacies showed almost perfect concordance for 1 participant and partial concordance for the other. Discordance tended to occur with the weakest reinforcers.

Teaching Object-Picture Matching to Improve Concordance between Object and Picture Preferences for Individuals with Developmental Disabilities: Pilot Study.

We evaluated teaching object-picture matching to improve concordance between preference assessments using objects and pictures of the same objects. Three participants with developmental disabilities who showed high and low preferences during assessments with objects but not with pictures were taught object-picture matching tasks unrelated to the items used during preference assessments. Training was evaluated in a modified multiple-baseline design and preference assessments with objects and pictures were repeated after training each object-picture matching task. Two participants showed improved concordance after mastering two and three training tasks, respectively. The third participant did not show concordance between object and picture preference assessments after mastering two tasks and after additional training. Our findings suggested that object-picture matching might be a prerequisite for picture preference assessments.

The assessment of basic learning abilities test for predicting learning of persons with intellectual disabilities: a review.

The Assessment of Basic Learning Abilities (ABLA) Test uses standard prompting and reinforcement procedures to assess the ease or difficulty with which a testee is able to learn a simple imitation and five two-choice discriminations. The authors review studies that have examined performance of participants with developmental disabilities (DD) on the ABLA test to predict (a) performance on a variety of simple imitations and two-choice discriminations, (b) performance on three-choice and four-choice discriminations, (c) the relative efficacy of three presentation modes (objects vs. photographs vs. verbal descriptions) for assessing preferences, (d) compliance of adults with DD and children with and without DD, and (e) participants' ability to learn to respond to the spoken names of pictures of common objects. Across all five types of studies, the predictive validity of the ABLA test has been very high.

Discrimination Skills Predict Effective Preference Assessment Methods for Adults with Developmental Disabilities.

We examined the relationship between three discrimination skills (visual, visual matching-to-sample, and auditory-visual) and four stimulus modalities (object, picture, spoken, and video) in assessing preferences of leisure activities for 7 adults with developmental disabilities. Three discrimination skills were measured using the Assessment of Basic Learning Abilities Test. Three participants mastered a visual discrimination task, but not visual matching-to-sample and auditory-visual discriminations; two participants mastered visual and visual matching-to-sample discriminations, but not auditory-visual discrimination, and two participants showed all three discriminations. The most and least preferred activities, identified through paired-stimulus preference assessment using objects, were presented to each participant in each of the four modalities using a reversal design. The results showed that (1) participants with visual discrimination alone showed a preference for their preferred activities in the object modality only; (2) those with visual and visual matching-to-sample discriminations, but not auditory-visual discrimination, showed a preference for their preferred activities in the object but not in the spoken modality, and mixed results in the pictorial and video modalities; and (3) those with all three discriminations showed a preference for their preferred activities in all four modalities. These results provide partial replications of previous findings on the relationship between discriminations and object, pictorial, and spoken modalities, and extend previous research to include video stimuli.

Predicting learning ability of people with intellectual disabilities: assessment of basic learning abilities test versus caregivers' predictions.

Two sets of predictions were compared concerning the ability of 20 adults with profound, severe, or moderate intellectual disabilities to learn 15 everyday tasks. Predictions were made by caregivers who had worked with the participants for a minimum of 24 months and consideration of participant performance on the Assessment of Basic Learning Abilities (ABLA) test. Standardized training procedures were used to attempt to teach each task to each participant until a pass or fail criterion was met. Ninety-four percent of predictions based on ABLA performance were confirmed, and the ABLA was significantly more accurate for predicting client performance than were the caregivers. The utility of these results is discussed.

Does ABLA Test Performance on the ABLA Test Predict Picture Receptive Name Recognition with Persons with Severe Developmental Disabilities.

Research has shown that performance on the Assessment of Basic Learning Abilities (ABLA) test correlates with language assessments for persons with developmental disabilities. This study investigated whether performance on ABLA Level 6, an auditory-visual discrimination, predicts performance on a receptive language task with persons with severe developmental disabilities. Five participants who passed ABLA Level 6, and five who failed ABLA Level 6, were each tested on five 2-choice discriminations that required them to point to pictures of common objects after hearing their names. Four of the five participants who had failed ABLA Level 6 failed all of the receptive name recognition tasks. All five participants who had passed ABLA Level 6 passed all of the name recognition tasks. The practical implications of these results are discussed.

Predicting Optimal Preference Assessment Methods for Individuals with Developmental Disabilities.

The single-stimulus (SS) preference assessment procedure has been described as more appropriate than the paired stimulus (PS) procedure for "lower functioning" individuals, but this guideline's vagueness limits its usefulness. We administered the SS and PS preference assessment procedures with food items to seven individuals with severe or profound developmental disabilities who scored at level 2 of the Assessment of Basic Learning Abilities (ABLA) and seven who scored at ABLA level 3. Thirteen of the 14 participants also received these assessments (PS and SS), with non-food items. The two procedures were about equally effective for both groups, and with both types of stimuli, although the PS procedure produced more refined preference hierarchies. Most participants showed moderate to high correlations in preference scores between the two procedures for both food and non-food items. These results suggest that, for individuals who score at either ABLA level 2 or ABLA level 3, the SS and the PS procedures are equally likely to identify preferred stimuli.

On Choice, Preference, and Preference for Choice.

In this paper, we examine several common everyday meanings of choice, propose behavioral definitions of choice, choosing, and preference, and recommend ways for behavioral researchers to talk consistently about these concepts. We also examine the kinds of performance in the contexts of various procedures that might be appropriately described as a preference for choice. In our view, the most appropriate procedure for demonstrating preference for choice as a consequence is a concurrent chains method, in which choice is a reinforcer for an approach response. The single-stimulus procedure, however, is more appropriate for demonstrating preference for choice as an antecedent.

Effects of Choice of Work Tasks on On-Task, Aberrant, Happiness and Unhappiness Behaviours of Persons with Developmental Disabilities.

Effects of choice versus no choice of work tasks on work performance, inappropriate behaviours, happiness and unhappiness indices were examined in three studies. Study 1 examined the effects of a choice between a high and a low preference task, versus the assignment of the high preference task. Study 2 was similar to Study 1 except that the tasks in the choice condition were equally and moderately preferred. Study 3 was conducted by the participants' instructors in their natural work settings. A total of five participants were involved across the three studies. Very few differences were found under the choice and no-choice conditions. More research is needed to examine the role of reinforcement history in establishing stimulus control effects of choice.

Visual-visual nonidentity matching assessment: a worthwhile addition to the assessment of basic learning abilities test.

The Assessment of Basic Learning Abilities test (ABLA) is a useful tool for choosing appropriate training tasks for persons with developmental disabilities. This test assesses the ease or difficulty with which persons are able to learn six hierarchically positioned discrimination tasks. A visual-visual nonidentity matching prototype task was examined to assess its (a). relation to the ABLA hierarchy, (b). predictive validity, and (c). test-retest reliability. Results from 23 participants with developmental disabilities suggest that visual-visual nonidentity matching is a worthwhile addition to the ABLA test and is positioned in the ABLA hierarchy above Level 4 (visual-visual identity matching) and below Level 6 (auditory-visual discrimination). The prototype visual-visual nonidentity matching task also demonstrated high predictive validity and test-retest reliability.

Analysis of proctor marking accuracy in a computer-aided personalized system of instruction course.

In a computer-aided version of Keller's personalized system of instruction (CAPSI), students within a course were assigned by a computer to be proctors for tests. Archived data from a CAPSI-taught behavior modification course were analyzed to assess proctor accuracy in marking answers as correct or incorrect. Overall accuracy was increased by having each test marked independently by two proctors, and was higher on incorrect answers when the degree of incorrectness was larger.

Feedback and its effectiveness in a computer-aided personalized system of instruction course.

In a computer-managed version of Keller's personalized system of instruction, students received frequent feedback from more advanced students within the course. Overall accuracy of student-provided feedback was 87%, and students complied with 61% of the feedback.