Perspectives on Applied Behavior Analysis and Related Services Across Communities of Self-advocates, Advocates, and Other Professionals A. Pablo Juárez, M.Ed., BCBA Director, Treatment and Research Institute for Autism Spectrum Disorders (TRIAD) Vanderbilt Kennedy Center Behavior Analyst in Pediatrics; Psychiatry and Behavioral Sciences Vanderbilt University Medical Center 1
Objectives: 1. Participants will learn about various community and professional perspectives of ABA and related services. 2. Participants will learn about organization-level efforts to monitor behavioral practices, and how these might also work in related service fields. 3. Participants will learn about specific and emerging behavior analytic assessment and treatment procedures, which may better address some community concerns. 4. Participants will self-reflect, organizationally-reflect with regards to their practice. 2
Reaching Rural, Underserved, and Low-resource Communities Clarksville Tri-Cities Nashville Cookeville Knoxville Jackson Memphis Chattanooga How do we: 1) provide high quality services in rural, underserved, and low resource communities, while 2) optimizing efficiency & innovation within sustainable programs, which 3) are embedded within existing systems of education, medicine, care? 3
Director: Jeffrey Neul, M.D., Ph.D. Associate Director: Laurie Cutting, Ph.D. 4
Tennessee Developmental Disabilities (DD) Network Vanderbilt Kennedy Center & University of Tennessee Boling Center University Centers for Excellence in Developmental Disabilities (UCEDDs) + Tennessee Council on Developmental Disabilities + Disability Rights Tennessee (Protection & Advocacy) http://vkc.mc.vanderbilt.edu/tndd/ DD Council DD Act P&A UCEDD 5
TRIAD s Mission Assessment Direct Service Research Education Community 6
Prevalence of ASD 7
BCBA s and SLP s in TN Mello, Goldman, Urbano, & Hodapp (2016) Mello, Sanderson, Staubitz, & Juárez (in preparation) 8
Early Intervention Overview: TRIAD Statewide Services; VU/TDOE Partners 9
UM-Lambuth Early Intervention Pre-K Model Classrooms K-12 Vanderbilt University TN Behavior Supports Project Lemons Reading Intervention Transition/Employment UT-Knoxville Overview: TRIAD Statewide Services; VU/TDOE Partners 10
What are the perspectives on applied behavior analysis and related services across communities of selfadvocates, advocates, and other professionals? 11
Perspectives on Applied Behavior Analysis and Related Services Across Communities of Self-advocates, Advocates, and Other Professionals 12
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How do behavior analysts respond to these concerns and challenges? Sometimes not well. The following are variations of responses I ve heard some very recently. 20
Behavior Analyst Response: This is in your best interest! 21
Behavior Analyst Response: You just don t understand ABA 22
Behavior Analyst Response: I m trying, so... 23
Behavior Analyst Response: It s science! 24
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Have you heard similar from behavior analyst, other service providers, and/or colleagues? Have you said any of these things? 26
How should behavior analysts and other service providers respond? Listen Apply Learn We should consider our behavior in all aspects of service delivery, e.g.: Intake Initial Assessment Skill/Behavior Analysis Goal Development Intervention/Treatment Skill Transfer Maintenance and Generalization Long-term Outcomes and Closure 27
In what ways does this approach fit your work, the work of colleagues, and/or service providers you have been in contact with? Listen Learn Apply 28
Our team s response: Identify key concerns (practice questions) Attend and address throughout practice Assess social validity throughout practice Share with stakeholders (incl. individual) Share at peer review meetings Revise practice questions and approaches Listen Apply Learn TRIAD s practice questions work group: Kristin Dorris Marie Martinez Jeff Hine Verity Rodrigues Michelle Hopton Kathleen Simcoe Pablo Juarez Alacia Stainbrook Aislynn Kiser John Staubitz Whitney Loring Courtney Taylor Will Martin Lauren Weaver *8 BCBA s, 2 SLP, 3 Psychologist, 1 M.Div. Feedback from: Vanderbilt Kennedy Center Community Advisory Council Service stakeholders Greg Hanley, Ph.D., BCBA-D (Western New England University) Joseph Lambert, Ph.D., BCBA-D (Vanderbilt University) Blair Lloyd, Ph.D., BCBA-D (Vanderbilt University) Christina Noel, Ph.D., BCBA-D (Western Kentucky University) Upcoming: Nationally recognized self-advocates 29
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Reflect on this approach with those around you. Could something be helpful in your work or interactions with professionals (whether a behavior analyst or not)? How could this work across other disciplines? 39
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Thank You! Questions? 41