A mand analysis and levels treatment in an outpatient clinic

Julia T O'Connor, Rena J. Sorensen-Burnworth, Karena S. Rush, Shannon L. Eidman

Research output: Contribution to journalArticle

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., 2002), 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.

Original languageEnglish (US)
Pages (from-to)139-150
Number of pages12
JournalBehavioral Interventions
Volume18
Issue number2
DOIs
StatePublished - Apr 2003

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Ambulatory Care Facilities
Outpatients
Dangerous Behavior
Fragile X Syndrome
Therapeutics
Inpatients
Clinic
Reinforcement (Psychology)
Contingent
Reinforcement

ASJC Scopus subject areas

  • Psychology(all)
  • Clinical Psychology

Cite this

A mand analysis and levels treatment in an outpatient clinic. / O'Connor, Julia T; Sorensen-Burnworth, Rena J.; Rush, Karena S.; Eidman, Shannon L.

In: Behavioral Interventions, Vol. 18, No. 2, 04.2003, p. 139-150.

Research output: Contribution to journalArticle

O'Connor, JT, Sorensen-Burnworth, RJ, Rush, KS & Eidman, SL 2003, 'A mand analysis and levels treatment in an outpatient clinic', Behavioral Interventions, vol. 18, no. 2, pp. 139-150. https://doi.org/10.1002/bin.130
O'Connor, Julia T ; Sorensen-Burnworth, Rena J. ; Rush, Karena S. ; Eidman, Shannon L. / A mand analysis and levels treatment in an outpatient clinic. In: Behavioral Interventions. 2003 ; Vol. 18, No. 2. pp. 139-150.
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