Diagnostic, Treatment and Service Considerations to Address Challenging Behavior: A Model Program for Integrated Service Delivery

  • Joan B. BeasleyEmail author
  • Ann Klein
  • Karen Weigle


Effective service to individuals with intellectual and developmental disabilities (IDD), especially those with challenging behaviors, requires a multimodal approach to assessment and treatment in addition to a comprehensive integrated system of care. In this chapter we provide an overview of the factors that contribute to challenging behavior for people with IDD. The START (Systemic, Therapeutic, Assessment, Resources and Treatment) program uses a World Health Organization (WHO) public health prevention model to address this need. Evidence from the START program indicates that a skilled integrated and coordinated approach to service delivery can reduce the need for acute care and emergency services.


Mental Illness Intellectual Disability Emergency Service Challenging Behavior Aberrant Behavior Checklist 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.University of New HampshireDurhamUSA
  2. 2.The Center for START ServicesInstitute on Disability/UCEDConcordUSA

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