Abstract
There is a wide range of behavioral services available to assist with the assessment and treatment of problem behavior exhibited by individuals with developmental disabilities. However, options at either end of the continuum (i.e., brief outpatient on one end, inpatient on the other) may not be able to address some behavior problems due to various factors. The information presented in the chapter describes, and is based on, an existing service-delivery model that lies somewhere between outpatient and inpatient services, with respect to intensity of services: intensive outpatient services. The chapter focuses on the referral processes, clinical progression, and care provider-training issues. Case examples are also discussed. Issues related to functional analysis of problem behavior as part of the clinical progression will be discussed in relative detail.
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Notes
- 1.
When possible, the best way to evaluate the effects of the designed treatment is within the context of a single-subject experimental design. However, several limitations, including (a) care provider willingness to reverse to nontreatment conditions after treatment effects have been observed, (b) ethical considerations related to that same point, (dangerous effects of the problem behavior), (c) time remaining in the evaluation period, and (d) other treatment-relevant choices such as training for generalization and/or care provider training, may make this goal difficult to achieve for every patient. These issues will need to be balanced with the pursuit of experimental control during treatment evaluation.
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Ringdahl, J.E. (2013). Intensive Outpatient Services. In: Reed, D., DiGennaro Reed, F., Luiselli, J. (eds) Handbook of Crisis Intervention and Developmental Disabilities. Issues in Clinical Child Psychology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6531-7_24
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