The expanding role of behavior analysis and support: Current status and future directions.

Although many of the pioneers of behavior analysis thought on a large scale and encouraged others to do so, most behavior analytic projects have remained small scale. The intent of this article is to urge the application of behavior analytic principles on a large scale. This article begins with a brief history of applied behavior analysis. It then describes some early behavior analysts who thought big and describes several examples of large-scale behavioral projects. It then shows how behavior analysis fits well with the public health model and describes how behavior analytic principles can be implemented broadly to combat public health problems. The article ends with some practical advice for behavior analysts on how to think big and speculates on the future of behavior analysis. Keywords: thinking big; history; pitfalls The field of applied behavior analysis grew out of basic behavior analysis laboratories in which learning theory was explored primarily with rats and pigeons, although many other species were also studied. The purpose of this discussion is to take the reader from those basic roots through a brief history of applied behavior analysis (ABA). In doing so, we highlight the accomplishments of ABA, cite exhorta-575 AUTHORS' NOTE: We dedicate this article to Donald M. Baer and Montrose M. Wolf, whose recent passings leave a gaping hole in the field of applied behavior analysis. In the preparation of this manuscript, we are grateful for the assistance of Cynthia Boyle, Gail Brown, Jill Filene, and W. Rodney Hammond. Reprints are available from John R. Lutzker, DVP/NCIPC/CDC

SafeCare®: Historical Perspective and Dynamic Development of an Evidence-Based Scaled-Up Model for the Prevention of Child Maltreatment

AbstractSafeCare is an evidence-based parent-training program that reduces child maltreatment, particularly neglect. The risk of child maltreatment, a public health issue affecting millions of U.S. children each year, can be markedly reduced by interventions such as SafeCare that deliver in-home services. Drawing from applied behavioral analysis roots, SafeCare focuses on providing parents with concrete skills in three areas: health, home safety, and parent-child/-infant interaction. This paper will include an overview of the SafeCare model, an historical perspective of its history and dynamic development, description of the theoretical underpinnings of the model, a description of the program targets and content by describing its modules and delivery, an overview of program outcomes, and data discussion of dissemination and implementation

Dynamic Adaptation Process to Implement an Evidence-based Child Maltreatment Intervention

Background: Adaptations are often made to evidence-based practices (EBPs) by systems, organizations, and/or service providers in the implementation process. The degree to which core elements of an EBP can be maintained while allowing for local adaptation is unclear. In addition, adaptations may also be needed at the system, policy, or organizational levels to facilitate EBP implementation and sustainment. This paper describes a study of the feasibility and acceptability of an implementation approach, the Dynamic Adaptation Process (DAP), designed to allow for EBP adaptation and system and organizational adaptations in a planned and considered, rather than ad hoc, way. The DAP involves identifying core elements and adaptable characteristics of an EBP, then supporting implementation with specific training on allowable adaptations to the model, fidelity monitoring and support, and identifying the need for and solutions to system and organizational adaptations. In addition, this study addresses a secondary concern, that of improving EBP model fidelity assessment and feedback in real-world settings. Methods: This project examines the feasibility, acceptability, and utility of the DAP; tests the degree to which fidelity can be maintained using the DAP compared to implementation as usual (IAU); and examines the feasibility of using automated phone or internet-enabled, computer-based technology to assess intervention fidelity and client satisfaction. The study design incorporates mixed methods in order to describe processes and factors associated with variations in both how the DAP itself is implemented and how the DAP impacts fidelity, drift, and adaptation. The DAP model is to be examined by assigning six regions in California (USA) to either the DAP (n = 3) or IAU (n = 3) to implement an EBP to prevent child neglect. Discussion: The DAP represents a data-informed, collaborative, multiple stakeholder approach to maintain intervention fidelity during the implementation of EBPs in the field by providing support for intervention, system, and organizational adaptation and intervention fidelity to meet local needs. This study is designed to address the real-world implications of EBP implementation in public sector service systems and is relevant for national, state, and local service systems and organizations

Training young parents to identify and report their children's illnesses.

We developed a comprehensive training program to teach young parents what symptoms to look for to judge the severity of their children's illnesses, what to do at home to comfort their children, and when to consult their children's physician or take them for emergency treatment. Three pairs of subjects received training that included written handouts, verbal instructions, modeling, positive practice, and verbal reinforcement. Skill acquisition was assessed by a behavioral test in which parents assessed, treated, or reported a simulated illness in a child. Written materials when used alone did not improve the parent's ability to identify and report children's illnesses. Modeling and role-playing followed by positive practice were successful in teaching these parents skills that were maintained for 3 months without additional training or instruction

Producing generative sentence usage by imitation and reinforcement procedures

Three retarded subjects and two developmentally normal toddlers were trained using imitation and reinforcement procedures to use correct sentences. The experimental task was to use sentences with correct subject-verb agreement to describe pictures that were presented to the subjects. Two classes of sentences were taught: those involving a plural subject that required the use of the verb “are” (for example, “the boys are running”) and those involving a singular subject that required the use of the verb “is” (for example, “the boy is running”). The basic design of the study involved multiple baselines for each class of sentences. Four of the subjects began to produce novel, untrained sentences of a particular type to generalization probe pictures when that particular class of sentence was currently being trained. Thus, the imitation and reinforcement procedures appeared to be functional in producing generative sentence usage for both types of sentences. One subject produced correct sentences to both singular and plural probe pictures when only “is” sentences had been taught. A reversal procedure and retraining phase indicated that for this subject, imitation and reinforcement procedures for training one class of sentence behavior seemed functional in producing generative responses of the other class of sentences