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Telehealth
Book chapter

Telehealth

David P. Wacker, Kelly M. Schieltz, Alyssa N. Suess, Patrick W. Romani, Yaniz C. Padilla Dalmau, Todd G. Kopelman, John F. Lee and Scott D. Lindgren
Handbook of Evidence-Based Practices in Intellectual and Developmental Disabilities, pp.585-613
Evidence-Based Practices in Behavioral Health, Springer International Publishing
05/12/2016
DOI: 10.1007/978-3-319-26583-4_22

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Abstract

In this chapter, we provide a description of a behavioral assessment (functional analysis) and treatment (functional communication training) program that we deliver to parents of young children with autism spectrum disorder in their homes via telehealth. We first describe the development of this assessment and treatment model that was initiated in the homes of young children with developmental disabilities who engaged in severe behavior problems such as self-injury, aggression and property destruction. Parents conducted all sessions with coaching from trained behavior analysts, and most achieved clinically significant reductions in the problem behaviors displayed by their children. We next conducted these same procedures, but did so using clinic-to-clinic telehealth. Instead of behavior analysts travelling to parents’ homes, the parents instead travelled to local pediatric specialty clinics that were connected to our university hospital via an optic cable system. Similar results in reductions in problem behavior were achieved even though the behavior analysts were never in physical contact with the children or parents. Our current project is conducting the same procedures via telehealth but now directly in the homes of the parents and children. Thus far, we are achieving similar results, and again without having physical contact with the families or children. We provide case examples and descriptions of the procedures.
Autism Functional analysis Functional communication training Telehealth

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