Functional Assessment and Behavior Support Plans in an Inpatient Psychiatric Facility
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Online Webinar by
Netzealous LLC - MentorHealth
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Training Options Duration: 60 Minutes
Monday, August 20, 2018 | 10:00 AM PDT | 01:00 PM EDT
Overview: What is the cause of a behavior? Why do we do the things we do? We can ponder on
questions like this for our own personal interest, but for those responsible for the care of
patients with serious mental disorders and behavioral challenges, the question becomes much more
pertinent. When dealing with challenging behaviors in a psychiatric facility (or other settings),
we as clinicians are tasked with finding a way to: 1) identify the problem behavior; 2) have a
hypothesis of the function of the behavior; 3) implement a plan that will reinforce a replacement
behavior that will serve as incompatible or as an alternative to the identified problem.
Each of these three steps can be a challenge and an opportunity to make progress in a patient's
care. To add to the complexity of this situation, the inpatient hospital setting adds its own set
of circumstances that may impede progress in behavioral management of a patient.
As a behavior clinician in a state hospital system, for over thirteen years, I have seen the
process of behavior planning in the state hospital fail and succeed in spectacular, and often
surprising, ways. The function of a behavior can be identified using several different methods.
A process can be put in place to identify a function by observation and other assessments. Once
the function is determined, then the behavior plan is to be based on that function. In one case,
a patient in a state hospital refused to leave his living area. He would only venture a few feet
beyond his door. If, in this case, the function of the behavior was hypothesized to be escape
(from a stimulus), then the behavior plan could develop a replacement behavior that is not
conducive with this refusal to leave his living area.
The patient is enticed with a snack for attending so much time in a group just down the hall.
After that, the requirements are increased, but with each time the patient may leave the group
setting after a certain time has elapsed and receive his treat. To refuse to attend and attend
are diametrically opposed. You cannot do both. By reinforcing the opposite response, this patient
was learning to tolerate this uncomfortable environment.
In another case, one patient could not get through a competency to stand trial restoration class
without interrupting others or being a general disruption. In that case, an egg timer, fake money
and the earning of time to look at family pictures and spend time with staff become beneficial to
developing a plan so he could stay in a group and ultimately be found competent and leave the
hospital.
I have worked in the community as well. In a small "waiver" home one young lady was able to earn
hair appointments and special events out of the house by completing household chores and other
daily routines. Her behavioral improvement, and those of other patients, could be graphed in
simple ways to display to treatment teams and guardians to explain what changes are occurring
with the patient.
In each of these cases, the function led to the development of a plan tailored for that patient.
Once the target has been identified, and the behavior plan developed, then what is put in place
is a system of making sure each part of the plan is implemented and done correctly. Treatment
fidelity is used to establish how each part of the plan has been successfully completed.
If you have challenging behaviors in your inpatient, or community, setting I recommend attending
this webinar. One does not change his or her life and then change behavior. The behavior changes
come first to make a changed life. To treat those patients who need the most care, we use a
process made to suit the person we are trying to assist.
Why should you Attend: Throughout the country the inpatient hospital setting has changed over the
many years. After deinstitutionalization movements and funding cuts for large institutions, many
of the state hospitals which once housed two-thousand or more patients have had a significant
reduction in size. The remaining patient population remained as there were not services available
to meet their needs and their own diagnoses and behavioral problems made them difficult to place.
The forensic and high security psychiatric patients have been found to be especially difficult to
transition on from inpatient care, and the result has been greater concentrations of such patient
populations in the remaining state facilities.
The state hospitals may have been in place for many years, but the patient populations have
changed over time. These changes have created new challenges that may not be amenable to calming
environments, routine activities, sets or standard rules or medication adjustments. It is true
that such methods may have their place and can be put to good use for many individuals, but some
of the more challenging patient situations may receive benefit from quality behavior support
plans based on functional assessment.
If the client/patient population you work with require behavior management, and previous methods
have not proven successful, an examination of the patient's behavior (not just their diagnosis)
and the proper determination of a behavior's function (not simply "cause") may be what is needed
for the safety and well-being of those in the hospital setting.
This webinar will focus on identifying the function of severe problems behaviors and the
development of an appropriate plan. In addition, this discussion will address the pitfalls of
working in an inpatient environment where there may be procedural impediments to behavior
interventions or resistance to attempting methods not well received by co-workers and/or
administrators of a hospital setting
Areas Covered in the Session:
What is function in terms of understanding behavior?
Why is function so important in the development of a behavior support plan?
How is behavior support plan development in an inpatient facility different from other settings?
Components of the Behavior Support Plan
Behavioral Definition
Behavioral Measurement
Functional Behavioral Assessment
Reliability
Intervention
Experimental Design
Maintenance and Generalization
Individual Cases
Interruptions in the Classroom
Origami Artwork for Reading a Joke
Aggression Everyday
Other Scenarios
Who Will Benefit:
BAs
MA
PHDs
JDs
Others who are Interested in Psychology, Sociology and other Fields will Benefit from the
Information Provided
Speaker Profile
Mr. Timothy J. Templin a counselor and behavior analyst with many years working in the mental
health field. He has made presentations at the Association of Behavior Analysis International,
and other similar organizations, in San Antonio, Texas, Denver, Colorado, Indianapolis, Indiana,
Nashville, Tennessee, Kyoto, Japan and Gol, Norway. He is the author of a book, When I Was
Thirty-Five I Had a Very Good Year, about his fathers art career.
Price - $139
Contact Info:
Netzealous LLC - MentorHealth
Phone No: 1-800-385-1607
Fax: 302-288-6884
Email: [email protected]
Website: http://www.mentorhealth.com/
Webinar Sponsorship: https://www.mentorhealth.com/control/webinar-sponsorship/
Follow us on : https://www.facebook.com/MentorHealth1
Follow us on : https://www.linkedin.com/company/mentorhealth/
Follow us on : https://twitter.com/MentorHealth1
Monday, August 20, 2018 | 10:00 AM PDT | 01:00 PM EDT
Overview: What is the cause of a behavior? Why do we do the things we do? We can ponder on
questions like this for our own personal interest, but for those responsible for the care of
patients with serious mental disorders and behavioral challenges, the question becomes much more
pertinent. When dealing with challenging behaviors in a psychiatric facility (or other settings),
we as clinicians are tasked with finding a way to: 1) identify the problem behavior; 2) have a
hypothesis of the function of the behavior; 3) implement a plan that will reinforce a replacement
behavior that will serve as incompatible or as an alternative to the identified problem.
Each of these three steps can be a challenge and an opportunity to make progress in a patient's
care. To add to the complexity of this situation, the inpatient hospital setting adds its own set
of circumstances that may impede progress in behavioral management of a patient.
As a behavior clinician in a state hospital system, for over thirteen years, I have seen the
process of behavior planning in the state hospital fail and succeed in spectacular, and often
surprising, ways. The function of a behavior can be identified using several different methods.
A process can be put in place to identify a function by observation and other assessments. Once
the function is determined, then the behavior plan is to be based on that function. In one case,
a patient in a state hospital refused to leave his living area. He would only venture a few feet
beyond his door. If, in this case, the function of the behavior was hypothesized to be escape
(from a stimulus), then the behavior plan could develop a replacement behavior that is not
conducive with this refusal to leave his living area.
The patient is enticed with a snack for attending so much time in a group just down the hall.
After that, the requirements are increased, but with each time the patient may leave the group
setting after a certain time has elapsed and receive his treat. To refuse to attend and attend
are diametrically opposed. You cannot do both. By reinforcing the opposite response, this patient
was learning to tolerate this uncomfortable environment.
In another case, one patient could not get through a competency to stand trial restoration class
without interrupting others or being a general disruption. In that case, an egg timer, fake money
and the earning of time to look at family pictures and spend time with staff become beneficial to
developing a plan so he could stay in a group and ultimately be found competent and leave the
hospital.
I have worked in the community as well. In a small "waiver" home one young lady was able to earn
hair appointments and special events out of the house by completing household chores and other
daily routines. Her behavioral improvement, and those of other patients, could be graphed in
simple ways to display to treatment teams and guardians to explain what changes are occurring
with the patient.
In each of these cases, the function led to the development of a plan tailored for that patient.
Once the target has been identified, and the behavior plan developed, then what is put in place
is a system of making sure each part of the plan is implemented and done correctly. Treatment
fidelity is used to establish how each part of the plan has been successfully completed.
If you have challenging behaviors in your inpatient, or community, setting I recommend attending
this webinar. One does not change his or her life and then change behavior. The behavior changes
come first to make a changed life. To treat those patients who need the most care, we use a
process made to suit the person we are trying to assist.
Why should you Attend: Throughout the country the inpatient hospital setting has changed over the
many years. After deinstitutionalization movements and funding cuts for large institutions, many
of the state hospitals which once housed two-thousand or more patients have had a significant
reduction in size. The remaining patient population remained as there were not services available
to meet their needs and their own diagnoses and behavioral problems made them difficult to place.
The forensic and high security psychiatric patients have been found to be especially difficult to
transition on from inpatient care, and the result has been greater concentrations of such patient
populations in the remaining state facilities.
The state hospitals may have been in place for many years, but the patient populations have
changed over time. These changes have created new challenges that may not be amenable to calming
environments, routine activities, sets or standard rules or medication adjustments. It is true
that such methods may have their place and can be put to good use for many individuals, but some
of the more challenging patient situations may receive benefit from quality behavior support
plans based on functional assessment.
If the client/patient population you work with require behavior management, and previous methods
have not proven successful, an examination of the patient's behavior (not just their diagnosis)
and the proper determination of a behavior's function (not simply "cause") may be what is needed
for the safety and well-being of those in the hospital setting.
This webinar will focus on identifying the function of severe problems behaviors and the
development of an appropriate plan. In addition, this discussion will address the pitfalls of
working in an inpatient environment where there may be procedural impediments to behavior
interventions or resistance to attempting methods not well received by co-workers and/or
administrators of a hospital setting
Areas Covered in the Session:
What is function in terms of understanding behavior?
Why is function so important in the development of a behavior support plan?
How is behavior support plan development in an inpatient facility different from other settings?
Components of the Behavior Support Plan
Behavioral Definition
Behavioral Measurement
Functional Behavioral Assessment
Reliability
Intervention
Experimental Design
Maintenance and Generalization
Individual Cases
Interruptions in the Classroom
Origami Artwork for Reading a Joke
Aggression Everyday
Other Scenarios
Who Will Benefit:
BAs
MA
PHDs
JDs
Others who are Interested in Psychology, Sociology and other Fields will Benefit from the
Information Provided
Speaker Profile
Mr. Timothy J. Templin a counselor and behavior analyst with many years working in the mental
health field. He has made presentations at the Association of Behavior Analysis International,
and other similar organizations, in San Antonio, Texas, Denver, Colorado, Indianapolis, Indiana,
Nashville, Tennessee, Kyoto, Japan and Gol, Norway. He is the author of a book, When I Was
Thirty-Five I Had a Very Good Year, about his fathers art career.
Price - $139
Contact Info:
Netzealous LLC - MentorHealth
Phone No: 1-800-385-1607
Fax: 302-288-6884
Email: [email protected]
Website: http://www.mentorhealth.com/
Webinar Sponsorship: https://www.mentorhealth.com/control/webinar-sponsorship/
Follow us on : https://www.facebook.com/MentorHealth1
Follow us on : https://www.linkedin.com/company/mentorhealth/
Follow us on : https://twitter.com/MentorHealth1
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MentorHealth is a comprehensive training source for healthcare professionals. Our trainings are high on value, but not on cost. MentorHealth is the right training solution for healthcare professionals. With MentorHealth, healthcare professionals can make use of the best benefits relating to their professional training.
• They can get the benefit of advice from experts in the field.
• Healthcare professionals will have the flexibility of viewing recorded webinars at their convenience.
• MentorHealth offers online interactive participation. Using this, healthcare professionals, no matter which part of the world they are based in, will have the opportunity to listen to and interact with some of the most accomplished experts in the healthcare Industry.
MentorHealth is driven by a core objective –that of being a platform for learning and discussion to address some of the important issues and challenges that the healthcare community, consisting of healthcare workers from doctors to nurses to other support staff, is up against in today‘s scenario. Various aspects of healthcare, such as Meaningful Use, Patient Protection and Affordable Care, HIPAA, HITECH Act, Stark and Anti Kickback Act, Valid Consent, Patient Safety and Process Improvement, Patient Safety and Quality Outcomes, Healthcare Information Technology Standards Panel (HITSP), Substance Abuse and Mental Health Records, Nursing Informatics, Healthcare Disclosure, Electronic Transactions Standards such as 5010 and ICD-10, Electronic Health Records, Stimulus Code, Healthcare Information Exchange, Healthcare Information Technology, Medical Necessity, Personal Health Records, Clinical Decision Support, Financial Management and ROI, Electronic Prescribing, Healthcare Information Systems, Clinical Informatics, Insurance Claim Appeals, Auto ID and Bar Coding, Integration and Interoperability, Risk Management in the Retention and Destruction of Medical Records and Medical Records Law, to name just a few, are covered. ...
• They can get the benefit of advice from experts in the field.
• Healthcare professionals will have the flexibility of viewing recorded webinars at their convenience.
• MentorHealth offers online interactive participation. Using this, healthcare professionals, no matter which part of the world they are based in, will have the opportunity to listen to and interact with some of the most accomplished experts in the healthcare Industry.
MentorHealth is driven by a core objective –that of being a platform for learning and discussion to address some of the important issues and challenges that the healthcare community, consisting of healthcare workers from doctors to nurses to other support staff, is up against in today‘s scenario. Various aspects of healthcare, such as Meaningful Use, Patient Protection and Affordable Care, HIPAA, HITECH Act, Stark and Anti Kickback Act, Valid Consent, Patient Safety and Process Improvement, Patient Safety and Quality Outcomes, Healthcare Information Technology Standards Panel (HITSP), Substance Abuse and Mental Health Records, Nursing Informatics, Healthcare Disclosure, Electronic Transactions Standards such as 5010 and ICD-10, Electronic Health Records, Stimulus Code, Healthcare Information Exchange, Healthcare Information Technology, Medical Necessity, Personal Health Records, Clinical Decision Support, Financial Management and ROI, Electronic Prescribing, Healthcare Information Systems, Clinical Informatics, Insurance Claim Appeals, Auto ID and Bar Coding, Integration and Interoperability, Risk Management in the Retention and Destruction of Medical Records and Medical Records Law, to name just a few, are covered. ...
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