In the current climate of increasing fiscal and clinical accountability, information is required about overall program effectiveness using clinical data. These requests present a challenge for programs utilizing single-subject data due to the use of highly individualized behavior plans and behavioral monitoring. Subsequently, the diversity of the…

Jade County Public Schools has provided school-based therapeutic day treatment in its public schools for more than 10 years. This program was adopted by the school system to provide an intervention in the school and classroom to address the challenging behaviors of students with emotional and behavioral disorders. Currently, three human services…

This commentary includes a brief discussion of issues raised by the articles and systematic review contained in this special issue addressing technology applications for persons with severe developmental disabilities. Topical areas include a discussion of: (1) a need to compare "high tech" with "low tech" applications, (2) procedural fidelity, (3)…

Treatment Improvement Protocols (TIPs) are developed by the Center for Substance Abuse Treatment (CSAT), part of the Substance Abuse and Mental Health Services Administration (SAMHSA) within the U.S. Department of Health and Human Services (HHS). Each TIP involves the development of topic-specific best-practice guidelines for the prevention and…

Best practice in preventing severe problem behavior in schools involves implementing a continuum of effective behavior support. This continuum includes primary prevention strategies implemented with all students, secondary prevention strategies for students at-risk, and tertiary interventions for students who engage in the most severe problem…

Background: This study aimed to evaluate the effectiveness of the Parents Plus programme with families of pre-school children with developmental disabilities and significant behavioural problems in the Irish health service. The Parents Plus programme is a group-based parent training package involving video modelling, which was designed to be…

This study investigated whether the Barkley behavior change program was effective in changing oppositional-defiant behavior of a 12-year-old, male student. The Barkley program uses an applied behavior analysis approach with daily assessment and reinforcement. Weekly meetings were held between the student's parents and the school psychologist at…

There is a strong comorbid relationship between conduct and substance disorders in youth. In the present study, 56 such youth were randomly assigned to receive either individual-cognitive therapy or family-behavioral therapy. Subjects in both groups demonstrated significant improvements in their conduct and reductions in their use of illicit drugs…

This paper presents results of an evaluation study of the Fostering Individualized Assistance Program (FIAP), an effort to provide individualized wraparound supports and services to foster children with emotional/behavioral disturbances and their families (foster, biological, and/or adoptive). The program aims to stabilize child placement and…

Results from an outcome study of 50 adolescents with behavioral and emotional problems in a partial hospitalization program reflect parental involvement during the treatment process. High parental involvement is related to greater improvement in school and home functioning, reduced rehospitalization, and reduced pathology and problem severity…

Risk factors associated with the unsuccessful discharge from a secondary-level therapeutic day treatment program of students with serious emotional/behavioral disorders (E/BD) were studied. The use of epidemiologic analysis as a program evaluation method was also investigated by comparing risks associated with identified characteristics of the…

Over the last 20 years, policy changes have reduced the use of highly restrictive services for children with severe disabilities. This study explores several issues associated with these changes. It asked whether students referred to a Behavioral Skills Program (BSP) exhibit a level of behavioral and emotional problems that is higher than the…

This study evaluated a positive peer-reporting procedure on positive and negative peer interactions, peer acceptance ratings, and the daily problem behaviors of a 15-year-old boy with multiple behavior and social problems. Results suggested the procedure was effective in all three domains. Data collection and use is discussed in terms of a Level…

This study identified risk factors associated with unsuccessful discharge status of 134 students with serious emotional/behavioral disorders enrolled in a secondary-level, therapeutic day-treatment program. Major risk factors found were student substance abuse, involvement with juvenile services, and family living status. Application of…

This book, prepared in response to a request from the United States Department of Education, Office of Special Education Programs, reviews the published literature on positive behavior interventions and uses this database to provide four main content areas for research. Positive behavior support (PBS) is defined as an approach for dealing with…