9- Main stream behavior analysis Flashcards
A collective term for anything a living
organism does
Occurs as a function of genetic-physiological predispositions + environmental events
Behavior
Determining the environmental events
Behavior analysis
Manipulating environmental events to bring about desired changes in behavior
Applied Behavior Analysis
The application of behavioral analysis and developmental psychology to child behavioral problems presenting in primary care settings
Behavioral Pediatrics in Primary Care
One major emphasis
• Prevention over cure or rehabilitation
Behavioral Pediatrics in Primary Care
Two types of intervention
• Supportive health education
• Prescriptive treatment
Behavioral Pediatrics in Primary Care
Three domains of care
• Common behavior problems
• Behavior problems with significant medical (biological) dimensions
• Medical (biological) problems with significant
behavioral dimensions
Behavioral Pediatrics in Primary Care
Approximately 50% of all primary
care child visits involve behavior problems.
High frequency, low intensity problems
Responsive to prescriptive behavioral treatments
Common Behavior Problems Presenting in Primary Care
Girls
- Night wetting
- Poor appetite
- Fears
- Night waking
- Sleep with parents
- Day wetting
- Picky eating
- Sibling rivalry
- Overactive
- Bedtime struggles
- Attention seeking
Ranked Behavior Problems:
3 Year Old Children
- Night wetting
- Day wetting
- Soiling
- Poor appetite
- Overactive
- Bedtime resistance
- Night waking
- Non compliance
- Picky eating
- Sleep with parents
- Sibling rivalry
Ranked Behavior Problems:
3 Year Old Children
Common behavior problems are not
pathologies, they are skill deficits. So
parents are on their own with these.
Common Tactics
Ignoring,
Warning,
Yelling
Spanking,
Rewarding
Reasoning
Placating or Indulging
Rule of thirds
Tactics commonly employed to reduce
typical child problem behavior include:
Behavior is largely a function of circumstances
Core of Behavior Analysis
Percent of Sample
11-25%
Incidence/Prevalence of Psychiatric
Problems in Community-based Children
Gap In Behavioral Health Care for
Children
Primary care pediatrics on one side Conventional mental health services for children on the other Vast range of behavioral health problems in the gap
B
Average Office Time with Patients
11 to 15 minutes
Average Time Spent in Anticipatory
Guidance Birth to 18 years old
Seven to 97 seconds
Pediatricians don’t address common
behavior problems. Why? 3 X
- Limited or no time
- Limited or no training
- Lack of inclination
Gap In Behavioral Health Care for
Children
Conventional mental health services
don’t address those problem very
well either. Why? 2x
- Parents are reluctant to go because of a low and variable quality of care.
- Stigma
Gap In Behavioral Health Care for
Children
Over interpretation in practice
Research Practices
Public Impressions
Why parents are reluctant to seek mental health services for children:
Evidence based or empirically supported treatment
Parents like it
Physicians like it
It works
We have a specialized standard of
care. (Behavior Analysts)
Sample Topics
Learning
Crying
Sleep
Toileting readiness
Supportive Health Education-
Behavioral Pediatrics for Common
Behavior Problems