section 9 Flashcards
Treatment integrity
Aka
Procedural Fidelity, Fidelity of implementation, Program integrity
The degree to which a treatment plan is implemented as it is written
It’s not about correctly collecting data but how the steps of the program are implemented
Competency based training for staff
The people who implement behavior support plans and interventions are crucial to the outcome of the client success. Their skill level training consistency and natural consequences must be securely in place
Interventionists success = the client success
For ways to create a procedural integrity system
STMR
Specify
Train
Monitor
Reinforce
Measuring treatment integrity
Direct observation.
Indirect methods
How to use competency based training for mediators
- A precise description of the skill to be taught
- A brief written description of the skills to be taught
- Demonstration- A trainer to model the scale and the closest approximation of the conditions in which the scale will be utilized
- Learning through video models
- Practice and learn through role-play
- A trainer to observe the individual performing the skill in the training setting as well as the job setting- rehearsal
- A trainer providing immediate positively minded performance feedback
- Repeat the process until mastery
Protocol for providing feedback
Start with a positive empathetic statement
Identify skills perform correctly
Identify skills performed incorrectly
Specify how to change or improve performance problems
Allow individual to ask questions
Describe what should be done next
End with a positive and supportive statement
Systematic performance monitoring
Accomplishes two goals
- provides meaning for evaluating staff performance and program implementation
- exhibits are programs effects on the individuals target behavior
Performance monitoring looks at
Knowledge of the target behavior
How environment is arranged
Understanding of antecedents
Use of consequences
An understanding of behaviors to increase abs staff response to these behaviors
An understanding of behaviors to decrease abs staff response to these behaviors
How staff conforms to specified routines
Practice of discrete trial training
4 ways to effectively monitor staff performance
IF OF
Inform - tell
Then they are being monitored and why
Friendly - be polite, friendly and courteous to staff
Overt - covert will bring negative feelings
Feedback - feedback given ASAP
Measuring staff performance
Time sampling- brief periods of observation
Evaluate data collection- correct procedure, data taken daily, on time etc…
Permanent product- behavior measures through permanent change in environment - video recording etc
Things to consider when developing a behavior support plan
Resources - do you have the staff??
Staff deployment- where are they located? Can they be where they are needed to carry out the plan??
On-site presence of a superior???
Staff absenteeism and turnover - although difficult to control it must be considered
4 essential components of a behavior support plan
BACE
Behaviors- specify what behaviors for increase/decrease
Antecedents-
Consequences - what to do when target behavior occurs
Environmental set ups- what should/shouldn’t be in place
