Implementation Assistance


Interested in scheduling trainings to build organizational capacity to implement the practical functional assessment & skill-based treatment processes? Click here.

Recent videos of Dr. Hanley describing the practical functional assessment process and the skill-based treatment process are also freely available. Please see Tutorials to access these presentations and associated workbooks.

Please see below for new links to materials that may be helpful for implementing the processes detailed in trainings.


Practical Functional Assessment Process

The Interview

Socially meaningful treatment outcomes have only been demonstrated when reinforcing contingencies are personalized. Personalized analyses of problem behavior are designed from open-ended interviews.

English form: word  or pdf Thanks to Sandy Jin for the write-in pdf version.
Translations
Italian form  Thanks to Elena Clo for this translation
French form  Thanks to Charlotte Escane & Delphine Roux for this translation
Spanish formThanks to Rocio Nunez for this translation.
Portuguese formThanks to Paula Braga-Kenyon for this translation
Arabic form  Thanks to Faisal Alnemary, Rogaiyah Hamidaddin, and Fahad Alemary for this translation
Russian form Thanks to Pavel Demidov, Vera Ermolova, Daria Solovieva, and Anastasia Semiannikova
Alternate Russian formThanks to Daria Brazhenkova, Lyubov Ostrovskaya, Toma Solomatina, Katia Krylova, and Katya Zavolokina for this translation
Greek formThanks to Christina Kyriacou for this translation
Turkish formThanks to Mustafa Gundogdu for this translation
Simplified Chinese formThanks to Chloe Wang for this translation
Traditional Chinese formThanks to Chloe Wang for this translation
Japanese formThanks to Naoko Inada, Yuko Takayanagi,& Yukie Kurumiya for this translation

Tips for conducting an open-ended interview can be found here.

Translations
Turkish Translations of Tips for Conducting the InterviewThanks to Mustafa Gundogdu for this translation

The IISCA

The IISCA is an acronym for an interview-informed synthesized contingency analysis, which is a type of functional analysis that quickly, safely, and usually reveals sensitivity of classes of problem behavior to ecologically-relevant reinforcement contingencies. A successful IISCA serves as an effective baseline context to treat problem behavior and develop important social repertoires.

Form DownloadsDescriptionLast Updated:
IISCA Design FormA form for designing the IISCA from a completed interviewFebruary 2020
Tips for Designing IISCATips for designing and implementing a successful IISCA February 2020
IISCA Data SheetA data sheet for recording problem behavior during the IISCAFebruary 2020
IISCA Graph Template (Excel)An excel graph template to accompany the above performance-based data sheet

NEW! A Beta-version of an app is available to help you collect data and graph your IISCA performance and results! The app, titled IISCA, was created through a collaboration between Garage94 and FTF Behavioral Consulting. Click here for directions on how to download and test the new app for iPhones and click here for directions on how to download and test the app android users.

An updated list of peer-reviewed publications showing the effectiveness and treatment utility of practical functional assessment processes can be found hereRely on these articles to support your implementation of the PFA process.

The Skill-Based Treatment Process

Following an effective PFA process, treatment almost always involves teaching the child to obtain the same outcomes in the same contexts with another, more appropriate, behavior. This is often called functional communication training or FCT. During the initial stage of FCT, each communication response (e.g., “My way, please”) is reinforced immediately with the same reinforcers that were shown to be maintaining problem behavior, and problem behavior is no longer reinforced. More developmentally appropriate communication responses are then shaped (The child says, “Excuse me” to obtain a listener’s attention, waits for acknowledgement from the listener, and then says, ” May I have my please”) and intermittent delays or denials of requested reinforcers are introduced. The child is next taught an effective response to delays and denials (e.g., taking a deep breath and saying, “Okay, no problem”). Delay tolerance is strengthened by providing the maintaining reinforcers directly following these responses. Variable behavioral expectations during delays are then introduced; meeting those expectations is then reinforced. The skills of functional communication, delay and denial tolerance, and compliance with reasonable adult expectations result from this process.  Use the materials below to implement this process.

Form DownloadsDescriptionLast Updated
Skill-Based Treatment Design FormA form for designing treatment from a successful IISCAFebruary 2020
Tips for Designing TreatmentTips for designing and implementing treatmentFebruary 2020
SBT Process StepsFor a table illustrated the sequence of the SBT process
SBT Data sheetsData sheets for recording problem behavior during the treatment process. These documents also serve as guide for implementing the shaping process (i.e., they include criteria for escalating response requirements) and for arranging for intermittent and unpredictable reinforcement of skills.February 2020
Do’s and Don’t Table A rubric that may be used both as a teaching tool and as a data sheet while training caregivers on the treatment processFebruary 2020

Because the behaviors that result from the treatment process are life skills, shown to both replace problem behavior and prevent the development of problem behavior, it is essential that each skill persists, so treatment is arranged so that each behavior is reinforced immediately some of the time. The treatment that is transferred into homes, classrooms, and communities basically involves the unpredictable and intermittent reinforcement of the three life skills of functional communication, delay tolerance, and compliance. Click the following for a visual representation of the treatment: schematic. The treatment looks complicated when diagrammed on the schematic, but the variable durations of reinforcement and the variable and unpredictable responses requirements are easy to implement with randomizer apps like Roundom or Namesinahat.

Here are pictures of Roundom customized for a function-based treatment. Roundom allows for random selection of both response requirements and reinforcer durations and does so while replacing previously selected options. Thanks to Jessica Slaton for identifying this useful program.

roundom

A similar app called NamesinaHat customized for a function-based treatment. NameinaHat allows for random selection of both response requirements and reinforcer durations as well but does so without replacing previously selected options. This program also provides a list view of randomized response requirements or reinforcer durations. Thanks to Kara Verseckes for alerting us to this useful program.

For guidelines for 2019 CPT codes and reporting of the Practical Functional Assessment and Skill-Based Treatment process for Michigan providers, click here. This resource was created by Brie Elsasser and Morgan VanDenBerg of Autism Centers for Michigan and the Michigan Department of Health and Human Services.

Prevention of Problem Behavior

  • Click here for an instrument used to detect the skills that prevent the development of problem behavior. This indirect assessment of life skills was shown to be significantly correlated with direct measures of life skills and sensitive to the effects of a class-wide program for teaching these skills (Hanley et al., 2007)
  • Click here for a manual to assist teachers in implementing the preschool life skills curriculum shown to prevent the development of problem behavior.
    • For publications showed the efficacy of the PLS curriculum in teaching skills essential for preventing problem behavior, click here.
  • A position paper was written describing the state of affairs for preventing problem behavior. Click here for a copy in English, in French, and click here for a copy of the questionnaire in French.
    • Thanks to Julie Michaud for the translations.

Prevention, Assessment, and Treatment of Sleep Problems

An open-ended interview may be used to design personalized treatments addressing sleep problems of children. The interview is call the Sleep Assessment and Treatment Tool or SATT

Click the links below for this interview form.

Translation
Italian form Thanks to Elena Clo for this translation
French form   Thanks to Charlotte Escane & Delphine Roux for this translation
German form    Thanks to Sabrina Liebich for this translation
Icelandic formThanks are extended to Berglind Sveinbjörnsdóttir, Hulda Jónsdóttir Tölgyes, and Herdís I. Auðar Svandsdóttir for this translation
Spanish formcoming soon

Click here for a two-page handout describing evidence-based strategies for promoting good sleep. For Italian translations, click here and here.

8 thoughts on “Implementation Assistance

  1. Hi – I heard Dr. Hanley at the Long Island Behavior Analysis Conference and was so excited to hear about strategies that a) match most closely what is actually happening in field work and b) that I could replicate immediately in my work.

    I spend the bulk of my time doing school consultation, and there was one student who I couldn’t get a handle on. He had high rates of SIB and negative vocalizations across the day, even when on the way to preferred activities (or what we thought were preferred activities).

    After hearing Dr. Hanley, I immediately put a new program in place – 1) immediate and constant reinforcement of communication (pictures), and 2) gradual introduction of delay. We’re still early in the program, and progress is slow (probably due to the challenge of clean implementation across multiple school staff). Once we’ve gotten the SIB down in both immediate and delayed conditions, we’ll introduce some self-calming strategies. Staff are a little skeptical, but no one can deny that both the SIB and precursor (whining) are way down.

    THANKS so much!

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  3. I attended a day-long presentation by Dr. Hanley and was impressed with both the IISCA and the FCT/delay tolerance response training. I particularly find valuable the idea that being able to “turn off” a precursor behavior, indicates it’s function. Additionally, the intermittent reinforcement protocol for tolerance training is infinitely better than any wait or compliance training commonly practiced. I have used your protocol with success and am grateful that you have provided tools for implementation. Thank you so much for the fantastic resources!

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