Functional Analysis and Intervention to Reduce Self-Injurious and Agitated Behavior When Removing Protective Equipment for Brief Time Periods

The authors conducted studies that were designed to maintain low levels of hand-to-head self-injury when protective equipment was removed (i.e., rigid arm sleeves and a protective helmet) for brief time periods with an individual with profound intellectual disabilities. A series of assessments was f...

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Bibliographic Details
Published in:Behavior modification 2003-09, Vol.27 (4), p.538-559
Main Authors: O'Reilly, Mark F., Murray, Nicole, Lancioni, Giulio E., Sigafoos, Jeff, Lacey, Claire
Format: Article
Language:English
Subjects:
Acoustic Stimulation
Adult
Behavior modification
Behavior Therapy - methods
Behavior therapy. Cognitive therapy
Biological and medical sciences
Humans
Injuries
Intellectual Disability - psychology
Intellectual Disability - therapy
Intervention
Male
Medical sciences
Protective clothing
Psychology. Psychoanalysis. Psychiatry
Psychomotor Agitation - prevention & control
Psychomotor Agitation - psychology
Psychopathology. Psychiatry
Reinforcement (Psychology)
Restraint, Physical - psychology
Self-Injurious Behavior - prevention & control
Self-Injurious Behavior - psychology
Treatment Outcome
Treatments
Vibration - therapeutic use
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Summary:The authors conducted studies that were designed to maintain low levels of hand-to-head self-injury when protective equipment was removed (i.e., rigid arm sleeves and a protective helmet) for brief time periods with an individual with profound intellectual disabilities. A series of assessments was first conducted of a topographically similar form of behavior to self-injury when the person was wearing protective equipment (i.e., hitting helmet with rigid arm sleeves). Results of these assessments indicated that head hitting (with equipment) was not sensitive to social consequences (Study 1) but that it was reduced substantially when the individual had access to items that produced vibration or vibration and sound (Study 2). A treatment protocol that included items that produced vibration and vibration with sound produced substantial reductions in attempts at self-injury and agitation when protective equipment was removed for brief time periods (Study 3).
ISSN:0145-4455
1552-4167
DOI:10.1177/0145445503255573