Behavior Analytic Assessment and Treatment of ADHD Part 2: Performance Errors of Inattention (1 BACB CEU)

Type: ceu by Obigobi Learning
$15.00
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Description

Attention Deficit Hyperactivity Disorder is increasingly diagnosed among school-aged children, and many are identified for special services, including behavior support. This course is the second in a series of four which will guide attendees through processes to specify which skills are missing in a given child. Recommendations are made for improving assessment through composing interview questions, designing direct observations, and structuring environmental manipulations in order to improve accuracy of data collected. Within each behavior class, tips are given for matching interventions to assessment results. Applicable research resources are provided as well.

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Obigobi Learning

ObiGobi specializes in the delivery of clinical intelligence, knowledge management, and guided decision-making for clinicians in a range of industries worldwide, including behavior analysis, behavioral health, and insurance. As your clinical ambassador, we promise to guide clinical decision-making, update your clinical knowledge, fulfill your training needs, and support you as an extension of our clinical team.

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What's Included

  • Course Outline

    Attention Deficit Hyperactivity Disorder is increasingly diagnosed among school-aged children and many are identified for special services including behavior support. This course is the second in a se...

  • Introduction

    In Part 1 of this course series we introduced the graphic organizer in Box 1 to summarize the common behavioral correlates (i.e. symptoms) of Attention Deficit - Hyperactivity Disorder. The diagnosis ...

  • Box 1: ADHD Symptom Constellations

  • Section Review

    The medical term symptom refers to a behavioral correlate. ADHD can be conceptualized as three categories of behavior with inattention as the largest category. Inattention encompasses a variety of cor...

  • Careless Errors

    Students who have attention deficits are often characterized as making careless errors. But what is this? Clinically speaking teachers tend to ascribe this label to incorrect responses given in the pr...

  • Assessment

    Faulty assumptions are often in play when an observer indicates the student makes careless errors. In addition to assessing for skill deficits in the child the clinician should query and observe for b...

  • Teacher Interview

    Teacher interview time is best spent discerning specific processes that are problematic and differentiating between information the informant directly observed vs. information he or she is inferring. ...

  • Examples of Specific Content Error Patterns

    Forgetting to capitalize letters when writing Leaving off punctuation Confusing who did what in reading comprehension Misreading words as similar words (eg: world read as word) Failing to carry in lar...

  • Record Review

    Reviewing work samples is useful in confirming any patterns hypothesized in interviews and may help identify previously unnoticed error patterns. Clinicians also may consider giving the teacher a ques...

  • Direct Observation

    Sample the student s on-task behaviors across a variety of task types content types instructors (if applicable) and physical settings. Record completion times/completion ranks and ask the teacher(s) t...

  • Direct Testing

    Provide the student with a variety of previously mastered tasks and record error rates under paradigms such as the ones that follow (your observational data will drive paradigm selection). As the stud...

  • Example Direct Testing Paradigms

    With a time limit that provides more than enough time to complete the task and check one s work but no instructions other than complete this task. With instructions to complete the task within an unre...

  • Student Interview

    The student interview may be helpful in determining the reinforcing and punishing qualities of various task types subject matter classroom qualities and teachers. I find having the students participat...

  • Example Student Interview Questions

    When asking students about careless mistakes schedule the interview as soon as possible after an example assignment is completed. Highlight the suspected careless mistakes and some additional items th...

  • Intervention

    At the conclusion of your assessment process you will have identified a skill or skills to build that should decrease the child s error rates. Once goals are set teaching strategies are selected and d...

  • Table 1 - Example Goals with Strategy Types

    Goal Session Strategies Naturalistic Strategies Increasing time spent on individual items Shaping Cuing with Timer / Pacer app Increasing time spent with eyes focused on work Mindfulness Exercises Non...

  • Section Review - Careless Errors

    Students with ADHD may provide incorrect responses to stimuli for which they typically respond correctly for a variety of reasons. In addition to assessing for skill deficits in the child the clinicia...

  • Incomplete Tasks

    Like careless errors tasks left incomplete may occur for a variety of reasons. Common examples include: Effort fatigue Assignment design Insufficient time allotted Excessive time spent off task Disint...

  • Assessment

    Assessing engagement has two fronts: assessing engagement with a given task (which may indicate non-preferred tasks or the absence of MOs) assessing engagement with school in general (which likely enc...

  • Interviewing Disengaged Students

    Spend time with the student making no demands and asking no questions. Engage him or her in activities that are preferable to being in the classroom. Meet with them during activities they dislike rath...

  • Helpful Tools

    Several instruments are available to guide your discussion of school engagement. I particularly enjoy using sections A-J of the Learning Gardens Lab Educational Assessment Package - Student Survey (se...

  • Intervention

    Students who lack engagement with school or academic tasks are treated by following the most basic of principles -- pairing behaviors that fit into the definition of engagement with reinforcement. The...

  • Supporting Teachers to Increase Acceptance of Lower Level Behavioral Goals

    Explain the impact on development when skills that are typically developed in earlier years are not sufficiently learned. An example explanation is provided on the next branch. Share your functional a...

  • Explaining The Impact of Missing Behavioral Skills

  • Section Review - Incomplete Tasks

    Incomplete tasks may originate from insufficiently developed self-management skills. Interventions designed to shape focus and reinforce self-monitoring may be useful in such cases. Task incompletion ...

  • Following Instructions

    Students with ADHD frequently fail to follow instructions. This should be differentiated from refusal to follow instructions (noncompliance). Noncompliance is not specifically related to attention pro...

  • Assessment

    Assessing a child s ability to follow instruction is often accomplished with interviews direct observation and direct testing. Let s take a look at some important thoughts about these processes. Remem...

  • Teacher Interviews

    Teachers can be guided through questions to narrow down the specific themes underlying work incompletion and can provide work samples that will allow the clinician to look for patterns. Some patterns ...

  • Direct Observation

    As per usual direct observations should be made in settings with high and low likelihood of the behavior occurring. In addition to collecting data on the student s attending behavior the behavior anal...

  • Example Observation Variables

    Frequency of opportunities provided for students to ask clarifying questions Noise and activity level when instructions are given Classroom arrangement and the student s location in it Format of instr...

  • Direct Testing

    Logically direct testing involves administering progressively more complex instructions in a variety of formats. Licensed professionals with psychometric training may find the Token Test for Children ...

  • Intervention

    Intervention design includes teaching the missing skills through processes such as differential reinforcement shaping and chaining in ABA sessions. Parent/teacher training regarding the child s specif...

  • Example Supports for Skill Deficits Related to Following Instructions

    IEP accommodations or modifications as appropriate to the child s skills. Additional cuing extended time and having instructions read repeated and/or paraphrased may all be useful for the student who ...

  • Section Review - Following Instructions

    Before programming differentiate between students who fail to follow instructions and those who refuse to follow instructions. Temporal relationships between instructions given and work initiation/com...

  • Avoidance of Sustained Attention Tasks

    For persons who struggle with sustained attention avoidance is common. It can masquerade as many things and result in the person being given many damaging monikers such as lazy and procrastinator. Due...

  • Assessment

    ABC analysis to capture information about sustained attention task avoidance can be difficult because the assessor lacks direct access to private events. Work-arounds include preliminary assessment to...

  • Task Preference Assessment

    The methods of forced-choice preference assessment can be utilized to identify high- and low-preference tasks. Included tasks are to be identified through observations and interviews. The child s age ...

  • Direct Observation / Direct Testing

    During sustained attention tasks collect data on latency and on-task behavior. Latency provides information that may be indicative of avoidance while on-task behavior of course indicates escape functi...

  • Child Interview

    The forced-choice assessment process presents the opportunity to introduce supplemental questions to the child. As the preference hierarchy is shared with the child elicit information about how the ch...

  • Intervention

    In addition to the self-monitoring procedures described above self-management techniques can be added. Procedures introduced in Part 1 of this series may be useful for teaching the student to monitor ...

  • Tips for Self-Management Programs

    Ensure the child is not given too many target behaviors to start the plan. Emphasize with teachers and parents that the goal is progress not immediate independence. A child with ten target behaviors t...

  • Section Review - Avoidance of Sustained Attention Tasks

    There is much overlap in the target behavior symptoms of ADHD and the combination of challenges lends itself easily to the additional development of avoidance behaviors. Intervention for any one sympt...

  • Disorganization and Losing Everyday Items

    Although disorganization has been accepted as a common feature of ADHD there is remarkably little research into its definition and assessment. In a literature review of recommended strategies Stormont...

  • Assessment

    The limited research on assessment of these skills provides one scale ( The Child Organizational Scale; Zentall Harper & Stormont-Spurgin 1993 ) that has little psychometric validation and relies upon...

  • Table 2 - Example Task Completion Organization Questionnaire

    Task Has the child EVER completed this task satisfactorily without assistance? Does the child dislike this task? What level of prompting is USUALLY required for the child to complete this task? Cleani...

  • Intervention

    Organizational interventions are probably the most prolifically set of recommendations available to parents and educators. There is no shortage of containers planners calendars and electronic reminder...

  • Tips on Organizational Systems

    Establish consistent routines and systems for organizing objects and provide immediate corrective feedback when errors occur (utilizing processes such as errorless learning or positive practice). The ...

  • Section Review - Disorganization and Losing Everyday Items

    Stormont-Spurgin (1997) classified organizational problems into three main categories: object organization idea organization and task completion planning. Permanent product review and guided interview...

  • Course Review

    The medical term symptom refers to a behavioral correlate. ADHD can be conceptualized as three categories of behavior with inattention as the largest category. Inattention encompasses a variety of cor...

  • Survey - Your Opinion Matters!

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  • Quiz and Certificate

  • References

  • Presenter CV