Clinical
Case Flow
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Project: NSTM
Clinical Case Flow
PHASE I: CASE ASSESSMENT
A. Initial Contact
1. Call DDD
2. Call Family
3. Mail Family Questionnaires & Brochure
Visits 1-5:
___ Present NSTM
___ Review/Sign Informed Consent
___ Record Initial Behavior History
___ Collect Family Questionnaire
___ Complete Attitude Survey
___ Complete Burn-Out Scale
___ Review Family Questionnaire
___ Complete Consent Forms
___ Address Major Issues/Challenges
___ Pre-Test on Behavior Management
___ Complete Adaptive Behavior Scale
___ Complete Mental Health Measures
___ Explain/Sign Training Contract
___ Blueprint of Environment
PHASE II: PRINCIPLE TRAINING
A. Behavior Assessment
___ Problem Solving Theory
___ Introduction to Developmental Disabilities (DD)
-- attitudes/expectations of DD
-- DD service delivery system
___ Introduction to Learning Theory
___ Target Behavior Selection/Definition
-- use of 10 behavior checklist
-- Operational Definition of Behavior
___ Function of Behavior
-- A-B-C (Focus on antecedents and consequences)
-- Explore data collection alternatives
___ Behavioral Recording Techniques
___ Increasing Behavior
-- Reinforcement
*effect on appropriate & inappropriate behavior
-- Review A-B-C information
___ Decreasing Behavior
-- punishment (definition & concerns)
-- differential reinforcement & extinction
B. Behavior Analysis/Program Development
SPECIFIC TRAINING TO REFERRAL BEHAVIOR
___ Analyzing Behavior
-- Review analysis of assessment data with behavior manager
___ Discuss Intervention Analysis
-- Overview of principles required for intervention
-- Trainer development issues -- i.e. responsibility for turnover/
other caretaker training
___ Present Intervention and Program Instruction
-- Proposal of plan to behavior manager
___ intervention Skills
-- Role-plays (How to carry out the plan)
-- How to provide feedback to both client and staff
___ Collect Baseline Data
GOAL: COMPLETE WRITTEN INTERVENTION ANALYSIS,
ASSURE PREPAREDNESS OF BEHAVIOR MANAGERS,
ENVIRONMENT, AND SYSTEM
PHASE III: INTERVENTION
A. First Target Behavior
___ Implement Intervention
___ Ongoing Intervention Maintenance
-- consistency
-- take ongoing data
-- trouble shooting
___ Transfer Program Ownership
___ Evaluate Possibility of 2nd Target Behavior
GOAL: IMPLEMENT INTERVENTION
PHASE IV: PHASE OUT
___ Phase-out Intervention (in indicated)
___ Specific Problem Solving
___ Complete Post Measures
___ Evaluation of Project
GOAL: HOLD TERMINATION IDT MEETING
PHASE V: FOLLOW-UP
___ 1 Month: phone/visit
___ 3 Month: phone/visit
___ 6 Month: phone/visit
___ 12 Month: phone/visit
GOAL: QUALITY CONTROL - INSURE MAINTENANCE OF TRAINING
AND BEHAVIORAL GAINS
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Last update: April 4, 2005
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