<p>Children diagnosed with intellectual and developmental disability (IDD), including autism spectrum disorder (ASD), often present to pediatric acute care hospitals for behavioral crises or medical care. Board Certified Behavior Analysts (BCBAs) and Registered Behavior Technicians (RBTs) have important skill sets and can partner with multidisciplinary teams to advance the care of hospitalized patients with ASD or IDD. We describe the care model used by our Behavior Analysis and ASD/IDD Team (BAAT) in an inpatient medical setting. Components of the BAAT approach include: (1) consultation triage, (2) direct behavior analytic services (including assessment, intervention, and caregiver training), (3) staff training, (4) crisis response, (5) behavioral data collection, and (6) multidisciplinary collaboration. We include representative data from 2 years of the BAAT service to demonstrate the individualized and innovative application of our approach, as well as&#xa0;preliminary outcome data to show the potential impact of the program. This study highlights the key role of BCBAs and RBTs in acute inpatient medical settings, particularly in optimizing the care of children with ASD or IDD and behavioral health needs, while disseminating behavior analytic practice.</p>

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A Comprehensive Behavior Analytic Consultation Program in a Pediatric Acute Care Hospital

  • Elizabeth Klinepeter,
  • Jennifer Reece,
  • Evan Dalton,
  • Sohail Nibras,
  • Marco Costilla,
  • Lisa Ayoub-Rodriguez,
  • Chadi Calarge

摘要

Children diagnosed with intellectual and developmental disability (IDD), including autism spectrum disorder (ASD), often present to pediatric acute care hospitals for behavioral crises or medical care. Board Certified Behavior Analysts (BCBAs) and Registered Behavior Technicians (RBTs) have important skill sets and can partner with multidisciplinary teams to advance the care of hospitalized patients with ASD or IDD. We describe the care model used by our Behavior Analysis and ASD/IDD Team (BAAT) in an inpatient medical setting. Components of the BAAT approach include: (1) consultation triage, (2) direct behavior analytic services (including assessment, intervention, and caregiver training), (3) staff training, (4) crisis response, (5) behavioral data collection, and (6) multidisciplinary collaboration. We include representative data from 2 years of the BAAT service to demonstrate the individualized and innovative application of our approach, as well as preliminary outcome data to show the potential impact of the program. This study highlights the key role of BCBAs and RBTs in acute inpatient medical settings, particularly in optimizing the care of children with ASD or IDD and behavioral health needs, while disseminating behavior analytic practice.