Challenging behaviour and intellectual disability.

A position paper by the Irish College of Psychiatry

Faculty of Learning Disability Psychiatry

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This months MBAF Journal Club will be a discussion of the Irish College of Psychiatry’s position paper entitled Challenging Behaviour and Intellectual Disability. 

Date: November, 21st, 2019 @ 19:00 – 20:00

Location: online a link to the meeting room will be sent to registered participants.  

Number of Type 2 CEU’s: 1

Description of type 2 CEU Event:

Published in May 2016, the College of Psychiatrist’s position paper on the treatment of challenging behaviour in people with intellectual disabilities is a very welcome addition to the literature on best practice in this area.  

This position paper is aimed at psychiatrists in Ireland working with people with an intellectual disability. The psychiatrists may be working within voluntary organisations, the HSE or MHID teams. 

This position paper is of particular interest to behaviour analysts.  Firstly since behaviour analysts are named and secondly since a number of behaviour analytic terms and behavioural analytic assessments are recommended.  

This months journal club, invites professionals, working in or with an interest in challenging behaviour and intellectual disabilities to join us for a discussion on the college’s position paper.  

Attendance Procedure: Sign in and Sign out with active participant responding and a feedback questionnaire.

Total event fee per participant:  5 euro

Names of Event instructors: The discussion will be chaired/facilitated by Alan Tennyson BCBA.

The event covers the following behaviour analytic content:

The College of Psychiatry guidelines pertain to interventions and support for children, young people and adults with a learning disability and behaviour that challenges. It highlights the importance of understanding the cause of behaviour that challenges, and performing thorough assessments so that steps can be taken to help people change their behaviour and improve their quality of life.

BCBA’s in attendance will be asked to consider and report on where these guidelines are congruent with the BACB Fourth Edition Task List and where they differ.  Other professional in attendance will be asked to review the position paper in respect of their own professional, guidance in this area (where that is available)

Event is designed for: BCBA-D, BCBAs, BCaBAs and professionals engaged with this population.

Event Level: Intermediate / advanced (BCBA / BCBA-D & BCaBA)

Learning Objectives for participants:

  1. Participants will read the position paper Challenging Behaviour and intellectual disability. A Paper by the Faculty of Learning Disability Psychiatry
  1. Each participant will be asked to discuss two or more of the twelve principal recommendations
  2. We recommend that participants review the BACB Fourth Edition Task List prior to attending

Specifically:

  1. Safeguarding
  2. Prescribing 
  3. Person-Centred Care
  4. Working with people with ID and challenging behaviour, and their families and carers
  5. Delivering effective care
  6. Staff training, supervision and support
  7. Organising effective care
  8. Support and interventions for family members or carersRS OR CARERS
  9. The assessment process
  10. Risk assessment 
  11. Medication
  12. Interventions for sleep problems

Participants will be asked to provide a critical appraisal of the guidelines

This discussion group aims to;

  1. develop participants skills identifying conceptually systematic interventions (4.01, Professional & Ethical Compliance Code for Behaviour Analysts)
  2. confirm that participants are ‘maintaining competence in the skills they use by reading appropriate literature.’ (1.01, Professional & Ethical Compliance Code for Behaviour Analysts)
  3. confirm that participating behaviour analysts have reviewed and appraised the literature with respect to ethical behaviour (2.09, Professional & Ethical Compliance Code for Behaviour Analysts)

Each participant will be asked to come prepared to provide a verbal report on the content of two or more of the twelve principal recommendations and to answer questions from other participants on the contents.  Following this, a discussion of the topic will be facilitated/chaired by the identified facilitator. The facilitator will ensure that each participant contributes to the discussion.

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Behavioral Variability: Does it matter and how can I increase it?

We are very excited to have Dr Clodagh Murray BCBA-D, facilitate this event, which promises to be highly informative and relevant to clinical practice. Clodagh has recently taken up a position as Assistant Professor at Emirates College for Advanced Education and was formerly with the National University of Ireland Galway.

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Monday 7th October 19:00 to 20:00

Number of Type 2 CEU’s: 1

This is an online event. A link to the online meeting room will be sent to the email address you provide.

Variability has been shown to be an operant dimension of behaviour. Decades of lab-based research has demonstrated that variability is sensitive to contingencies of reinforcement, magnitude of reinforcement, discriminative stimuli and extinction. In this session we will discuss the importance of variability with a focus on individuals with autism. We will discuss the utility of variability-reinforcing schedules and how these may remediate restrictive and repetitive behavior patterns.

Learning Objectives for participants:

  1. Participants will read at least two of the five assigned readings 
  2. Participants will be asked to participate in a facilitated discussion with a focus on 
  3.  The importance of variability as a dimension of behaviour How schedules can be used to increase variability How we can program for varied responding early on (train loosely, reinforce all novel behaviours etc) Increasing variability across multiple repertoires and the long-term benefit of this, particularly for those on the autism spectrum.

Description of type 2 CEU Event:

There is an emerging literature base describing interventions for increasing behavioural variability in applied settings. The strategies derived from many years of basic research have been shown to be of particular utility for individuals with ASD. This event will discuss a set of papers that identify the implications of low variability in this population, highlight a set of remediation strategies, mainly the use of lag schedules of reinforcement and how these can be used in applied settings both formally and informally.

 This discussion group aims to; 

  1. Increase knowledge of behavioral variability and its importance to autism intervention
  2. Identify how variability can be increased in applied settings, both in formal programmes and incidental teaching

Each participant will be asked to come prepared to discuss the implications of the assigned readings to clinical practice. All participants will read the Mullins, M., & Rincover, A. (1985) article, full reference below.

Articles: 

Heldt, J., & Schlinger, H. D. (2012). Increased variability in tacting under a lag 3 schedule of reinforcement. The Analysis of Verbal Behavior, 28(1), 131-136.

Mullins, M., & Rincover, A. (1985). Comparing autistic and normal children along the dimensions of reinforcement maximization, stimulus sampling, and responsiveness to extinction. Journal of Experimental Child Psychology, 40(2), 350-374.
This is required reading for the event

Rodriguez, N. M., & Thompson, R. H. (2015). Behavioral variability and autism spectrum disorder. Journal of Applied Behavior Analysis, 48(1), 167-187.

Susa, C., & Schlinger, H. D. (2012). Using a lag schedule to increase variability of verbal responding in an individual with autism. The Analysis of Verbal Behavior, 28(1), 125-130.

Weiss, A., & Neuringer, A. (2012). Reinforced variability enhances object exploration in shy and bold rats. Physiology & behavior, 107(3), 451-457.

Attendance Procedure: Sign in and Sign out with active participant responding and a feedback questionnaire.
Total Event Fee per participant:  €5 to MBAF members, €15 to non-members.

Event is designed for: BCBA-D, BCBAs, BCaBAs

Event Level: Intermediate / advanced (BCBA / BCBA-D & BCaBA) 

NICE Clinical Practice Guidelines for Challenging Behaviour

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The MBAF Journal Club will hold a facilitated discussion of the National Institute for health and care excellence (NICE) guidelines on Challenging Behaviour and learning disabilities: prevention and intervention for people with learning disabilities whose behaviour challenges.

Date: April, 2nd, 2019 @ 19:00 – 20:00

Location: online a link to the meeting room will be sent to registered participants.  

Number of Type 2 CEU’s: 1

Attendance Procedure: Sign in and Sign out with active participant responding and a feedback questionnaire.

Total Event Fee per participant:  €5 to MBAF members, €15 to nonmembers.

Names of Event instructors: The discussion will be chaired/facilitated by Alan Tennyson BCBA.

The event covers the following behaviour analytic content:

These NICE guidelines pertain to interventions and support for children, young people and adults with a learning disability and behaviour that challenges. It highlights the importance of understanding the cause of behaviour that challenges, and performing thorough assessments so that steps can be taken to help people change their behaviour and improve their quality of life. The guideline also covers support and intervention for family members or carers.

Attendees will be asked to consider and report on where these guidelines are congruent with the BACB Fourth Edition Task List and where they differ.  

Event is designed for: BCBA-D, BCBAs, BCaBAs

Event Level: Intermediate / advanced (BCBA / BCBA-D & BCaBA)

Learning Objectives for participants:

  1. Participants will read the NICE guidance.
  2. Participants will be asked to discuss two or more of the seven principal recommendations
  3. We recommend that participants review the BACB Fourth Edition Task List prior to attending

Specifically:

  1. general principles of care
  2. support and interventions for family members or carers
  3. early identification of the emergence of behaviour that challenges
  4. assessment
  5. psychological and environmental interventions
  6. medication
  7. interventions for coexisting health problems and sleep problems
  8. Participants will be asked to provide a critical appraisal.  Specifically, participants will be asked to consider and report on where these guidelines are congruent with the BACB Fourth Edition Task List and where they differ.  

Description of type 2 CEU Event:

The National Institute for Health and Care Excellence (NICE) provides national guidance and advice to improve health and social care.  The guidance provided by NICE is intended to direct the clinical activities of health and social care practioners in the UK. Therefore the guidance they provide has a significant impact on training and delivery.  

These guidelines are specific to the remediation of challenging behaviour in people with an intellectual disability (learning disability in the UK).  It is therefore critical that BCBA’s working with this population have a through understanding of these guidelines.

This discussion group aims to;

  1. develop participants skills identifying conceptually systematic interventions (4.01, Professional & Ethical Compliance Code for Behaviour Analysts)
  2. confirm that participants are ‘maintaining competence in the skills they use by reading appropriate literature.’ (1.01, Professional & Ethical Compliance Code for Behaviour Analysts)
  3. confirm that participating behaviour analysts have reviewed and appraised the literature with respect to ethical behaviour (2.09, Professional & Ethical Compliance Code for Behaviour Analysts)

Each participant will be asked to come prepared to provide a verbal report on the content of two or more of the seven principal recommendations and to answer questions from other participants on the contents.  Following this, a discussion of the topic will be facilitated/chaired by the identified facilitator. The facilitator will ensure that each participant contributes to the discussion.

Articles:

NICE (2015) Challenging Behaviour and learning disabilities: prevention and intervention for people with learning disabilities whose behaviour challenges.  

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Division of Behaviour Analysis Consultation Part 2

The Division of Behaviour Analysis (DBA) is carrying out a consultation process with those working in behaviour analytic roles in the Republic of Ireland.  


Thanks to all those who participated in Part 1.  Part 2 is now live and we are seeking responses from all those working in behaviour analytic roles in the Republic of Ireland. Please consider taking part and sharing widely. 


This consultative process will inform the DBA’s position on professional behaviour analytic work. 
The consultation began with a series of focus groups which were held regionally in January. This is the second part of the consultation and in this part, we are inviting all those with responsibility for designing, consulting on or supervising behaviour change procedures to complete the survey please follow the attached link: https://nuig-psychology.ie/index.php/315436?lang=en

Frequently cited papers on ethics

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On Tuesday the 5th March at 7pm the MBAF will host an online journal club. Participating attendees will earn one type two CEU.

Participants will be required to prepare in advance of the event by reading two of the five journal articles listed below. During the event, participants will be asked to give a brief presentation and answer questions on their selected articles. The event will be facilitated by Alan Tennyson BCBA. If you have any difficulties finding the selected articles, please get in touch and we can help.

A link to the online meeting room will be sent to registered participants.

Number of Type 2 CEU’s: 1

Attendance Procedure: A maximum of 8 participants will attend. Priority will be given to members of the forum and assigned on a first come, first serve. Sign in and Sign out with active participant responding and a feedback questionnaire.

Total Event Fee per participant:  €5 to MBAF members, €15 to nonmembers.

Event is designed for: BCBA-D, BCBAs & BCaBAs

Event Level: Intermediate / advanced

Learning Objectives for participants:

  1. Participants will read 2 of 5 selected journal articles published in Behavioural Intervention or ABAI addressing ethical behaviour.
  2. Participants will present their selected articles.
  3. Participants will be asked to provide a critical appraisal (identifying any methodological or conceptual limitations) of their selected articles.
  4. Participants will be required to identify the principal ethical position adopted by the author and discuss if this is congruent with the BACB Guidelines for responsible conduct for behaviour analysts
  5. We recommend that participants review the https://www.bacb.com/wp-content/uploads/BACB-Compliance-Code-english_181218.pdf prior to attending

Articles were selected based on year of publication and number of citations.

Articles:

Pastrana, SJ., Frewing, T., Grow, L., Nosik, M., Turner, M. & Carr, J. (2016)
Frequently Assigned Readings in Behavior Analysis Graduate Training Programs. Behav Analysis Practice (2018) 11:267–273

Fong, EH. & Tanaka, S. (2016) Multicultural Alliance of Behavior Analysis Standards for Cultural Competence in Behavior Analysis.  International Journal of Behavioural Consultation and Therapy 2013 Vol. 8 N.2

Newman, B.,  Reinecke, DR. & Kurtz, A. (1996) Why Be Moral: Humanist and Behavioral Perspectives. The Behaviour Analyst  19, 273-280

Schreck, KS,  Karunaratne, Y., Zane, T. and Wilford, H. (2016) Behaviour analysts use of and beliefs in treatment for people with Autism: A 5-year follow-up. Behavioral Interventions  31: 355–376

Schreck, KS, & Miller, V. How to behave ethically in a world of fads. Behavioral Interventions 25: 307–324 (2010)

A consultation process for those working in behaviour analytic roles in the Republic of Ireland

research callThe Psychological Society of Ireland’s Division of Behaviour Analysis (DBA) aims to promote the development of Behaviour Analysis as a professional field of psychological activity. As part of this remit, DBA are inviting behaviour-analytic practitioners to take part in consultations that will shape DBA’s position in seeking professional recognition and a protected title for behaviour-analytic practitioners in the Republic of Ireland.

Are you currently employed in a role requiring you to have training in Applied Behaviour Analysis? Does your day-to-day work involve designing, consulting on or supervising behaviour change procedures? If so, DBA would like to invite you to take part in our research with colleagues in similar positions.

The DBA seeks to canvas the views of relevant practitioners regarding:

· Appropriate job titles, given the present context of a wide variety of different titles for similar roles

· Roles & responsibilities that should primarily be undertaken by behaviour-analytic practitioners

· Training & Continuing Professional Development required to acquire and maintain competence in this job role

· Appropriate pay scales for this job role

· Any other issues which participants deem pertinent

Views of practitioners will be gathered in two ways. Firstly, three focus groups with a maximum of 8 attendees will be conducted in Galway, Cork and Dublin. Secondly, the information gathered via focus groups will be explored further in a subsequent survey of those working in behaviour analysis in Ireland, to seek contributions from as many current practitioners as possible.

Information provided to the research team will be stored securely, and its use will comply with all relevant statutory and ethical requirements. Ethical approval for this study has been provided by The National University of Ireland Galway, Research Ethics Committee.

Please follow the link to register your interest https://goo.gl/forms/Gpo2G9DAvs9A0q3d2

AGM Agenda 2018

Our Annual General Meeting will take place on the 11th September at 6:30pm in the Chapel Gate Cafe, Ballincollig.  All are welcome including members and prospective members.   The AGM will be available online and you may attend online here.

Please note that you will need a google account to do this and this feature works best with the internet browser Chrome

Our agenda for the 2018 AGM

  1. Overview of organisational structures
  2. Formal amendments to the constitution
  3. Election of a new secretary by members
  4. Presentation of accounts
  5. Update on our current membership
  6. Proposed amendments to the training and events policy
  7. Plan for the coming year.  Including the status of the organisation, marketing and communications
  8. Any other business

If you have any other items, you would like added to the agenda, you can leave a comment below.

We hope to see you there!

AGM 11th September 2018

The Munster Behaviour Analyst Forum is a democratic organisation, owned and managed by our members. This year our 3rd Annual General Meeting will take place on the 11th September at 6:30 pm in the Chapel Gate Cafe, Times Sq. Ballincollig, Cork
The MBAF has three elected roles:
1) Chair
2) Secretary
3) Treasurer
This year Alan Tennyson will ask the membership to re-elect him as chair.  Similarly, Maureen Gleeson will seek re-election as treasurer.  However, Hazel O’Carroll will step down as secretary.  Thank you, Hazel!
Therefore we are seeking nominations for a new secretary.  Members of the forum may nominate themselves and ask another member to second their nomination.  If we receive more that one nomination, we will organise a secret ballot of members at the AGM.
We sincerely hope that you will consider putting yourself or someone else (with their consent) forward.  We rely on volunteers to support our efforts to disseminate behaviour analysis in Munster.   We will publish a complete agenda on social media closer to the date.
Warm Regards,
Maureen, Alan & Hazel

Positive Behaviour Support for Leaders of Irish Disability Services

The Munster Behaviour Analyst Forum is delighted to promote a series of CE events on the topic of Positive Behaviour Support.  Each event will carry 1.5 CEU’s and will be free to members of the MBAF.

This series of events is organised by Trasna Training Service; which is the Regional Positive Behaviour Support Service for children in Cork & Kerry.

For further info please contact trasnatraining@bocss.org

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PBS for managers

Symposium on contemporary findings in noncontingent reinforcement (NCR)

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The Munster Behaviour Analyst Forum will hold the first, in what we hope will become a series of symposia on contemporary topics in the behaviour analytic literature.  The event will attract 2.5 CEU and will be free to members of the forum.

The first of these events will be held on the 22 March at 6:30 pm in Limerick.

Attending participants are required to select two articles on the topic of NCR, published in the Journal of Applied Behaviour Analysis (JABA) between 2016 / 2017 (listed below).  To find these articles, login into your BACB account and go to the resources tab.

From the beginning of 2016 to date (March 2018) five articles from JABA have investigated the use of NCR as a treatment for varying forms of challenging behaviour.

On signing up, participants will select 2 of the 5 identified articles from JABA.  Each participant will be asked to come prepared to provide a verbal report on the content of each of their selected articles and to answer questions from other participants.  Following this, a discussion on the topic of NCR will be facilitated/chaired by the identified facilitator.  The facilitator will ensure that each participant contributes to the discussion.  At a minimum the facilitator will prompt participants to discuss the following topics;

  1. What is NCR?
  2. How does NCR differ from DRO?
  3. Is NCR conceptually systematic, i.e. is it possible to have a response that is ‘noncontingent’?
  4. What is the ‘file drawer effect’ and how does it relate to this discussion of NCR?
  5. What are the common criticisms of NCR and have they been satisfactorily addressed in the present articles?

Articles:

DeRosa, N., Roane, H., Bishop, J. and Silkowski, E. (2016). The combined effects of noncontingent reinforcement and punishment on the reduction of rumination. Journal of Applied Behavior Analysis, 49(3), pp.680-685.

Fritz, J., Jackson, L., Stiefler, N., Wimberly, B. and Richardson, A. (2017). Noncontingent reinforcement without extinction plus differential reinforcement of alternative behaviour during treatment of problem behaviour. Journal of Applied Behavior Analysis, 50(3), pp.590-599.

Phillips, C., Iannaccone, J., Rooker, G. and Hagopian, L. (2017). Noncontingent reinforcement for the treatment of severe problem behaviour: An analysis of 27 consecutive applications. Journal of Applied Behavior Analysis, 50(2), pp.357-376.

Saini, V., Fisher, W. and Pisman, M. (2017). Persistence during and resurgence following noncontingent reinforcement implemented with and without extinction. Journal of Applied Behavior Analysis, 50(2), pp.377-392.

Saini, V., Greer, B., Fisher, W., Lichtblau, K., DeSouza, A. and Mitteer, D. (2016). Individual and combined effects of noncontingent reinforcement and response blocking on automatically reinforced problem behaviour. Journal of Applied Behavior Analysis, 49(3), pp.693-698.

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