Behavioral Health Promotion and Intervention in Intellectual and Developmental Disabilities (Evidence-Based Practices in Behavioral Health Book 0)

This book discusses the latest evidence-based practices and how they can be implemented to address health problems in people with intellectual and developmental disabilities (IDD). It offers various intervention and prevention strategies for treating commonly encountered issues in patients with IDD, such as eating and sleeping disorders, repetitive self-harming behaviors, and personal hygiene problems. Primary strategies include encouraging healthful habits, reducing noncompliance and risk-taking behaviors, and direct intervention to promote optimum functioning while reducing discomfort, frustration, and adverse behaviors. In addition, contributors describe training and consultation models to enable readers to work more effectively with practitioners, clinicians, and parents as well as with the patients themselves. Topics featured in this book include: * Compliance with medical routines. * Increasing and maintaining exercise and other physical activities. * Assistive technologies in severe and multiple disabilities. * Substance use and health-related issues. * Consultation with medical and healthcare providers. * Parent training and support. __Behavioral Health Promotion and Intervention in Intellectual and Developmental Disabilities__ is a valuable resource for researchers, clinicians, and graduate students in clinical psychology, behavioral therapy/rehabilitation, social work, public health, and other interrelated fields. Preface 6 Contents 8 About the Editor 10 Contributors 11 1 Health Conditions, Learning, and Behavior 13 Interaction Between Chronic Health Conditions and Challenging Behavior 14 Assessment Methods for Diagnosis of Conditions 17 Assessments to Determine the Impact of Health Condition on Challenging Behavior 19 Treatment Recommendation of Challenging Behavior Associated with Health Conditions 22 Conclusion 25 References 25 2 Compliance with Medical Routines 32 Conceptual Considerations 35 Research Findings 36 Practice Recommendations 46 Research Recommendations 49 References 50 3 Personal Hygiene 54 Introduction 54 Priority Concerns 56 Grooming 56 Oral Hygiene 57 Menstrual Care 58 Research Findings on Effectiveness and Efficacy of Methods and Procedures 59 Grooming 59 Oral Hygiene 69 Menstrual Care 70 Practice Recommendations 73 Pre-requisite Skills and Assessment of Client Variables 73 Preparation of Clients, Caregivers and Others 74 Develop a Task Analysis 75 Skill Acquisition 75 Promoting Independence 78 Considerations for Sensory Issues or Anxiety (Avoidance) 78 Generalization and Maintenance 78 Conclusion 79 References 80 4 Increasing and Maintaining Exercise-Physical Activity 84 Measurement 85 Mechanical Instrumentation 86 Direct Observational Coding 87 Contextual and Functional Analysis 88 Exercise-Physical Activity Interventions with Typically Developing Populations 89 Positive Reinforcement-Contingency Contracting 89 Goal Setting-Performance Feedback 90 Technology-Assisted Intervention 91 Exergaming 91 Exercise-Physical Activity Intervention in IDD 92 Summary 95 Practice Recommendations 96 References 99 5 Assistive Technology in Severe and Multiple Disabilities 105 Summary 105 Introduction 106 Developing Stimulation Control and Adaptive Responding 108 Improving Ambulation 110 Promoting Stimulus Choice 111 Promoting Adaptive Responding and Reducing Problem Behavior or Posture 112 Promoting Control of Environmental Stimulation and Caregiver Attention 114 Promoting Active Communication (Requests) Via SGDs 115 Promoting Orientation and Activity Engagement 116 Considerations on the Technological Resources and Intervention Outcomes Reviewed 117 Conclusions 119 References 120 6 Body-Focused Repetitive Behaviors 126 Function of Body-Focused Repetitive Behaviors 128 Research Findings 129 Differential Reinforcement 130 Response Interruption, Redirection, and Prevention 132 Punishment 136 Awareness Enhancement Device 137 Practice Recommendations 139 References 143 7 Food Refusal and Selective Eating 146 Introduction 146 Assessment of Feeding Problems 149 Treatment of Feeding Problems 152 Guidelines for Practitioners 161 References 165 8 Sleep and Sleep-Related Problems 171 Negative Effects of Sleep Problems in IDD 172 Sleep Assessment and Measurement 174 Behavioral Sleep Intervention 175 Summary and Practice Recommendations 179 References 181 9 Rumination Disorders 185 History of Rumination 187 Rumination Due to Medical Issues 188 Non-assessment-Based Behavioral Interventions for Rumination 189 Assessment-Based Behavioral Interventions for Rumination 194 Practice Recommendations 198 References 201 10 Substance Use and Health Related Issues 204 Introduction 204 Priority Concerns 206 Efficacy of Methods 208 Interventions for Substance Use 208 Conclusions About Evidence-Based Practice 209 Practice Recommendations 210 Prevention of Substance Use and Substance Use Disorder 210 Detection of and Screening for Substance Use 211 Treatment of Substance Use Disorder 212 Conclusion 214 References 215 11 Consultation with Medical and Healthcare Providers 217 Why Behavioral Health Consultation? 218 Models of Consultation 219 Roles of a Behavioral Health Consultant 222 Brief Psychosocial Assessment 222 Intervention 223 Pre-Requisite Knowledge and Skills for Providing Behavioral Health Consultation 224 Developmental Understanding 224 Principles of Learning 225 Systems 225 Professional Skills 226 Considerations for Consultants 227 Communication and Collaboration 227 Transfer of Responsibility 228 Scope of Practice 229 Location, Location, Location 229 Funding Considerations 230 Case Examples 231 Summary 233 References 233 12 Parent Training and Support 236 Introduction 236 Importance of Supporting and Training Parents 237 Priority Concerns 238 Environmental Factors Influencing Child and Parent Behavior 238 Short-Term Versus Long-Term Contingencies for Parent Behavior 239 Research Review 240 Management of Challenging Behaviors 240 Feeding Challenges 241 Skill Acquisition 242 Intensity and Duration 245 Trainee Characteristics 245 Trainer Characteristics 245 Training Formats 246 Training Procedures 246 Future Research 247 Practice Recommendations 248 Building the Relationship with Parents 249 Training Outcomes 250 Trainer and Trainee Characteristics 251 Intensity and Duration 252 Setting 252 Parent Homework 253 Behavioral Skills Training 253 Group Training 255 Technology 256 Generalization and Maintenance 256 Conclusion 257 References 258 Index 261 "This book discusses the latest evidence-based practices and how they can be implemented to address health problems in people with intellectual and developmental disabilities (IDD). It offers various intervention and prevention strategies for treating commonly encountered issues in patients with IDD, such as eating and sleeping disorders, repetitive self-harming behaviors, and personal hygiene problems. Primary strategies include encouraging healthful habits, reducing noncompliance and risk-taking behaviors, and direct intervention to promote optimum functioning while reducing discomfort, frustration, and adverse behaviors. In addition, contributors describe training and consultation models to enable readers to work more effectively with practitioners, clinicians, and parents as well as with the patients themselves. Topics featured in this book include: Compliance with medical routines. Increasing and maintaining exercise and other physical activities. Assistive technologies in severe and multiple disabilities. Substance use and health-related issues. Consultation with medical and healthcare providers. Parent training and support. Behavioral Health Promotion and Intervention in Intellectual and Developmental Disabilities is a valuable resource for researchers, clinicians, and graduate students in clinical psychology, behavioral therapy/rehabilitation, social work, public health, and other interrelated fields"--Provided by publisher "This book discusses the latest evidence-based practices and how they can be implemented to address health problems in people with intellectual and developmental disabilities (IDD). It offers various intervention and prevention strategies for treating commonly encountered issues in patients with IDD, such as eating and sleeping disorders, repetitive self-harming behaviors, and personal hygiene problems. Primary strategies include encouraging healthful habits, reducing noncompliance and risk-taking behaviors, and direct intervention to promote optimum functioning while reducing discomfort, frustration, and adverse behaviors. In addition, contributors describe training and consultation models to enable readers to work more effectively with practitioners, clinicians, and parents as well as with the patients themselves. Topics featured in this book include: Compliance with medical routines. Increasing and maintaining exercise and other physical activities. Assistive technologies in severe and multiple disabilities. Substance use and health-related issues. Consultation with medical and healthcare providers. Parent training and support. Behavioral Health Promotion and Intervention in Intellectual and Developmental Disabilities is a valuable resource for researchers, clinicians, and graduate students in clinical psychology, behavioral therapy/rehabilitation, social work, public health, and other interrelated fields." -- OhioLink Front Matter....Pages i-xii Health Conditions, Learning, and Behavior....Pages 1-19 Compliance with Medical Routines....Pages 21-42 Personal Hygiene....Pages 43-72 Increasing and Maintaining Exercise-Physical Activity....Pages 73-93 Assistive Technology in Severe and Multiple Disabilities....Pages 95-115 Body-Focused Repetitive Behaviors....Pages 117-136 Food Refusal and Selective Eating....Pages 137-161 Sleep and Sleep-Related Problems....Pages 163-176 Rumination Disorders....Pages 177-195 Substance Use and Health Related Issues....Pages 197-209 Consultation with Medical and Healthcare Providers....Pages 211-229 Parent Training and Support....Pages 231-255 Back Matter....Pages 257-260