Family Accommodation and Severe Problem Behavior: Considering Family-Based Interventions to Expand Function-Based Treatment.
| Autor: | Strohmeier CW; Kennedy Krieger Institute and Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: strohmeier@kennedykrieger.org., Schmidt JD; Kennedy Krieger Institute and Johns Hopkins University School of Medicine, Baltimore, Maryland., Furlow CM; Canopy Children's Solutions, Jackson Mississippi. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of the American Academy of Child and Adolescent Psychiatry [J Am Acad Child Adolesc Psychiatry] 2020 Aug; Vol. 59 (8), pp. 914-917. Date of Electronic Publication: 2020 Jul 28. |
| DOI: | 10.1016/j.jaac.2020.01.021 |
| Abstrakt: | Family involvement in routines that exacerbate and maintain child anxiety is referred to as family accommodation. Family involvement is also related to maintenance of severe problem behavior (SPB) demonstrated by children with intellectual and developmental disabilities (IDD). Family members may deliver attention, tangible items, or remove aversive task demands that produce temporary cessation, or avoidance of SPB, but long-term maintenance. This Clinical Perspectives article describes parallels between the treatment of family accommodation in child anxiety and the assessment and treatment process for SPB. Suggestions are described for borrowing the concept of family accommodation to help caregivers of children who demonstrate SPB begin to approach previously avoided contexts. A case vignette is provided to illustrate strategies for targeting family accommodation as an expansion of function-based treatments for SPB. (Copyright © 2020 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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