IMPROVING THE PERFORMANCE OF YOUTH WITH DUAL SENSORY IMPAIRMENT - ANALYSES AND SOCIAL VALIDATION OF PROCEDURES TO REDUCE MALADAPTIVE RESPONDING IN VOCATIONAL AND LEISURE SETTINGS
La. Sisson et al., IMPROVING THE PERFORMANCE OF YOUTH WITH DUAL SENSORY IMPAIRMENT - ANALYSES AND SOCIAL VALIDATION OF PROCEDURES TO REDUCE MALADAPTIVE RESPONDING IN VOCATIONAL AND LEISURE SETTINGS, Behavior therapy, 24(4), 1993, pp. 553-571
One group that presents special problems for vocational and leisure sk
ills interventions comprises persons who are severely handicapped and
deaf-blind. To date, the focus of many treatment programs for this pop
ulation has been on reduction of nonfunctional, interfering, or harmfu
l behaviors, such as stereotypy, self-injury, and aggression. Although
deceleration procedures have been shown to reduce maladaptive respond
ing, there are few data available to determine whether decreasing inap
propriate responses impacts on adaptive functioning in natural environ
ments. Such data are especially important, given the emergence of grou
ps proscribing the use of many behavior reduction strategies. Thus, th
e current investigation attempted to assess both direct and concurrent
effects as well as the social validity of a combined differential rei
nforcement of alternative behavior (DRA) plus overcorrection program t
o eliminate behavior problems exhibited by two youths with profound me
ntal retardation and deaf-blindness. Results indicated: (a) Maladaptiv
e behaviors were controlled with behavioral interventions, and effects
were maintained for at least 6 months; (b) concurrent effects of trea
tment included increased time on-task and increased productivity, neit
her of which was targeted directly; and (c) subjects' performance in v
ocational settings was rated by independent judges as significantly im
proved following treatment.