Applied behavior management and acquired brain injury: Approaches and assessment

Individuals who have acquired brain injury (ABI) may express themselves thr ough the use of challenging behaviors, such as aggression, withdrawal, disi nhibition, and self-destructive behaviors. This article describes the effec tiveness of behavior interventions derived from the assessment of behavior in a community-based setting. The premise is that behavior, no matter how d ifficult, has function, purpose, and meaning for the individual. A therapeu tic model of behavior assessment is presented that bases its strength on be havior assessment and well-trained staff. A well-formulated behavior manage ment plan is developed, reinforcing alternative behaviors teaching skills, and reducing unwanted behaviors. Through the use of data collection methods , the treatment team identifies variables related to unwanted behavior and outcomes of consequences as they relate to the behavior. Illustrated throug h a case study, the behavioral treatment model is defined through behavior identification, initial assessments, treatment approaches, and tracking out comes.