Parent Training for Disruptive Behavior

To access the video vignettes, please visit oup.com/RUBI Autism spectrum disorder (ASD) begins in early childhood and is characterized by impairments in social interaction and communication, restricted interests and repetitive behavior. As many as half of children with ASD between the ages of 3 and 8 also exhibit disruptive behaviors that interfere with their overall development and family functioning. This Therapist Guide, Parent Training for Disruptive Behavior, is designed for therapists to use with parents of children with ASD and challenging behaviors, such as tantrums, noncompliance, and aggression. Based on the principles of Applied Behavior Analysis and developed over more than a decade of research, the intervention consists of 11 core sessions as well as supplemental sessions, a home visit, and follow-up visits. Each session includes a therapist script, activity sheets, parent handouts, and checklists. Video vignettes are available online to illustrate concepts. The treatment manual is designed to be used in conjunction with the companion Workbook for parents. Each session is delivered individually in weekly outpatient visits. Homework assignments between sessions focus on implementing behavior change strategies collaboratively chosen by the therapist and parent.

Karen Bearss, PhD is Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington. Dr. Bearss specializes in the assessment and treatment of individuals with Autism Spectrum Disorder (ASD) and their families. Her current research focus is in developing, implementing, and evaluating evidence-based parenting interventions for children with Autism Spectrum Disorders (ASD). She is also invested in designing strategies for improving the dissemination and implementation of evidence-based treatments into the community. Cynthia R. Johnson, PhD is the Director of the Cleveland Clinic Center for Autism and faculty of the Lerner College of Medicine, Case Western Reserve University. She is currently the principal investigator of a NIH-funded grant studying the efficacy of parent training in the treatment of feeding problems. She has had prior NIH funding on the efficacy of parent training in the treatment of disruptive behaviors in young children with Autism Spectrum Disorder and the treatment of sleep disturbances. Dr. Johnson is a licensed psychologist and a board-certified behavior analyst- doctoral level. Benjamin Handen, PhD is Professor of Psychiatry and Pediatrics at the University of Pittsburgh School of Medicine and principal investigator of the University of Pittsburgh Autism Treatment Network (ATN). Over the past 30 years, Dr. Handen has led a number of federally-funded and foundation-funded studies involving both children and adults with autism spectrum disorder. His research has focused on both pharmacological and psychosocial interventions. He is a licensed psychologist and board-certified behavior analyst-doctoral level. Eric M. Butter, PhD is an Associate Professor of Pediatrics and Psychology at the Ohio State University and Chief of Pediatric Psychology and Neuropsychology at Nationwide Children's Hospital in Columbus, Ohio, where is also the Director of the Child Development Center. Dr. Butter is a Clinical Psychologist with specialization in autism spectrum disorder and other neurodevelopmental disabilities and his research has focused on the bio-medical correlates, potential etiologies and treatment of these disorders. Luc Lecavalier, PhD, is a Professor of Psychology and Psychiatry at The Ohio State University. He is a clinical psychologist who is interested in the assessment and treatment of individuals with autism spectrum disorder and other neurodevelopmental disabilities. He has authored or co-authored more than 100 publications on the topic. Tristram Smith, PhD, is the Haggerty-Friedman Professor of Developmental/Behavioral Pediatric Research at the University of Rochester Medical Center (URMC), where he leads federally funded studies comparing the efficacy of different interventions for children with autism spectrum disorder. He is also a clinician in URMC's Community Consultation Program, serving students with ASD and other intellectual disabilities in schools and other agencies. Lawrence Scahill, MSN, PhD, is Professor of Pediatrics at Emory University School of Medicine and Director of Clinical Trials at the Marcus Autism Center. He has played a central role in the Research Units on Pediatric Psychopharmacology (RUPP) Autism Network and the Research Units on Behavioral Intervention (RUBI).

CONTENTS
Acknowledgments
Introduction to the Manual
Introduction to the Behavior Support Plan
Core Sessions
Session 1: Behavioral Principles
Session 2: Prevention Strategies
Session 3: Daily Schedules
Session 4: Reinforcement 1
Session 5: Reinforcement 2
Session 6: Planned Ignoring
Session 7: Compliance Training
Session 8: Functional Communication Training
Session 9: Teaching Skills 1
Session 10: Teaching Skills 2
Session 11: Generalization and Maintenance Appendix A Telephone Booster
Appendix B Home Visit
Appendix C Parent Training Case Example with Sample Behavior Support Plan
Appendix D Problem-Solving Common Challenges in Implementing the Program
Appendix E RUBI Progress Note
References
About the Authors