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Behavior Analysts’ Training and Practice Regarding Trauma-Informed Care

  • SI: Trauma-informed Practice in Behavior Analysis
  • Published:
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Abstract

Discussion of trauma and trauma-informed practices continues to be elusive in behavior analytic research despite the consideration that 60% of men and 50% of women in the general public are estimated to experience at least one traumatic event in their lifetimes (National Center for PTSD, 2023). In addition, it is estimated that, beyond post-traumatic stress disorder, an estimated 61% of adults have experienced at least one adverse childhood experience (Centers for Disease Control & Prevention [CDC], 2019). It is clear from these statistics that neither trauma nor adverse experiences are uncommon. Further, these individual histories often affect future behavioral functioning, potentially resulting in the referral of the individual for behavioral services. The current study surveyed Board Certified Behavior Analysts to assess behavior analysts’ current practices and perceptions of trauma-related concepts and to offer insight into how behavior analysts perceive their competence in this area of diversity. Descriptive and Ordinary Least Squares regression analyses were conducted to identify the perceptions and relationships between training and understanding of trauma-informed practices. The majority of respondents reported that training on trauma-related concepts is extremely important, yet further reported having little-to-no training on trauma-related concepts across their graduate coursework, fieldwork supervision, or continuing education. Implications and future research are discussed.

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Data availability

The datasets generated and analyzed during the current study are available from the corresponding author on reasonable request.

References

  • Association, A. P. (2022). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (5th edition). American Psychiatric Pub Inc.

  • Baer, D. M. (1987). Weak contingencies, strong contingencies, and many behaviors to change. Journal of Applied Behavior Analysis, 20, 335–337. https://doi.org/10.1901/jaba.1987.20-335

    Article  PubMed  PubMed Central  Google Scholar 

  • Bannerman, D. J., Sheldon, J. B., Sherman, J. A., & Harchik, A. E. (1990). Balancing the right to habilitation with the right to personal liberties: The rights of people with developmental disabilities to eat too many doughnuts and take a nap. Journal of Applied Behavior Analysis, 23(1), 79–89.

    Article  PubMed  PubMed Central  Google Scholar 

  • Beaulieu, L., Addington, J., & Almeida, D. (2019). Behavior analysts’ training and practices regarding cultural diversity: The case for culturally competent care. Behavior Analysis in Practice, 12(3), 557–575.

    Article  PubMed  Google Scholar 

  • Behavior Analyst Certification Board. (2017). BCBA task list (5th ed.). Littleton, CO: Author. https://www.bacb.com/bcba-bcaba-task-list-5th-ed/. Accessed 14 Apr 2022.

  • Behavior Analyst Certification Board. (2020). Ethics code for behavior analysts. https://bacb.com/wp-content/ethics-code-for-behavior-analysts/. Accessed 14 Apr 2022.

  • Cariveau, T., Shillingsburg, M. A., Alamoudi, A., Thompson, T., Bartlett, B., Gillespie, S., & Scahill, L. (2020). A structured intervention to increase response allocation to instructional settings for children with autism spectrum disorder. Journal of Behavioral Education, 29(4), 699–716.

    Article  Google Scholar 

  • Carrion, V. G., & Wong, S. S. (2012). Can traumatic stress alter the brain? Understanding the implications of early trauma on Brain Development and learning. Journal of Adolescent Health, 51(2), S23–S28. https://doi.org/10.1016/jadohealth.2012.04.010

    Article  Google Scholar 

  • Centers for Disease Control & and Prevention. (2019). Adverse childhood experiences (ACES): Preventing early trauma to improve adult health. CDC Vital Signs. https://www.cdc.gov/vitalsigns/aces/index.html. Accessed 24 April 2022.

    Google Scholar 

  • Cooper, J. O., Heron, T. E., & Heward, W. L. (2020). Applied Behavior Analysis. Pearson Education Limited.

    Book  Google Scholar 

  • Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258.

    Article  PubMed  Google Scholar 

  • Ferguson, J. L., Cihon, J. H., Leaf, J. B., Van Meter, S. M., McEachin, J., & Leaf, R. (2019). Assessment of social validity trends in the journal of applied behavior analysis. European Journal of Behavior Analysis, 20(1), 146–157.

    Article  Google Scholar 

  • Friman, P. C. (2014). Behavior analysts to the front! A 15-step tutorial on public speaking. The Behavior Analyst, 37(2), 109–118. https://doi.org/10.1007/s40614-014-0009-y

    Article  PubMed  PubMed Central  Google Scholar 

  • Garner, A., & Yogman, M. (2021). Preventing childhood toxic stress: Partnering with families and communities to promote relational health. Pediatrics, 148(2), e2021052582. https://doi.org/10.1542/peds.2021-052582

    Article  PubMed  Google Scholar 

  • Granpeesheh, D., Tarbox, J., & Dixon, D. R. (2009). Applied behavior analytic interventions for children with autism: A description and review of treatment research. Annals of cClinical pPsychiatry, 21(3), 162–173.

    Google Scholar 

  • Hagopian, L. P., Long, E. S., & Rush, K. S. (2004). Preference assessment procedures for individuals with developmental disabilities. Behavior Modification, 28(5), 668–677.

    Article  PubMed  Google Scholar 

  • Hartas, D. (2019). Assessing the foundational studies on adverse childhood experiences. Social Policy and Society, 18(3), 435–443.

    Article  Google Scholar 

  • Hartley, S. L., Barker, E. T., Seltzer, M. M., Floyd, F., Greenberg, J., Orsmond, G., & Bolt, D. (2010). The relative risk and timing of divorce in families of children with an autism spectrum disorder. Journal of Family Psychology, 24(4), 449–457. https://doi.org/10.1037/a0019847

    Article  PubMed  PubMed Central  Google Scholar 

  • Haruvi-Lamdan, N., Horesh, D., Zohar, S., Kraus, M., & Golan, O. (2020). Autism spectrum disorder and post-traumatic stress disorder: An unexplored co-occurrence of conditions. Autism, 24(4), 884–898. https://doi.org/10.1177/1362361320912143

    Article  PubMed  Google Scholar 

  • Heward, W. L., Critchfield, T. S., Reed, D. D., Detrich, R., & Kimball, J. W. (2022). ABA from A to Z: Behavior science applied to 350 domains of socially significant behavior. Perspectives on Behavior Science, 45, 327–359. https://doi.org/10.1007/s40614-022-00336-z

    Article  PubMed  PubMed Central  Google Scholar 

  • How Common is PTSD in Adults? (2023). [General Information]. U.S. Department of Veterans Affairs, VA.Gov. https://www.ptsd.va.gov/understand/common/common_adults.asp. Accessed 21 May 2022.

  • Jones, St., Peter, C. C., & Ruckle, M. M. (2020). Reporting of demographic variables in the Journal of Applied Behavior Analysis. Journal of Applied Behavior Analysis, 53(3), 1304–1315. https://doi.org/10.1002/jaba.722

    Article  PubMed  Google Scholar 

  • Kelly, A. N., Axe, J. B., Allen, R. F., & Maguire, R. W. (2015). Effects of presession pairing on the challenging behavior and academic responding of children with autism. Behavioral Interventions, 30(2), 135–156.

    Article  Google Scholar 

  • Kern, L., Choutka, C. M., & Sokol, N. G. (2002). Assessment-based antecedent interventions used in natural settings to reduce challenging behavior: An analysis of the literature. Special issue, Education & and Treatment of Children, 25(1), 113–130.

    Google Scholar 

  • Leaf, J. B., Townley-Cochran, D., Taubman, M., Cihon, J. H., Oppenheim-Leaf, M. L., Kassardjian, A., Leaf, R., McEachin, J., & Pentz, T. G. (2015). The teaching interaction procedure and behavioral skills training for individuals diagnosed with autism spectrum disorder: A review and commentary. Review Journal of Autism & and Developmental Disorders, 2, 402–413.

    Article  Google Scholar 

  • Michna, G. A., Trudel, S. M., Bray, M. A., Reinhardt, J., Dirsmith, J., Theodore, L., Zhou, Z., Patel, I., Jones, P., & Gilbert, M. L. (2023). Best practices and emerging trends in assessment of trauma in students with autism spectrum disorder. Psychology in the Schools, 60(2), 479–494.

    Article  Google Scholar 

  • Nelson, C. A., Scott, R. D., Bhutta, Z. A., Harris, N. B., Danese, A., & Samara, M. (2020). Adversity in childhood is linked to mental and physical health throughout life. British Medical Journal, 371, m3048. https://doi.org/10.1136/bmj.m3048

    Article  PubMed  PubMed Central  Google Scholar 

  • Petruccelli, K., Davis, J., & Berman, T. (2019). Adverse childhood experiences and associated health outcomes: A systematic review and meta-analysis. Child Abuse and Neglect, 97(2019), 104127. https://doi.org/10.1016/j.chiabu.2019.104127

  • Petscher, E. S., Rey, C., & Bailey, J. S. (2009). A review of empirical support for differential reinforcement of alternative behavior. Research in Developmental Disabilities, 30(3), 409–425.

    Article  PubMed  Google Scholar 

  • Post-traumatic stress disorder (PTSD)—Symptoms and causes—Mayo Clinic. (n.d.). https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/symptoms-causes/syc-20355967. Accessed 11 Jul 2023.

  • Rajaraman, A., Austin, J. L., Gover, H. C., Cammilleri, A. P., Donnelly, D. R., & Hanley, G. P. (2022). Toward trauma-informed applications of behavior analysis. Journal of Applied Behavior Analysis, 55(1), 40–61. https://doi.org/10.1002/jaba.881

    Article  PubMed  Google Scholar 

  • Rigles, B. (2017). The relationship between adverse childhood events, resiliency and health among children with autism. Journal of Autism & and Developmental Disorders, 47(1), 187–202. https://doi.org/10.1007/s10803-016-2905-3

    Article  Google Scholar 

  • Shillingsburg, M. A., Bowen, C. N., Peterman, R. K., & Gayman, M. D. (2015). Effectiveness of the direct instruction language for learning curriculum among children diagnosed with autism spectrum disorder. Focus on Autism & and Other Developmental Disabilities, 30(1), 44–56.

    Article  Google Scholar 

  • Shillingsburg, M. A., Hansen, B., & Wright, M. (2019). Rapport building and instructional fading prior to discrete trial instruction: Moving from child-led play to intensive teaching. Behavior Modification, 43(2), 288–306.

    Article  PubMed  Google Scholar 

  • Staubitz, J. L., Staubitz, J. E., Pollack, M. S., Haws, R. A., & Hopton, M. (2022). Effects of an enhanced choice model of skill-based treatment for students with emotional/behavioral disorders. Journal of Applied Behavior Analysis, 55(4), 1306–1341.

    Article  PubMed  Google Scholar 

  • Substance Abuse & and Mental Health Services Administration Trauma and Justice Strategic Initiative. (2012). SAMHSA's working definition of trauma and guidance for trauma-informed approach. Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  • Weiss, J. A., Wingsiong, A., & Lunsky, Y. (2014). Defining crisis in families of individuals with autism spectrum disorders. Autism: The International Journal of Research and Practice, 18(8), 985–995. https://doi.org/10.1177/1362361313508024

    Article  PubMed  Google Scholar 

  • Wolf, M. M. (1978). Social validity: The case for subjective measurement or how applied behavior analysis is finding its heart. Journal of Applied Behavior Analysis, 11(2), 203–214.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

This work was supported in whole or in part by the EC&ML Foundation. The opinions and conclusions expressed in this document are those of the author(s) and do not necessarily represent the opinions or policy of the EC&ML Foundation.

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Correspondence to Jennifer Hamrick.

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Protection of Human Subjects

Research for this study was approved by an institutional review board. Before beginning the survey, individuals were provided with an informed consent form embedded in the survey that they were required to complete to access the survey. Those who agreed to participate were free to stop the survey at any point with no negative consequences. No identifiable data was collected.

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Wheeler, K., Hixson, J., Hamrick, J. et al. Behavior Analysts’ Training and Practice Regarding Trauma-Informed Care. Behav Analysis Practice (2023). https://doi.org/10.1007/s40617-023-00836-7

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