Jessel, Hanley, and Ghaemmaghami (2016) reported the results of 30 interview-informed, synthesized contingency analyses (IISCAs) and found the IISCAs to be an effective tool for identifying the functions of problem behavior across a variety of topographies, participants, and settings. Jessel et al. did not, however, include data on the effectiveness of the corresponding treatments. In the current study, we collected and summarized 25 additional applications, from analysis to treatment, in which the IISCA was applied in an outpatient clinic. The IISCA identified various social functions of problem behavior, which informed personalized treatments of functional communication training with contingency-based reinforcement thinning. A 90% or greater reduction in problem behavior was obtained for every participant by the end of the treatment evaluation. The assessment and treatment process was socially validated by caregivers who rated the procedures highly acceptable and helpful, and the improvement in their child's behavior highly satisfactory.

Using a latency measure during a functional analysis of problem behavior increases the brevity of the assessment period and decreases risks resulting from exposure to contexts intended to evoke problem behavior. In addition, latencybased functional analyses may be especially suitable for discrete behaviors such as elopement, which require resetting the environment after each instance of the response. We evaluated a comprehensive assessment and treatment package for the elopement of two children diagnosed with autism. We observed short latencies to elopement during the test condition of the analysis and no elopement during the control condition. We then taught the participants multiple forms of functional communication responses of increasing complexity while elopement was blocked. This was followed by the thinning of reinforcement to a terminal goal, creating a treatment package that nearly eliminated elopement and was socially validated by caregivers.

Compliance is often defined as the completion of a discrete task specified by a preceding instruction. However, compliance could also require the completion of a cluster of tasks, such as cleaning a room, getting ready for bed, or doing homework. We conducted this study to determine if a momentary differential reinforcement schedule would increase the on-task behavior of an adolescent with autism. The momentary differential reinforcement involved repeated momentary supervision checks, with tokens delivered for appropriate task engagement at that moment. The participant completed math worksheets and remained on task as the number of supervisions was faded from one every 30 s to one every 5 min.