This article serves as an initial program evaluation of a service provision model for providing applied behavior analysis services to families with severe behavior needs. A retrospective consecutive case series design was used to evaluate the effectiveness, feasibility, and cost of the model. We analyzed records for all families served through the model from summer 2017 to fall 2018. A total of 55 families received services, with 87% of children having autism and 63% having an intellectual disability. Within-participant single-case experimental designs were used to evaluate the clinic’s assessment procedures, and caregiver interviews were used to evaluate the feasibility and effectiveness of developed and implemented treatments. Conclusive assessment results were obtained for approximately 69% of children. For families that received treatment, 92% reported improved child behavior. Intent-to-treat analyses that included families that withdrew from services prior to receiving treatment indicated that 61% of families experienced improved child behavior. Assessment and treatment outcomes for families that attended all appointments are commensurate with those of other similar clinics reported in the literature; however, the percentage of families that withdrew from services is substantially higher. For families adhering to the clinic’s services, children’s challenging behavior may be effectively assessed and treated through brief outpatient contacts utilizing services based on applied behavior analysis.

中文翻译：

---

治疗儿童严重行为的以家庭为中心的简短服务提供模式评估：回顾性连续病例系列分析

本文作为为有严重行为需求的家庭提供应用行为分析服务的服务提供模型的初步程序评估。回顾性连续病例系列设计用于评估模型的有效性、可行性和成本。我们分析了从 2017 年夏季到 2018 年秋季通过该模型提供服务的所有家庭的记录。共有 55 个家庭接受了服务，其中 87% 的儿童患有自闭症，63% 的儿童患有智力障碍。参与者内部的单例实验设计用于评估诊所的评估程序，并使用护理人员访谈来评估开发和实施的治疗方法的可行性和有效性。大约 69% 的儿童获得了结论性的评估结果。对于接受治疗的家庭，92% 的人报告说儿童行为有所改善。包括在接受治疗前退出服务的家庭的意向治疗分析表明，61% 的家庭儿童行为有所改善。参加所有预约的家庭的评估和治疗结果与文献中报告的其他类似诊所的评估和治疗结果相称；然而，退出服务的家庭比例要高得多。对于坚持诊所服务的家庭，可以通过简短的门诊联系利用基于应用行为分析的服务来有效评估和治疗儿童的挑战性行为。包括在接受治疗前退出服务的家庭的意向治疗分析表明，61% 的家庭儿童行为有所改善。参加所有预约的家庭的评估和治疗结果与文献中报告的其他类似诊所的评估和治疗结果相称；然而，退出服务的家庭比例要高得多。对于坚持诊所服务的家庭，可以通过简短的门诊联系利用基于应用行为分析的服务来有效评估和治疗儿童的挑战性行为。包括在接受治疗前退出服务的家庭的意向治疗分析表明，61% 的家庭儿童行为有所改善。参加所有预约的家庭的评估和治疗结果与文献中报告的其他类似诊所的评估和治疗结果相称；然而，退出服务的家庭比例要高得多。对于坚持诊所服务的家庭，可以通过简短的门诊联系利用基于应用行为分析的服务来有效评估和治疗儿童的挑战性行为。退出服务的家庭比例要高得多。对于坚持诊所服务的家庭，可以通过简短的门诊联系利用基于应用行为分析的服务来有效评估和治疗儿童的挑战性行为。退出服务的家庭比例要高得多。对于坚持诊所服务的家庭，可以通过简短的门诊联系利用基于应用行为分析的服务来有效评估和治疗儿童的挑战性行为。