Behavioral assessment allows a clinician to identify environmental events that are contributing to challenging behavior to inform effective treatment. Recent developments in behavioral assessment and treatment have been devoted to creating practical procedures that can be conducted by clinicians in socially relevant settings. However, the extent to which these procedural modifications affect treatment outcomes has yet to be fully explored. We conducted a consecutive case series with 13 individuals admitted to an outpatient program to address their challenging behavior. The patients experienced a behavioral package conducted in three phases (practical functional assessment [PFA], behavioral treatment, extension). Results demonstrated near elimination of challenging behavior for all patients after extending the treatment to include denials to reinforcement and instructions to complete other tasks.

行为评估使临床医生能够识别导致挑战行为的环境事件，从而为有效治疗提供信息。行为评估和治疗的最新发展致力于创建可由临床医生在社会相关环境中进行的实用程序。然而，这些程序修改对治疗结果的影响程度尚未得到充分探索。我们对 13 名参加门诊项目的人进行了连续的病例系列研究，以解决他们具有挑战性的行为。患者经历了分三个阶段进行的行为包（实用功能评估 [PFA]、行为治疗、扩展）。