Behavior Analysis in Practice最新文献_第10页

Using Behavioral Economics to Inform Behavior Analyst Regulation Fees in Ontario 使用行为经济学通知安大略省的行为分析师监管费用

IF 2.2

Behavior Analysis in Practice Pub Date : 2023-11-29 DOI: 10.1007/s40617-023-00886-x

Albert Malkin, Karl F. Gunnarsson, Kendra Thomson, Promise O. Tewogbola, Eric A. Jacobs

{"title":"Using Behavioral Economics to Inform Behavior Analyst Regulation Fees in Ontario","authors":"Albert Malkin, Karl F. Gunnarsson, Kendra Thomson, Promise O. Tewogbola, Eric A. Jacobs","doi":"10.1007/s40617-023-00886-x","DOIUrl":"https://doi.org/10.1007/s40617-023-00886-x","url":null,"abstract":"This study applied behavioral economic methods to assess the effects of regulatory cost on demand for the opportunity to practice behavior analysis in Ontario using a hypothetical purchase task. The provincial government of Ontario recently passed legislation to expand the psychology regulatory body to include behavior analysts. Professional regulation has been a key longstanding priority for many professionals in the province and the Ontario Association for Behaviour Analysis (ONTABA, 2021) alike. This is an important step in public protection policy, the professionalization of the practice of applied behavior analysis (ABA), and standards of practice in the province. This study aimed to inform part of the process using an operant demand framework because fees are required to operate regulatory bodies, which implies that professionals interested in becoming regulated health professionals must pay initial and ongoing fees. Demand was analyzed using the exponentiated model of demand. Participants included 60 practitioners, who indicated they were board certified behavior analysts and Ontario residents. The findings indicated that participants’ mean Pmax value (the price at which consumption becomes elastic) was $624.65 at the aggregate level. These results may indicate Ontario behavior analysts’ perceptions of the acceptability of varying costs associated with regulation. Further, the study demonstrates the applied utility of behavioral economic methods to assess demand for commodities within behavior analysis.","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":" 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138492511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Public Policy, Legislation, and Licensure in Nevada: Lessons Learned 内华达州的公共政策、立法和执照:经验教训

IF 2.2

Behavior Analysis in Practice Pub Date : 2023-11-29 DOI: 10.1007/s40617-023-00884-z

Brighid Fronapfel, Ken MacAleese, Nina McCartney, Molly Halligan, Diana Wilson

引用次数: 0

The Long and Winding Road to Professional Regulation in Ontario Canada 加拿大安大略省通往专业监管的漫长曲折之路

IF 2.2

Behavior Analysis in Practice Pub Date : 2023-11-28 DOI: 10.1007/s40617-023-00880-3

Kendra Thomson, Rosemary Condillac, Kim Trudeau-Craig, Louis Busch, Julie Koudys, Evangelo Boutsis, Joan Broto

{"title":"The Long and Winding Road to Professional Regulation in Ontario Canada","authors":"Kendra Thomson, Rosemary Condillac, Kim Trudeau-Craig, Louis Busch, Julie Koudys, Evangelo Boutsis, Joan Broto","doi":"10.1007/s40617-023-00880-3","DOIUrl":"https://doi.org/10.1007/s40617-023-00880-3","url":null,"abstract":"This article describes the long and winding road to regulation of behavior analysts in Ontario, Canada over the past 25 years. It is written from the perspective of some of the many volunteers of the professional association (Ontario Association for Behaviour Analysis) who have contributed to this goal. The information has been corroborated by historical records and publicly available information. The need for public protection and oversight of behavior analysis was noted in our field more than 50 years ago and continues to be relevant. With changes to international certification and concerns raised by some constituents about ABA practices, many jurisdictions continue to seek support for regulatory oversight. The goal of this article is to inspire behavior analysts in other jurisdictions to advocate for protection of the public and for recognition and oversight of the profession through policy reform. To this end, we have documented our collective efforts and experiences and suggested strategies that worked in our context that may generalize to other jurisdictions. In the end, efforts to promote ethical, effective, and socially valid ABA services will advance our field and enhance the benefits for those we support.","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":" 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138492507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Regulation Down Under 澳大利亚的监管

IF 2.2

Behavior Analysis in Practice Pub Date : 2023-11-28 DOI: 10.1007/s40617-023-00879-w

Alayna T. Haberlin, Michelle A. Furminger, Alexandra L. Brown, Claire M. Connolly

引用次数: 0

Advocacy and Open Science in the UK: Case Studies in the Autism Wars 英国的倡导和开放科学:自闭症战争中的案例研究

IF 2.2

Behavior Analysis in Practice Pub Date : 2023-11-28 DOI: 10.1007/s40617-023-00881-2

Mickey Keenan, Karola Dillenburger

{"title":"Advocacy and Open Science in the UK: Case Studies in the Autism Wars","authors":"Mickey Keenan, Karola Dillenburger","doi":"10.1007/s40617-023-00881-2","DOIUrl":"https://doi.org/10.1007/s40617-023-00881-2","url":null,"abstract":"Individuals on the autism spectrum experience a wide range of support needs and it comes as no surprise that opinions differ as to the best way to provide necessary supports. Some articulate self-advocates argue that societal acceptance of neurodiversity is the key issue. These views have clashed with those of parents and professionals who advocate for access to evidence-based interventions for profoundly autistic children and adults. The consequences of these kinds of differing opinions are so far-reaching that the term “autism wars” was coined. In this article, we argue that although acceptance of diversity is obviously important, this should include an openness to diverse scientific traditions, especially if lack of such openness limits public policy and adversely affects individuals and families. “Open Science” holds much promise in many fields, but its influence cannot be taken for granted when it comes to evidence-based support practices that are grounded in the science of behavior analysis. Benefiting from open science in autism research requires well-developed advocacy skills. To illustrate, we use case studies from the UK, where advocates of open science have met with intractable obstacles.","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":" 7","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138492508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preventing Insurance Denials of Applied Behavior Analysis Treatment Based on Misuse of Medically Unlikely Edits (MUEs) 预防基于医学不可能编辑滥用的应用行为分析治疗的保险拒保

IF 2.2

Behavior Analysis in Practice Pub Date : 2023-11-22 DOI: 10.1007/s40617-023-00877-y

Julie Kornack, Daniel R. Unumb, Ashley L. Williams

{"title":"Preventing Insurance Denials of Applied Behavior Analysis Treatment Based on Misuse of Medically Unlikely Edits (MUEs)","authors":"Julie Kornack, Daniel R. Unumb, Ashley L. Williams","doi":"10.1007/s40617-023-00877-y","DOIUrl":"https://doi.org/10.1007/s40617-023-00877-y","url":null,"abstract":"AbstractThe importance of obtaining full insurance coverage of all medically necessary applied behavior analysis (ABA) services without artificial limits on scope, intensity, duration, or beneficiaries of treatment is at the core of autism health care advocacy. Although some limitations, such as dollar limits, treatment hour caps, or restrictions on location of services or symptoms treated are obvious, others are more nuanced. One such area meriting increased attention is insurers’ use of Medically Unlikely Edits (MUEs) in ways that can improperly limit care, reduce access, and undermine quality. Unfortunately, behavior analysts may unwittingly act as ambassadors for improper limits by treating MUEs as fixed limits on treatment and conscientiously counseling fellow practitioners to adhere to MUEs as if they cannot lawfully be exceeded. This is not surprising given that a number of payors appear to apply MUEs for ABA in exactly that erroneous fashion. In fact, MUEs arise from a program implemented by the Centers for Medicare and Medicaid Services (CMS) to flag potential fraud and billing errors and are not and never were intended to limit medically necessary ABA. As ABA practitioners seek to preserve and expand funding that allows treatment in accordance with generally accepted standards of care, care must be taken to ensure that practical administrative procedures and billing requirements do not undermine these efforts. Correct utilization of MUEs should be on the agenda of payors, regulators, policymakers, and behavior analysts to safeguard access to ABA, free of improper limits that threaten to lower the standard of care.","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":" 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138492500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Providing Buffers, Solving Barriers: Value-Driven Policies and Actions that Protect Clients Today and Increase the Chances of Thriving Tomorrow 提供缓冲，解决障碍:价值驱动的政策和行动，保护今天的客户，增加明天繁荣的机会

IF 2.2

Behavior Analysis in Practice Pub Date : 2023-11-20 DOI: 10.1007/s40617-023-00876-z

Teresa Camille Kolu

{"title":"Providing Buffers, Solving Barriers: Value-Driven Policies and Actions that Protect Clients Today and Increase the Chances of Thriving Tomorrow","authors":"Teresa Camille Kolu","doi":"10.1007/s40617-023-00876-z","DOIUrl":"https://doi.org/10.1007/s40617-023-00876-z","url":null,"abstract":"Between 1990 and 2018, regions spent between 2.67% (Europe) and 3.6% (North America) of their GDP to treat harmful behavioral, medical, and other effects of significant adverse experience (Bellis et al., 2019 The Lancet Public Health, 4(10), e517–e528). Although dose-dependent exposure to adverse childhood experiences harms long-term medical health (e.g., Anda et al., 2006; European Archives of Psychiatry & Clinical Neuroscience, 256, 174–186, Anda et al., 2008; American Journal of Preventive Medicine, 34(5), 396–403, Dong et al., 2004; Circulation, 110(13), 1761–1766, Felitti and Anda, 2009), six specific buffers (nurturing relationships; nutrition; physical activity; sleep; mental health support; and reducing stress) protect against these harmful health impacts (Purewal et al., 2016, Zero to Three, 37(1), 10–17). However, barriers related to access, information, resources, or behavioral needs prevent many from experiencing the benefits. This article describes an approach in which each buffer area is addressed in the context of its overlap with behavior analytic practice, and supported by related policy suggestions. Providers are invited to adopt an informative buffer policy as an antecedent to client services; establish a collaborative network of providers and resources; and expand buffer promotion beyond clients to other stakeholders including caregivers and staff. The aim of this article is to inspire and empower individuals to use several specific actions: (1) learn about buffers and consider barriers to them; (2) educate others about buffers and barriers to them; (3) scan a client’s environment for buffers and barriers; and (4) consider ways to install buffers and resolve barriers for clients or others as appropriate.","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":" 3","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138492504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Analysis of Voting and Legislative Behavior 投票与立法行为分析

IF 2.2

Behavior Analysis in Practice Pub Date : 2023-11-20 DOI: 10.1007/s40617-023-00875-0

John W. Scibak

{"title":"An Analysis of Voting and Legislative Behavior","authors":"John W. Scibak","doi":"10.1007/s40617-023-00875-0","DOIUrl":"https://doi.org/10.1007/s40617-023-00875-0","url":null,"abstract":"Despite the scope and breadth of applied behavior analysis (ABA) over its 60-year history, little attention has been directed toward the formulation and implementation of public policy. This lack of attention is notable because Skinner (1953) posited that government is probably the most obvious agency engaged in the control of human behavior. Although behavioral strategies have been employed to address policy issues, most studies examined small groups in circumscribed settings. Glenn’s (1988) conceptualization of the metacontingency provided a framework for examining public policymaking, with culturo-behavioral science rapidly emerging as a means to further advance our understanding of the complex interactions involved in social and cultural systems (Glenn, 2003; Malott & Glenn, 2019) and the continuing evolution of public policy. This article focuses on voting as an operant behavior and the interlocking behavioral contingencies (IBCs) at play when citizens vote at the polls and lawmakers are voting on potential legislation. Because virtually all legislative bodies have specific protocols regarding everything from legislative drafting to floor debate, the majority of their activity involves rule-governed behavior. In contrast, the votes which a legislator casts, like those of the general public in an election, are contingency-shaped behaviors. One key difference between the vote cast by a private citizen and a legislator are the external consequences that can be imposed following the vote by legislative or governmental leaders. Despite having only a small number of behavior analysts serving in legislatures, recent successes surrounding licensure and mandated insurance coverage for behavior analysis have resulted in a greater awareness by legislators and policymakers of the need and value of such services, suggesting that this is an opportune time for behavior analysts to become more involved and shape public policy.","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":" 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138492501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Public Policy Advocacy Actions Checklist: Success Stories from Three States 公共政策倡导行动清单:来自三个州的成功案例

IF 2.2

Behavior Analysis in Practice Pub Date : 2023-11-20 DOI: 10.1007/s40617-023-00874-1

Rebecca L. Thompson, Jessica Belokas, Katherine Johnson, Ashley L. Williams

{"title":"The Public Policy Advocacy Actions Checklist: Success Stories from Three States","authors":"Rebecca L. Thompson, Jessica Belokas, Katherine Johnson, Ashley L. Williams","doi":"10.1007/s40617-023-00874-1","DOIUrl":"https://doi.org/10.1007/s40617-023-00874-1","url":null,"abstract":"Public policy advocacy is crucial to ensure equitable access for all those seeking applied behavior analysis (ABA) services. Based on their experiences engaging in state-level public policy advocacy, the authors created a Public Policy Advocacy Actions Checklist that summarizes specific strategies they found to be successful with a variety of public policy issues relevant to ABA. Although this article focuses on advocacy efforts related to Medicaid reimbursement rates and Medicaid policies for ABA service provision, the strategies presented have also been used to advocate for coverage of telehealth ABA services, licensure for behavior analysts, and mandates for commercial insurance to cover ABA and/or autism intervention. The State of Wisconsin is used to illustrate implementation of the Public Policy Advocacy Actions Checklist, and the states of Arizona and Massachusetts are presented as additional examples of successful advocacy efforts using these strategies. This article walks behavior analysts through the process of identifying the local challenges and opportunities, developing advocacy goals, implementing an action plan, collecting data, recruiting support from the community, and influencing policy makers to implement favorable policy changes. The authors present additional resources to support new behavior analyst advocates including links to free advocacy toolkits, tips on selecting a lobbyist, recommendations for meetings with policy makers, a sample budget request, and two examples of “call to action” communications encouraging members of the community to contact their representatives regarding a specific issue. Finally, the successful advocacy outcomes and remaining opportunities for advocacy in each of these three states are discussed.","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":" 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138492505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Why Public Policy Matters: A Call to Action for the Everyday Behavior Analyst 为什么公共政策很重要:对日常行为分析师的行动呼吁

IF 2.2

Behavior Analysis in Practice Pub Date : 2023-11-16 DOI: 10.1007/s40617-023-00878-x

Bethany Coop, Emily D. Ice, Alexandra Tomei, Rebecca Urbano Powell

引用次数: 0