The Neurobehavioral Continuum is designed to serve individuals with intellectual and developmental disabilities who have severe behavioral dysfunction, including self-injury, aggression, pica, elopement and other behaviors that put them and others at risk for injury and interferes with functioning effectively at home, school, and in the community. A broad continuum of care is provided across three levels of service: the Neurobehavioral Outpatient Clinic , which provides weekly outpatient services to patients who can be safely managed in the home; the Neurobehavioral Intensive Outpatient Program , which serves patients with more severe problems by providing outpatient therapy services to patients up to six hours per day, four to five days per week; and the Neurobehavioral Inpatient Unit , which serves patients with severe and treatment resistant behavioral dysfunction that necessitates hospitalization and interdisciplinary care.
- Physics of Fractal Operators (Institute for Nonlinear Science).
- Neurobehavioral Unit | Kennedy Krieger Institute!
- Slippin into Darkness?
- Time and Behaviour, Volume 120;
- Course Descriptions;
- Biological and Health Psychology Program Student Handbook.
- Table of Contents;
The mission of the Neurobehavioral Unit is to fully integrate clinical service with research, education, and advocacy to achieve the best possible outcomes with the patients we serve, and to benefit the larger community of individuals who engage in these problems. The integration of these activities was foundational to the establishment of the Johns Hopkins University School of Medicine, the Kennedy Krieger Institute as the first University Center of Excellence in Developmental Disabilities, as well as the Neurobehavioral Programs. Education through the Internship is central to the mission of the program.
The Neurobehavioral Continuum track provides a variety of training experiences in direct clinical service provision, program evaluation and administration activities, and research experiences to inculcate Interns in this service delivery model. Interns receive training in applied behavior analysis for the assessment and treatment of severe, treatment resistant problem behavior, learn how program evaluation and analysis of patient outcomes can be used to refine clinical services, and how research can be used to inform clinical care and advance knowledge.
After completing the track, the Intern should be prepared to function as a psychologist in a variety of settings including inpatient or outpatient hospital units, academia, traditional clinics, residential, and school systems. To achieve these goals, the Intern will provide clinical services across all three clinical programs that are integrated within the Neurobehavioral Continuum. Patients in each of the three clinical programs are diagnosed with developmental disabilities primarily autism and intellectual disability and present with severe behavioral dysfunction.
These patients engage in a variety of problem behaviors including but not limited to self-injurious behavior, aggression, disruption, property destruction, pica, and ritualistic behaviors, all of which affect their quality of life, and that of their families and other caregivers. These programs serve patients with severe problems that pose a risk for injury, and can result in permanent disfigurement and loss of function.
As part of the Neurobehavioral Continuum, during the first months the Intern completes activities primarily in the Neurobehavioral Inpatient Unit. This experience will provide the Interns with advanced training in applied behavior analysis with very severe and treatment resistant problem behavior in a highly controlled environment, to become familiar in the application of the most evidence-based assessment and treatment procedures.
Neurochemicals, Behaviours and Psychiatric Perspectives of Neurological Diseases
During the following months, the Intern will participate in a unique opportunity known as the Neurobehavioral Intensive Outpatient Program. This involves the Intern working with a patient and their family for 5 hours a day, 5 days a week, during a 3-week period to design a treatment that can be generalized to the relevant discharge settings such as home and school.
Journal of the Experimental Analysis of Behavior , , De Souza, A.
Facilitating the emergence of convergent intraverbals in children with autism. Journal of Applied Behavior Analysis, 52 , Minimizing Resurgence of destructive behavior using behavioral momentum theory. Journal of Applied Behavior Analysis , 51 , Further evaluation of differential exposure to establishing operations during functional communication training. Journal of Applied Behavior Analysis, 51 , Persistence during and resurgence following noncontingent reinforcement implemented with and without extinction.
DeSouza, A. Higgins, W. Journal of Applied Behavior Analysis, 50 , Evaluating the effects of discriminability on behavioral persistence during and following time-based reinforcement. Comparisons of synthesized and individual reinforcement contingencies during functional analysis.
Cross-domain transfer of quantitative discriminations: Is it all a matter of proportion?
Fuhrman, A. A preliminary investigation on improving functional communication training by mitigating resurgence of destructive behavior. Greer, B. Functional communication training during reinforcement schedule thinning: An analysis of 25 applications.
Course Descriptions | Psychology, University of Regina
Shamlian, K. Steege, M. Evaluation of multiple schedules with naturally occurring and therapist-arranged discriminative stimuli following functional communication training. Using multiple schedules during functional communication training to promote rapid transfer of treatment effects.