Treatment of Aggression in an Adult With Intellectual Disability and Physical Impairment Through Function-Based Ambulatory Support [2018]

We report the case of a man who had intellectual disability and physical impairment, required assistance from care-providers when ambulating, and demonstrated aggression during transitions between locations. Results of a functional analysis suggested that aggression was negatively reinforced by termination of transition-assisted guidance from care-providers. Intervention evaluation found that aggression during transitions was eliminated by providing the man with ambulatory support through a gait-trainer device that removed the need for care-provider assistance. The case study supports and extends previous research on the analysis and treatment of problem behaviors occurring during environmental transitions.

Jill M. Harper, James K. Luiselli
Clinical Case Studies, December 14, 2018