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Chapter 38. Positive Behavior Interventions

Timothy J. Feeney, Ph.D.; Mark Ylvisaker, Ph.D.
DOI: 10.1176/appi.books.9781585624201.692106

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The focus of this chapter is on positive behavioral intervention for individuals with traumatic brain injury (TBI). After summarizing the literature on behavioral outcome of TBI with and without co-occurring disabilities, we describe the principles and procedures of a positive, antecedent-focused, context-sensitive approach to behavior management. In support of this approach, we introduce three neuropsychological considerations and look at available evidence, including a statewide program of behavioral supports and indicators of that program's effectiveness. Although pharmacological management often is a component of behavior interventions, review of the efficacy of pharmacological approaches is beyond the scope of this chapter. For an overall review of psychopharmacology in the management of TBI, see Chapter 35 in this volume.

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Table Reference Number
Table 38–1. Key procedural concepts in antecedent-focused management of challenging behavior
Table Reference Number
Table 38–2. Responses on the Community Integration section of the Participant Experience Survey (n = 37 of 46 participants living in New York State)

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