{"id":108691,"date":"2024-03-04T11:48:46","date_gmt":"2024-03-04T17:48:46","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/?p=108691"},"modified":"2024-03-11T09:41:52","modified_gmt":"2024-03-11T14:41:52","slug":"mmi-faculty-crafting-online-toolkit-for-clinicians","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2024\/03\/04\/mmi-faculty-crafting-online-toolkit-for-clinicians\/","title":{"rendered":"MMI faculty crafting online toolkit for clinicians"},"content":{"rendered":"
\n

Naomi sat in front of a handful of toys arranged in a semi-circle. She tossed aside a Rubik\u2019s Cube to begin playing instead with a stack of Magna-Tiles.<\/p>\n\n\n\n

And when her Magna-Tile structure was nearly finished, she smashed the tower and sent tiles scattering across the floor.<\/p>\n\n\n\n

That scenario was one of many filmed by the iEXCEL team at UNMC as part of an online toolkit for clinicians when assessing patients with behavioral issues.<\/p>\n\n\n\n

The project, \u201cDeveloping a Decision-Making Clinical Manual for Assessment of Challenging Behavior,\u201d is spearheaded by two Munroe-Meyer Institute faculty and is funded by an 18-month grant from Autism Speaks.<\/p>\n\n\n\n

Board-certified behavioral analysts Amanda Zangrillo, PsyD, director of the Munroe-Meyer Institute\u2019s Severe Behavior Department, and Tara Fahmie, PhD, associate director of the department, are the primary investigators.<\/p>\n\n\n\n

\u201cThis project is one of the first of its kind,\u201d Dr. Zangrillo said.<\/p>\n\n\n\n

Some people struggle with harmful or destructive behaviors, and this occurs at a higher rate for autistic individuals, she said. Not all practitioners have access to decision supports to guide their assessment and treatment practices, the grant proposal reads. Instead, they may rely on a relatively narrow subset of available strategies to assess challenging behavior.<\/p>\n\n\n\n

The project is designed to develop a decision-making manual \u2014 including decision supports, written protocols, and video models \u2014 that guides providers through selection of evidence-based practices to assess severe challenging behaviors. The manual also intentionally highlights client strengths and characteristics to arrange for individualized selection of assessment components matched with available practitioner and caregiver resources. <\/p>\n\n\n\n

\u201cWe use function-based interventions,\u201d Dr. Zangrillo said. \u201cA critical first step in this process is identifying the function of challenging behavior. Once we understand function we work with the client and stakeholders to develop an intervention.\u201d<\/p>\n\n\n\n

Ideally, practitioners can find a procedure or assessment that fits their individual client\u2019s needs rather than a one-size fits all approach, said Isaac Melanson, a PhD student in UNMC\u2019s Applied Behavior Analysis\u202fPhD Program.<\/p>\n\n\n\n

\u201cThe idea here is that it gives practitioners more options to expand their toolbox,\u201d Melanson said.<\/p>\n\n\n\n

Practitioners can visit the free online resource and enter their patient\u2019s demographic information to populate suggested assessment protocols. Those will be accompanied by videos and written directions.<\/p>\n\n\n\n

\u201cWe\u2019re learning about why and how practitioners make decisions,\u201d Dr. Zangrillo said. \u201cOur approach to patient care should use the right tool for the job \u2014 individualizing and prioritizing patients care with the variables and resources we have available to us.\u201d  <\/p>\n\n\n\n

The technology-enhanced platform is set to launch in late March 2024.<\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"

The project is designed to develop a decision-making manual that guides providers through selection of evidence-based practices to assess severe challenging 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