Integrative Issues

Abstract

In previous chapters, we have illustrated the theoretical underpinnings and the clinical utility of specific behavioral procedures in the treatment of specific maladaptive behaviors. In the present chapter, we shall examine comprehensive, integrated behavioral programs in order to illustrate the applicability of these behavioral procedures to multiple problem behaviors. In doing this, we shall also illustrate the critical interaction between assessment and treatment. Although comprehensive behavioral assessment has been espoused by behaviorally oriented clinicians (e.g., Ciminero & Drabman, 1977; I. M. Evans & Nelson, 1977; Kanfer & Saslow, 1969; K. D. O’Leary & Johnson, 1979; see also Chapter 2), this espousal has often been more ideal than real. In fact, recent surveys reveal that a majority of behaviorally oriented clinicians do not employ multiple independent assessment measures (Ford & Kendall, 1979; Swann & MacDonald, 1978). In the first section of this chapter, we shall illustrate the use of comprehensive behavioral assessment and its role in the planning, implementation, and evaluation of comprehensive behavioral programs.