Rationale, Development, and Description of a Brief Family-Centered Service Provision Model for Addressing Children’s Severe Behavior

Collin Shepley, Sally B. Shepley, R. Allan Allday, Melanie Tyner-Wilson, Daniel Larrow

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


For families with children with autism that engage in severe behavior, the American Academy of Pediatrics recommends that functional assessment and management of environmental variables contributing to severe behavior occur prior to the prescription of psychopharmacologic treatment. Despite the inclusion of this recommendation in guidance articles published in pediatric journals for more than a decade, access to such services may not be feasible, in particular for families living in rural and geographically isolated communities. Given that families often view pediatricians as their first line of professional guidance for addressing challenges surrounding child development, the inaccessibility of appropriate services for managing healthcare is a concern for many pediatricians. To address this issue, a brief family-centered service provision model was developed through a collaboration between healthcare providers at a university-based hospital and Applied Behavior Analysis program faculty of the affiliated university. The hospital served many families living in rural areas of the state; therefore, the model utilized research-based practices with evidence of ecological validity for providing function-based assessment and treatment services. Within this manuscript we present a description of the model and its current implementation at a university-based hospital. For a data-based evaluation of the clinic and model, we refer readers to https://osf.io/qx8ak.

Original languageEnglish
Pages (from-to)107-117
Number of pages11
JournalDevelopmental Neurorehabilitation
Issue number2
StatePublished - 2021

Bibliographical note

Publisher Copyright:
© 2020 Taylor & Francis Group, LLC.


  • Severe behavior
  • autism
  • community-based services
  • developmental disability
  • family-centered
  • program description

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Rehabilitation
  • Developmental Neuroscience


Dive into the research topics of 'Rationale, Development, and Description of a Brief Family-Centered Service Provision Model for Addressing Children’s Severe Behavior'. Together they form a unique fingerprint.

Cite this