Over the past several decades, we have developed quality behavioral assessments and interventions for challenging behaviors among individuals with a variety of severe developmental and cognitive disorders. These assessments and interventions have been used to educate family members on how to understand and intervene with these behaviors at home and in community settings. However, it has become clear that many families are not able to carry out these procedures adequately. This case describes recent work that is designed to support families so that they can assist their challenging children. Fortunately, we have been able to demonstrate a way of looking at parental difficulties and have designed interventions for families so that they are better able to implement successful behavioral assessments and interventions. We will describe a concession process that can help explain these parental obstacles and can aid with creating specific supports to assist families struggling with these difficulties. We also discuss future directions for follow-up research.

在过去的几十年里，我们开发了高质量的行为评估和干预措施，以应对患有各种严重发育和认知障碍的个体的挑战性行为。这些评估和干预措施已被用于教育家庭成员如何理解和干预这些在家和社区环境中的行为。然而，很明显，许多家庭无法充分执行这些程序。这个案例描述了最近旨在支持家庭的工作，以便他们能够帮助他们具有挑战性的孩子。幸运的是，我们已经能够展示一种看待父母困难的方法，并为家庭设计了干预措施，以便他们能够更好地实施成功的行为评估和干预措施。我们将描述一个让步过程，可以帮助解释这些父母的障碍，并可以帮助建立具体的支持，以帮助那些在困难中挣扎的家庭。我们还讨论了后续研究的未来方向。