ABSTRACT
The presence of challenging behaviour has serious consequences for people with ABI; it undermines their autonomy and results in exclusion from neurorehabilitation programmes and long-term incarceration in inappropriate facilities. Methods derived from new learning theory have proven efficacy in the successful management of these behaviours. However, the complexities of ABI and multiple drivers of challenging behaviour can bewilder clinicians as to how to go about this. In this chapter, a practical approach or model is described that attempts to guide practitioners through this process. The model has three key influences which underpin it: learning theory, applied behaviour analysis and single-case experimental design methodology. An explanation of each of these influences is provided, culminating in a description of the process model itself. Practical advice is proffered to enable clinicians to optimise use of the components of the model. A particular emphasis is made throughout on understanding the reasons driving behaviour, and utilising the consequent formulation in the design of meaningful, effective behaviour support plans.
