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Clinical Case Studies
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Using Functional Assessment and Experimental Functional Analysis to Individualize Treatment for Adolescents in a Residential Care Setting

Clinton E. Field

Father Flanagan’s Boys’ Home

Heather M. Nash

University of Alaska Southeast

Michael L. Handwerk

Father Flanagan’s Boys’ Home

Patrick C. Friman

Father Flanagan’s Boys’ Home University of Nebraska School of Medicine

This case study describes the use of functional assessment in combination with experimental functional analysis as methods for informing and evaluating individualized treatment in a large residential treatment setting for adolescents. The case of John, a normally developed 12-year-old male, illustrates how functional information can be used to derive a simple treatment that can be effective in modifying previously intractable and highly disruptive behavior. Challenges associated with maintenance of treatment over time are described in relation to John’s follow-up status. Finally, recommendations are made about the utility of functional methodologies within residential care settings and the need for ongoing experimental evaluation testing limits of such methodologies.

Key Words: behavior therapy • residential care • functional analysis • functional assessment

Clinical Case Studies, Vol. 3, No. 1, 25-36 (2004)
DOI: 10.1177/1534650103258967
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