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Clinical Case Studies
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Using a Differential Reinforcement of Incompatible Behavior (DRI) Schedule to Reduce Maladaptive Behaviors in a Nursing Home Resident

Adam P. Spira

Lesley P. Koven

Barry A. Edelstein

West Virginia University, Hopemont Hospital

The case of Donna, a nursing home resident, is presented. Donna engaged in seemingly intractable behaviors, including compulsive theft and prostitution. A variety of behavioral interventions failed to reduce these target behaviors. A differential reinforcement of incompatible responding (DRI) procedurewas implemented following functional assessment. Specifically, Donna’s attendance at structured recreational programs was reinforced with preferred edibles. Treatment resulted in significant increases in recreational programattendance and a concomitant reduction in the incompatible targeted behaviors.

Key Words: nursing home • differential reinforcement • behavioral intervention

Clinical Case Studies, Vol. 3, No. 2, 165-170 (2004)
DOI: 10.1177/1534650103259624
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