As behavior analysts, one of the first things we do when looking at challenging behavior is look to any medical causes and contributions for challenging behavior before intervening. We recommend our clients go to an appropriate medical professional for this. A lot of times, though, getting to and through a medical appointment can be a significant challenge for some children and adults.
There are lots of strategies in the realm of applied behavior analysis (ABA) we use to help navigate a successful medical visit, but we especially put a lot of emphasis on antecedent strategies. These prevention strategies that we implement before an appointment help someone successfully get through it. They are powerful strategies!
One prevention strategy we use is modeling and role playing at home before medical appointments. We like using real medical equipment and materials (although nothing procedural, such as needles!) that can help ease fear when seen and used in a medical setting. Amazon sells real stethoscope and blood pressure cuff sets. (We found one for $12.95!) With young children, we use these during natural play opportunities with each other and dolls.
In addition to role playing and modeling before the appointment, when we’re at a doctor’s appointment it sometimes helps to ask for an extra stethoscope for the appointment. A parent or caregiver can model before the doctor or nurse uses it, or the patient can have one to use, too.
These are only a couple of prevention strategies, and we always need to individualize them to the person. Medical appointments are a critical area to intervene if challenging behavior in the medical setting is preventing treatment or exploration of medical needs.
Contact our BCBA at Ability ABA if you need any help or consultation!
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