NotesFAQContact Us
Collection
Advanced
Search Tips
Peer reviewed Peer reviewed
Direct linkDirect link
ERIC Number: EJ1030850
Record Type: Journal
Publication Date: 2014
Pages: 9
Abstractor: As Provided
Reference Count: 10
ISBN: N/A
ISSN: ISSN-1931-5864
Graduated Exposure and Compliance Training Intervention for Blood Draw Avoidance and Refusal in a Woman with Intellectual Disability and Schizoaffective Disorder
Cromartie, R. Samuel; Flood, William A.; Luiselli, James K.
Journal of Mental Health Research in Intellectual Disabilities, v7 n2 p95-103 2014
This case report concerns a woman with intellectual disability, schizoaffective disorder, and avoidance and refusal of having her blood drawn. She required but refused blood draws to properly monitor the therapeutic dose of a necessary psychotropic medication. During intervention at a community-based habilitation setting and under simulated conditions, direct-care and supervisory staff (a) gradually exposed her to steps constituting a blood draw, (b) reinforced completed steps (praise and tokens), and (c) offered a monetary incentive to participate in an actual blood draw. Evaluated in a changing criterion design, the woman demonstrated increased compliance and eventually completed blood draws immediately following intervention, months later, and at 12- to 24-month follow-ups. We discuss implications from the case and the advantages of in vivo intervention for overcoming medical fears among people who have intellectual disability.
Routledge. Available from: Taylor & Francis, Ltd. 325 Chestnut Street Suite 800, Philadelphia, PA 19106. Tel: 800-354-1420; Fax: 215-625-2940; Web site: http://www.tandf.co.uk/journals
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A