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On Demand Workshop: Shaping Tolerance to Reduce Distress and Increase Comfortable Participation in Common Medical Procedures
This presentation was originally reviewed on September 11, 2023, and broadcast live online on September 15, 2023, from 12:00 PM – 1:00 PM ET.
The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.
Participation in common medical procedures (i.e., measurement of vital signs, brief physical exam) is a critical life skill. Many people experience distress and engage in challenging behavior during these procedures. Often, escape extinction is used to force participation for young children. Using escape extinction to force compliance is increasingly criticized by other disciplines and consumers of behavior analytic services. Shaping tolerance to these procedures is a viable alternative that is significantly less intrusive and has fewer side effects compared to escape extinction. Participants will identify and discuss concerns with the use of escape extinction for participation in common medical procedures, define shaping and how its components can be applied to tolerance as a skill, and develop a shaping procedure targeting tolerance of a common medical procedure.
Target Audience
This activity is intended for psychologists, social workers, counselors, behavior analysts, and other mental health professionals.
Learning Objectives
After this lecture, registrants will be able to:
1. Identify and discuss concerns with the use of escape extinction for participation in common medical procedures.
2. Define shaping and how its components can be applied to tolerance as a skill.
3. Develop a shaping procedure targeting tolerance of a common medical procedure.
There is no commercial support for this activity.
About The Speaker
Amanda Link has over 16 years of experience providing behavior analytic services to a wide range of individuals. She began her career in a Sheppard Pratt School program, working in the nonpublic school setting for nearly 10 years before transitioning to a supervising behavior analyst role with Little Leaves Behavioral Services. Amanda is thrilled to be back with Sheppard Pratt Schools as one of two Regional Manager of Behavioral Services. In her current role, Amanda oversees the behavior programming across 7 Sheppard Pratt School programs. Amanda earned her master’s degree in clinical psychology, a post-graduate certified in applied behavior analysis, and a post-graduate certificate in professional counseling. Amanda is a licensed behavior analyst (LBA) and graduate-level professional counselor (LGPC) in the state of Maryland and a member of the Maryland Association for Behavior Analysis, the Association of Professional Behavior Analysts, and the Association for Contextual Behavioral Sciences.
Disclosure Statements
Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she has with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt, and if there will be discussion of any products, services, or off-label uses of product(s) during this presentation.
Amanda B. Link, M.A., BCBA, LBA, reports that she has no relationships with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients during the past 24 months. She will not discuss any products, services, or off-label uses in this presentation. All conflicts have been mitigated through review.
Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months: Megan Anders, PhD, BCBA, L-BA, Todd Peters, MD, Deepak Prabhakar, MD, Elizabeth Ryznar, MD, MSc, Louis Marino, MD, Ehsan Syed, MD, Devi Bhuyan, PsyD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Lisa Illum, MLIS, MEd, and Jennifer Tornabene.
Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this continuing education activity. Sheppard Pratt designates this educational activity for a maximum of 1.0 contact hour for Psychologists.
Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this continuing education activity. This activity is approved for 1.0 contact hour in Category I credits for Social Workers.
Counselor Statement: Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098. Programs that do not qualify for NBCC credit are clearly identified. Sheppard Pratt is solely responsible for all aspects of the program. This activity is available for 1.0 NBCC clock hour.
Behavior Analyst Statement: Sheppard Pratt has been approved by the Behavior Analyst Certification Board as an Authorized Continuing Education (ACE) Provider, Provider Number: OP-22-0390. Sheppard Pratt is solely responsible for all aspects of the program. This activity is available for 1 contact hour.
Available Credit
- 1.00 ACEP NBCC clock hours
- 1.00 Behavior Analyst Certification BoardSheppard Pratt has been approved by the Behavior Analyst Certification Board as an Authorized Continuing Education (ACE) Provider, Provider Number: OP-22-0390. Sheppard Pratt is solely responsible for all aspects of the program.
- 1.00 Category II credits for Social Workers
- 1.00 Psychologists
- 1.00 Participation
ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME
Workshop: Shaping Tolerance to Reduce Distress and Increase Comfortable Participation in Common Medical Procedures
Amanda Link, MA, BCBA, LBA
Regional Behavior Services Manager, Northern Region
Sheppard Pratt Schools
Baltimore, MD
Originally reviewed on September 11, 2023.
Originally broadcast live September 15, 2023, from 12:00 PM – 1:00 PM ET.
Enduring Activity Credit Expiration Date: October 16, 2025.
Activity Time: One-hour webinar lecture with a 15-minute evaluation process. Total Time: 1:15
TO EARN CONTINUING EDUCATION CREDIT FOR YOUR ATTENDANCE
On the OVERVIEW or REGISTER/TAKE COURSE tab, select the GREEN RECTANGLE, TAKE COURSE to begin.
Select NEXT in the bottom right corner of the screen. Use the NEXT button for best results.
The PowerPoint handout will be available for download.
After downloading the handout, select NEXT to begin and watch the video.
You may need to select play for the video to begin.
After the video follow the prompts to complete the evaluation and attestation of credit.
Once you have completed all the components of the Course Progress bar, the certificate will be immediately downloadable.
FINANCIAL SUPPORT
There is no commercial support for this activity.
Questions? Look at our FAQ’s at https://cme.sheppardpratt.org/content/faq or Email cme@sheppardpratt.org
Required Hardware/software
Optimal System Configuration
Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher
Minimum Requirements
Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit
Hardware/Software Specifications
This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.