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Behavioral, Medication Review, and Advocacy Services
In line with the team’s main objective, BCBAs and graduate students assess and treat reported problem behaviors of foster children, while also programming for the acquisition of various skills. Due to their frequent interaction with prescribers, caregivers and caseworkers are trained by BCBAs on a multi-component program which includes viewing a video series on medication advocacy, completing Behavioral Skills Training and receiving various supports to use during upcoming appointments. These videos and documents can be found on the team’s website at https://cla.auburn.edu/apmrt/foster-parents/. For clients that fall outside of the service catchment area, a medical team member can write a recommendation letter to the child’s prescribing physician.
Community Presentations
To establish a multiple referral process and greater awareness on the potential risks of psychotropic medication, professional presentations are offered to foster parents, social workers, BCBAs, judges and prescribers. The team also works towards filling existing gaps in behavior analytic and related research for this unique population. For example, recent work by O’Brien, Rapp, and Kierce (2020) tracked medication changes in foster youth to investigate patterns of prescriber behavior, ultimately showing the absence of a systematic process for deprescribing psychotropic medication.
Overall, the team takes a systems approach to create positive and socially significant change within the lives of Alabama foster youth, while making strides to alter potentially harmful prescribing practices and disseminating the field of behavior analysis.
References
Luna, O., Rapp, J. T., Newland, M.C., Arena, R., La Pointe, L.L., Kierce, E., & Lusche, P. (2018). Alabama psychiatric medication review team (APMRT): Advocating for foster children. Behavior and Social Issues, 27, AA16–AA20. https://doi.org/10.5210/bsi.v.27i0.8298
O’Brien, C., Rapp, J. T., Kierce, E. (2020). Do prescribers deprescribe psychotropic medication for children in foster care? Developmental Child Welfare, 1-18.
BFSR wants to spotlight faculty, students, researchers, practitioners, and programs that are using behavior analysis to address important social issues. To nominate an individual, a group, or a program please submit a brief description HERE.