Beasley, J. B., Klein, A., & Weigle, K. (2016). Diagnostic, treatment and service considerations to address challenging behavior: A model program for integrated service delivery. In Rubin I.L., Merrick J., Greydanus D.E., Patel D.R. (eds) Health care for people with intellectual and developmental disabilities across the lifespan (pp. 1629-1644). Springer, Cham. https://doi.org/10.1007/978-3-319-18096-0_129
Abstract
Effective service to individuals with intellectual and developmental disabilities (IDD), especially those with challenging behaviors, requires a multimodal approach to assessment and treatment in addition to a comprehensive integrated system of care. In this chapter we provide an overview of the factors that contribute to challenging behavior for people with IDD. The START (Systemic, Therapeutic, Assessment, Resources and Treatment) program uses a World Health Organization (WHO) public health prevention model to address this need. Evidence from the START program indicates that a skilled integrated and coordinated approach to service delivery can reduce the need for acute care and emergency services.