Impediments to widespread use of behavior therapy

Unfortunately, substantial impediments to widespread use of behavior therapy remain. Whereas the vast majority of children with ADHD receive pharmacotherapy at some point in their lives, only about 10% ever receive behavior therapy (Bosco & Robin, 1988). Common obstacles include noncompliance with or inconsistent implementation of behavior plans by parents and teachers, who view the demands of implementing the intervention as overly burdensome. Similarly, the systematic tracking and logging of data is a substantial problem for many individuals applying a behavior plan, yet, it is mandatory for the effective application of therapy. These difficulties are multiplied when more than one individual is undergoing behavior therapy in the same classroom or home environment and are further exacerbated when the therapies are individualized. There is a pressing need to overcome these barriers so that evidence-based behavioral treatments can be translated to the field, where they are badly needed.

Bosco, J. & Robin, S. (1980). Hyperkenesis: Prevalence and treatment. In C. Whalen & B. Henker (Eds.) Hyperactive children: The social ecology of identification and treatment (pp. 173-187). New York, Academic Press.


Anonymous said...

Nice article.

TheWellness Group said...

"Non-compliance" is not a term used any longer in the psychological world. When the intervention doesn't yield the desired outcome it is considered a failed plan, not the failure of the client. In other words, if the client doesn't follow through on the plan, the burden is on the therapist to find a better fit. Blaming the client by labeling him/her as "non-compliant" is counterproductive to treatment. If the client doesn't follow through on the plan the clinician failed to find the right intervention for that client. Anyway, we don't use that term anymore. We now say, "the treatment plan failed." You get the point.