The History and Evolution of Behavioral Approaches
and Positive Behavioral Interventions
Derrick Dufresne is the founder and a Senior Partner of Community Resource Associates, Inc. (CRA), a training and management consulting firm that is dedicated to promoting full community inclusion for individuals with disabilities. Since 1974, Derrick has been involved in both managing a statewide community residential program, and closing and converting 20 group homes to supported living arrangements. He is dedicated to implementing best practices in transforming service delivery systems, and committed to teaching the concepts and principles of person centered planning in a Medicaid environment. He possesses a wealth of knowledge and experience in financing and subsidies, and has utilized creative approaches to establishing affordable integrated housing for individuals with disabilities throughout the United States.
The video interview was conducted February 1, 2012.
The Early History of Behavioral Approaches
Early Work History in Northern Virginia
Use of Food and Tokens as Reinforcers
Staff Can Be Negative Reinforcers
Change the Environment to Change Behaviors
The Escalation of Negatives
Trust and Relationships
Look for Underlying Pain That May Cause Behavioral Issues
Look for Other Issues Behind Behavior
Lord of the Flies and Its Application to Behavioral Issues
The Use of Shock
Segregation by Label
Positive Behavior Supports
Advice to Parents and Self Advocates
Paper: From Behavior Management to Positive Behavioral Supports
by Bruce Kappel, with Derrick Dufresne and Mike Mayer
Article: The use of restraints and seclusion, concerns about the consequences, and legal and ethical questions about restraint and seclusion have dominated discussions and controversies in the human services field since the late 1700s. The article, Human Services Restraint: Its Past and Future, authored by David Ferleger, traces this history and discusses how the past has influenced contemporary practices.