Study 1 evaluated agreement among five respondents using the Functional Analysis Screening Tool (FAST), the Motivation Assessment Scale (MAS) and Questions About Behavioral Function (QABF). Respondents provided ratings for 20 target behaviors exhibited by 10 individuals. At least 4/5 raters agreed on the primary maintaining variable in 80% of cases with the FAST, 70% of cases with the MAS, and 55% of cases with the QABF. Study 2 evaluated correspondence between results of anecdotal assessments and experimental functional analysis for 10 target behaviors selected from Study 1. Correspondence between the experimental functional analyses was 60% with the FAST and the MAS, 50% with the QABF.

Previous research has demonstrated that individuals with a dual diagnosis often engage in challenging behavior as a means to fulfil their needs and wants. Functional behavioral assessments (FBA) are a way of evaluating these behaviors and creating effective interventions to reduce them and increase socially appropriate alternative behaviors. The present study assessed the convergent validity for three types of FBAs, including the Questions About Behavioral Function (QABF) questionnaire, trial-based functional analysis, and traditional functional analysis, for three adults with a dual diagnosis within a day program setting. Results found correspondence between two forms of assessments, the trial-based functional analysis and traditional functional analysis, for one out of the three subjects. Due to a lack of engagement in the targeted behavior for the other two subjects, results were inconclusive. Results of the QABF did not match those of the functional analyses for any of the subjects, suggesting that the assessment should be used with caution. The trial-based functional analysis may be a viable tool for assessing function for the challenging behavior of adults with a dual diagnosis, although it should not be used as a replacement for the traditional functional analysis.

Functional analysis procedures were used to assess and treat multiple topographies of self-injurious behavior exhibited by an individual. An experimental functional analysis indicated that one topography, hand biting, appeared to be maintained by social positive reinforcement in the form of delivery of tangible items. The analysis also provided evidence that a second form of self-injury, skin picking, was automatically reinforced. To treat positively reinforced hand biting, access to a preferred tangible was arranged contingent on the omission of biting for a prespecified time interval. Hand biting was nearly eliminated, and low rates were maintained as the schedule of reinforcement was thinned to 10 min. Competing stimulus assessments identified that magazines effectively suppressed all occurrences of skin picking; therefore, noncontingent access to magazines was implemented. Using a combination of multielement and multiple baseline designs, we were able to demonstrate that the two topographies of self-injury were maintained by independent reinforcement contingencies and that interventions corresponding to each topography and function effectively treated both behaviors.