Systematic Review of Functional Analysis and Treatment of Elopement (2000-2015).

Abstract

Elopement is a dangerous behavior that is emitted by a large proportion of individuals with intellectual and developmental disabilities. Functional analysis and function-based treatments are critical in identifying maintaining reinforcers and decreasing elopement. The purpose of this review was to identify recent trends in the functional analysis and treatment of elopement, as well as determine the efficacy (standardized mean differences) of recent treatments. Over half of subjects' elopement was maintained by social positive reinforcement, while only 25% of subjects' elopement was maintained by social negative reinforcement. Elopement was rarely maintained by automatic reinforcement, and none of the studies in the current review evaluated treatments to address automatically maintained elopement. Functional communication training was the most common intervention regardless of function. Results are discussed in terms of clinical implications and directions for future research.