97155 Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutes

Name of the Procedure:

Adaptive behavior treatment with protocol modification, administered by a physician or other qualified health care professional, which may include simultaneous direction of a technician, face-to-face with one patient, each 15 minutes.

Summary

This procedure involves the real-time adaptation of behavioral treatment plans by a healthcare provider to better address the patient's needs. The healthcare professional may directly interact with the patient and guide a technician to ensure optimal clinical outcomes.

Purpose

Medical Condition or Problem Addressed

This procedure is commonly used to treat behavioral issues associated with developmental disorders, such as Autism Spectrum Disorder (ASD).

Goals or Expected Outcomes

The primary goal is to modify and improve the patient's behavior and social skills in real time. Expected outcomes include reduced maladaptive behaviors and enhanced adaptive functioning.

Indications

Symptoms or Conditions

• Impulsive or aggressive behaviors
• Deficits in social communication
• Repetitive behaviors
• Difficulty with daily living skills

Patient Criteria

Patients who have shown limited progress with standard behavioral treatment plans may benefit from this adaptive approach.

Preparation

Pre-Procedure Instructions

• No specific fasting or medication adjustments are typically required.
• Ensure the patient is well-rested and has eaten.

Diagnostic Tests or Assessments

• Initial behavioral assessments to understand the baseline behavior.
• Ongoing assessments to track progress.

Procedure Description

1. Initial Assessment: The healthcare provider assesses the patient’s current behavior and identifies areas needing modification.
2. Development of Treatment Plan: The provider, possibly with input from technicians, develops a tailored behavior protocol.
3. Implementation: The provider and technician work together to implement the plan, making real-time adjustments as necessary.
4. Interaction: The provider may direct the technician while interacting directly with the patient to model and reinforce appropriate behaviors.
5. Re-assessment: Periodic reevaluations to measure the effectiveness of the treatment and make further adjustments if needed.

Tools and Equipment

• Behavioral assessment tools
• Recording devices for data collection
• Reinforcement materials like tokens or rewards

Anesthesia or Sedation

Not applicable.

Duration

The procedure is performed in 15-minute increments, and the total number of sessions depends on the patient's individual needs.

Setting

This procedure can be performed in various settings, including outpatient clinics, specialized treatment centers, or even at the patient's home.

Personnel

• Physician or other qualified health care professional
• Behavioral technicians or therapists

Risks and Complications

Common Risks

• Temporary increase in maladaptive behaviors as the patient adjusts to new protocols

Rare Risks

• Minimal; the adaptive nature of the treatment nearly always ensures patient safety

Possible Complications and Management

• If a patient exhibits severe distress, the session may be paused or rescheduled

Benefits

• Improved behavior and social skills
• Enhanced quality of life and daily functioning
• Real-time adjustments ensure a personalized and effective treatment

Recovery

Post-Procedure Care

• Follow up with regular behavior assessments
• Ongoing reinforcement of adaptive behaviors at home and school

Expected Recovery Time

• Behavioral improvements can be seen within a few sessions, but long-term changes require consistent treatment.

Restrictions or Follow-up

• Regular follow-up appointments are necessary to track progress and make additional modifications as needed.

Alternatives

• Standard behavioral treatments without real-time modifications
• Pharmacological interventions
• Alternative therapies such as occupational or speech therapy

Pros and Cons

• Pros: More personalized and immediate adjustments compared to standard protocols
• Cons: Requires more frequent interaction with healthcare professionals and can be more resource-intensive

Patient Experience

During the Procedure

• Patients may initially feel confused or resistant but will become more familiar with the process over time.
• Emotional and behavioral responses will be variable but are generally manageable with the support of the healthcare team.

Pain Management and Comfort Measures

• Emphasis on positive reinforcement and creating a supportive environment.
• Technicians and providers will employ strategies to maintain patient comfort and engagement.