Safety in Clinical Settings: Designing an Effective Monitoring System and Making Data-Based Decisions

Hardesty workshop 19

Date: Tuesday, October 15, 2019
Time: 1:00 p.m. - 5:00 p.m.
Location: Schiphol/Ben Gurion

Staff working in clinical and human service settings (e.g., nurses) are at high risk of being injured on the job, (Bureau of Labor Statistics [BLS], 2014); however, little is known regarding injury rates among human service workers providing applied behavior analytic (ABA) services. Following federal and state-level policy changes, the number of board certified behavior analysts reached record numbers (Deochand & Fuqua, 2016) with services being delivered in homes, schools, clinics and hospitals.  ABA providers may be at a particularly higher risk of injury than other providers due to clients served, as well the methodology employed, which relies on evoking challenging behaviors.

The Neurobehavioral Unit (NBU), at the Kennedy Krieger Institute is the nation’s first ABA-based hospital program for severe behavior disorders.  It is a 16-bed inpatient unit, serving individuals 4-21 years old. Individuals admitted to this unit present with some of the most treatment-resistant and extreme forms of challenging problem behaviors observed within the intellectually disabled population. Tracking and monitoring the form, frequency and severity of injuries on the NBU is critical to the prevention of further staff injuries. Participants will be provided with key predictor variables of injury (e.g., client-related, staff-related and contextual) identified from data obtained from staff injuries on the NBU over a 5-year period. Proactive and reactive safety efforts employed by the NBU will be shared, and case examples will be provided.

Samantha Hardesty croppedSamantha Hardesty

Samantha Hardesty is board certified behavior analyst with over 15 years of experience in the assessment and treatment of severe behavioral disorders. Samantha works at the Kennedy Krieger Institute and has overseen and provided direct services to individuals aged 4-21 diagnosed with autism and related disorders in both the inpatient and outpatient clinics. She served in a dual role on the Neurobehavioral Unit where, in addition to her clinical duties, she helped develop and monitor performance improvement projects related to staff recruitment, safety, and training. Samantha frequently serves as a reviewer for the Journal of Organizational Behavior Management and has several clinical and OBM publications in peer-reviewed journals.

Samantha received her master’s degree in Applied Behavior Analysis from University of Maryland Baltimore County (UMBC) and is graduating in Dec 2019 with her Ph.D. in Clinical Psychology from UMBC. She is currently completing a doctoral internship within the Neurobehavioral Outpatient and Pediatric Feeding Disorders Clinic at the Kennedy Krieger Institute.

Lynn Bowman croppedLynn G. Bowman

Lynn is the Director of Direct Care Services and a Senior Behavior Analyst on the Neurobehavioral Unit (NBU) at the Kennedy Krieger Institute. She is an Assistant Professor in the department of Psychiatry and Behavioral Sciences at Johns Hopkins University School of Medicine.  Lynn supervises behavior teams employing functional analysis and behavior analytic interventions aimed at addressing the severe behavior disorders of children with developmental disabilities.  She also oversees the NBU Direct Care Managers, approximately 120 direct care staff, and the NBU recruitment team.  Lynn has over 25 publications in peer-reviewed journals, has served on the Editorial Board of JABA for over 10 years, as well as served as a reviewer for many other scientific journals. In addition, she enjoys taking the lead on hospital performance improvement projects on topics related to staff training, departmental policies, infection control, behavior analytic supervision, and recruitment. 

Lynn is a founding Co-Director, Treasurer, and newly appointed President of the Maryland Association for Behavior Analysis and was appointed by former Governor Martin O'Malley to the newly established Behavior Analysis Advisory Committee for the Maryland Department of Health and Mental Hygiene, which is responsible for developing regulations for licensure of behavior analysts in Maryland.  She is a member of many Kennedy Krieger leadership committees and has served the BACB as a task force member.