Behavior Therapy in the Management of Home and School Behavior Problems with a 4½-Year-Old Hemophilic Child

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Abstract
A 4½-year-old child with severe classic hemophilia evidenced persistent behavior problems in both the home and school settings. Behavioral intervention consisted of a point system for the daily contingency management of appropriate and inappropriate behaviors in the home, as well as a home-based contingency system for the management of classroom behaviors. The behavioral program resulted in significant positive changes in both the home and school settings, with a 12-month follow-up in the home and a 7-month follow-up in the school demonstrating maintenance of the therapeutic gains. The results are discussed within the context of secondary prevention of later adjustment difficulties in the child with hemophilia.

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