SUGGESTED RESPONSES

Problem-solving prompt Your response Response example
Problem or risk

The client could begin to engage in other, more interfering behaviors, to access the bathroom.

If the client’s behavior is escape-maintained, denying the bathroom breaks could lead to an extinction burst, extinction-induced aggression, and emotional behavior.
Relevant ethical codes

2.09, 4.02, 4.05, 4.09

3.01 Behavior analytic assessment – Some variation of a functional analysis should be conducted at the job site prior to making treatment recommendations
4.04 Approving behavior-change programs – An escape extinction procedure is not part of the current plan
4.05 Describing behavior-change program objectives – A risk-benefit analysis was never disclosed because the plan changed abruptly
4.09 Least restrictive procedures – Escape extinction is a highly restrictive procedure for an environment such as a job placement, which is low-restrictiveness

Treatment considerations

Reinforcing the amount of time the client is on the floor/engaging in work and making the time spent working more reinforcing than going to the bathroom for 10 minutes at a time.

To stay ethical and effective, Carol will need to make some quick decisions and give the problem the attention it requires. Carol can visit and make a definitive determination regarding the function. If it is escape, she might consider ways in which the job tasks could be more engaging for the client, such as providing continuous arbitrary reinforcement (headphones), NCR for escape (scheduled breaks), and contingency-based progressive delay to create greater temporal distance between requests to use the bathroom.