Scenario 2 Escape Extinction Solutions


Problem-solving prompt Your response Response example
Problem or risk

extinction burst that the facility or client cannot handle, resulting in injury to client or others, as well as termination from his job.

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

3.01 – conduct current assessments prior to treatment
3.02 – seek medical input if behavior may be due to a medical complication
4.02 – involve clients in treatment planning and gain their consent
4.04 – obtain approval prior to behavior change programs
4.05 – describe behavior change programs in writing

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

FBA to assess the problem behavior

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.