SUGGESTED RESPONSES

Problem-solving prompt Your response Response example
Problem or risk

Client may continue to take unapproved breaks and risks disciplinary action or loss of job placement

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 Treatment/Intervention Efficacy
4.03 Individualized behavior change program

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

Develop a plan for gradually thinning breaks to a structured schedule each day.

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.