Scenario 3 Escape Extinction Solutions

SUGGESTED RESPONSES

Problem-solving prompt Your response Response example
Problem or risk

Severe problem behavior. The school cannot provide protection for Sandy with head gear or safety place.

Sandy might be injured during treatment, especially if the treatment includes escape extinction
Relevant ethical codes

2.14 Selecting, Designing, and Implementing Behavior-Change Interventions
2.15 Minimizing Risk of Behavior-Change Interventions
4.06 Providing Supervision and Training
4.08 Performance Monitoring and Feedback
4.09 Delegation of Tasks

1.06 Maintaining Competence – It might be the case that Ted’s analysis of this options is limited by his narrow treatment scope and he could benefit from some training
1.02 Conforming with Legal and Professional Requirements – Ted and the school need to comply with the local laws
2.01 Providing Effective Treatment – Ted has a responsibility to apply the most recent effective treatments described by the literature, and there are many options other than escape extinction
2.15 Minimizing Risk of Behavior-Change Interventions – Ted might be making some assumptions that escape extinction is the only option
Treatment considerations

Teach FCT to access.
It might be achieved by teaching the FCR in a context where the problem behavior was never reinforced.  This is especially pertinent to new placements, new classrooms, new residences.  If the team can act proactively, then the behavior problems may be avoided in the new setting.

Ted might try using a dense NCR schedule whereby demands are faded-in using a fixed interval. As demands begin, Ted can use arbitrary reinforcers on a dense schedule to strengthen compliance while also reinforcing problem behavior as it occurs. Finally, an alternative response might be used to provide higher quality breaks than the SIB.