Problem-solving prompt Your response Response example
Problem or risk

Putting Sandy on escape extinction could cause serious harm to Sandy due to an extinction burst

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

2.09, 4.07, 4.09, 4.10

1.03 Maintaining competence through professional development – 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
1.04d Integrity – Ted and the school need to comply with the local laws
2.09a Treatment / Intervention efficacy – Ted has a responsibility to apply the most recent effective treatments described by the literature, and there are many options other than escape extinction
4.09 Least restrictive procedures – Ted might be making some assumptions that escape extinction is the only option
Treatment considerations

Creating two contingencies for escape. Escape using an appropriate behavior (functional communication) can be longer and involve a preferred activity. Escape using SIB can be shorter and with zero access to a preferred activity.

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.