Problem-solving prompt Your response Response example
Problem or risk

Sandy will continue to engage in SIB even in situations where she didn’t before – response generalization
Sandy will be moved to a more restrictive environment

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

2.02 Responsibility
2.03 Consultation
2.09 Treatment/Intervention Efficacy
3.02 Medical Consultation
4.07 Environmental Conditions that Interfere with Implementation
4.09 Least Restrictive Procedures
4.10 Avoiding Harmful Reinforcers

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

Providing Positive Reinforcement for Alternative Behaviors
Response Blocking
Use of non-mechanical restraints

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.