SUGGESTED RESPONSES

Problem-solving prompt Your response Response example
Problem or risk

Injury to head, more restrictive setting

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

2.09(c) Treatment/Intervention Efficacy. In those instances where more than one scientifically supported treatment has been established, additional factors may be considered in selecting interventions, including, but not limited to, efficiency and cost-effectiveness, of the interventions, client preference, and practitioner experience and training.

4.03(a) Individualized Behavior-Change Programs. Behavior analysts must behavior-change programs to the unique behaviors, environmental variables, assessment results, and goals of each client.

4.09 Least Restrictive Procedures. Behavior analysts review and appraise the restrictiveness of procedures and always recommend the procedures likely to be effective.

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

FCT to request breaks, short in nature with a less preferred activity/item
High levels of preferred reinforcement for DRA for lengthy period of time.
Lengthy period to fade out reinforcers/breaks

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.