Scenario 3 Escape Extinction Solutions


Problem-solving prompt Your response Response example
Problem or risk

serious injury to the client or others by increased rates and magnitude of SIB

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

4.09 – least restrictive procedures should be utilized – even the use of a helmet may be dangerous for Sandy or others.

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 for escape with differential reinforcement for the functional communication response

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.