| How does this new information regarding the origins of the behavior change the intervention? |
|---|
NCR...attention from adults non-contingent on performance...moving to a DRA |
Provide Tara with NCR |
Attention can be delivered non-contingently. |
provide NCR at a FR to satiate need for attention from others |
FCT for attention |
eliminate use of extinction, use of non-contingent attention |
NCR |
There should be differential of alternative behavior and active teaching / reinforcing of a replacement behavior that serves the same function as SIB |
Staff can provide Tara with NCR and provide attention through conversation. Work with Tara on conversation skills. FCT to gain attention appropriately. |
Teach how to mand for attention - functional communication. |
provide NCR for attention in intervals |
NCR/FCT |
Teach alternative ways to access attention |
NONE |
Clearly the ignoring didnt sereve the function as planned, therefore the BCBA should implement another plan to decrease the head hitting |
Stop any form of ignoring the behavior as this is the original trigger to self- injury. Provide non contingent attention to Tara then eventually work in appropriate ways to gain attention and reinforcement. |
The new information suggests that Tara's self-injury may be driven by a deep need for attention from others around her due to a history of being ignored. Instead of relying on extinction, which may represent more trauma for Tara, the behavior analyst should consider a trauma-informed approach that prioritizes building connections and providing positive attention. Interventions could focus on teaching Tara appropriate ways to seek connection by using differential reinforcement of alternative behaviors to strengthen appropriate ways to request attention from others. |
Give Tara 1:1 attention on a regular non contingent reinforcement schedule. Praise Tara when she is observed to engage in functional tasks and/ or positive behaviors on a VR-1 schedule. Teach Tara functional communication to get attention: tap the person's shoulder, give eye contact or say the person's name or action she needs e.g. "help me please" When she does this, the reinforcement is highly preferred to the attention she gets for hitting her head. Immediately eliminate the extinction procedure, the behavior is too dangerous to ignore. |
previous history of trauma indicates that extinction is not suited for this member and instead the use of NCR might be a more adequate recommendation with fading reinforcment schedule and DRO |
Extinction has caused the behaviors to increase |
NCR for specific durations on timed internals with visual prompts for when this will occur. |
Extinction wont be effective in this case. Considered providing non-contingent attention throughout the day. |
the behavior analyst could pair with the client |
NCR in the form of attention |
Providing frequent attention and teaching alternative ways to communicate to access attention from others. |
| How does this new information regarding the origins of the behavior change the intervention? |
