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How does this new information regarding the origins of the behavior change the intervention?

Give high quality attention when Tara is engaging in safe behavior

provide NCR

Provide frequent, high value attention as NCR, then thin the duration/frequency over time. Teach alternative strategies that provide immediate access to adult attention and increase latency over time.

teach FCT with acceess to attention as well as noncontingent attention

They should be providing NCR instead of extinction and or add in a DRA

use an attention based procedure

It helps us work out a treatment. Extinction can lead to increasing behaviour , but non contingent reinforcement with attention may meet the need. and keep her safe.

i would give her attention that would not include somethign compatable with head banging

Utilize antecedent interventions

provide non contingent attention, other self coping skills and FCT to request attention

teach Tara how to appropriately get someone's attention. When attention is not available, teach strategies for coping mechanisms.

provide attentiong using NCR and teach tara how to ask for attention using FCT

Teach her how to ask for attention appropriately, using a DRO procedure. In the absence of head-SIB at a FR ratio of 1 minute; also provide attention at a variable rate as well, using NCR at a ratio of 1 every 3 minutes .

NCR for attention

Provide NCR of attention and shape appropriate behaviors.

Now that you know more about the client you can help teach the client safe replacement behaviors to engage in to replace SIB and help increase positive behaviors to receive attention.

Stop using extinction. Provide non-contingent reinforcement, teach alternative ways to gain attention

Identification of the trauma, lack of attention by caregivers and peers across multiple environments, provides the team with a way to start embedding attention outside of self-injury and extinction procedure.

Implementing a DRO for SIBS using a visual timer

Provide non contingent reinforcement on a very dense schedule

NCR

NCR for social SR+!!!

add attention schedule, and Rt schedule for extinction

Overall, the intervention would move from ignoring the behavior to actively meeting Tara’s unmet need for attention and safety, which is more likely to reduce self-injury over time.

Provide non contingent attention

How does this new information regarding the origins of the behavior change the intervention?