| How does this new information regarding the origins of the behavior change the intervention? |
|---|
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. |
Providing frequent attention and teaching alternative ways to communicate to access attention from others. |
continue with protective gear to maintain client safety, provide attention non-contingently to decrease the MO for engaging in SIB, teach her to solicit attention appropriately, |
teach functional communication to access attention and a concurrent schedule of reinforcement |
Consider how to implement non-contingent reinforcement in the form of attention can be used to reduce rates of self injury |
Due to self-injury increasing-remove extinction technique, provide non-contingent attention due to Tara being ignored throughout her life time, and pair with Tara to build a relationship |
Provide Tara with a high rate of attention |
Add in Skills Based Treatment such as teaching appropriate attention seeking behaviors while keeping the helmet on to protect her. |
increase are giver attention and teach ways to ask for attention |
Implement a NCR schedule of attention. Reinforce precursor behaviors to the SIB and simultaneously teacher alternative replacement behaviors to seek out adult attention. Adjust the environment to protect Tara in the event self-injury occurs. IF self-injury does occur, be present to help protect/response block. After a minute or two of no SIB attempts, provide vocal attention |
Remove extinction treatment |
| How does this new information regarding the origins of the behavior change the intervention? |
