| How does this new information regarding the origins of the behavior change the intervention? |
|---|
NCR for attention |
Provide NCR and teach alternatives |
Provide Tara with more attention for appropriate behaviors but all just general human attention. Reinforce when she is engage with an adult or a peer with high reinforcers. Also teach her how to request for attention from adults and peers. |
Teach skills on how to gain caregivers attention appropriately, NCR |
extinction is creating more SIB |
Teach functional communication response atention |
I would stop using extinction immediately. I would teach Tara how to get attention through FCT as well as build it into her day non-contingently and provide attention as reinforcement for all appropriate/safe behavior. |
NCR of attention |
Provide non-contingent attention |
Use DRA or NCR to increase attention when SIB is absent or low frequency |
The new information revealed that the head banging is an attempt at gaining more attention from those around her. Teach Tara more functional ways of gaining attention. |
FGT |
provide NCR att |
provide noncontingent reinforcement |
non contingent reinforcement |
The background information of Tara being triggered by being ignored needs to be considered in the intervention plan. And since extinction is not succeeding at decreasing the rate of SIB, the treatment plan needs to be re-evaluated to incorporate a new intervention technique that does not include planned ignoring or ignoring the behavior. Instead a replacement behavior should be offered or a DRI technique so that Tara is unable to engage in the head hitting. |
Provide non contingent reinforcement |
The Behavior Analyst should not use extinction as it appears to be ineffective. The Behavior Analyst could use a NCR- Attention instead. |
The new information suggests that Tara’s self-injury may be a learned method to gain attention or connection after a lifetime of being ignored. The intervention should shift from extinction to relationship-based reinforcement and emotional connection strategies: Provide noncontingent attention (NCR) throughout the day to meet Tara’s need for connection. Reinforce appropriate communication or help-seeking behaviors (e.g., “Can you sit with me?”) through Functional Communication Training (FCT). Use trauma-informed rapport-building activities to increase safety and trust before addressing self-injury directly. Reduce the use of protective equipment gradually while reinforcing calm, self-soothing behaviors. This new approach acknowledges that Tara’s self-injury functions as a desperate attempt to seek connection, not just as an operant behavior maintained by reinforcement. |
non-contingent attention |
There is a key area of deprivation and lack of human rights in Tara's life. Addressing this ideally with NCR and ensuring safety for Tara that she isn't going to be ignored going forwards |
behavior skills training, providing noncontingent attention, |
Focus on teaching Tara appropriate ways to request attention |
Provide noncontingent reinforcement on a 10-minute schedule and build in ample opportunities for adult attention. |
Providing noncontingent reinforcement |
| How does this new information regarding the origins of the behavior change the intervention? |
