EE Vignette 3

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Problem or risk presented by escape extinction:	Ethical codes that pertain to this problem:	Treatment considerations that mitigate or eliminate problem/risk associated with escape extinction:
Increase in problem behavior causing risk of head injury to the client	2.14 Selecting, Designing, and Implementing Behavior-Change Interventions 2.15 Minimizing Risk of Behavior-Change Interventions 4.06 Providing Supervision and Training 4.08 Performance Monitoring and Feedback 4.09 Delegation of Tasks	Teaching a FCT and FCR to the client, and then using a CBPD procedure to work on thinning reinforcement from a dense schedule to a more realistic, and socially valid procedure.
increased frequency of episodes of SIB and/or severity of harm	2.14 Selecting, Designing, and Implementing Behavior-Change Interventions Behavior analysts select, design, and implement behavior-change interventions that: (1) are conceptually consistent with behavioral principles; (2) are based on scientific evidence; (3) are based on assessment results; (4) prioritize positive reinforcement procedures; and (5) best meet the diverse needs, context, and resources of the client and stakeholders. Behavior analysts also consider relevant factors (e.g., risks, benefits, and side effects; client and stakeholder preference; implementation efficiency; cost effectiveness) and design and implement behavior-change interventions to produce outcomes likely to maintain under naturalistic conditions. They summarize the behavior-change intervention procedures in writing (e.g., a behavior plan). 2.19 Addressing Conditions Interfering with Service Delivery Behavior analysts actively identify and address environmental conditions (e.g., the behavior of others, hazards to the client or staff, disruptions) that may interfere with or prevent service delivery. In such situations, behavior analysts remove or minimize the conditions, identify effective modifications to the intervention, and/or consider obtaining or recommending assistance from other professionals. Behavior analysts document the conditions, all actions taken, and the eventual outcomes. 3.12 Advocating for Appropriate Services (1.04, 1.05, 2.01, 2.08) Behavior analysts advocate for and educate clients and stakeholders about evidence-based assessment and behaviorchange intervention procedures. They also advocate for the appropriate amount and level of behavioral service provision and oversight required to meet defined client goals.	conduct preference and reinforcer assessments, increase access to reinforcement and slowly increase demands
EXTINCTION BURST WITH potentially dangerous behavior could harm client	2.15 2.16	reinforcement procedures and FCT
Escape extinction for SIB is extremely risky as an escape extinction procedure may lead to an extinction burst and with SIB that is dangerous to the safety of the client.	I would need to look it up.	Antecedent Strategies to decrease the value of EO for escape.
increased behavior that may alter educational placement	safety, no plan for fading reinforcement schedule	completing tasks thinning reinforcement schedule building back classroom demands for avoidant escape maintained behavior
extinction burst and risk of injury	have to address the research or seek a mentor to find solutions	NCR
evans	val	erie
xcv	cc	c
Problem or risk presented by escape extinction:	Ethical codes that pertain to this problem:	Treatment considerations that mitigate or eliminate problem/risk associated with escape extinction: