Fitting_App1

For the highest efficiency, combine noncontingent access to matched stimulation (e.g., background white noise) with contingent RIRD to manage the behavior without removing him from the educational setting

Behavioral Contrast / Extinction Burst: If the team uses response interruption and redirection (RIRD) or sensory extinction (blocking the sound) during table work, the stereotypy may initially increase in intensity, rate, or duration, causing the behavior to temporarily worsen before it improves.High Rates of Re-occurrence (Rebound Effect): Since the behavior is maintained by internal sensations, if the alternative stimulus is removed or if the therapist is not constantly present, the vocalizations are likely to return to previous levels, as the "natural" reinforcer is always available to Cyrus.Distraction and Reduced Task Engagement: As noted, the alternative stimulus (e.g., a, toy, sensory item) successfully reduces stereotypy but still distracts Cyrus. The obstacle is finding a replacement that is engaging enough to compete with the vocal stimulation, yet not so stimulating that it prevents him from completing academic or self-care tasks.Implementation Fidelity of RIRD: Response Interruption and Redirection (RIRD) requires high consistency. If caregivers or staff cannot intervene immediately every time a vocalization occurs during self-care, the behavior will continue to be intermittently reinforced, making it more resistant to change.Increased "Escape" Behavior: If the vocal stereotypy is also partly serving to escape from difficult table tasks, interrupting the stereotypy may cause him to engage in other, possibly more severe, maladaptive behaviors to escape the learning demand.Generalization of Low Stereotypy: The low rates of stereotypy achieved in a controlled setting (like a table) may not generalize to natural settings (e.g., the bathroom during hygiene routines) where supervision might be less intense, as the need for sensory input remains

to expect that change will happen slowly.

If the behavior is automatically reinforced it may be more difficult to eliminate.

Review the research article that I am basing my findings on, provide family with a copy of it, ensure family is comfortable with the treatment and implementation of it.

While the treatment will likely be effective, there is no guarantee that the gains will maintain in the absence of direct intervention.

There may not be any reinforcers equivelant to vocal sterotopy.

Present alternative stimulus paired with reinforcement scheduled to fade

environmental stimuli are providing motivating operations

Consistency being necessary

Generalizing to natural contexts

I would expect vocal stereotypy rates to initially increase and steadily decrease if implementation of all parts of procedure are consistent.

Client may continue to engage in stereotypy while completing the desired task, would need step-up to alternative procedures like RIRD.

Implementation: When the child begins engaging in vocal stereotypy interrupt quickly and redirect to a prompted response. Implement immediately and consistently.
Outcomes: You may see a temporary increase in behavior. This is normal and is expected to decrease. Resistance may be observed, and challenging behaviors may escalate. Expect a gradual reduction of stereotypy, with an added goal of increased on task behavior

An increase in stereotypy or other challenging behavior

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When vocal stereotypy occurs during table work or self-care tasks, staff will interrupt immediately and redirect Cyrus to an appropriate response (e.g., answering, labeling, or continuing the task).
Appropriate engagement and task-related behavior will be reinforced consistently.
Competing stimuli may be available during breaks, not during instruction.

Inconsistent implementation across staff or caregivers
High response effort required to implement RIRD consistently
Temporary increase in stereotypy or escape behaviors
Cyrus becoming overly dependent on prompts or reinforcement
Difficulty maintaining attention without the competing stimulus
Generalization issues (improvement in structured settings but not others)

Ongoing staff training, fidelity checks, and adjustments to reinforcement schedules will be key to success.