| Identify a strategy that may be effective in this scenario. | When describing the treatment to caregivers or staff, what would you tell them to expect as far as implementation and outcomes? | What are the possible clinical obstacles you may encounter? |
|---|---|---|
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | teaching choice making skills to compete with restrictive behaviors | Create a new class of restrictive behavior |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | eh | eh |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | Singular or Guided | Unknown |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | ||
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | The idea would be to increase his positive responding to the choice that needs to be made | The client could become less motivated over time |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | We try to present Mike with choice sets of garment to wear which will be attached to his other preferred clothing. He will be provided with reinforcement for choosing and maintains his warm weather gear throughout the day. | The abolishing operation of the warm weather gear may difficult to overcome with typical reinforcers and Mike losing the garments may still be a problem. |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | ||
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | What to pair the the alternate choice with for reinforcer. He ma not "want" to have the choice alone, so pairing it with a reinfrder at first, then plan to fade the reinforceer. | Biases, guessing/randmo selcetion could occur |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | May be difficult to find other items that he will tolerate | Increase in problem behavior |
| Response interruption and redirection (RIRD) | resistance to wear winter clothing | interrupt and redirect |
| Competing stimulus | . | . |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | We give Michael the choice of items that he may want to wear | Michael may not make appropriate choices |
| Competing stimulus | • May be very useful in providing individuals access to programs and new environments (such as listening to headphones instead of self-talk at a vocational placement or chewing gum in the community instead of mouthing objects) | Behavior is maintained by automatic reinforcement and presents a problematic topography which might be replaced with an alternative response (interaction with stimuli) |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | The choice-making intervention could be implemented in which Michael is given a choice between choosing to wear winter clothing and receive reinforcement for choosing or receive nothing. If Michael does not chose he could be prompted to choose the winter clothing. | This treatment is more restrictive. |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | This will allow us to pair the less preferred item (winter coat) with a fun reinforcing item or activity. For example, we will give two options. a light jacket and no additional activity or the winter coat and a preferred activity (ipad or bubbles), which they can then access until they take the winter jacket back off. | Continuing to choose the other jacket that isn't the target. In this case, we would only give the choice of the winter jacket with the reinforcer and prompt if necessary (verbal, then model, then physical) |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | ||
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | ||
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | The procedure incorporates choice-making. Single and guided choices have both been shown to be effective in strengthening the individual's ability to tolerate the alternative choice. | The alternative choice becomes the restricted behaviour. To address this, have multiple exemplars to chose from. |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | There must be a conctat with reinforcement in the case the individual choise the new behavior. A vary powerful reinforcement needed initially | The individual choise the old behavior or don't choise nothing. |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | Provide choices for which accessories they would like to wear. | May not make a choice or find the choices interesting. |
| Competing stimulus | prompt e rinforzo del comportamento da aumentare | non so |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | We may have to use unconventional clothing, we may have to reinforce for longer duration of wearing, consistency is key | It may be dangerous for the individual to go for long periods without wearing the clothing |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | To give multiple options of beanies, scarves, and gloves before the winter months start as to prepare him early for the cold winter. Expect a few weeks of attempting the wear the garments in hopes that by the time it's winter he will be accustomed to the clothing | Outbursts of behavior that can be violent at first. However, consistency is key |
| Choice-making intervention for restrictive behaviors (Fisher et al., 2019) | Block response and escape extinction are used to keep the client in their clothes. | A new problem behavior may appear. |
| Response interruption and redirection (RIRD) | Block response and escape extinction are used to keep the client in their clothes. | A new problem behavior may appear. |
| Identify a strategy that may be effective in this scenario. | When describing the treatment to caregivers or staff, what would you tell them to expect as far as implementation and outcomes? | What are the possible clinical obstacles you may encounter? |
