Tx_3

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How can the behavior analyst prepare the adult consumer for the new job?What are some additional considerations for this scenario?

Practice FCT with Time Delay and DRO

The behavior analyst can begin a DRO with contingency or a time delay.

Teach the adult consumer the tasks that will be assigned at work and teach alternative ways to incorporate hand stimming but still being productive at work.

A schedule can be introduced that teaches appropriate times of day where the adult can request his stim object. DRA can be used to reinforce alternative behaviors that keep his hands busy.

A delay may need to be introduced at first to teach the adult to wait for prolonges periods of time before he can have a break to stim.

Teach him to go for longer durations without hand stimming.

Provide stim objects that reduce his ability to get hurt, teach new lesser noticeable stims that will not interfere with work. Provide more frequent breaks to stim.

NCR, access to stimming object during breaks

reinforce on task behaviors

Na

na

multiple schedule reinforcement

signify when hand stimmiing is available
timed breaks
increase amount of time between hand stimming opportunities

where hand stimming should be done as to not draw attention to the worker

Practice time where the consumer can learn to ask for a break to engage with hand stimming. Use a DRA. Mulitple schedules where hand stimming is built into the daily schedule or where a break can be taken when a certain amount of work is completed. If the consumer needs a break earlier they can ask and be given a short time to engage in hand stimming.

Job coach to help with redirection until they can be thinned out.

DRA, shaping, NCR, tolerance response

multiple schedule

Concurrent schedule with break for no stimming, access to lots of alternative reinforcers.

Stimming is regulating and therefore needs to be supported regularly and management being made aware that this is normal behaviour that shouldn't be masked.

The BA can help to determine the current behavioral schedule of hand stimming, whether this schedule is acceptable at work. If not, to develop a plan to decrease the hand stimming time, so that the consumer can engage with work activities. He also needs to ensure that he has the FCR to request a stim object and able to transition back to work.

The context needs to be carefully considered, as there are specific times and durations which he will be allowed to appropriately engage in stimming activities. Also, how to self-initiate returning back to work from a stimming break.

thin the schedule of SR+

teach alternatives to hand stim behavior

Increased tolerance to not stimming.

Identifying when he can stim.

Recognize expectation or acceptable frequency/duration of stimming during the job.
Work towards providing the target frequency of stimming behavior using the stim object incrementally.

Teach client other stimulation which may be more appropriate during the job. For instance pressing pop-its in his pocket, listening to music or building a textured surface on the trolley for touch.

By teaching tolerance to delay for access to the stem object.

The large arena would offer a lot of opportunities for him to engage in his self-stimulatory behavior without being observed. He would need to be taught self-management strategies to keep him on task in the absence of direct supervision,

Fidgets, request for break

DRO

DRI

Thinned schedule

schedule thinning

social significance

Practicing Alternative behaviors

Hand stimming breaks

Multiple schedules

Work on multiple response topographies if he initial request is not reinforced.

Identify potential job coach that he help with the transition.

DRA with FCT to request breaks when hand stim escalations occur. Thin break schedule over time.

Expect resurgence, reinforce FCT with breaks

Practice
Role play

Renewal

How can the behavior analyst prepare the adult consumer for the new job?What are some additional considerations for this scenario?