Minimizing Escalation by Treating Dangerous Problem Behavior Within an Enhanced Choice Model.

Autor: Rajaraman A; Department of Psychology, UMBC, 1000 Hilltop Cir, Baltimore, MD 21250 USA., Hanley GP; Department of Psychology, Western New England University, Springfield, MA USA., Gover HC; Department of Psychology, Western New England University, Springfield, MA USA.; Ivymount School, Rockville, MD USA., Staubitz JL; Department of Special Education, Vanderbilt University, Nashville, TN USA., Staubitz JE; Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN USA., Simcoe KM; Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN USA., Metras R; Department of Psychology, Western New England University, Springfield, MA USA.
Jazyk: angličtina
Zdroj: Behavior analysis in practice [Behav Anal Pract] 2021 Apr 28; Vol. 15 (1), pp. 219-242. Date of Electronic Publication: 2021 Apr 28 (Print Publication: 2022).
DOI: 10.1007/s40617-020-00548-2
Abstrakt: To address dangerous problem behavior exhibited by children while explicitly avoiding physical management procedures, we systematically replicated and extended the skill-based treatment procedures described by Hanley, Jin, Vanselow, and Hanratty (2014) by incorporating an enhanced choice model with three children in an outpatient clinic and two in a specialized public school. In this model, several tactics were simultaneously added to the skill-based treatment package to minimize escalation to dangerous behavior, the most notable of which involved offering children multiple choice-making opportunities, including the ongoing options to (a) participate in treatment involving differential reinforcement, (b) "hang out" with noncontingent access to putative reinforcers, or (c) leave the therapeutic space altogether. Children overwhelmingly chose to participate in treatment, which resulted in the elimination of problem behavior and the acquisition and maintenance of adaptive skills during lengthy, challenging periods of nonreinforcement. Implications for the safe implementation of socially valid treatments for problem behavior are discussed.
Competing Interests: Conflict of interestThe authors declare that they have no conflict of interest.
(© Association for Behavior Analysis International 2021.)
Databáze: MEDLINE
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