ABA Inside Track

Episode 261 - Strategies for Addressing Escape-Maintained Behavior

47 snips
Dec 13, 2023
Explore the fascinating world of escape-maintained behavior and its treatment strategies. Dive into the Geiger flowchart to discover how to select the right intervention for clients based on behavior severity and environment. Hear about seven treatment options, from activity choice to demand fading, each with its pros and cons. The hosts share illustrative case scenarios, offering practical insights into assessing and implementing effective strategies. Join them for a day filled with practical tips and thoughtful discussions!
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ADVICE

Match Treatment To Client And Setting

  • Use the seven treatment options (activity choice, curricular revision, demand fading, DRA/DNRA, FCT, DRO, NCE) and match one to client and setting constraints.
  • Prefer the least-intrusive effective option and ensure high procedural fidelity before adding components.
ADVICE

Start With Antecedent Interventions

  • Start with antecedent strategies like activity choice and curricular/instructional revision when possible to reduce the MO for escape.
  • If curriculum can't change, move to demand fading, DRA/FCT, or non-contingent escape as resources and safety allow.
ADVICE

Teach Safe Ways To Access Escape

  • Implement DRA/DNRA or FCT to teach alternative ways to obtain escape (e.g., comply for a break or request a break).
  • Combine DRA/FCT with careful schedule thinning and supervision to maintain effect.
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