Goal Objectives
-Target behavior
-Specific conditions
-Non-conditions
-Mastery criteria
-Maintenance
-Generalization
-Other measures
Base Intervention Recommendations on
-Assessment results
-Scientific evidence
-Client preference
-Contextual fit
Threats to Procedural Integrity
-Poor training
-Weak definitions
-Complex interventions
-Treatment drift
-Experimenter bias
-Reactivity
-Observer bias
-Preference
Procedural Integrity
Extent to which treatment is implemented exactly as planned
-Should be measured and assessed regularly
-Observations, self-reports, questionnaires, behavior rating scales, task analysis
Behavioral Contrast
When behavior-change gains do not generalize and there are behavior changes in the opposite direction in non-therapeutic contexts
-Ensure that intervention is implemented in all of the settings in which behavior occurs to avoid
Unwanted Effects of Extinction
-Extinction burst
-Increasing magnitude
-Extinction induced variability
-Aggression
-Emotional behavior
-Imitation
-Behavioral contrast
4 Defining Features of Behavior Analytic Interventions
-Conceptually systematic
-Evidence based
-Assessment results
-Prioritize positive reinforcement
-Meet diverse needs
Unwanted Effects of Punishment
-Emotional and aggressive responding
-Escape and avoidance
-Model of undesirable behavior
-Behavioral contrast
-Response generalization
-Parental concerns
Less Intrusive Environmental Manipulations
-Manipulating antecedent variables
-Changing or eliminating the MOs
-Changing or eliminating the SDs
Intervention Recommendations Based On
-Assessment results
-Scientific evidence
-Client preference
-Contextual fit
Constructional Approach
challenging behaviors are replaced with alternatives instead of just being eliminated
Eliminative Approach
challenging behaviors are just eliminated without anything in their place
Unwanted Effects of Reinforcement
-Emotional responding
-Adjunctive behaviors
-Target behaviors suppressed
-Approach to reinforcing agent
-Behavioral contrast
-Response generalization
-Aggressive response
-Transient effect
-Imitation
-Decrease in unreinforced behavior
-Excessive responding
-Stakeholder concern
Renewal
The occurrence of a previously extinguished behavior, after it had been eliminated in a different environment
When to Discontinue a Goal
When predetermined criteria for mastery, generalization, and maintenance have been achieved for that goal
Resurgence
Type of relapse likely when extinction procedures are paired with DRA procedures and the reinforcement for the alternative response is thinned or discontinued
When to Use Punishment
Only after desired results have not been obtained using less intrusive means, or when it is determined that the risk of harm to the client outweighs the risk associated with the behavior change intervention
Mitigating Relapse
-Procedural integrity
-Prepare stakeholders
-Reinforcement for multiple alternative behaviors
-Incorporate multiple sources of alternative reinforcement
-Delayed reinforcement
-Fade reinforcement gradually
-Extend DRA
Functionally Equivalent vs Alternative Behavior
Functionally equivalent behavior serves the same function as the challenging behavior. Alternative behavior is functionally inequivalent behavior that prevents the target behavior
Mitigating Unwanted Effects of Interventions
-Risk benefit analysis
-Informed consent
-Assent
-Collaboration
-FBA
-Least restrictive procedures
-Reinforcement
-Build new skills
-Ongoing monitoring
-Choice
-Staff training
Effective Collaboration
-Values and ethics
-Roles and responsibilities
-Interprofessional communication
-Teams and teamwork