Association for Behavior Analysis International

The Practical Functional Assessment and Skill-Based Treatment process has been shown to reduce problem behavior by teaching individuals functional communication, toleration of delays to reinforcement, and contextually appropriate behavior during those delays. Teaching procedures typically involved some form of escape extinction. Some settings and circumstances, however, have necessitated the development of procedures that do not rely on escape extinction for their efficacy. One promising model, called the Enhanced Choice Model (ECM, Rajaraman, et al. 2019), involves the participant having the choice to (a) participate in treatment sessions, (b) leave the treatment sessions and access reinforcers noncontingently, or (c) leaving the treatment context altogether (e.g., going back to their regular classroom). This current symposium highlights extensions of this model to a public-school setting in which three educators learned and implemented treatment components as a means of generalizing treatment outcomes. The second presentation will examine specific mands as a generalized outcome of the public school application. The third presentation describes a distance-based telehealth case in which the caregivers implemented all assessment and treatment components. The final presentation will be a literature review on the tendency for individuals to prefer contingent reinforcement, a potential factor in the efficacy of the ECM model.

The target audience for this session includes practicing behavior analysts who oversee behavior change programs that address severe problem and behavioral scientists who would like to learn more about the extent to which organisms will allocate their responding to contingent vs. non-contingent access to reinforcement when concurrent schedules of reinforcement are available.

Skill-based treatment (SBT) is a promising intervention package in which alternative responses to problem behavior, including an ‘omnibus’ mand (e.g., “excuse me, may I please have my way?”), are evoked and reinforced using synthesized contingencies (Hanley et al., 2014). A critical component of synthesized reinforcement in SBT is therapist compliance with (i.e., reinforcement of) all reasonable client mands. Thus, although specific mands are not explicitly trained via SBT, they may be strengthened as a byproduct of procedures for reinforcing explicitly taught alternatives to problem behavior. In this two-part study, 6 elementary students with emotional/behavioral disorders participated in an Enhanced Choice Model of SBT (Rajaraman et al., 2018). Novel therapists conducted specific mand assessments at baseline and post-treatment time points to evaluate the extent to which students emitted specific mands and problem behavior when single-contingency establishing operations were presented and the first response observed (i.e., specific mand or problem behavior) was reinforced. Results indicated problem behavior was more likely at baseline, while specific mands were more likely post-treatment. These preliminary data suggest specific mands may emerge or be strengthened over the course of ECM-SBT. Assessment and treatment procedures, proximal and generalized student outcomes, and implications for practice will be discussed.

Santiago, Hanley, Moore, and Jin (2016) showed that the interview-informed synthesized contingency analysis (IISCA; see Hanley, Jin, Vanselow, & Hanratty, 2014) and skill-based treatment process can result in socially validated outcomes when caregivers serve as interventionists during treatment sessions. However, many families who would benefit from receiving similar functional analytic services do not have access to professionals trained to implement functional analyses or function-based treatments. Advancements in teleconferencing technology may allow families without access to local professional support to receive functional analytic services. For example, Suess et al. (2016) demonstrated that when a BCBA provides implementation support via teleconference, parents can assess and treat their children’s problem behavior in their homes. We taught parents of children with autism to implement the IISCA and skill-based treatment process in their homes exclusively through teleconference support. To address additional safety concerns in the home setting, the enhanced choice model of treatment (Rajaraman et al., 2019) was used with one participant. Parents achieved differentiated functional analyses and a 100% reduction in problem behavior relative to baseline.