UNDERSTANDING AND USING EXTINCTION PROCEDURES

Similar documents
Implementing Discrete Trial Teaching

Jason Garner, M.A. ABA Clinical Director

12/19/2016. Autism Spectrum Disorders & Positive Behavior Supports a brief overview. What is the Autism Spectrum? Autism Spectrum Disorder

Autism Spectrum Disorders & Positive Behavior Supports a brief overview

STRATEGIES FOR SUCCESSFUL INSTRUCTION

2/24/2019. A Little About Me! Lyndsay Wheeler, M.Ed., BCBA, LBA Executive Treatment Operations Director. What are we going to cover today?

APPLIED BEHAVIOR ANALYSIS (ABA) THE LOVAAS METHODS LECTURE NOTE

Functional Analysis. Individualized Behavior Intervention for Early Education

Overview. Environmental Causes of Problem Behaviours Exhibited by Children and Youth with Autism Spectrum Disorder: Assessment

Bonnie Van Metre M.Ed., BCBA Kennedy Krieger Institute Center for Autism and Related Disorders

Research. News and Notes About Scientific Research on ASD and Other Developmental and Behavioral Disorders. Fall 2017

Created and Presented by Anahita Renner, MA, BCBA Clinical Director AUTISM INTERVENTIONS & RESOURCES, INC

Overview. Autism Home Support Services: Balancing In-Home Services and School Consulting

What is Behavior? Course Objectives. What is Behavior? 11/2/13. (And how do we manage it?)

Functional Behavior Assessment: The beginning of a Function-Based Behavioral Approach to Eliminating Restraint and Seclusion

The Functional Analysis of Behavior: History, Applications, and Implications

Using Antecedent Based Intervention & Reinforcement: From an Elementary Perspective

Consequent Interventions

9/5/18. BCBAs in Dementia Care: Clinicians to Manage Challenging Behavior. What Do Behavior Analysts Do?

MAKING IT WORK AS AN ABA THERAPIST

Functional Communication Training with Demand Fading. To Reduce Self-Injurious Behavior. Introduction

Behavioral Treatment Strategies. Yiliana Puerto, M.S., BCBA BCBA Program Manager PsychSolutions, Inc.

Practical Strategies to Address Challenging Behavior. Bridget A. Taylor, Psy.D., BCBA-D, Alpine Learning Group

Increasing Independent Task Engagement in an Individual. with Autism. A thesis presented. Jessica Paredes

The application of behavioral principles to feeding. Changing behavior is a messy issue! Changing feeding (or any) behavior is a messy issue

Learning Objectives. Definitions of Wandering. Copyright 2014, University of Rochester 1. Leaving an area without supervision or caregiver permission

FA and RX Workbook (2017) by Gregory P. Hanley, Ph.D., BCBA-D

DSM V Criteria for Autism Spectrum Disorder

Introduction to ABA and Targeting Challenging Behaviors. By: Kirsten Powers Trumpet Behavioral Health

Idiosyncratic Functions: Severe Problem Behavior Maintained by Access to Ritualistic Behaviors

FUNCTIONAL ASSESSMENT: HYPOTHESIZING PREDICTORS AND PURPOSES OF PROBLEM BEHAVIOR TO IMPROVE BEHAVIOR-CHANGE PLANS

Glossary.

7/31/11. Problems in technology transfer EXT DOES WORK!!! What is extinction (EXT)? EXT doesn t work means what?

Problems in technology transfer

IMMEDIATE AND SUBSEQUENT EFFECTS OF RESPONSE BLOCKING ON SELF-INJURIOUS BEHAVIOR. Katy Atcheson, B.A. Thesis Prepared for the Degree of

BACB Fourth Edition Task List Assessment Form

Behavioral Interventions for Severe Aggression and Self Injurious Behavior

Running head: UTILITY OF TWO DEMAND ASSESSMENTS 1. An Evaluation of the Relative Utility of Two Demand Assessments

Chapter 13 Understanding Problem Behaviors through Functional Assessment Functional assessment

What is Autism? Katherine Lamb, Ph.D., CCC/SLP GSHA2018 1

Staff Development Day 2013

CLINICAL PRACTICE OT PROCEDURES ESCAPE/AVOIDANCE HIERARCHY SELF CONTROL OCCUPATIONAL THERAPY: SENSORY INTEGRATION

Behavior Management: Special Topics in TBI

2/2/2017. Understanding Why and How Behavior Changes. Deficits? Strengths? Behaviors? Services/ Interventions? Parent, Professional, Peer prospective?

PRACTICAL AND ETHICAL ISSUES IN CURRENT FUNCTIONAL ANALYSIS METHODOLOGY: POTENTIAL SOLUTIONS

Operant Conditioning

Functional Assessment and Analysis. Functional Analysis and Positive Behavior Support for Adults with Disabilities: Part Two 4/27/2016

A Comparison of Functional Analysis Results When Conducted in Contrived and. Home Settings. A Thesis Presented. Dana DeIngenis

An Introduction to Behavior Management

Welcome to Special Learning s ABA Online Training Course. Decreasing Problem Behavior with an FBA: Part 1 - The Assessment. Christine Austin, BCaBA

Putting the Function in Function Analysis: Effective Functional Analyses of Problematic Behaviors

COMBINING INTERVENTION STRATEGIES TO ADDRESS INDIVIDUAL NEEDS OF CHILDREN WITH ASDS

Teaching Communication to Individuals with Autism. Laura Ferguson, M.Ed., BCBA

Sensory Regulation of Children with Barriers to Learning

ABA Basics: Basic Techniques Used to See Change. Presenter: Kail T. Graham, M.A., BCBA

Basic characteristics

Addressing Stereotypy The Importance of a Balanced Approach to this Core Symptom of Autism

Exercise 19.4: Developing a Behavior Mod. Plan ANSWER KEY

Effects of delays to response blocking when used as treatment for problem behavior maintained by automatic reinforcement

I. Classical Conditioning

BEHAVIOR REDUCTION PLAN

Determining the Reinforcing Value of Social Consequences and Establishing. Social Consequences as Reinforcers. A Thesis Presented. Hilary A.

The Use of a Visual Aid to Facilitate Transitional Periods for Children with Autism Spectrum Disorder

Evidence-Based Practices Comparison Chart. National Autism Center (NAC) 1

Research. News and Notes About Scientific Research on ASD and Other Developmental and Behavioral Disorders.

MARCUS INSTITUTE AND EMORY UNIVERSITY SCHOOL OF MEDICINE

Noncontingent Reinforcement and the Acquisition of Appropriate Behavior

Functional Analysis of Vocal Stereotypy for an Adult with Acquired Brain Injury

A Framework for Solving Behavior Problems: Functional Assessment and Intervention Planning

Positive Behavior Support and Functional Assessment. Day 3 Webinar & Onsite

The Use of Visual Schedules

DIFFERENTIAL REINFORCEMENT WITH AND WITHOUT BLOCKING AS TREATMENT FOR ELOPEMENT NATHAN A. CALL

PSY402 Theories of Learning. Chapter 6 Appetitive Conditioning

ASD Strategies in Action

An Overview of Naturalistic ABA Strategies for Young Children with Autism

e-newsletter ABA Literature Summary topic : MOBILE TECHNOLOGY AND COM- MUNICATION ...

EFFECTS OF SIGNALS ON THE MAINTENANCE OF ALTERNATIVE BEHAVIOR UNDER INTERMITTENT REINFORCEMENT

Aggressive Behavior in Dogs TABLE OF CONTENTS TABLE OF CONTENTS... 1 PREFACE... 8 ACKNOWLEDGMENTS... 9 INTRODUCTION... 29

Verbal Behavior 101: A Quick Introduction. Tashenna Gillmore, M.Ed., BCBA, LBA The Heart of Behavior LLC.

EBP s for Transitioning: Implementing with Individuals with Autism. Laura Ferguson, M.Ed, BCBA

Functional Assessment and Intervention Design

Teaching Communication Across the Day. Laura Ferguson, M.Ed., BCBA

UK ABA Autism Education Competence Framework. Version 1.1 November 2011

Functionality. A Case For Teaching Functional Skills 4/8/17. Teaching skills that make sense

TEACHING CHILDREN WITH ADHD BEHAVIORAL INTERVENTIONS (ILLINOIS)

VB-MAPP Barriers Assessment

March 29, 2017 Debra K. Smith, Ph.D. St. Charles Hospital Port Jefferson, New York

ABC Data Summary Chart. Name: For the Month of. For the Behaviour: Day of the Week (use tally marks to indicate each occurrence e.g.

Comparison of Reinforcement Alone and in Combination with Redirection for. Treating Automatically-Reinforced Motor Stereotypy. A Thesis Presented

FA and RX Workbook (2017) by Gregory P. Hanley, Ph.D., BCBA-D

Evaluation of Salient Stimulus Cues During. Brief Functional Analyses in a Classroom Setting. Kelly L. McConnell. B.S., University of Florida

SpEd 623 Zirpoli (5 th ed.) Quiz 2 Ch. 8 13

ASSESSMENT AND TREATMENT OF SOCIAL AVOIDANCE JILL M. HARPER

Proactive Approaches to Sensory Motivated Behaviors

FACILITATED COMMUNICATION: MODERN DAY VENTRILOQUISM?

Reinforcement Systems for a Successful Classroom

Functional Behavior Assessment Interview Form (Abridged Version) (Adapted from Dunlap et al., 2010; O Neill et al., 1997)

Chapter 6/9: Learning

Comparison of Direct and Indirect Reinforcement Contingencies on Task Acquisition. A Thesis Presented. Robert Mark Grant

6/11/2017. Addressing Stereotypy The Importance of a Balanced Approach to this Core Symptom of Autism. stereotypy. Gregory P. Hanley Ph.D.

Transcription:

UNDERSTANDING AND USING EXTINCTION PROCEDURES Christa Homlitas, M.S., BCBA, COBA Board Certified Behavior Analyst Certified Ohio Behavior Analyst Licensed Behavior Analyst (MA) Coordinator, Remote & International Program Knapp Center for Childhood Development Dr. Julie Knapp, Ph.D, BCBA-D, COBA Pediatric Neuropsychologist Board Certified Behavior Analyst-Doctorate Certified Ohio Behavior Analyst Executive Director Knapp Center for Childhood Development

GOALS OF TRAINING Understand the definition of extinction Understand how to implement extinction based on behavior function Understand the effect of extinction on rate of behavior Understand generalization and maintenance as it relates to behavior reduction

WHAT IS EXTINCTION? Technical definition: procedure in which reinforcement is no longer provided for a previously reinforced response In order to effectively discontinue the reinforcing consequence we must first correctly identify the function of the behavior

REVIEW OF FUNCTIONS OF BEHAVIOR FUNCTION Escape Attention Tangible Automatic DEFINITION An individual engages in behavior so they can escape or avoid something they find aversive. For example, an individual may engage in aggression to stop a teacher or therapist from working with them. An individual engages in behavior in order to gain some form of social attention or a reaction from other people. An individual may engage in behavior to get other people to look at them, laugh at them, play with them or even scold them. Negative attention is still attention! An individual engages in behavior so they can gain access to a tangible item or desired activity. For example, the individual may scream and shout until their caregiver buys them or provides them a new toy. An individual engages in a behavior simply because they enjoy the behavior. The behavior does not have anything to do with external reinforcement from others. For example, an individual may rock back and forth because it is enjoyable for them.

EFFECT OF EXTINCTION ON BEHAVIOR When extinction is implemented correctly and consistently a gradual reduction in behavior is observed over time. Extinction burst: initial increase in behavior (can be above baseline levels) before a decrease in behavior is observed when extinction is implemented Behavior gets worse before it gets better Important to remain consistent with implementation if an extinction burst occurs. Team should plan for this possibility.

EXTINCTION BURSTS Extinction bursts usually suggest that the reinforcer(s) maintaining the problem behavior was successfully identified, indicating that there is a good chance of an effective intervention

EXTINCTION: EFFECT ON BEHAVIOR

EXTINCTION EFFECTS: SPONTANEOUS RECOVERY Spontaneous Recovery The behavior that diminished during the extinction process recurs even though the behavior does not produce reinforcement Short-lived and limited if the extinction procedure remains in effect.

EXTINCTION EFFECTS

EXTINCTION EFFECTS

EXTINCTION Advantage: does not require aversive procedures Effectiveness depends on: Correct identification of function Consistent application Extinction does not prevent occurrences of problem behavior Environment is changed so that problem behavior does not produce reinforcing consequences anymore

MISUSE OF EXTINCTION Often extinction is equated with ignoring a behavior This is an example of extinction only under what circumstance? Extinction is not the same as ignoring problem behavior, rather it differs according to the function of the behavior, or what reinforcer the problem behavior is producing.

MISUSE OF EXTINCTION Using extinction to refer to any decrease in behavior Some use the term extinction when referring to any decrease response performance, regardless of what produced the behavior change. Labeling any reduction in behavior that reaches a zero rate of occurrence as extinction is a common misuse of the term.

HOW TO IMPLEMENT EXTINCTION Attention Extinction Implemented for problem behavior maintained by positive reinforcement: attention Ignore the problem behavior This means no eye contact, no verbal statements, no physical contact with the client NOT even scolding or negative attention! Can be difficult to implement If the individual is receiving inadvertent attention (sometimes this means our nonverbal body language), extinction procedure will be ineffective

HOW TO IMPLEMENT EXTINCTION Escape Extinction Implemented for behavior maintained by negative reinforcement: escape from demands DO NOT allow the problem behavior to produce delay or termination of task Continue to represent demand or instructions and prompt follow through Can also be difficult to implement, especially if you cannot physically ensure follow through with a task demand, if this is the case you may want to opt for an alternative intervention

HOW TO IMPLEMENT EXTINCTION Extinction: Access to Tangible Items Implemented when behavior is maintained by positive reinforcement in the form of access to desired items/activities DO NOT allow the problem behavior to produce access to the desired item Item/activity is withheld contingent upon problem behavior Appropriate behavior can yield access to desired items such as using a communicative response to request (i.e. verbal, PECS, sign, etc.)

HOW TO IMPLEMENT EXTINCTION Sensory Extinction Implemented for behaviors maintained by automatic reinforcement Mask or remove the sensory consequence for the behavior Can be difficult to determine the specific sensory consequence May be impossible to prevent or eliminate

OVERVIEW OF EXTINCTION PROCEDURES Function of behavior Attention (positive reinforcement) Escape (negative reinforcement) Tangible (positive reinforcement) Automatic reinforcement Extinction Procedure Ignore the behavior (no eye contact, verbal statements or reprimands, no physical contact with the individual) Do not allow the problem behavior to produce the termination of a task/activity OR delay the completion of the demand given. Continue to represent the demand or instruction and prompt completion or follow through. Do not allow the problem behavior to produce access to a desired item/activity. Mask or remove the sensory consequence for the behavior. Sensory extinction can be more difficult to implement as the specific reinforcing consequence might be difficult to determine or impossible to eliminate. For example, if an individual is scratching their body (due to the tactile consequence it produces) we can remove the sensory consequence by putting a glove on the individual s hand and then gradually fading the use of the glove.

VARIABLES TO CONSIDER WHEN IMPLEMENTING EXTINCTION Continuous and intermittent reinforcement Continuous reinforcement: each response is reinforced Reduce at a faster rate when behavior is put on extinction Intermittent reinforcement: each response is not reinforced, only some responses are More resistant to extinction Greater number of trials needed to come in contact with contingency

VARIABLES TO CONSIDER WHEN IMPLEMENTING EXTINCTION History of Reinforcement Behavior has produced the reinforcing consequence for a significant duration of time Behavior will be more resistant to extinction than behaviors with a short history of reinforcement

VARIABLES TO CONSIDER WHEN IMPLEMENTING EXTINCTION Motivation to respond Behavior might be more resistant to extinction if the motivation to engage in the behavior is high For example, problem behavior previously produced access to food. Child is very hungry (EO), problem behavior may be more resistant to extinction under these conditions.

VARIABLES TO CONSIDER WHEN IMPLEMENTING EXTINCTION Extinction produced aggression When one behavior is placed on extinction, you might observe other non-targeted problem behaviors Extinction can generate novel responding Emotional behaviors, such as aggression, can occur when a target behavior is placed on extinction When implementing extinction it is wise to teach an appropriate way to gain the same reinforcer Extinction is rarely used alone or as a sole intervention because it does not teach an alternative response

PLANNING FOR EXTINCTION PRODUCED AGGRESSION Behaviors that occurred infrequently in the past will sometimes become prominent during extinction by replacing the problem behaviors. Frequently, these side effect replacement behaviors are aggressive (Lerman et al., 1999)

VARIABLES TO CONSIDER WHEN IMPLEMENTING EXTINCTION Number of Extinction Trials Increasing the Number of Extinction Trials An extinction trial occurs each time the behavior does not produce reinforcement. Whenever possible, applied behavior analysts should increase the number of extinction trials for the problem behaviors.

UNINTENTIONAL EXTINCTION OF DESIRED BEHAVIOR It is important to consider the effects of extinction on desired behaviors as well Let s look at an example. Our student was receiving reinforcement each time they made eye contact with the teacher in the form of an edible item. The teacher was thrilled that this response was increasing. Once the child was looking at least 80% of conducted trials, the teacher eliminated the use of the edible. She was disappointed to find that over the next week, eye contact decreased again. Highlights the importance of fading/intermittent reinforcement

BEHAVIOR HIERARCHY Level 1 Differential Reinforcement Procedures DRA, DRO, DRI, DRL Level 2 Extinction Level 3 Level 4 Negative Punishment Procedures Time-out, response cost Postive Punishment Overcorrection, introduction of aversives