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Intervention
| Example | Element |
|---|---|
| Fran is much more likely to scream when she hasn't slept, which results in her parents avoiding asking her to do critical tasks. In response, Fran's parents will work on good sleep routine and teach Fran to negotiate non-preferred tasks | Alignment- Interventions are aligned to identified function |
| When waiting for the bus back home after work, Steve punches his housemate. Staff then retrieves Steve and takes him home in the Staff's car. Instead, staff give Steve a choice of bus or car before work ends | Alignment- Interventions are aligned to identified function |
| Charlie screams in checkout line when mom takes him to store after school. She quiets him with candy. Instead, mom feeds Charlie a snack prior to going into the store after school and provides small candy to Charlie only after he quietly waits in line | Alignment- Interventions are aligned to identified function |
| Sophie's self-injury only occurs on days that her mom goes to work. Often, Sophie's mom would come back home. Instead, Sophie will have a token board and earn tokens for completing daily tasks | NOT Alignment- Interventions are aligned to identified function |
| When Jim breaks windows all the staff come running. Instead staff will check-in frequently with Jim and block any attempts to break windows | NOT Alignment- Interventions are aligned to identified function |
| After a fight with her housemate, Katy gets staff to apologize to the housemate for her. Staff instead teach Katy how to assertively communicate, including making an apology | NOT Alignment- Interventions are aligned to identified function |
| Outburst: When Lisa drops to floor while screaming and/or crying when its time to put up Ipad Negotiate: back and forth exchange with family where Lisa requests more time on Ipad, family counters with a little less time, Lisa says, "It's a comprimise" | Definition - Behavior targeted for decrease and increase are defined in observable, measurable terms |
| Biting: When Sal places his teeth on any part of another person's body Recruit Attention: Sal indicating with hand gesture, words, or sign with the result that staff orient toward him | Definition - Behavior targeted for decrease and increase are defined in observable, measurable terms |
| Property Destruction: When Carlos throws chairs or other pieces of furniture Protest: When Carlos says that he is unhappy with the current situation and what he would like done about it | Definition - Behavior targeted for decrease and increase are defined in observable, measurable terms |
| Tantrum: Hannah screams "I hate you, I'm getting you fired!" | NOT Definition - Behavior targeted for decrease and increase are defined in observable, measurable terms |
| Ask for break: Jon displays 'break' card | NOT Definition - Behavior targeted for decrease and increase are defined in observable, measurable terms |
| Anxiety: When Sally becomes dysregulated Coping Skills: Sally takes deep breaths | NOT Definition - Behavior targeted for decrease and increase are defined in observable, measurable terms |
| By the end of 6-months, Sally will negotiate her daily schedule with caregivers each weekday and assert at least one community activity she wants to take part in each week. | Outcomes- Measurable and time-limited goals for target behaviors that improve the quality of life |
| Jane will, in the next 3-months, have at least one 10-minute interaction with two peers in which she both speaks and listens to both people without screaming, yelling, or biting. | Outcomes- Measurable and time-limited goals for target behaviors that improve the quality of life |
| In the next month, on at least on occasion that has historically resulted in Hadley throwing furniture, Hadley will assert a concern and what he wants done about it. | Outcomes- Measurable and time-limited goals for target behaviors that improve the quality of life |
| Within 4-months, Russell will avoid conflicts rather than fighting | NOT Outcomes- Measurable and time-limited goals for target behaviors that improve the quality of life |
| Lucas will take a short (around 15-minutes) unscheduled break from work tasks to do something enjoyable and then return to work tasks at least once but no more than five times each work day | NOT Outcomes- Measurable and time-limited goals for target behaviors that improve the quality of life |
| In the next 6-months, Jill will use coping skills when necessary as evidenced by an absence of challenging behaviors | NOT Outcomes- Measurable and time-limited goals for target behaviors that improve the quality of life |
| Continuous self-injury will be recorded by duration for each incident. Each instance of functional communication will be recorded by date and time. | Measurement - Specific instructions for data collection procedures that reflect the behavior |
| Staff will count each time Ronaldo vocally initiates a conversation with a peer at school as well as each time Ronaldo hits a peer in the arm | Measurement - Specific instructions for data collection procedures that reflect the behavior |
| Each waking hour Hannah will record on the journalling sheet her own thoughts (private verbal behavior) and what activity or task she is currently engaged (If none, then she writes "none") | Measurement - Specific instructions for data collection procedures that reflect the behavior |
| The Analyst will review daily staff log notes to see what happened | NOT Measurement - Specific instructions for data collection procedures that reflect the behavior |
| At the end of the day, Staff will write a note to indicate how many times the behavior happened during the preceding 8 hours. | NOT Measurement - Specific instructions for data collection procedures that reflect the behavior |
| Staff will utilize whole-interval recording of aggression with an interval length of 10-minutes | NOT Measurement - Specific instructions for data collection procedures that reflect the behavior |
| On days that Sam hasn't slept well, staff reduce daily demands. Staff also frame requests in the form of at least two choices | Proactive- Antecedent strategies to affect the probability of target behaviors (increase and decrease) |
| Initially, staff will avoid outings in very crowded, noisy places and if they must go out staff will make sure Jane has her noise-cancelling headphones. Staff will practice with Jane about what she can do when she get's overwhelmed | Proactive- Antecedent strategies to affect the probability of target behaviors (increase and decrease) |
| Initially small, easy-to-throw furniture will be re-positioned away from common traffic areas. If staff notice Carlos is visibly unhappy they will empathize with him and ask, "what would make this situation better for you?" | Proactive- Antecedent strategies to affect the probability of target behaviors (increase and decrease) |
| Thomas will be reminded once an hour to be on his best behavior by saying, "Don't do anything to lose all you've worked for!" | NOT Proactive- Antecedent strategies to affect the probability of target behaviors (increase and decrease) |
| To prevent inappropriate phone use, Hannah will be restricted from all phones | NOT Proactive- Antecedent strategies to affect the probability of target behaviors (increase and decrease) |
| A fine schedule will be posted on the wall so Charlie remembers what behavior inappropriately costs him | NOT Proactive- Antecedent strategies to affect the probability of target behaviors (increase and decrease) |
| Sally loves attention from her parents. Every 5-minutes, Sally's parents will check in. If she sharing her toys with her little sister, parents will notice this in genuine and positive manner and connect it to how Sally is "being such a great sister." | Acceleration - Specific instructions for reinforcement of behavior targeted for increase with identified potentially reinforcing stimuli |
| Each day that Steve is gets up on time and prepares for work in 1 hour or less, staff will take him to Starbucks for coffee on the way to his job | Acceleration - Specific instructions for reinforcement of behavior targeted for increase with identified potentially reinforcing stimuli |
| Roger will reward himself with spending time on a hobby after he has completed a critical task such as washing and drying his work clothes | Acceleration - Specific instructions for reinforcement of behavior targeted for increase with identified potentially reinforcing stimuli |
| If at the end of the week, no outbursts have occurred, Harley receives bucks to spend at the token store | NOT Acceleration - Specific instructions for reinforcement of behavior targeted for increase with identified potentially reinforcing stimuli |
| When Stan completes his daily hygiene activity, staff will reward him with bucks | NOT Acceleration - Specific instructions for reinforcement of behavior targeted for increase with identified potentially reinforcing stimuli |
| On good days, staff will praise Tim | NOT Acceleration - Specific instructions for reinforcement of behavior targeted for increase with identified potentially reinforcing stimuli |
| In the past, when Steve cursed it caused a large uproar. Instead, when cursing occurs, staff will not provide a reaction and continue on with their task | Decceleration- Reactive strategies for behaviors targeted for decrease |
| When property destruction has occurred in the past, staff have provide Hailey an Ipad to occupy her. Instead Staff should clear the area of dangerous objects and utilize brief manual restraint if necessary. Then continue on as if nothing occurred | Decceleration- Reactive strategies for behaviors targeted for decrease |
| When Jenny is hitting her head on hard surfaces, staff should utilize a pad or pillow to slide between Jenny's head and the hard surface and provide minimal attention. Use brief manual restraint only if absolutely necessary. | Decceleration- Reactive strategies for behaviors targeted for decrease |
| Making threats often gets Billy large reactions. When this occurs, Staff should remind Billy that such statements are not appropriate | NOT Decceleration- Reactive strategies for behaviors targeted for decrease |
| Larry tends to bite himself when left unoccupied. When staff notice Larry biting they should put him in the timeout room for 5 minutes alone. | NOT Decceleration- Reactive strategies for behaviors targeted for decrease |
| Following physical aggression, Jerome must run laps until he is ready to apologize for to whomever he struck | NOT Decceleration- Reactive strategies for behaviors targeted for decrease |
| When the supervisor observes staff successfully implement strategies, the supervisor provides praise and point toward earning additional vacation time. Mis-steps are corrected and practiced. | Fidelity- Measures for fidelity of implementation AND strategies to maintain high fidelity |
| When the analyst is conducting supervision, the staff will be asked to role-play strategies from the BSP and the analyst will give performance feedback. Missteps will be practiced until correct | Fidelity- Measures for fidelity of implementation AND strategies to maintain high fidelity |
| If three observations of the implementation reveal less than 80% of steps completed correctly, all staff will meet for re-training utilizing Behavior Skills Training | Fidelity- Measures for fidelity of implementation AND strategies to maintain high fidelity |
| Daily progress notes will be reviewed to determine if strategies are being implemented correctly | NOT Fidelity- Measures for fidelity of implementation AND strategies to maintain high fidelity |
| If behavior is decreasing as intended, this will indicate successful implementation of the plan | NOT Fidelity- Measures for fidelity of implementation AND strategies to maintain high fidelity |
| During meetings with staff, the analyst will ask staff how the plan is going and if they have been doing it. If they say they are doing it, then fidelity of implementation is high | NOT Fidelity- Measures for fidelity of implementation AND strategies to maintain high fidelity |
| Carlos will learn to self-manage his daily tasks, including recording and graphing his own data | Generalization - Describes specific strategies to promote generalization. |
| Sarah will learn communication strategies that are readily recognized by the community in which she lives | Generalization - Describes specific strategies to promote generalization. |
| Parents will slowly reduce how often they are checking on and positively commenting on Hannah's independent play from once every 5-minutes to about once every 15-minutes. | Generalization - Describes specific strategies to promote generalization. |
| Johnny will work with a variety of staff | NOT Generalization - Describes specific strategies to promote generalization. |
| The same staff should always work with Phil so that he knows what to expect | NOT Generalization - Describes specific strategies to promote generalization. |
| Once the skill is mastered at the clinic, Sarah will be determined to be competent and services discontinued | NOT Generalization - Describes specific strategies to promote generalization. |
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