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HOW TO CHOOSE THE RIGHT FUNCTION- BASED INTERVENTION

HOW TO CHOOSE THE RIGHT FUNCTION- BASED INTERVENTION

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Page 1: HOW TO CHOOSE THE RIGHT FUNCTION- BASED INTERVENTION

HOW TO CHOOSE THE RIGHT FUNCTION-BASED INTERVENTION

Page 2: HOW TO CHOOSE THE RIGHT FUNCTION- BASED INTERVENTION

Review FBA• Functional Behavior Assessment (FBA)

• When understanding problem behavior, research suggests that it is important to understand the purpose, or function of the behavior in order to best identify interventions.

• FBA is a set of procedures used to identify variables that are directly related to the student’s challenging behavior.

• FBA and the Law• The Individuals with Disabilities Act (IDEA) federally

mandated schools under certain circumstances to use FBA’s to develop supports for students with problem behavior.

• Despite requirement of FBA’s and BSP’s into SpEd law in 1997, schools are still struggling to implement effective FBA/BSP and effective Tier 3 Behavioral Support (Scott, 2007).

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However…Many school districts view FBA as a legal mandate with

which to comply, rather than an instructional process to ameliorate problem behavior.

One of the biggest challenges is the preparation of school-based teams. (Lane, Barton-Arwood, Spencer & Kalberg, 2007)

VanAcker, Boreson & Patterton (2005) found that most teams had less than required team members and often failed to take function into consideration when developing interventions

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There is a strong resistance within general education to retain students with disruptive and/or inappropriate behavior. (e.g., Gale, Hendrickson & Rutherford, 1991; Lewis, 1994)

And when schools do address student problems behaviors they frequently rely on negative consequences(e.g., Colvin, Sugai & Kameenui, 1993)

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What We KnowFBA-indicated interventions, those that consider function,

are more effective than interventions that don’t(Ingram, Lewis-Palmer & Sugai, 2005).

And that schools are able to implement function-based support with technical assistance from consultants (Kamps, Wendland & Culpepper, 200); Lane, Barton-Arwood, Spencer & Kalberg, 2007

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So, what are the barriers to providing comprehensive support?Borgmeier et al (in preparation) interviewed administrators,

behavior specialists, teachers and district specialists

• Staff buy-in that included either unwillingness to implement recommended plan and/or teachers wanted the student removed but FBA process maintains student in classroom

• Lack of training and education

• Lack of implementation fidelity and sustainability

• FBA-BIP process was too time consuming (e.g., paperwork)

• Lack of support (Time, resources, schedules or problems extended beyond school day)

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WHY FUNCTION-BASED SELECTION

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Review: Antecedents & Consequence

• Antecedent• Events that occur before the behavior and occasion the

occurrence of the behavior• “Would this be a good time to do ____________?”

“Will it get me what I am wanting to happen?”

• Consequence• Events that occur after the behavior and serve to affect the

probability of that behavior occurring again in the future under similar conditions • “Did _____________ get me what I was hoping for?”

“Did it meet my need?”

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Definitions• “Positive” = add or give• “Negative” = take away or remove

• “Punishment” = decrease• “Reinforcement” = increase

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Positive reinforcement• Increase in future probability of behavior occurrences

associated with contingent presentation of a stimulus• “stimulus” = condition, object, or event• action = present/give• effect = increase

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Negative reinforcement• Increase in future probability of behavior occurrences

associated with contingent removal of a stimulus• action = remove/take away• effect = increase

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Positive punishment • Decrease in future probability of behavior occurrences

associated with contingent presentation of a stimulus• action = give/present• effect = decrease

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Negative punishment• Decrease in future probability of behavior occurrences

associated with contingent removal of a stimulus• action = remove/take• effect = decrease

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ACTION

Give

Take

EFFECT

Increase

Positive Reinforcement

Negative Reinforcement

Decrease

Positive Punishment

Negative Punishment

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A Matter of Perspective

Action

E ffect

Behav ior

Person

•Always define the who and what you are interested in.

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When selecting a specific practice:

• Base selection on need identified by competing behavior pathways analysis• Setting events, antecedents, teaching behaviors,

consequences to increase and decrease behavior

• Match practice to function of problem behavior• Gain social or item/activity, escape social or demand,

automatic

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• Match practice to context• Skills, resources, values, etc.

• Choose the practice that is least intrusive, yet effective• Balance between intrusive and effective• Begin where you believe you will be successful

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Common Strategies• Increase Behavior

• Token Economy• Group Contingencies• Behavior Contracts

• Decrease Behavior

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TOKEN ECONOMY

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Definition• A contingency management system that allows students

to earn tokens that can be exchanged at a latter time for specific back-up reinforcers. (Wolery, Bailey, & Sugai, 1988).

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Everyday Examples• Airline mileage programs• Bread, coffee, donut,…”free one” card• Academic course credits & grades• Shirakiya toy points•

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Token Reinforcement• Token = anything that can be readily dispensed contingent upon behavior• Examples: points, credits, poker chips, stickers, play

money, weaving hoops

• Back-up Reinforcer = previously identified activities, objects, events, or privileges that have reinforcing value• Examples: free time, school store, discount, parking

privileges, CD, computer time, music, edibles

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Establishing a Token Economy

• Identify target behaviors• Define tokens• Identify incentives for appropriate behavior• Plan an exchange system• Plan procedures for fading tokens• Developing monitoring system• Establishing operating guidelines

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Requirements• Clearly defined expected behaviors. • Effective back-up reinforcers. • Instruction on expected behaviors. • Instruction on token system/procedures. • Data-decision rule for fading and modifying. • Planned correction procedures.

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Token Economy, misc.

• A token economy can give immediate feedback on behavior, yet presentation of the reward can be delayed.

• Avoid satiation of reinforcers.

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GROUP CONTINGENCIES

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Definition

• Making consequences either contingent on group behavior or by letting an individual student’s behavior affect consequences for the entire group (Wolery, Bailey, & Sugai, 1988).

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Three Variations• Dependent Group-Oriented

- Performance of selected members results in consequences for whole group

• Independent Group-Oriented- Each member same criterion consequences based

on their performance

• Interdependent Group-Oriented- Each member same criterion but consequences

based on group performance

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Examples

• For every homework assignment that is turned in on time a marble is added to a jar. When the jar is full, the class gets an afternoon movie.

• Inter-dependent

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Examples

• Chloe earns a pop-bead for every 3 minutes she cooperates with peers during free play. When she has 10 pop-beads, the class gets to have 10 minutes of extra break time.

• Dependent Group

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Example

• Chloe earns a point for every 3 classes she is “on-time.” When she has 10 points, the whole class gets a no homework weekend.

• Dependent Group

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• Students who come to class (a) on time and (b) prepared (homework, pen/paper, and text book) for an entire week can go to the gym for “Afternoon Bash.”

• Independent Group

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Advantages

• Learn within a social context• Efficient• Build positive peer relations and interpersonal social skills

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Disadvantages

• Peer pressure/ridicule• Social status of “subverters”• Fairness• Increased supervision and administration

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BEHAVIORAL CONTRACTING

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Definition Written &/or verbal agreement or arrangement between

two or more individuals that designates conditions, consequences, & responsibilities for improving behavioral performance

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Prerequisites• Ability to problem solve & achieve agreement• Fluency with desired behavior(s)• Ability to establish relationship with others

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Elements

1. Behavior(s) for improvement• identify 1-2 functional, useful, & socially important behaviors• describe in observable & measurable• focus on desired, achievable behavior

2. Level of improvement• set achievable performance criteria• focus on accomplishments• initially reward small approximations frequently

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3. Strategies for achieving improvement• teacher-directed• self-managed• other-managed

4. Consequences for acknowledging improvement• assessment based reinforcers• indicate specific consequences for all levels of behavior

• desired• undesirable• exceptional

• specify immediate & delayed reinforcers

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4. Individual responsibilities• indicate who does

• what• when • where• How

5. Record keeping procedure• establish clear data decision rules

• e.g., “3 day rules”

• arrange for continuous monitoring & evaluation

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Other considerations• Involve student• Include “witnesses”• Use understandable language/terms• State positively• Monitor, review, & revise continuously

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Why use contracts?• Increase proactive interactions between individuals• Increase participation & accountability• Structure behavioral programming• Promote transfer of behavioral programming from teacher

to student• Improvement of performance• Teach “responsibility”

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TIME OUT FROM POSITIVE REINFORCEMENT

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Timeout• Decrease in future probability of behavior occurrences

associated with contingent removal of opportunity to earn positive reinforcement

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Guidelines for timeout

• Must have reinforcing “time-in” environment• Keep at 5-10 minutes or less• Teach how & when to take timeout• Keep business-like & objective• Debrief/discuss after timeout consequence• Reinforce compliance• Teach/reinforce alternative response• Have plan/response in place for escalations/crises

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RESPONSE COST

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Response cost

• Decrease in future probability of behavior occurrences associated with contingent removal of positive reinforcers.

• Used with token reinforcement• A package intervention that includes both strategies to increase and decrease

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Guidelines for response cost• Give multiple & opportunities to earn contingent positive

reinforcers

• Be sure backup reinforcers are really “positive reinforcers

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DIFFERENTIAL REINFORCEMENT

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DRO/DRI/DRL/DRA• Differential reinforcement

• Contingent positive reinforcement and extinction

• Again, another intervention that includes both strategies to increase and decrease together

• DRO = Differential Reinforcement of Other Behavior• DRI = Differential Reinforcement of Incompatible Behavior• DRL = Differential Reinforcement of Low Rate Behavior• DRA = Differential Reinforcement of Alternative Behavior

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Definition: Extinction• Removal of previously maintaining positive reinforcers• Responding under extinction conditions

• gradual change intensity/frequency• increase before decrease in intensity/frequency• “spontaneous” recovery

• Never use extinction without positive reinforcement (DR)

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• DRO = reinforcement for occurrence of all alternatives behaviors except problem behavior• Easy to use, but really reinforcing the absence of problem behavior

• DRI = reinforcement for occurrence of a specific alternative behavior• Can’t do them both at the same time, • Sometimes hard to find truly incompatible behavior

• DRL = reinforcement for progressively lower rates of problem behavior• Promotes moderation, lower rate of appropriate behavior• Slow and time consuming

• DRA = reinforcement of behavior that meets the same need• Need to know what is the need/maintaining consequence• Alternative behavior must be easier, more efficient

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SOME FINAL CONSIDERATIONS

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Prerequisites• Behavioral perspective

• Examine behavior & context in which it occurs

• Proactive teaching emphasis• Teach prosocial alternatives

• Data-guided decision making• Use performance to make decisions

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• Group-based decision making• Work with others

• Regular monitoring & evaluation• Check daily

• Research validated practices• Use what works (evidence of effectiveness)

• Positive reinforcement of alternative behavior• Strengthen replacement behaviors

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Reinforcement considerations• Tangible to social• External to internal• Other- to self-managed• Frequent to infrequent• Predictable to unpredictable

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Punishment guidelines

• Cause no physical pain, injury, or humiliation.

• Always use least aversive most effective• Always pair with positive reinforcement of alternative behavior

• Always take data to monitor effectiveness• Always implement with high fidelity & by expert

• Always involve student, family, etc. in decision making

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Big Ideas• Always do a FBA• Always teach & positively reinforce alternative behavior

that “competes” with problem behavior• effort, efficiency, effectiveness

• Always take data, and look at effect on target & other behaviors

• Do no harm• Use least aversive & most effective

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QUESTIONS??