Tip of the Week: How to Avoid Over-Pathologizing Behaviors in Kids with Autism

A diagnosis of autism can be very challenging for a child and for his or her family. But one of the most difficult aspects of autism is that it is not clear cut what behaviors are related to autism, and what behaviors are related to just being a kid. Every child tantrums sometimes. Every child talks back sometimes. Every child engages in dangerous behavior sometimes.

When I look back on my own childhood, I think of several behaviors I exhibited: in third grade I cut my own hair while my teacher’s back was turned, in fourth grade I got mad at my brother and threw an alarm clock at him, and in seventh grade I loved Agatha Christie books so much that I frequently refused to go outside and sat in my room reading by myself for hours on end. If I had autism, any one of these behaviors may have been pathologized instead of being considered as just a part of growing up.

So how do you parse through all the behaviors your learner is exhibiting and figure out which ones you should actually be worried about? Here are a few questions to ask yourself in determining behaviors to address:

  1. Is the behavior dangerous?
  2. How often and for how long does your learner engage in the behavior?
  3. How different is this behavior from the learner’s same-age peers? For example, does your three year old cry for a couple minutes when told that she can’t have her favorite toy, or does she cry for two hours and refuse to engage with any other toys for the rest of the day?
  4. How is this behavior interfering with the learner’s ability to learn?
  5. How is this behavior interfering with the learner’s ability to engage with peers and family members?
  6. Is the behavior related to a skill? For example, pacing the room and flapping your arms is typically not related to a skill, but building Lego models can be related to a skill. If it is related to a skill, think about ways to provide opportunities for expanding that skill.

The answers to these questions should be able to inform the decisions that you make in intervening with behaviors. And we should remember that above all else, kids with autism are still just kids.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-12 in NYC. Working in education for ten years with students with Autism Spectrum Disorders and other developmental delays, Sam has developed strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently pursuing her PhD in Applied Behavior Analysis at Endicott College.

“Expanding Interests in Children with Autism” by Tanya Baynham, MS, BCBA

This month’s featured article from ASAT is by Program Director of the Kansas City Autism Training Center Tanya Baynham, MS, BCBA, on a variety of research-based strategies to help you expand interests in children with autism. To learn more about ASAT, please visit their website at www.asatonline.org. You can also sign up for ASAT’s free newsletter, Science in Autism Treatment, and like them on Facebook!


My child is doing well with many of his ABA programs, even the ones that focus on the development of play skills. Unfortunately, he doesn’t play with most of the toys that we give him, and he has worked for the same five things since our program began a year ago (marshmallow peeps, Thomas trains, tickles, Wiggles songs, and raisins). What can I do to expand his interests and maybe even get those interests to function as reinforcers for teaching targets?

Answered by Tanya Baynham, MS, BCBA
Program Director, Kansas City Autism Training Center

Inherent to a diagnosis of autism is the observation that the child will engage in restricted or repetitive behavior and may also display restricted interests. Expanding those interests, specifically in the areas of toy use and play, is an important programming goal as it can result in a number of positive effects. First, rates of socially appropriate behaviors may increase while rates of inappropriate behaviors may decrease. For example, engaging a child in looking at a book may decrease stereotypic behaviors or passivity (Nuzzolo-Gomez, Leonard, Ortiz, Rivera, & Greer, 2002). Second, interest expansion can lead to new social opportunities for children and promote greater flexibility when bringing them to new environments. For example, a child with a new preference for coloring may be more successful in a restaurant because he will sit and color the menu, or he can attend Sunday school because he will color a picture when directed. Third, the addition of new reinforcers in ABA programs may help prevent satiation or allow you to allocate more highly preferred items for difficult teaching targets and less preferred items for easier targets.

Stocco, Thompson, and Rodriguez (2011) showed that teachers are likely to present fewer options to individuals with restricted interests and will allow them to engage longer with items associated with those restricted interests. The authors suggest one possible reason for this is that teachers might be sensitive to the fact that negative behaviors (e.g., whining, pushing the toy away) are more likely to accompany the presentation of a toy that is not associated with the child’s restricted interest. In general, this sensitivity to the child’s behavior is important in maintaining low rates of problem behavior, but it can potentially limit access to novel experiences or activities. We need to systematically program effective ways to expand a child’s interests without evoking tears and other negative behavior.

Most importantly we, as parents and intervention providers, must make reinforcer expansion a teaching focus and use data to determine whether our procedures are producing change. One recommendation is to first track the number of different toys and activities with which your child engages to identify current patterns. Then, measure the effects of attempts at reinforcer expansion on your child’s behavior. Ala’i-Rosales, Zeug, and Baynham (2008) suggested a variety of measures that can be helpful in determining whether your child’s world is expanding. These measures include the number of toys presented, number of different toys approached/contacted across a week (in and/or out of session), engagement duration with new toys, and affect while engaging with toys. It is sometimes helpful to track changes across specific categories (e.g., social activities, food, social toys, sensory toys, etc.). If, for example, your child only watches Thomas videos, you may narrow the focus to the category “videos” in order to track expansion of interests to different types of videos. Keeping in mind the previous point about a teacher’s role in expanding a child’s interests, you may also want to set goals to ensure changes in adult behavior such as, “Present three new items each day.”

Once data are being taken, it is important to implement procedures likely to expand your child’s interests. One way to expand toy play is to present, or pair, a preferred item with the item you want to become more preferred (Ardoin, Martens, Wolfe, Hilt and Rosenthal, 2004). Here are a few examples:

  • Playing a game: Use peeps as the game pieces in a game you want your child to enjoy, embedding opportunities to eat the peeps at different points during the game.
  • Trying a new activity: Sing a favorite song as you help your child up the ladder of an unfamiliar slide on the playground.
  • Reading a book: Tickle your child before turning each page while reading a book.

A second way to expand interests is to think about why your child might engage in those restricted interests. If he likes Thomas because of the happy face, put Thomas stickers on a ring stacker. If he likes Thomas because of the wheels, present other vehicles with wheels. If your child likes peeps because they blow up in the microwave, put Mentos in a cola bottle or use baking soda to make a volcano. If he likes peeps because they are squishy, use marshmallows in art projects or in a match-by-feel game.

A third way to expand interests is described by Singer-Dudek, Oblak, and Greer (2011), who demonstrated that some children will engage more with a novel toy after simply observing another child receiving reinforcers after playing with it. To apply these findings to your child, give Thomas trains, if they are used as a reinforcer, to a sibling who just played with novel items such as play dough or shaving cream. Continue reading

Enter Our Reflection Raffle to Win a Function Wheels Kit or a MotivAider!

How has Different Roads played a part in your students’ learning? Tell us how Different Roads to Learning has helped your students succeed, and you will be entered for a chance to win either a Function Wheels Kit or a MotivAider!

Click on the image below to enter:

Reflection Raffle Facebook Graphic

Tip of the Week: The Importance of Identifying the Function of a Behavior

As a BCBA, I am often asked to address problematic behaviors. One of the most common errors I see in addressing such behaviors is that the adults working with child have not identified the function (or purpose) of the problematic behavior. Decades of research have shown that there are only four functions for any behavior: attention, escape/avoidance, access to a tangible, and automatic reinforcement (or something that just feels good internally, but cannot be observed by outsiders).

The function of the behavior is whatever happens immediately after the behavior, and increases the likelihood that the behavior will occur again in the future. Here are a few examples of the functions, based on the same behavior:

  1. The therapist tells Lisa it’s time to practice tying shoes. Lisa starts biting her own hand. The therapist look shocked and calls in Lisa’s mother, who rubs her back lightly while Lisa ties her shoes then gives her a lot of verbal praise. This is likely an example of a behavior that functions for attention, because the mother comes in and provides both verbal and physical attention while she ties her shoes. Or it could be an example of a behavior that functions for escape or avoidance, since Lisa did not have to tie her shoes immediately once she began biting her hand.
  2. The therapist tells Lisa it’s time to practice tying shoes. Lisa starts biting her own hand. The therapist gently pushes Lisa’s hand down and then introduces a new task. This is an example of a behavior that functions as escape because Lisa does not have to tie her shoes once she begins biting her hand.
  3. The therapist tells Lisa it’s time to practice tying shoes. Lisa starts biting her own hand. The therapist says, “Oh, don’t stress, we’ll take a sensory break,” and gives Lisa a ball to squeeze. This is an example of a behavior maintained by tangible reinforcement. When Lisa began biting her hand she was immediately given access to a preferred item.

You’ll notice that I left out the automatic reinforcement. This is intentional because often, with a diagnosis of Autism Spectrum Disorder, people assume that a behavior is automatically reinforced instead of exploring these three potential functions described above. One way to recognize if a behavior is automatically reinforced is to note if the behavior happens when the child is alone and/or when no demands have been placed on the child. If it’s only happening around other people or when demands are placed, then it is highly unlikely that the behavior is automatically reinforced. For now, we’ll save automatic reinforcement for another blog post.

Identifying which of these functions is maintaining a problem behavior is essential to putting in an effective intervention. But how do you go about doing this?

The first thing you should do is assess! You can do an informal assessment, such as using the Functional Assessment Screening Tool (FAST) which is comprised of 16 questions that can help you quickly determine the function. If this does not provide conclusive results, you can have a BCBA do a formal functional assessment. Once you have identified the function of the behavior, you can change the environment so that not only does the child no longer receive that reinforcement for a problematic behavior, but there are appropriate replacement behaviors they can engage in to access that reinforcement. For more on that, you can look back at the Importance of Replacement Behaviors.

It may be difficult at first to think in terms of “function of behavior,” rather than assigning a reason for the behavior that is based on the child’s diagnosis or based on something happening internally inside the child’s brain that we can’t see (such as, “she’s just frustrated so she’s biting her hand,” or “she doesn’t know how to control herself”). However, once you try it out and experience some success with addressing the true function of behavior, you’ll likely see the beauty of a simple explanation for why we behave.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-12 in NYC. Working in education for ten years with students with Autism Spectrum Disorders and other developmental delays, Sam has developed strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently pursuing her PhD in Applied Behavior Analysis at Endicott College.

Pick of the Week: Self Management Planner, created by Daniel Sundberg, PhD

Created by Daniel Sundberg, PhD, the Self Management Planner offers a better way to organize your life and check things off your to-do lists, utilizing the concepts and principles of Applied Behavior Analysis (ABA) to help you to get more done!

The Self Management Planner is designed specifically for users who have busy and frequently changing schedules and want something that will do more than schedule time in the day. Not only is this planner perfect for effective time management and organizing your activities, but it also allows to set and track your goals (it even includes graph paper so you can watch your progress!).

This week, save 15% on the full-page Self Management Planner and the compact Self Management Planner and get a head start on keeping your New Year’s resolutions on track! Enter our promo code PLAN2016 at check-out to redeem your savings.

This is a perfect tool for those data collectors out there who are looking for an excellent organizational and record-keeping tool. The Self Management Planner includes:

  • Appointment book with full 18.5 hour days and 7 day weeks, to accommodate those who work on variable schedules
  • A tutorial on using the planner, appointment book, and measuring your success
  • A guide to setting long term goals, and figure out ways to accomplish those goals
  • A system for that allows you to select and track your daily activities. People have used this section to track a huge variety of important things like spending, hours billed, driving mileage, activity goals, and more.
  • Graphs to help you see and track progress on your goals
  • Lined note paper
  • Blank date periods that allow you to start the planner on your own schedule to prevent page waste
  • Weekly and daily to-do lists
  • Space to make note of all day events

Don’t forget to use our promo code PLAN2016 this week to take 15% off your order of the Self Management Planner, now available in two different sizes!

“Increasing Articulation in Children with Autism” by Tracie Lindblad

Following our last feature on guided playdates, we’ve partnered with the Association for Science in Autism Treatment (ASAT) again this week to bring you an article by Tracie Lindblad, Reg. CASLPO (SLP), MS, MEd, BCBA, on increasing speech intelligibility in children with autism. To learn more about ASAT, please visit their website at www.asatonline.org. You can also sign up for ASAT’s free newsletter, Science in Autism Treatment, and like them on Facebook!

How do you increase speech intelligibility (articulation skills) or the variability in the sounds produced by children with autism spectrum disorders?
Answered by Tracie L. Lindblad, Reg. CASLPO (SLP), MS, MEd, BCBA

Approximately 30–50% of individuals with autism spectrum disorder (ASD) remain minimally verbal throughout their lives, with little or no functional speech (National Institutes of Health & National Institute on Deafness and Other Communication Disorders, 2010; Johnson, 2004; Mirenda, 2003). These individuals may rely on more effortful modes of communication such as reaching for desired items, taking another’s hand to gain access, or obtaining the item independent of communication. Attempts to communicate may also take the form of challenging behaviours such as aggression, self-injury, and tantrums.

Parents face a difficult task in choosing a treatment for minimally verbal children with ASD because a wide range of techniques are routinely used by speech-language pathologists and behaviour analysts with varying degrees of success and evidence.

The following table highlights some of the most-commonly implemented interventions to target speech skills and the current evidence base for each.

Increasing Articulation Table 1Increasing Articulation Table 2

Within the fields of behaviour analysis and speech pathology, evidence-based practice (EBP) should shape and guide our treatment decisions. EBP is the integration of:

  • external scientific evidence,
  • clinical expertise/expert opinion, and
  • client/patient/caregiver perspectives.

Principles of EBP can help any professional to provide high-quality services which reflect the interests, values, needs, and choices of the individuals, and promote the best outcomes possible with the current evidence to date. Continue reading

Tip of the Week: Differential Reinforcement of Low Rates of Behavior

Differential Reinforcement of Low Rates of behavior (DRL) is “a schedule of reinforcement in which reinforcement: (a) follows each occurrence of the target behavior that is separated from the previous response by a minimum interresponse time, or (b) is contingent on the number of responses within a period of time not exceeding a predetermined criterion” (Cooper, Heron & Heward, 2007).

There may be times when you want to greatly reduce a behavior, but don’t want to eliminate it altogether. Researchers have used DRL to decrease many behaviors, including: stereotypic responding (Singh, Dawson, & Manning, 1981), talking out in class (Dietz & Repp, 1973), and rate of taking bites while eating (Lennox, Miltenberger, and Donelly, 1987).

There are a few different ways to implement DRL. You might select a target number of times the behavior can be exhibited within a full session, then deliver reinforcement to the individual if they exhibit the behavior that number of times or less within the session. For example, Gina teaches in a preschool where they have a 5-minute circle time each morning. During circle time, a boy named Luke raises his hand constantly. Gina wants to reduce the number of times he raises his hand during circle time, but she does not want to eliminate the behavior altogether. She took some baseline data and discovered that he raised his hand approximately 12 times during each circle time. Gina decided that Luke would be allowed to go to the water table, (his favorite activity,) if he raised his hand 10 times or less during circle time. This is called a criterion limit. As his behavior decreased, she would decrease the number of times he was able to raise his hand in order to access reinforcement. Her goal was to get him down to 3 instances of raising his hand during the circle time activity. This procedure for DRL is useful in a classroom setting, because it does not require the teacher to take a lot of data or keep track of intervals, though that might be appropriate in other situations.

Another possibility for implementing DRL is to use an interval schedule of reinforcement. As in the previous procedure, you would set a criterion limit (like Gina did with the limit of 10 instances of hand-raising). However, for this procedure, you would divide the session into intervals and set a criterion limit for each interval. If the number of times the behavior is emitted meets the criterion limit or is less than the criterion limit, then the individual receives reinforcement at the end of the interval. So, Gina could use an interval DRL for addressing Luke’s behavior. In this instance, she might divide the 5-minute circle time into 10 30-second intervals. (I would suggest wearing a VibraLite watch or an interval app such as the ABA Interval Recording App to track the intervals.) Gina decides that the criterion limit will start at 2 instances of hand-raising each interval. If Luke raises his hand 2 times or less in an interval, then at the end of the interval she gives him a little bit of individualized attention, such as a pat on the shoulder or verbal praise.

A third way to implement a DRL is called spaced-responding DRL. In this procedure, you will measure interresponse time (or IRT… behavior analysts love their abbreviations, don’t they?!). So, in Gina’s intervention with Luke, this means that she would measure the amount of time from one instance of hand-raising to the next instance of hand-raising, or “the duration of time between two responses” (Cooper, Heron, & Heward, 2007). The goal here would be to increase the amount of time between instance of hand-raising, which would mean that Luke was raising his hand less frequently. Gina discovers that Luke is raising his hand about once every 25 seconds. She will begin by providing social reinforcement when he has gone 30 seconds without raising his hand. Over time, she will systematically increase the IRT until Luke is raising his hand approximately once every 2 minutes during circle time.

When designing an intervention using DRL there are a few things you should consider:

  • You do not want to use DRL with self-injurious or dangerous behaviors.
  • DRl usually produces a slow change in the behavior, so if it necessary to quickly decrease the rate of a behavior, you should select a different form of differential reinforcement.
  • There are several ways to implement DRL, and you should select the procedure that makes the most sense for the behavior you are addressing and the environment you are in.
  • Plan ahead so you are systematically decreasing the number of responses the individual is engaging in.
  • Be sure to take baseline data to determine your criterion limits! DRL will not be successful if you set them too low for your child or client to come into contact with reinforcement.
  • Get help when implementing DRL. Talk to a BCBA about the best way to implement it for your learner.

REFERENCES

Cooper J.O, Heron T.E, Heward W.L. Applied behavior analysis (2nd ed.) Upper Saddle River, NJ: Pearson; 2007

Dietz, S. M., & Repp, A. C. (1973). Decreasing classroom misbehavior through the use of DRL schedules of reinforcement. Journal of Applied Behavior Analysis, 6(3), 457.

Lennox, D. B., Miltenberger, R. G., & Donnelly, D. R. (1987). Response interruption and DRL for the reduction of rapid eating. Journal of Applied Behavior Analysis, 20(3), 279-284.

Singh, N. N., Dawson, M. J., & Manning, P. (1981). Effects of spaced responding DRL on the stereotyped behavior of profoundly retarded persons. Journal of Applied Behavior Analysis, 14(4), 521-526.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-12 in NYC. Working in education for ten years with students with Autism Spectrum Disorders and other developmental delays, Sam has developed strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently pursuing her PhD in Applied Behavior Analysis at Endicott College.

“From Panic to Progress: Supporting Students with Autism Who Escalate” by Patrick Mulick, BCBA, NBCT

In this week’s guest article, Patrick Mulick, BCBA, NBCT explains the escalation cycle by which educators and caregivers can evaluate what to expect in their students’ behaviors and how to intervene in the most effective and least intrusive ways. We’ve also included FREE downloadable data sheets so you can try incorporating Patrick’s Escalation Cycle into your program!

From Panic to Progress: Supporting Students with Autism Who Escalate
by Patrick Mulick, BCBA, NBCT

As critical as it is to change the behaviors of those who escalate, it can be particularly hard to do so in those with autism. The antecedent (trigger) can range greatly from observable events, such as a puzzle piece not fitting properly to a private event that is difficult to predict (such as a strong discomfort from flickering lights in a room). The learner often will exhibit behaviors in attempt to escape the overwhelming experience that they have entered, but those behaviors are often uncoordinated, lack reasoning, and are unsafe. It is here that students may break windows, chase after staff, or hit themselves. And it is here where educators need to be at the top of their game to support a safe de-escalation.

This entails knowing the student, knowing their escalation cycle, and having a system by which one can continually evaluate the de-escalation strategies being used. Ten years ago I created the cycle below to help do just that. In many cases, it has been the starting point to great gains for my students who were prone to escalate.

Breaking down the cycle into five levels of observable behaviors allows for a much clearer understanding of what to expect. Identifying the appropriate interventions for each level allows for the actions of staff to be the least intrusive and the most effective. It is easy to be reactive in a moment of crisis, yet the moment calls for everyone involved to act in a prescribed manner. Whether it be dimming the lights, providing a break area, or clearing the room of other students, every intervention is with good purpose and good timing.

Visually representing all of this for an entire school team, from parents to principals, allows for a better common understanding of the plan and greater fidelity in its implementation. Any issues with ineffective supports used at the wrong times can be quickly weeded out, and any staffs’ fears who interact with the learner can be eased. To allow the school team more depth or specifics, this overlay can be used to spell out more details.

Escalation Cycle-2

Knowing that a plan is being implemented with higher fidelity, we can then begin to look at data. A standard A-B-C data sheet for specific incidents should suffice in tracking the plan’s effectiveness.

Where the above tools can help most significantly is in the coding of behavior clusters, which can then be tracked in the student’s day, such as on a chart similar to the below.

Escalation Cycle-3

As the student progresses through their tasks and activities, staff indicate the highest escalation cycle level the student reached, even if only for a moment (think partial interval recording). This tracking done all day, every day, provides teams with data that can inform the effectiveness of the de-escalation techniques being used. For example, learners with a tendency to become aggressive are generally perceived as escalating with high frequency. Utilizing objective data tracking can substantiate such subjective perceptions, more clearly showing the frequency of escalation behaviors and if they are improving week to week. Working from a place that is measurable and observable can help move your team from being reactive to proactive, fearful to confident, and from helpless to equipped.

WRITTEN BY PATRICK MULICK, BCBA, NBCT

Patrick is the Autism Specialist of the Auburn School District in Washington State. Over his twelve years as a teacher and consultant, he has grown to have a particular passion for equipping school teams that support students with autism. Patrick enjoys engaging educators through his hybrid of inspirational and instructional speaking. He is currently working toward becoming a certified member of the John C. Maxwell Leadership program. To learn more, visit his website at www.patrickmulick.com.

Tip of the Week: DRA and DRO – Differential Reinforcement Tools for Behavioral Change

Recently we’ve been delving into different types of differential reinforcement. We’ve taken a look at why differential reinforcement is valuable as well as how to use DRI. Today, we’ll look at two more that are closely related: Differential Reinforcement of Alternative behavior (DRA) and Differential Reinforcement of Other behavior (DRO).

DRA is “a procedure for decreasing problem behavior in which reinforcement is delivered for a behavior that serves as a desirable alternative to the behavior targeted for reduction and withheld following instances of the problem behavior (e.g., reinforcing completion of academic worksheet items when the behavior targeted for reduction is talk-outs)” (Cooper, Heron, & Heward, 2007). The key thing to remember here is if you are implementing a DRA, a specified alternative behavior has been selected for reinforcement.

For example, Miss Watson wants her students to stop calling out answers. She decides she will not reinforce students calling out. In her situation, this means that if a student calls out she will not provide them with any attention, including reminders not to call out. She is going to reinforce the alternative behavior of raising your hand. This is a very common use of DRA, and it works well.

In another example, Lisa’s daughter often cries when she doesn’t get what she has asked for. Sometimes this results in attention, and sometimes it results in Lisa finally giving in and providing the item. Lisa decides to use DRA to address this behavior. With this intervention, any time that her daughter says “Okay” instead of crying when refused an item, Lisa provides reinforcement in the form of attention or playing with a different item than was requested.

DRO is quite similar. It is “a procedure for decreasing problem behavior in which reinforcement is contingent on the absence of the problem behavior during or at specific times” (Cooper, Heron, & Heward, 2007). With DRO, you would reinforce any behavior that wasn’t the behavior targeted for change.

For example, Mrs. Cuthbert notices that Anne is staring out the window frequently during lass. She decides to implement DRO. She sets a MotivAider for 5 minute intervals. Each time the MotivAider buzzes, she looks up and if Anne is doing any behavior other than staring out the window, Mrs. Cuthbert provides reinforcement. (There are two ways to implement DRO, which we’ll get to in a future post.)

DRO is especially beneficial because it is widely applicable, relatively rapid, and often durable and general (Mayer, Sulzer-Azaroff, & Wallace, 2014). However, you should be aware that you may run the risk of reinforcing other unwanted behavior. It can also make you focus on the “negative,” since you’re always looking for the problem behavior or the absence of the problem behavior (as opposed to a specific desired behavior, as in DRA.)
DRA and DRO are useful tools to add to your arsenal of behavior change tools. You may be wondering why it’s important to consider the differences between DRI, DRA, and DRO. The key to remember is that using these terms and understanding the possible strategies for reinforcement improves your implementation of interventions and your communication with other adults implementing those interventions.

References

Cooper J.O, Heron T.E, Heward W.L. Applied behavior analysis (2nd ed.) Upper Saddle River, NJ: Pearson; 2007

Optional Text: Mayer, G. Roy, Sulzer-Azaroff-B. & Wallace, M. (2013). Behavior analysis for lasting change (3rd ed.). Cornwall-on-Hudson, NY: Sloan Publishing.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-12 in NYC. Working in education for ten years with students with Autism Spectrum Disorders and other developmental delays, Sam has developed strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently pursuing her PhD in Applied Behavior Analysis at Endicott College.

Tip of the Week: Differential Reinforcement of Incompatible Behavior

In a recent post, I talked about Skinner’s emphasis on differential reinforcement. Today, we are going to take a closer look at Differential Reinforcement of Incompatible behavior (DRI). DRI is defined as “a procedure for decreasing problem behavior in which reinforcement is delivered for a behavior that is topographically incompatible with the behavior targeted for reduction and withheld following instances of the problem behavior (e.g., sitting in seat is incompatible with walking around the room) (Cooper, Heron, & Heward, 2007).

Let’s look at a few examples of DRI in action:

  • Mrs. Clark is teaching a classroom with six students with autism. One of her students has recently begun to pinch his arms. She takes data on the behavior and discovers that it functions for attention. (When he pinches his arms, she or a teacher’s aid comes over and tells him “no pinching.”) She decided to implement an intervention that utilizes DRI. She teaches him how to sit with his hands intertwined on his desk. This is an incompatible behavior with pinching because he is not able to pinch while his hands are intertwined. She and the teacher’s aid reinforce him for intertwining his hands (come over and tell him, “great job” or “I like how you’re sitting”) and do not provide attention when he engages in arm pinching.
  • Carly has a 9-year-old daughter. When her daughter wants a break from doing homework, she reaches over and hits Carly’s arm. Carly typically says, “Do you need a break now?” Then, she allows her to take a five-minute break. Carly recognized that her daughter’s intensity with hitting seemed to be increasing, and she was worried she might get hurt. She decided to implement an intervention that utilized DRI. She put a timer on the table within her daughter’s reach, and taught her daughter to touch the timer when she wanted a break. This is an incompatible behavior because her daughter cannot simultaneously touch the timer and hit Carly. When Carly’s daughter touched the timer, she immediately received a break. When she hit Carly, she did not receive a break. This was an especially useful intervention because, over time, Carly taught her daughter to set the timer on her own and become more independent with managing break times.
  • Mr. Holley teaches a preschool class. During circle time, many of his students become very excited and can be quite loud. Sometimes it seems as though all of his students are yelling at the same time. Once they become too loud, it is very challenging to regain their attention. He decides to implement an intervention utilizing DRI. He uses a decibel meter on his tablet (such as the app Too Noisy). He teaches the students that when the noise level is below a certain number or threshold they all earn stickers. This is differential reinforcement of an incompatible behavior because the children cannot possibly speak loudly and softly simultaneously.

DRI is not always the best option. For example, it may be very challenging to come up with an incompatible behavior. Or, in the case of self-injurious or aggressive behavior, it may be dangerous to use such an intervention.

If you do use DRI, you may consider explicitly telling your learner(s) that you are implementing this new plan, such as Mr. Holley did in the third example above. And remember, this is only one form of differential reinforcement. If DRI is not appropriate for your situation, there are definitely still options for reinforcing appropriate behavior in an effective and efficient manner.

References

Cooper, J.O., Heron, T.E., & Heward, W.L. (2007). Applied Behavior Analysis – 2nd ed. Englewood Cliffs, NJ: Prentice-Hall.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-12 in NYC. Working in education for ten years with students with Autism Spectrum Disorders and other developmental delays, Sam has developed strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently pursuing her PhD in Applied Behavior Analysis at Endicott College.