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Instruction in Functional Assessment, 2014a

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<strong>Instruction</strong> <strong>in</strong> <strong>Functional</strong> <strong>Assessment</strong> Chapter 3<br />

Table 10<br />

Summary of NCR Procedure<br />

1. Identify the re<strong>in</strong>forcers currently ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g the <strong>in</strong>dividual’s challeng<strong>in</strong>g behavior<br />

(e.g., positive re<strong>in</strong>forcement, negative re<strong>in</strong>forcement) by conduct<strong>in</strong>g a functional<br />

assessment<br />

2. Schedule a frequent delivery of re<strong>in</strong>forcer accord<strong>in</strong>g to time alone or <strong>in</strong>dependent of<br />

behavior<br />

3. Include an ext<strong>in</strong>ction component for when the problem behavior occurs<br />

4. Initially use a rich schedule of re<strong>in</strong>forcement and adjust it to lean as the challeng<strong>in</strong>g<br />

behavior decreases<br />

Chang<strong>in</strong>g Antecedent Stimuli <strong>in</strong> the Natural<br />

Environment<br />

A quick method of prevent<strong>in</strong>g the <strong>in</strong>dividual’s challeng<strong>in</strong>g behavior is to manipulate<br />

antecedent stimuli that control behavior (i.e., prompts). Antecedent stimuli <strong>in</strong>clude events,<br />

objects, or people that are present before the <strong>in</strong>dividual’s challeng<strong>in</strong>g behavior occurs.<br />

Stimuli <strong>in</strong> the environment that consistently precede the behavior can either be elim<strong>in</strong>ated<br />

or changed to affect the likelihood of the behavior (Mart<strong>in</strong> & Pear, 2011). For example, if<br />

the <strong>in</strong>dividual typically resists do<strong>in</strong>g chores or is noncompliant then provid<strong>in</strong>g a choice of a<br />

variety of different chores for that person to choose from may be an effective solution (Call,<br />

Wacker, R<strong>in</strong>gdahl, Cooper-Brown, & Boelter, 2004). If the <strong>in</strong>dividual is escap<strong>in</strong>g from<br />

difficult work or material because the read<strong>in</strong>g level is too difficult (i.e., negative re<strong>in</strong>forcement),<br />

then provide more assistance or better <strong>in</strong>struction, or make the work easier (Sanford<br />

& Horner, 2013). Also for escape-ma<strong>in</strong>ta<strong>in</strong>ed behavior, the demands or requests could be<br />

delivered less frequently (e.g., present<strong>in</strong>g demands once an hour <strong>in</strong>stead of 20 times) and<br />

then, as the levels of the challeng<strong>in</strong>g behaviors rema<strong>in</strong> low, gradually returned to typical<br />

levels (Lalli, Casey, & Kates, 1995). There is research to support the effectiveness of this<br />

procedure for decreas<strong>in</strong>g the number of requests, known as DEMAND FADING, for escapema<strong>in</strong>ta<strong>in</strong>ed<br />

challeng<strong>in</strong>g behaviors (see Pace, Iwata, Cowdery, Adree, & McIntyre, 1993;<br />

Penrod, Gardella, & Fernand, 2012).<br />

Another strategy is to add stimuli <strong>in</strong>to the situation <strong>in</strong> which the challeng<strong>in</strong>g behavior<br />

occurs to prompt or cue the <strong>in</strong>dividual’s desirable behaviors. For example, the likelihood of<br />

the desired behavior occurr<strong>in</strong>g may be <strong>in</strong>creased by present<strong>in</strong>g preferred curricular activities<br />

(Foster-Johnson, Ferro, & Dunlap, 1994), background music (Desrochers, Oshlag, &<br />

Kennelly, 2014), activity choices (Rispoli et al., 2013), or models demonstrat<strong>in</strong>g desired<br />

behavior (Stokes & Kennedy, 1980).<br />

Another method to change the antecedent stimuli <strong>in</strong>volves an overall improvement<br />

of the quality of the <strong>in</strong>dividual’s environment, known as ENVIRONMENTAL ENRICHMENT<br />

(EE). EE entails <strong>in</strong>creas<strong>in</strong>g <strong>in</strong>dividuals’ access to preferred activities, people, or objects and<br />

provid<strong>in</strong>g a variety of choices available <strong>in</strong> their everyday environment. One of the earliest<br />

demonstrations of how EE can decrease problem behavior was conducted by Horner<br />

(1980). More recently, <strong>in</strong> a controlled randomized experiment, it has been shown that<br />

<strong>in</strong>creas<strong>in</strong>g sensorimotor experiences can have a beneficial effect on children with autism<br />

36

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