What do you do?
You are running the first session of a brand new 18 month old client. The client walks into the barn and sits on the ground, what is the first thing you do?
Run a preference assessment or a variety of their preferred items in order to build rapport with the client and engage them in play.
Where is the hierarchy is visual/positional prompting?
The least intrusive prompt
You are in Playtown with your dyad and client 1 wants to play in the barn with marble run but client 2 refuses to leave the hospital, how do you keep them within the same treatment area?
Open answer however I am looking for:
Transitioning client 1 to the hospital by withholding marble run and utilizing it as a transition item, "first hospital, then we can play marble run." Clients can either engage in parallel play of different or same toy. Another option is finding client 2s most most preferred and engaging them in that item in the barn.
What is the term called for preventative/proactive strategies for a behavior? Provide one example of it and one negative effect.
Antecedent strategies. Examples include: priming, environmental sanitization, body positioning, timers, social stories, social scripts, role-play games, modeling appropriate behaviors, premack principle/ first-then statements, etc.
Negative effect: If we always utilize antecedent strategies to prevent behavior, we may never actually target the actual behavior or work on self-regulating strategies for this. It is very unnatural and the client may continue the behavior in the real world.
Who is the longest standing BT here?
Mariah Heimsoth
You are in a social skill group with your caterpillar dyad and another BT with their caterpillar triad. You guys are transitioning to the therapy room for play when your peer's client elopes. You are able transition all remaining four clients to the therapy room and it is your goal to engage them and gain all their attention, what do you do?
Open to answers.
Exaggerated speech/play/effects
My favorite one is to grab a closed bin/box, begin shaking it around and loudly saying "OOOOooo look what do I have?" This gains all the client's attention, I would then walk behind them to redirect them closer to the table to sit down. Once sitting I would begin to provide them with the items in the box (maybe it's cars, playdoh, etc.). If one of the four kiddos trail off it is okay for the moment while I wait for the other BT to return.
When you teaching a new skill.
How many floating holidays do we get in a year?
2 floating holidays.
What is a replacement behavior? Provide one example.
A replacement behavior is intended to replace maladaptive/challenging behaviors with a more appropriate alternative behavior.
Several examples can be provided.
Which PC has been at Pacific Clinics the longest?
Malak Younis
You're running after a client when suddenly you run straight into a wall! You bonked your head hard and now you're feeling dizzy and nauseous. What are the first four things you do?
1. Assure you are feeling safe and okay
2. Inform your supervisor/call for a supervisor
3. Call Concentra number line
4. File an incident report form
What kind of prompting is "What do you need" an example of? (Be specific)
An indirect verbal prompt?
What is the name of Bluey's sister?
Bingo
What is negative reinforcement? Provide one example.
Negative reinforcement is the removal of an unwanted stimulus to promote/encourage a desired/appropriate behavior.
One example is terminating a nonpreferred activity early (such as circle time) when a "nonverbal" client independently requests a break. Several examples are correct responses.
Who in the clinic has the initials M.G.
Mary Gentle
You notice your 5 year old client has a toileting goal. They are very receptively aware to instruction. They have presented no previous skills on toileting and are averse to entering the bathroom, when prompting to go to bathroom they lay on the floor, scream, cry, and protest. What do you do?
Open answers.
When do you use least to most prompting?
When a skill is previously mastered and in maintenance or you are increasing independence/prompt fading.
How many BTs do we have as of 11/19?
24 BTs (23 is also acceptable)
What are the steps of a BST model?
1. Provide the instruction (e.g. let's play hopscotch)
2. Model it (model how to play hopscotch)
3. Rehearse it (allow them a practice round)
4. Provide feedback (correct their errors/show them what they did wrong)
Who oversees Luis Galvan?
Associate Director, Courtney Pollack Jackson
It is an afternoon session and all the peers of your social skills session cancelled, you are 1:1 with a 7 year old client you've been with for 5 months. There are no peers around their age today and you must run the session alone! Your schedule is as followed: Outside, sunshine hall, room, playtown. What would you do and focus on with this client?
Open Answer.
What is the least to most prompting hierarchy?
positional/visual, gestural, model, indirect verbal, (partial verbal is a bonus), direct verbal, partial physical, then full physical is the correct order.
What holiday is on April 22?
Earth Day
What is token economy? List two pros and two cons.
Token economy is a method of behavior modification that uses a system of rewards to encourage desired behaviors (e.g. a token board, point system, contingencies, etc.)
Pros: Motivates the client, teaching a new skill/skill acquisition, provides structure, provides a clear expectation
Cons: Unnatural, difficult to generalize, time consuming, can decrease intrinsic motivation, expectations for a consistent reward,
What is Jazmine's full government name? (Hint: it used to appear all on teams until the beginning of November)
Jazmine Joy Piso Deocares