Prompting
What prompts are not able to be used for Tacting programs?
Gesture, Full or Partial physical
EnCa non-compliance, just sitting on the floor
What is your response
leave him on the floor and do not talk to him. Pull out 1-2 preferred items and model play with the activities. Do not look at him but make sure you can see what he's doing. If there was a demand in place follow through with the demand utilizing LTM prompting
What is a way to minimize distraction when my client has a lot of programs that require stimuli?
organize the items prior to starting, only put out what is needed, break the programs up over multiple tables.
My client is play with cars next to another client that is playing car, but there is no interaction between them. What is this?
Parallel Play
I see a new program for a client and don't fully understand what to do. What should be next move be?
Ask Sr. RBT/ Intern/ COM, if they are unsure ask BCBA
When running an errorless program when should the prompt be delivered?
Immediatly after the SD
WyHa is engaging in SIB
What should you do?
SIB with head - if more than 2 instances, therapist should place the mat between his head and the wall or other surface.
SIB with arm or food- ignore unless force is very hard then you can place the mat between the arm/food and surface
When placing the mat therapist should not verbally interact
When my client is in a common room, what should I be doing?
Interacting with them unless programing states otherwise.
My client has a program to appropriately gain attention from others. Does he ALWAYS have to raise his hand everywhere he goes?
NO
A peer comes up to my client and ask him if he wants to play. My client looks at me to respond. What should I do?
Gesture toward the peer and step back from the interaction.
Nope
JaHa is engaging in inappropriate touch in a group setting
What do you do?
During Group/ Scheduled Activities When Jace engages in inappropriate touch the therapist should provide an initial redirection to keep hands to self, referring to the personal space visual used to prime the situation. If the behavior continues/ becomes repetitive the therapist needs to remove themselves from the environment for 30 seconds- 1minute. If the behavior continues once the therapist returns the therapist needs to remove themselves for the remainder of the activity.
How long should I be spending in a room with my client?
No more than 15min in any room- client program may dictate 5 or 10 minutes
When my client is interacting with another client, even prompted - what is important?
Body orientation (how they are facing)
My client has engaged in a lot of Bx during the session but is now calmer and in a group setting. What should I not do
Talk about what occurred with other therapist
What is an indirect verbal prompt?
Prompting something is expected but not giving them the exact wording or response.
MakMa is engaging in a tantrum after transition from a preferred item to less preferred item in same room.
What do you do?
If Makynlee is transitioning from a preferred activity and staying in the same room, block access to the preferred activity and immediately physically re-direct to the next activity. Use least to most prompting to get compliance with the next activity. Once there is one instance of "compliance" (attempts to complete the activity), utilize the FCT with a verbal prompt "all done" for Makynlee to escape the remainder of the activity.
I have a new client 2yr old, nonverbal. What should playing look like for them?
Therapist is playing with variety of toys to see what catches their interest. Therapist is demonstrating what to do and make sounds with the item.
NOT giving them a tub of items and letting them look at them- this is NOT play
My client is on track to start school soon, when running social programing what should I be looking for?
Independent : initiation, self sustained play, little to no adult interaction needed
If I have given a verbal redirection or direction once or max of twice what should I do next?
Nonverbal communication
I am pairing with a client
What should I be doing?
The therapist is engaged with the client, playing with items the client is drawn to or motivated by. No demands are placed.
Pairing is not watching the client play with items even if they are playing well with them.