Ethics
Who is our #1 priority?
The client
What is pairing?
The process by which we pair ourselves as a reinforcer for our clients
What is a free operant assessment? When might you use one?
The client enters a room and the therapist records what the person plays with and for how long. Use this one when you are just starting with a client or if they have a hard time making choices
What behavior is defined in this definition? "_____________ is defined as: any instance of the client using any part of their body to make inappropriate physical contact with another person using sufficient force that may or may not result in an audible sound or a visible mark on the skin. Each occurrence of physical contact is counted as an individual instance (frequency), multiple instances can occur in rapid succession within a few seconds."
Physical aggression
Therapist says "say 'cat'"
Client says "cat"
Echoic
How often do we have to renew our RBT certification?
Every year
It reduces the likelihood of maladaptive behaviors, helps the client become familiar with their new environment, and allows the patient to enjoy receiving therapeutic services
What is a single stimulus preference assessment? When might you use one?
RBT presents the child with one item and records if the person engages with and for how long. Use this one if you client has a hard time making choices
What behavior is being defined here? "Any instance in which the client is 5 or more feet away from the therapist without permission. The behavior ends when the therapist is with the client or when the client returns. Record using frequency data."
Elopement
Client sees their water bottle sitting on the shelf, points to it and says "water." Therapist gives her the water and she drinks it
Mand
What percentage of direct care hours must be supervised each month?
5%
Can we be paired with a client without having instructional control?
Yes
What is a paired choice preference assessment? When might you use one?
Create a list of all items that will be used in the assessment and systematically record which of the two were engaged with. Make sure all items are paired with each other and appear on both sides of the array. Use these if you want the most accurate preference assessment and if your client thrives on making choices
What behavior is being defined here? "Rapidly moving in a forward trajectory through the movement of one's feet at a pace that exceeds normal walking speed for at least 5 steps."
Walking
Client sees a picture of Batman on the wall
Client says "Batman"
Tact
Is this an ethical concern?
"A parent of the client you are working with tells you that they have doing research about different ways to address the maladaptive sensory seeking behaviors their child engages in. They tell you that they are going to implement “holding therapy” in order to improve their child’s social behavior. They explain that they want you to include it in your session at least once a day."
Yes, we should not implement any punishment procedures if they have not been authorized by the BCBA
What is instructional control?
The likelihood that the client will listen to you when you place a demand
What is a multiple stimulus without replacement preference assessment? When should you use this one?
Present an array of 3 or more items in front of the client. Record which item the person engages with and remove it from the array. Shuffle all of the items that remain. Repeat these steps until there are no more items in the array. Repeat these steps if the client seems to have diverse interests and are able to make choices for themselves
What behavior is being defined here? "Any instance in which a person lowers they body into a position with their posterior on the floor or placed onto another object."
Sitting
Therapist says "clap hands"
Client claps their hands
Listener responding
How should you respond to this scenario?
You are working with a client that has made quite a bit of progress in the last month and their parents are over the moon excited. Because of this amazing progress, they have come to trust you as their child’s RBT and have expressed how great they think you are at your job. While dropping them off one day, they tell you about a problem that their child has started to have at home and ask you what they should do to ‘fix’ the problem. You ask them if they have talked to the BCBA on their child’s case, and they reply that they don’t want to bother the BCBA when they know that you could answer their questions since you have made so much progress with their child so far. You have a pretty good idea of what your BCBA would suggest. What do you tell the parents?
Even though you might have a good idea, always report parent concerns or suggestions to the BCBA
How can we pair with our clients?
Use non-contingent reinforcement, sing their favorite songs, play their favorite activities with them, keep demands to a minimum for the first few sessions, look at the POC for a list of preferred items, etc
What is multiple stimulus with replacement? When would you use this type of preference assessment?
Provide an array of 3 or more items in front of the patient. Record which item the person chooses and where in the array the item was. Place the item back in the array and change all the other items that were in the array with new ones. Use this one when the client can make choices and are ok with items being removed
Create an operational definition for tantrums
Answers will vary
Therapist says "Mary had a little..."
Client says "lamb"
Intraverbal