Functional assessments & self-management Flashcards

1
Q

When are behaviours deemed problematic?

A

When they are socially significant.

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2
Q

What makes problem behaviours socially significant? (4 points)

A

Affect others and the surrounding environment.
Safety of the person engaging in the behaviour or others around is threatened.
Hinder the ability of the person or others to acquire new skills.
Lead to restrictive living arrangements.

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3
Q

What ethical consideration is needed for deciding whether the behaviour hinders the ability of the person/others to acquire new skills?

A

Consider whether the behaviour is actually problematic/hindering them or whether it is just identifying them as being neurodiverse.

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4
Q

Most behaviours are …?

A

Learned: controlled by principles of operant conditioning.

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5
Q

Behaviours can be … or … ? What does this depend on?

A

Adaptive or maladaptive. Depends on the context in which the behaviour occurs.

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6
Q

Behaviours can be seen as forms of …?

A

Communication with a function.
They get us something that we want.

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7
Q

What are the two functions of behaviour?

A

Positive and negative reinforcement.

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8
Q

Who can each of the reinforcement operations of behaviour be delivered by?

A

The environment = social.
The self = automatic.

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9
Q

What is escape an example of?

A

Social negative reinforcement.

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10
Q

What is an FBA?

A

Functional behaviour assessment.

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11
Q

What does an FBA involve and the 4 steps?

A

Often start with ABC (immediate context in which the maladaptive behaviour is happening).
But antecedents and consequences can be altered by individual and environmental factors.
Step 1: Interview and observation to identify individual and caregiver factors.
Step 2: Observation and analysis of behaviour when it occurs.
Step 3: Identify the function of the behaviour.
Step 4: Develop an intervention plan.

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12
Q

What are examples of environmental factors influencing ABC in FBA?

A

Level of stress in family members, home/school support, cultural factors.

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13
Q

What are individual factors influencing ABC in FBA?

A

Level of sleep, medication, illness, level of ability, trauma.

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14
Q

What are the 4 steps completed to determine the function of behaviour?

A
  1. Interview and observation to identify individual and caregiver factors.
  2. Observation and analysis of the event when it occurs.
  3. Identifying the function of the behaviour.
  4. Develop an intervention plan.
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15
Q

What does the direct observation step of an FBA involve?

A

Antecedent: who was around; where were they; what was said/heard?
Behaviour: what did the individual do?
Consequence: what did the individual receive immediately after the behaviour; what did other people do after the behaviour; what did other people stop doing after the behaviour?

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16
Q

How do behavioural analysts record the observation data?

A

In a direct observation datasheet. It can be blank or include information about what to expect.

17
Q

Why are observations hard to conduct? What does this mean for practice?

A

There is often a lot going on and chaos in the environment, involving lots of antecedents and consequences. It means that observations must be repeated to get an idea of what variables are maintaining the behaviour.

18
Q

What are the 2 strategies of categories identified for an intervention plan?

A

Proactive and teaching alternative behaviour.

19
Q

What is a proactive intervention strategy?

A

Implemented before the behaviour occurs. Determines what to do in order to prevent the behaviour.

20
Q

What is the teaching alternative behaviour intervention strategy?

A

Implemented just as the behaviour starts to occur. Teaches an alternative behaviour that is functionally equivalent to the problem behaviour (i.e., teaches another way to get the same favourable consequence).

21
Q

In the case study on Tom, who had CENs and was non-verbal, how were strategies used to reduce non-injurious behaviour?

A

Teaching alternative behaviour: provided an ACC device to get more one-on-one interaction; allowed him to make a sound to call for attention when he wanted someone with him.
Proactive strategy: brought more people to him to talk/read to him unsolicited; trained in independent activities during which he did not need someone next to him all the time.

22
Q

What are trauma-informed applications of FBA?

A

Immediate need to minimise restraint use for individuals with dangerous behaviour.
Offering enhanced choices: method towards individuals having their say.

23
Q

How did Rajaraman et al. (2021) used trauma-informed application of FBA to reduce eloping of 9yr old boy from school?

A

Wanted to train a functional communication response. Used shaping procedure.
New to the trauma-informed approach was an enhanced choice model: gave him the option to choose between whether they stayed in practice (communication response shaping), went to a hangout room, or terminated the session.
He learned to use this.

24
Q

When is self-management used? (3 things)

A
  1. Engage in a controlling behaviour to influence a future behaviour.
  2. Establish a behaviour that does not have immediate positive consequences, but has a future desirable outcome.
  3. Can be applied for behavioural deficits or excesses.
25
Q

What are the 6 steps to self-management?

A
  1. Define the target behaviour.
  2. Goal-setting.
  3. Self-monitoring.
  4. Functional Assessment.
  5. Self-management strategies
  6. Evaluate, re-evaluate.
26
Q

What makes a good operational definition of behaviour in SM?

A

Clear, concise, measurable. Include examples and non-examples for complex behaviours. Use action words (verbs) to help.

27
Q

What does goal-setting in SM involve?

A

Writing down the criterion level of the target behaviour and the time frame for the occurrence of it.

28
Q

What are the 4 main categories of goals in SM?

A

Being more effective and efficient in daily life.
Breaking undesirable habits.
Developing desired lifestyle behaviours.
Mastering difficult skills.

29
Q

When is goal setting often effective?

A

When implemented with self-monitoring and other self-management strategies.

30
Q

What does self-monitoring involve in SM?

A

Monitoring one’s own behaviour to measure change. Record each instance of the target behaviour as it occurs to evaluate (monitor) progress towards the goal. Use a data sheet or recording device.

31
Q

What do we mean by saying self-monitoring is reactive?

A

The act of self-monitoring may result in a beneficial change in the target behaviour that is being recorded.

32
Q

What does a functional assessment in SM involve?

A

Look at the variables that are impacting the behaviour directly - immediate contingencies and delayed outcomes. Consider how these can be modified.

33
Q

What SM strategy is “start with 1 mile and increase by 1 mile each week” an example of?

A

Shaping.

34
Q

What is the SM strategy of “eat a snack at 3pm so he wouldn’t be hungry when he got home” an example of?

A

Antecedent control.

35
Q

What SM strategy is “joining a running group so every time you do go on a run there are positive consequences that you meet others (makes you more accountable)” an example of?

A

Consequence control.

36
Q

What does evaluation, re-evaluation involve?

A

Graph and evaluate progress as SM strategies are applied. Conduct a visual analysis of the graphed data and evaluate changes in the level and trend of the data. Assess if goals are being met. Assess variability in the data (is there too much even though the strategy has been introduced?).