Three Different line graphs
One for IOA data
- Treatment data review
- Provide a graphical visual display; of the treatment data for your target behavior for reduction.
- Display should show trend and/or variability of the data.
- Progress on selected replacement behavior for increase
- Provide a graphical ;visual display; of the treatment data for your selected replacement behavior for increase.
- Display should show trend and/or variability of the data.
Caregivers/parents.
Name
Audience Selection and Justification
Audience Selected: Caregivers/Parents
They play Pivotal Role
Direct impact on implementation
Reinforcement and generalization
Fostering collaboration
Empowerment for active participation
Caregivers/parents play a pivotal role in the client's life, serving as primary influencers within the home environment. Their direct impact on implementing the intervention plan outside the therapeutic setting is substantial, significantly influencing the continuity of strategies employed during sessions. Engaging caregivers is deemed crucial for success, as they actively reinforce and generalize the strategies learned in therapy into the client's daily life. Through sharing data and progress, the presentation aims to foster collaboration, creating a partnership between caregivers and the intervention plan. This collaborative approach is anticipated to result in a more effective and sustained impact on the client's progress. Furthermore, the presentation seeks to empower caregivers, encouraging their active participation in ongoing support, thereby ensuring a comprehensive and consistent implementation of behavior change strategies.
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Case Description and Target Behavior
Case Study: Briana
Description:
Briana, a pseudonymous individual, is the focus of our intervention.
Exhibits Self-Injurious Behavior (SIB), specifically head banging, requiring a targeted behavior intervention plan.
Target Behavior for Reduction:
Label: Head Banging
Operational Definition: The act of Briana intentionally and repetitively striking her head against a surface.
Function: Serves as a form of communication, indicating distress or frustration.
Social Significance:
The identified behavior is socially significant due to its potential harm and the need for effective communication.
Reducing head banging enhances Briana's safety and improves her overall well-being and social interactions.
Data Collection Method:
Chosen method is frequency/event recording.
Involves counting occurrences of head banging within 10-minute intervals, totaling 60 minutes.
Ensures effective data collection, aligning with the environment, and ensuring the therapist's presence for immediate intervention.
Ethical Considerations:
Adhering to the BACB Ethics Code.
Prioritizing client welfare, privacy, and evidence-based practices.
Aligning with the Capella Compassion Code by obtaining consent, respecting cultural factors, and actively engaging with stakeholders.
Fostering a compassionate and ethical approach throughout the intervention process.
Case Study: Briana
Description: Briana, a pseudonymous individual, is the focus of our intervention. She exhibits Self-Injurious Behavior (SIB), specifically head banging, requiring a targeted behavior intervention plan.
Target Behavior for Reduction: Label: Head Banging Operational Definition: The act of Briana intentionally and repetitively striking her head against a surface. Function: The behavior serves as a form of communication, indicating distress or frustration.
Social Significance: The identified behavior is socially significant due to its potential harm and the need for effective communication. Reducing head banging not only enhances Briana's safety but also improves her overall well-being and social interactions.
Data Collection Method: The chosen method for data collection is frequency/event recording. This involves counting the occurrences of head banging within 10-minute intervals, totaling 60 minutes. This method allows for effective data collection, aligning with the environment and ensuring the therapist's presence for immediate intervention.
Ethical Considerations: Adhering to the BACB Ethics Code, our intervention prioritizes client welfare, privacy, and evidence-based practices. Additionally, we align with the Capella Compassion Code by obtaining consent, respecting cultural factors, and actively engaging with stakeholders, fostering a compassionate and ethical approach throughout the intervention process.
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Brief Intervention Summary
Functional Communication Training (FCT):
Implemented to teach Briana alternative, appropriate ways to communicate her needs, reducing the reliance on head banging.
Aligns with BACB Ethics Code, emphasizing the use of evidence-based practices to improve client outcomes (Cooper et al., 2020).
Reinforcement Strategies:
Utilized positive reinforcement to strengthen desired behaviors identified through FCT.
Aligns with Capella Compassion Code, emphasizing thoughtful selection of reinforcers and incorporating client choice in the intervention process (Capella Compassion Code).
Environmental Modifications:
Adjusted Briana's environment to reduce potential triggers for head banging, promoting a more supportive setting.
Ethically aligns with the BACB Ethics Code, ensuring client welfare and considering environmental variables (Cooper et al., 2020).
Parent/Caregiver Training:
Engaged caregivers in the intervention process, providing them with the skills to reinforce and generalize strategies beyond therapy sessions.
Aligns with both the BACB Ethics Code and Capella Compassion Code by fostering collaboration, respecting client autonomy, and ensuring a comprehensive approach to intervention.
Applied interventions for Briana's head banging behavior included Functional Communication Training (FCT), teaching her alternative ways to communicate needs and reducing reliance on head banging. This approach aligns with the BACB Ethics Code, emphasizing evidence-based practices for improved client outcomes (Cooper et al., 2020). Reinforcement strategies, incorporating positive reinforcement for identified desired behaviors from FCT, were utilized, consistent with the Capella Compassion Code, which emphasizes thoughtful reinforcer selection and client choice in interventions (Capella Compassion Code). Environmental modifications were implemented to create a supportive setting by reducing potential triggers for head banging, ethically aligning with the BACB Ethics Code's emphasis on client welfare and environmental considerations (Cooper et al., 2020). Additionally, parent/caregiver training was conducted, involving them in the intervention process to reinforce and generalize strategies, fostering collaboration and respecting client autonomy in accordance with both the BACB Ethics Code and Capella Compassion Code.
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Treatment Integrity Data Review
Type of Treatment Integrity Data:
Treatment Fidelity Checklists
Graphical Visual Display:
Frequency of Data Collection:
Treatment integrity data collected bi-weekly over six months.
Data Collector:
Data collected by a BCBA supervisor during scheduled supervision sessions.
Results:
Graphical representation of treatment integrity consistently above 90%.
Ethical Considerations:
Adhered to BACB Ethics Code by prioritizing accuracy in data collection to ensure client welfare and effective interventions.
Aligned with Capella Compassion Code by considering the impact of accurate data on client progress and overall well-being.
Treatment integrity data was gathered using Treatment Fidelity Checklists, with a bi-weekly collection frequency conducted over six months and supervised by a BCBA. The results, graphically displayed, consistently showed treatment integrity above 90%. Adhering to the BACB Ethics Code, this approach prioritized accuracy in data collection to ensure client welfare and effective interventions. Additionally, in alignment with the Capella Compassion Code, the consideration of the impact of accurate data on client progress and overall well-being was a key ethical consideration throughout the process.
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Progress Evaluation Overview
Review of Target Behavior Reduction:
Graph illustrating the baseline frequency of Briana's head banging behavior.
Subsequent graphs displaying the progressive reduction in head banging frequency post-intervention initiation.
Data Collection Frequency:
Regular data collected during each therapy session for six months.
Data Collector:
Daily therapy staff responsible for collecting behavioral data.
Results:
Graphical representation of head banging reduction over time.
Ethical Considerations:
Ensured accurate and thorough data collection in alignment with BACB Ethics Code.
Considered the impact of progress on Briana's well-being, aligning with Capella Compassion Code.
The progress evaluation reveals a baseline frequency graph of Briana's head banging behavior and subsequent graphs depicting a progressive reduction post-intervention initiation. Data collection occurred regularly during each therapy session over six months, conducted by daily therapy staff. The results are presented graphically, illustrating a consistent reduction in head banging frequency over time. Ethical considerations were prioritized, ensuring accurate data collection aligned with the BACB Ethics Code and accounting for the impact of progress on Briana's well-being in alignment with the Capella Compassion Code.
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Data Accuracy (IOA) Review
Type of IOA Data:
Interobserver Agreement (IOA) Check
Graphical Visual Display:
Frequency of IOA Data Collection:
IOA data collected bi-weekly over six months.
Data Collector:
Independent observers, including another BCBA and a senior therapist, conducted IOA checks.
Results:
Graphical representation of consistently high IOA percentages, ensuring data accuracy.
Ethical Considerations:
Adhered to BACB Ethics Code by prioritizing IOA checks to maintain data accuracy, ensuring ethical conduct in data interpretation.
Considered the impact of accurate data on intervention success, aligning with Capella Compassion Code's emphasis on promoting client welfare and progress.
The evaluation of data accuracy through Interobserver Agreement (IOA) checks involved bi-weekly assessments over six months, conducted by independent observers, including another BCBA and a senior therapist. The graphical representation displayed consistently high IOA percentages, affirming data accuracy. Ethical considerations were paramount, with adherence to the BACB Ethics Code by prioritizing IOA checks to ensure accurate data interpretation and ethical conduct. Additionally, the intervention success was considered in alignment with the Capella Compassion Code, emphasizing the promotion of client welfare and progress through accurate data collection.
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Treatment Data Review – Target Behavior for Reduction
Graphical Visual Display:
Utilizing a line graph for Briana's head-banging behavior, collected through Central Reach, the data spans from February 1st, 2023, to February 12th, 2023.
Data Display Information:
Baseline engagement ranged from 8-14 head bangs per 60-minute session.
Intervention implementation on February 8th resulted in a significant decrease, with Briana engaging in only 2 head bangs by the end of the study.
Data-Based Decisions:
The observed trend indicates a substantial reduction in the target behavior over the study period, affirming the effectiveness of the intervention. This supports the prediction that the problem behavior will continue to decrease over time.
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Frequency of Headbanging
Headbanging 44958 44959 44960 44961 44965 44966 44967 44968 44969 12 9 11 8 6 4 5 3 3
Dates
Frequecny
Treatment Data Review – Replacement Behavior for Increase
Graphical Visual Display:
Employing a line graph for Briana's selected replacement behavior, collected through Central Reach, covering the same time frame.
Data Display Information:
Representation of the frequency of engagement in the selected replacement behavior over the study period.
Data-Based Decisions:
The graph will showcase the trend and variability of the selected replacement behavior, providing insights into its effectiveness and progress over time. The display will guide data-based decisions for further refinement of the intervention plan.
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Ethical and Compassionate Next Steps – Effectiveness and Adjustments
Brief Overview:
Treatment has shown significant effectiveness in reducing Briana's head-banging behavior.
Data-Driven Decision Making:
Continued reliance on data-driven decisions to assess ongoing progress.
Consistent monitoring of treatment integrity and IOA to ensure accuracy and ethical standards are maintained.
Comprehensive Evaluation:
Ongoing evaluation of the intervention plan's impact on Briana's overall well-being, considering both target behavior reduction and replacement behavior increase.
Adherence to BACB Ethics Code and Capella Compassion Code in making decisions that prioritize client welfare and promote a compassionate approach.
Adjustments and Refinement:
Flexibility in adjusting intervention strategies based on observed trends and individual needs.
Periodic reassessment to determine the necessity of any modifications or enhancements to the intervention plan.
Continued reliance on data-driven decisions ensures ongoing progress assessment, with consistent monitoring of treatment integrity and Interobserver Agreement (IOA) to maintain accuracy and uphold ethical standards. The comprehensive evaluation of the intervention plan focuses on its impact on Briana's overall well-being, considering both target behavior reduction and replacement behavior increase. Adherence to the BACB Ethics Code and Capella Compassion Code guides decision-making, prioritizing client welfare and promoting a compassionate approach. Embracing flexibility, adjustments to intervention strategies are made based on observed trends and individual needs, with periodic reassessments to determine modifications or enhancements for optimal effectiveness.
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Ethical and Compassionate Next Steps – Future Services and Follow-Up
Brief Overview:
Highlighting the commitment to ethical and compassionate service delivery.
Future Service Plans:
Continuation of current intervention strategies based on their effectiveness.
Consideration of potential new strategies or adjustments to address emerging needs.
Client and Caregiver Involvement:
Active engagement of both Briana and her caregivers in decision-making processes.
Regular communication to address concerns, provide updates, and ensure alignment with client and caregiver goals.
Next Check-In:
Scheduled check-in with caregivers and relevant stakeholders in three months.
Ensuring ongoing collaboration, addressing any emerging challenges, and making necessary adjustments to maintain effective intervention.
The commitment to ethical and compassionate service delivery is highlighted in future service plans for Briana. Continuation of current intervention strategies, guided by their effectiveness, is paired with a proactive consideration of potential adjustments to address emerging needs. Active engagement of both Briana and her caregivers in decision-making processes, coupled with regular communication, ensures alignment with client and caregiver goals. A scheduled check-in with caregivers and stakeholders in three months is planned, facilitating ongoing collaboration, addressing emerging challenges, and allowing for necessary adjustments to maintain the effectiveness of the intervention.
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Conclusion
In summary, the intervention plan for Briana reflects a commitment to ethical, data-driven, and compassionate service delivery. Key points include the effectiveness of strategies such as Functional Communication Training, reinforcement techniques, environmental modifications, and caregiver training in significantly reducing her head-banging behavior. Ongoing reliance on data-driven decisions, continual evaluation of the intervention plan's impact on Briana's well-being guided by ethical codes, and the flexibility to adjust strategies based on observed trends and individual needs are highlighted. Client and caregiver involvement, facilitated through active engagement and regular communication, underscore the collaborative nature of the intervention. A scheduled check-in with caregivers and stakeholders in three months is planned, emphasizing ongoing collaboration, addressing emerging challenges, and making necessary adjustments for continued intervention effectiveness, all while adhering to ethical considerations outlined in the BACB Ethics Code and Capella Compassion Code.
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References
Cooper, J. O., Heron, T. E., & Heward, W. L. (2020). Applied behavior analysis (3rd ed.).
Pearson.
Cisneros, M. (2020, July 16). What is a line graph, how does a line graph work, and what is the best way to use a line graph?. storytelling with data. https://www.storytellingwithdata.com/blog/2020/3/24/what-is-a-line-graph/
Dragani, R. (2019, March 2). How to make predictions from a graph. Sciencing. https://sciencing.com/make-predictions-from-graph-4481030.html