Addressing Challenging Behavior in a Behavior-Analytic Setting

 

 

Case Study: Addressing Challenging Behavior in a Behavior-Analytic Setting

Identifying the Problem Behavior

In a behavior-analytic setting, a staff member named Alex consistently displays challenging behavior by refusing to follow established protocols during therapy sessions with clients. Specifically, Alex frequently disregards the data collection procedures mandated by the organization, opting instead to rely on anecdotal observations. This refusal not only undermines the treatment integrity but also creates confusion for other staff members who depend on accurate data for decision-making.

Target Behavior

– Target Behavior: Refusal to follow data collection protocols during therapy sessions.

Conducting a Functional Behavior Assessment (FBA)

To understand Alex’s challenging behavior, a Functional Behavior Assessment (FBA) was conducted, which included observations, interviews with colleagues, and review of session notes.

Antecedents

– Workload Pressure: Alex often expressed feeling overwhelmed with the number of clients scheduled per day.
– Lack of Clarity: There were instances where Alex reported feeling unclear about certain data collection processes.
– Peer Influence: Colleagues sometimes deviated from protocols, which may have influenced Alex’s behavior.

Behaviors

– Refusal to Follow Protocol: Directly stating that he will not complete data collection.
– Rationalizing Behavior: Providing reasons for not following protocols, such as “it’s too complicated” or “it takes too much time.”

Consequences

– Immediate Relief: By refusing to collect data, Alex experiences immediate relief from perceived workload stress.
– Social Attention: Colleagues may engage with Alex in discussions about their own experiences, which reinforces his avoidance behavior.

Identified Function

The function of Alex’s behavior appears to be escape from demands—specifically, escaping the demands of data collection due to perceived workload and complexity.

Developing an Intervention Plan

Based on the FBA findings, an intervention plan was developed to address Alex’s refusal to follow data collection protocols.

Strategies

1. Clarification of Expectations: Schedule a meeting with Alex to clarify the importance of data collection protocols and how they contribute to client outcomes. Provide written guidelines that outline the data collection process in a simplified manner.

2. Time Management Training: Offer time management workshops aimed at helping Alex and other staff manage their workloads more effectively, thus reducing feelings of being overwhelmed.

3. Data Collection Supports: Implement a buddy system where a more experienced colleague can assist Alex during data collection for the first few sessions. This support can help build confidence and reduce anxiety.

4. Reinforcement System: Develop a reinforcement plan where Alex receives positive reinforcement (e.g., verbal praise or small incentives) for following data collection protocols consistently over time.

5. Regular Check-Ins: Establish regular check-in meetings to provide feedback and support regarding Alex’s progress in adhering to the protocols.

Evaluating Potential Effectiveness

Potential Outcomes

– Increased Adherence: The intervention plan has the potential to increase adherence to data collection protocols by addressing the identified function of escape from demands.
– Improved Team Dynamics: Clarifying expectations and providing peer support may enhance teamwork and communication among staff members.
– Enhanced Client Outcomes: As data collection improves, the quality of therapy provided to clients is likely to improve as well, leading to better outcomes.

Limitations

– Individual Resistance: Alex may initially resist changes due to ingrained habits or reluctance to seek help.
– Time Constraints: Implementing training and support may take time away from direct client services, leading to potential pushback from staff.
– Variable Engagement: The effectiveness of peer support relies on the willingness of other staff members to participate actively and consistently.

In conclusion, this intervention plan aims to address the challenging behavior exhibited by Alex through comprehensive strategies focused on clarity, support, and reinforcement. Continuous evaluation will be necessary to ensure its effectiveness and make necessary adjustments as needed.