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Question 1

Pairing first and last 15 min.
Fade in demands.

Answer 1

Play and bond with her. Slowly give demands if able.

Question 2

Use ‘first then’ when necessary

Answer 2

Ex: first Anna’s turn, then Amelia’s turn.
Ex: first clean up vehicles, then frog game

Question 3

Prime her for sharing with sister.

Answer 3

Encourage her to share and take turns

Question 4

Prompt/honor functional communication for cessation when escape is evident

Answer 4

If she gets board with something, prompt “I’m done with etc” “I’m…”.
R+ “nice telling me”

Question 5

R+ Procedures:
Vocal praise, music, play with me, preferred items/activities.

Answer 5

Include the demand. “I’m… I…”

Question 6

Replacement Strategies

Answer 6

• Prompt Functional communication. - Use wait method with turn taking (praise nice waiting).
  Offer alternatives while waiting if necessary (ex: engage with truck while waiting for airplane)

Question 7

Deescalation:
Possible precursors to escalation / tantrums etc

Answer 7

Whining, collecting toys, repeated vocal refusal, moving quickly toward sibling

Question 8

Possible Triggers

Answer 8

• Denied Access to preferred things
• Saying “no” to her
• Physical transitions
• Transitions from high to low preferred activities
• Blocking of engaging in ritualistic behaviors

Question 9

Significant (possible) escalation causes:

Answer 9

• Hungry
• Tired
• Recent access denial (including implied – ex: when sibling uses item)

Question 10

Help Strategies

Answer 10

Prompt request for help
(ex. “What do you want?” “What do you need help with?” etc.)

Wait 10 seconds
Prompt again if necessary

Question 11

Prompt Strategy
High Probability Sequence:

Answer 11

Use series of low effort instructions if possible rather than a single instruction for a series of behaviors (ex: “pick up car”, “put it in the bag”, “wait for paint”
rather than “clean up the toys”)

Question 12

Prompting of Incompatible/Alternative:

Answer 12

Prompt behavior that cannot be completed at the same time as the behavior you want to end
(Ex: “have a drink”) when child is mouthing toys and remove toy as soon as is practical then redirect to another alternative activity

Question 13

During escalation prompting

Answer 13

Don’t push for learning (ex: client says “I want toys”, do not prompt client to say “Can I have the toys please?”)

Question 14

Wait Strategy
(If help and prompt don’t work)

Answer 14

Don’t comment on behavior, remain neutral.
Neutral body posture (side angle).
Block aggression toward sibling.
If behavior related to access to item, redirect to different activity until able to use Help or Prompt strategy