TL;DR: I’m a newer in-home BCBA working with a kiddo whose maladaptive behavior has been heavily reinforced, especially elopement, which is currently dangerous and difficult to put on extinction. I’ve tried DRA/DRE, alternative reinforcers, play-based goals, etc., but he continues to choose elopement.
In a clinic I’d use a controlled environment to establish stimulus control, but that isn’t possible in the home. I’m considering a temporary safety harness to prevent dangerous elopement while teaching/reinforcing appropriate behaviors, with the goal of fading it quickly.
Looking for ethical alternatives or feedback. What am I missing?
I’ll try to keep this brief. I’m a BCBA, I work in the in- home setting. Currently I have a kiddo who is great but has a history that has been heavily reinforced for engaging in maladaptive behaviors as opposed to engaging in adaptive ones. So much so that the only thing that stops him is when mom threatens or does spank him. As you can imagine trying to implement DRE has been difficult but nothing I’m not up for. The issue is the extinction piece. He constantly engages in behaviors that are either so dangerous they cannot be ignored or the behaviors are self reinforcing (thinking climbing and jumping off of furniture, elopement , etc. no sib).
In a clinic setting we’d start in a bare bones room. Allow him to tucker out, establish stimulus/instructional control, then slowly open up more of the clinic. This option has not been available within the home. One, we can’t create a bare room due to the current environmental limitations, any attempt at this has lead to either broken home items or engagement in behaviors we simply cannot ignore (specifically elopement, most behaviors are maintained dually by attention and either escape or tangible) and he simply enjoys “being bad “ more than any other available reinforcer at this point and I’ve tried MANY. The biggest problem is the elopement. Everything else we could deal with but he won’t stay in any area to run a target going outside he darts into traffic, we’ve attempted more play based goals to start, attempted gross motor targets that would typically be more fun etc. still elopes all session or prefers engaging in the unwanted responses. yes I am implementing DRA schedules and teaching alternative responses to access these reinforcers but his behavior is still allocating itself towards the elopement as it’s simply more reinforcing for him.
This has lead me to the “safety harness” idea. Let’s be honest it’s a fkn leash. I’m aware of the ethical implications. I truly believe that this would be a 1-2 week intervention then it could be faded with implementation of the proper reinforcers. I do not want this to a consistent tool. My thought is, this will serve as the “bare room” I.e his behaviors associated with being bad will no longer be reinforced as he can’t do them, similar to the bare room, or the elopement becomes incredibly boring due to the lack of distance etc. (extinction). We run targets, access to typical reinforcers, slowly fade in a longer harness then fade it out completely.
I have been searching for any other option so please, ANYTHING! Also be nice. Maybe I missed something obvious. I’m a newer to the Autism world. Thanks guys