Medical Case Conceptualization Flynn
Case Conceptualization Flynn is a Caucasian seven-year-old boy who received an autism spectrum disorder (ASD) diagnosis and began receiving Applied Behavior Analysis (ABA) services approximately seven to eight months ago. Flynn can speak and comprehend sentences of three or more words and has no history of trauma, significant illness, or medication use. The only documented surgery was the removal of his ear tubes. His parents are together for his relationships, and he has three other siblings: 1 older brother, one younger sister, and one younger brother. His primary challenging behavior is non-compliance, which manifests as refusal to comply with instructions within ten seconds, which includes eloping, yelling, wailing, and falling to the ground
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First, what should be done is to give Flynn enough time to warn before making changes or assigning tasks. For example, it can give him five and one-minute warnings through a visual timer when transitioning between activities. The purpose of doing this is that it enables Flynn to see how much time he has and what he can do to prepare for change. Secondly, while completing tasks, let him have choices to feel more control over them and less resistance towards them. It allows him to pick the sequence of functions or choose between two worksheets. This should be done because it makes the DTT table less aversive and gives a sense of control during the session. Lastly, an individual should set up a reward or token economy to motivate the following rules and facilitate functional communication. According to instructions given by others, tokens can be accumulated by Flynn, where later they are exchanged with his preferred items or activities. Behavior Reduction Protocol This protocol will use differential reinforcement of alternative behavior (DRA) and extinction to address Flynn’s problem behavior of non-compliance, which includes eloping, wailing, screaming, and going down to the ground when given a non-preferred task. Step-by-Step Plan 1. Define the target behavior: Operational Definition: Non-compliance means that within 10 seconds of receiving an instruction, Flynn does not follow it; this includes eloping, wailing, screaming, and falling to the ground. 2. What is the difference between a'smart' and a'smart'? Collect Baseline Data: Frequency: Record the number of incidents of non-compliance per day. ABC Data: Gather Antecedent-Behavior-Consequence data to identify triggers and maintain consequences. 3. What is the difference between a'smart' and a'smart'? Differential
First, what should be done is to give Flynn enough time to warn before making changes or assigning tasks. For example, it can give him five and one-minute warnings through a visual timer when transitioning between activities. The purpose of doing this is that it enables Flynn to see how much time he has and what he can do to prepare for change. Secondly, while completing tasks, let him have choices to feel more control over them and less resistance towards them. It allows him to pick the sequence of functions or choose between two worksheets. This should be done because it makes the DTT table less aversive and gives a sense of control during the session. Lastly, an individual should set up a reward or token economy to motivate the following rules and facilitate functional communication. According to instructions given by others, tokens can be accumulated by Flynn, where later they are exchanged with his preferred items or activities. Behavior Reduction Protocol This protocol will use differential reinforcement of alternative behavior (DRA) and extinction to address Flynn’s problem behavior of non-compliance, which includes eloping, wailing, screaming, and going down to the ground when given a non-preferred task. Step-by-Step Plan 1. Define the target behavior: Operational Definition: Non-compliance means that within 10 seconds of receiving an instruction, Flynn does not follow it; this includes eloping, wailing, screaming, and falling to the ground. 2. What is the difference between a'smart' and a'smart'? Collect Baseline Data: Frequency: Record the number of incidents of non-compliance per day. ABC Data: Gather Antecedent-Behavior-Consequence data to identify triggers and maintain consequences. 3. What is the difference between a'smart' and a'smart'? Differential