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Updated: Dec 5, 2025

A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Using a Token Economy to Treat Escape-Maintained Problem Behavior Without Extinction
Natalie Andzik1, Elle Smith2, Nancy Neef2
1Northern Illinois University, DeKalb, IL, USA.
This study shows that a delayed reinforcement token system can effectively reduce escape-maintained problem behavior in children with autism spectrum disorder without using extinction procedures. This approach improves compliance and reduces challenging behaviors in school and home settings.
Area of Science:
- Behavioral Psychology
- Applied Behavior Analysis
- Autism Spectrum Disorder Research
Background:
- Escape extinction procedures for problem behavior can be impractical and risky for practitioners.
- Alternative strategies are needed to manage escape-maintained behaviors in children with autism spectrum disorder (ASD).
Purpose of the Study:
- To evaluate the effectiveness of a delayed reinforcement token system as an alternative to extinction for treating escape-maintained problem behavior in students with ASD.
- To determine if extinction is a necessary component in reducing escape-maintained behaviors.
Main Methods:
- A multiple probe design was used across four participants with ASD.
- A delayed reinforcement token system was implemented, involving a 30-second break contingent on problem behaviors and tokens for compliance.
- Intervention was conducted in both school and home settings.
Main Results:
- All four participants demonstrated substantial increases in compliance.
- Significant reductions in escape-maintained problem behavior were observed for all participants.
- The token system proved effective in managing challenging behaviors.
Conclusions:
- Extinction procedures are not essential for eliminating escape-maintained problem behavior in children with autism.
- A delayed reinforcement token system offers a viable and effective alternative to extinction-based interventions.
- This strategy can be successfully implemented in both educational and home environments.
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