Minimizing Escalation by Treating Dangerous Problem Behavior Within an Enhanced Choice Model.

Area of Science:

• Behavioral psychology
• Child psychology
• Clinical psychology

Background:

• Dangerous problem behavior in children requires effective, non-physical interventions.
• Existing skill-based treatments can be improved to prevent escalation.
• Child behavior management often lacks sufficient choice-making opportunities.

Purpose of the Study:

• To replicate and extend skill-based treatment for problem behavior.
• To incorporate an enhanced choice model to minimize dangerous behavior.
• To assess the efficacy of a new treatment model in clinical and school settings.

Main Methods:

• Systematic replication and extension of prior skill-based treatment.
• Implementation of an enhanced choice model with multiple options.
• Inclusion of differential reinforcement and noncontingent access to reinforcers.

Main Results:

• Children overwhelmingly selected participation in the treatment.
• Problem behavior was eliminated in all participating children.
• Adaptive skills were acquired and maintained during nonreinforcement periods.

Conclusions:

• The enhanced choice model is a safe and effective treatment for problem behavior.
• Offering choices increases treatment participation and reduces dangerous behavior.
• Socially valid and safe interventions are crucial for child behavior management.