The participant was a 52 year-old woman, diagnosed with a profound intellectual disability, who engaged in high rates of severe self-injurious behaviors (SIB) predominantly in the forms of head banging and head hitting. A series of analyses and interventions was implemented to establish appropriate toileting behavior in the natural environment. Treatment consisted of conjugate reinforcement for optimal toilet positioning with the absence of SIB, episodic positive reinforcement of eliminating in the toilet, and programed generalization across environments and staff. Results showed the maintenance of optimal toilet positioning, decrease in SIB (under 1 instance per min), and appropriate eliminating in 96.3% …
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The participant was a 52 year-old woman, diagnosed with a profound intellectual disability, who engaged in high rates of severe self-injurious behaviors (SIB) predominantly in the forms of head banging and head hitting. A series of analyses and interventions was implemented to establish appropriate toileting behavior in the natural environment. Treatment consisted of conjugate reinforcement for optimal toilet positioning with the absence of SIB, episodic positive reinforcement of eliminating in the toilet, and programed generalization across environments and staff. Results showed the maintenance of optimal toilet positioning, decrease in SIB (under 1 instance per min), and appropriate eliminating in 96.3% of all available sessions. Direct support staff were trained to implement the program with 100% fidelity.
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Bayliss, Kathleen.Establishing Appropriate Toileting Behavior in an Adult Female with Developmental Disabilities and Severe Self-Injurious Behavior,
thesis,
May 2019;
Denton, Texas.
(https://digital.library.unt.edu/ark:/67531/metadc1505230/:
accessed May 15, 2024),
University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu;
.