As of now we have thoroughly navigated the extensive landscape of Section C: Skill Acquisition. This is a massive accomplishment, as those procedures form the bulk of an RBT’s direct teaching efforts, focusing on building new, adaptive skills.
Now, we pivot to an equally critical area of RBT practice: addressing challenging behaviors. It’s time to begin our in-depth exploration of Section D: Behavior Reduction.
As with previous sections, I will maintain a comprehensive, detailed, and human-like writing style, breaking down each task item with explanations, examples, key terms, and common mistakes.
It’s crucial to remember that ethical and effective behavior reduction always involves teaching appropriate replacement behaviors and focuses on positive, reinforcement-based strategies first and foremost.
Punishment-based procedures are used sparingly, only when necessary, and under strict ethical guidelines and supervision.
RBTs play a vital role in implementing behavior reduction plans designed by their supervising BCBA/BCaBA. This section outlines the key knowledge and skills RBTs need to do so safely, ethically, and effectively.
Before implementing any procedure, however, an RBT must thoroughly understand the written plan. As you delve into these procedures, remember that precise implementation and objective data collection are paramount.
The first step in effectively reducing behavior is understanding the plan designed to do so. Let’s start with:
D-01: Identify the Essential Components of a Written Behavior Reduction Plan
Just like with skill acquisition, RBTs need to be able to understand the “roadmap” in this case, the Behavior Reduction Plan for decreasing challenging behaviors before they can implement it effectively.
What is a Behavior Reduction Plan?
A written Behavior Reduction Plan (also commonly referred to as a Behavior Intervention Plan or BIP) is a detailed, individualized document created by the BCBA or BCaBA.
It outlines the specific strategies to be used to decrease a targeted challenging behavior and, just as importantly, to teach and reinforce appropriate alternative or replacement behaviors.
This plan isn’t created in a vacuum. It’s based on the findings of a Functional Behavior Assessment (FBA) (which RBTs assist with, as per task list item B-03). The FBA aims to identify the function that is, the purpose or the “why” of the challenging behavior.
For an RBT to implement a behavior reduction plan with fidelity (meaning, as intended) and safety, they must be able to read, understand, and identify all its critical components.
This isn’t just about recognizing different sections of a document; it’s about comprehending the rationale behind each strategy and how each component guides their actions when the challenging behavior occurs.
It also dictates how to proactively prevent the behavior and teach more adaptive alternatives.
A well-written BIP ensures consistency across all team members, promotes ethical treatment, and provides a clear framework for responding to challenging behaviors and monitoring progress toward goals.
Essential Components of a Behavior Reduction Plan
While the exact format can vary by agency or supervisor, a comprehensive Behavior Reduction Plan typically includes the following core elements. As an RBT, you must be able to locate and understand the function of each:
- Client Identification:
- What it is: Basic identifying information for the client (e.g., name, client ID, date of birth).
- Why it’s essential: This ensures the RBT is using the correct plan for the correct individual. This is critically important when dealing with behavior reduction strategies, which can sometimes involve restrictive procedures.
- Operational Definition of the Target Behavior(s) to be Reduced:
- What it is: A clear, concise, objective, and measurable description of the specific challenging behavior(s) the plan is designed to decrease.
- It should be so clear that anyone reading it can accurately identify when the behavior is and is not occurring (it should pass the “stranger test”).
- Example (for Aggression): “Any instance of [Client’s Name] making forceful physical contact with another person using hands, feet, or objects (e.g., hitting, kicking, pushing, throwing an object at someone) that is not accidental or part of a structured game.”
- Example (for Elopement): “[Client’s Name] moving more than 10 feet away from a designated staff member or area without permission.”
- Why it’s essential: This ensures everyone on the team is targeting and responding to the same behavior consistently.
- Vague definitions lead to inconsistent implementation and unreliable data, making it impossible to know if the plan is working.
- What it is: A clear, concise, objective, and measurable description of the specific challenging behavior(s) the plan is designed to decrease.
- Hypothesized Function of the Behavior (Based on FBA):
- What it is: A statement summarizing the BCBA’s hypothesis about why the challenging behavior is occurring what the client is “getting” or “avoiding” by engaging in it. This is derived from the Functional Behavior Assessment (B-03). Common functions include:
- Attention (Social Positive Reinforcement)
- Access to Tangibles/Activities (Social Positive Reinforcement)
- Escape/Avoidance (from tasks, demands, social situations – Social Negative Reinforcement)
- Automatic Reinforcement (Sensory Stimulation – e.g., the behavior “feels good” or alleviates some internal discomfort)
- Example: “The hypothesized function of Liam’s hitting is to escape non-preferred academic tasks.”
- Why it’s essential: The entire behavior reduction plan, especially the antecedent interventions and the choice of replacement behaviors, is built around addressing this identified function.
- If the RBT doesn’t understand the function, they might inadvertently reinforce the challenging behavior or implement strategies that are ineffective.
- What it is: A statement summarizing the BCBA’s hypothesis about why the challenging behavior is occurring what the client is “getting” or “avoiding” by engaging in it. This is derived from the Functional Behavior Assessment (B-03). Common functions include:
- Baseline Data (Often Summarized or Referenced):
- What it is: Information about the frequency, intensity, duration, or other relevant measures of the target behavior before the intervention plan was implemented.
- Why it’s essential: This provides a starting point against which to measure the effectiveness of the BIP. Without baseline data, we can’t objectively say if the plan is working.
- Antecedent Interventions/Modifications (Proactive Strategies):
- What they are: These are strategies implemented before the challenging behavior is likely to occur, with the goal of preventing it from happening in the first place or making it less likely.
- These interventions are often based on modifying the environment or the way instructions (SDs) are presented, and they are directly tied to the hypothesized function of the behavior.
- Examples (Function: Escape from tasks):
- Providing choices of tasks or materials.
- Interspersing easy (maintenance) tasks with difficult (acquisition) tasks (behavioral momentum).
- Using visual schedules to make expectations clear and predictable.
- Modifying task difficulty, length, or pace.
- Providing frequent, short breaks non-contingently (meaning, not dependent on behavior) or for appropriate requests.
- Priming for difficult tasks by previewing them.
- Examples (Function: Attention):
- Providing frequent, non-contingent attention (NCR) for appropriate behavior throughout the day.
- Teaching appropriate ways to ask for attention (see replacement behavior).
- RBT Role: Consistently implement these proactive strategies as outlined in the BIP. This is often the most important part of a behavior reduction plan prevention is key!
- What they are: These are strategies implemented before the challenging behavior is likely to occur, with the goal of preventing it from happening in the first place or making it less likely.
- Replacement Behavior(s) to be Taught and Reinforced:
- What it is: This section details specific, appropriate alternative behavior(s) that the client will be taught to use instead of the challenging behavior.
- Critically, the replacement behavior should serve the same function as the challenging behavior (or provide access to the same type of reinforcer) but in a more socially acceptable and appropriate way.
- Example (Function: Escape from tasks; Challenging Behavior: Ripping worksheet):
- Replacement Behavior: Teaching the client to say “Break please” or tap a “break card.”
- Example (Function: Attention; Challenging Behavior: Shouting out):
- Replacement Behavior: Teaching the client to raise their hand or tap the RBT’s shoulder appropriately.
- RBT Role: Actively teach the replacement behavior using skill acquisition procedures (methods from Section C like DTT, NET, prompting, reinforcement) and heavily reinforce its use, especially when it occurs instead of the challenging behavior.
- What it is: This section details specific, appropriate alternative behavior(s) that the client will be taught to use instead of the challenging behavior.
- Consequence Interventions (Reactive Strategies – What to do when the behavior occurs):
- What they are: These are procedures that are implemented immediately after the challenging behavior occurs. They are designed to reduce the future likelihood of that behavior. Like antecedent strategies, these must be function-based.
- This section will detail strategies for both the target challenging behavior and the replacement behavior:
- Strategies for the Target Challenging Behavior:
- Extinction: Withholding the specific reinforcer that was previously maintaining the challenging behavior (see D-05).
- Example (Attention-maintained): Planned ignoring of the challenging behavior (while ensuring safety).
- Example (Escape-maintained): Not allowing escape from the task when the behavior occurs (e.g., “follow-through” with the demand, possibly after a brief calming period if needed for safety).
- Differential Reinforcement Procedures (e.g., DRA, DRI, DRO): These involve reinforcing other behaviors while putting the target challenging behavior on extinction (see D-04).
- DRA (Differential Reinforcement of Alternative Behavior): This involves reinforcing the pre-identified replacement behavior when it occurs.
- Punishment Procedures (If applicable, and only if designed by the BCBA and ethically justified after reinforcement strategies have been insufficient): These are procedures that decrease the future likelihood of behavior by presenting an aversive stimulus or removing a preferred stimulus.
- Extinction: Withholding the specific reinforcer that was previously maintaining the challenging behavior (see D-05).
- Strategies for the Replacement Behavior: The plan will reiterate the importance of heavily reinforcing the replacement behavior whenever it occurs!
- Strategies for the Target Challenging Behavior:
- RBT Role: Implement these reactive strategies exactly as written, with precise timing and fidelity. This can often be the most challenging part of implementing a BIP and requires staying calm, objective, and consistent.
- Data Collection Procedures (for both challenging and replacement behaviors):
- What it is: This specifies what data to collect on the challenging behavior (e.g., frequency, duration, intensity, ABC data) and on the replacement behavior (e.g., frequency of use). It will also detail how and when to collect this data.
- Example: “Collect frequency data on hitting using a clicker during all DTT sessions. Collect frequency data on the client’s use of their ‘break card.’ Record ABC data for any instance of hitting that lasts more than 10 seconds or results in injury.”
- RBT Role: Accurately and consistently collect all specified data. This data is crucial for the BCBA to monitor the plan’s effectiveness and make any necessary adjustments.
- Crisis/Emergency Procedures (If applicable):
- What they are: For behaviors that pose a significant and immediate safety risk to the client or others (e.g., severe aggression, self-injurious behavior, elopement into dangerous areas), the plan will outline specific procedures to ensure safety.
- This might include environmental manipulations, specific de-escalation techniques, or procedures for contacting supervisors or emergency services.
- RBT Role: You must be thoroughly familiar with these procedures and have practiced them if they involve any form of physical management. Physical management techniques require specialized training beyond standard RBT certification (such as PCM, CPI, QBS, etc.) and are agency-dependent. RBTs should never implement physical management procedures unless specifically trained, certified, and authorized by their agency and it’s part of the approved BIP.
- What they are: For behaviors that pose a significant and immediate safety risk to the client or others (e.g., severe aggression, self-injurious behavior, elopement into dangerous areas), the plan will outline specific procedures to ensure safety.
- Plan Review/Modification Date:
- What it is: A date or timeframe indicating when the BCBA will formally review the plan’s effectiveness using the collected data and make modifications if necessary.
- Why it’s essential: Behavior plans are not static. They must be dynamic and responsive to the client’s progress (or lack thereof).
Real-World Example: Chen Reviews Sam’s BIP
- RBT: Chen
- Client: Sam (8 years old)
- Target Behavior to Reduce (from BIP): Property Destruction – “Any instance of Sam swiping materials (e.g., pencils, papers, books) off his desk, or tearing/ripping paper (e.g., worksheets, books).”
- Hypothesized Function (from BIP): Escape from non-preferred academic tasks.
Chen’s Review and Understanding of the Plan:
- Antecedent Interventions: “Okay, the plan states that before giving Sam a worksheet, I need to offer him a choice of 2 tasks. I also need to intersperse 1 easy (mastered) task for every 2 new/difficult tasks. And I must remember to remind him he can ask for a 1-minute break using his break card.”
- Replacement Behavior: “The plan says to teach him to tap a ‘break card.’ I need to reinforce him with an immediate 1-minute break if he taps it before he engages in property destruction.”
- Consequence for Property Destruction: “If he does swipe materials or rip paper, the plan is very specific:
- (1) Minimize verbal interaction (no reprimands, just neutral directions).
- (2) Prompt him to clean up the mess (e.g., pick up papers) using least-to-most prompting.
- (3) After cleanup is complete, I need to re-present the original task or a similar one for a brief period (e.g., 30 seconds of work) before allowing a break.
- This is crucial to ensure escape is not directly reinforced by the property destruction this is the ‘escape extinction’ component.”
- (1) Minimize verbal interaction (no reprimands, just neutral directions).
- Consequence for Using Break Card: “If he uses his break card appropriately, he gets an immediate 1-minute break from the task, and I should provide praise like ‘Great job using your break card!'”
- Data Collection: “I need to collect frequency data on property destruction incidents. I also need to collect frequency data on his use of the break card. And the plan says to note the prompt level required for cleanup if property destruction occurs.”
- Crisis Plan: “The BIP states ‘N/A for this behavior,’ but it also notes that if aggression occurs alongside property destruction, I need to follow the separate aggression protocol.”
Why Understanding the BIP is Crucial for RBTs
- Safety: Understanding when and how to respond to challenging (and potentially dangerous) behavior is paramount for everyone’s safety.
- Effectiveness: BIPs are function-based. If you don’t understand all the components, you might implement them incorrectly, rendering the plan ineffective or even inadvertently making the behavior worse.
- Ethical Implementation: It ensures you are using evidence-based, reinforcement-focused strategies and implementing any restrictive procedures exactly as prescribed and ethically justified.
- Consistency: All team members need to be on the same page for the plan to work.
- Legal/Professional Responsibility: As an RBT, you are responsible for knowing and meticulously following the BIP.
Key Vocabulary for Behavior Reduction Plans
- Behavior Reduction Plan / Behavior Intervention Plan (BIP): The written document.
- Target Behavior (for reduction): The specific challenging behavior.
- Operational Definition: A clear, objective, measurable description of the target behavior.
- Functional Behavior Assessment (FBA): The process used to determine the function of a behavior.
- Function of Behavior: The purpose the behavior serves (Commonly: Attention, Tangible, Escape, Automatic).
- Antecedent Interventions: Proactive strategies to prevent behavior.
- Replacement Behavior: An appropriate alternative behavior taught to serve the same function as the challenging behavior.
- Consequence Interventions: Reactive strategies for when behavior occurs.
- Extinction: Withholding the reinforcer that was previously maintaining the behavior.
- Differential Reinforcement (DRA, DRI, DRO, DRL): Reinforcing some behaviors but not others (covered in D-04).
- Punishment Procedures (Time-out, Response Cost): Consequences designed to decrease behavior (covered in D-06, D-07). These are used with extreme caution and require specific training.
- Fidelity of Implementation: Implementing the plan exactly as written.
- Crisis Plan: Procedures for ensuring safety during severe problem behavior.
Common Mistakes in Understanding BIPs
- Focusing Only on the “Consequence” for Challenging Behavior: Many people jump to “what do I do when it happens?” but overlook the crucial antecedent interventions and replacement behavior teaching. Effective BIPs are often 80% proactive and focused on prevention and teaching.
- Not Understanding the Function: This is a big one. If the RBT doesn’t grasp why the behavior is happening, they may inadvertently reinforce it (e.g., giving lots of attention when trying to “calm down” an attention-seeking behavior, thus reinforcing the attention-seeking).
- Misinterpreting the Operational Definition: Responding to behaviors that aren’t quite the target, or failing to respond when the target behavior (as defined) does occur.
- Inconsistent Implementation of Antecedent Strategies: Forgetting to offer choices, provide non-contingent reinforcement, or use visual supports as outlined in the plan.
- Failing to Vigorously Reinforce the Replacement Behavior: If the replacement behavior isn’t as “easy” or “efficient” at getting the desired reinforcer as the challenging behavior, it simply won’t be used. The replacement behavior needs powerful and consistent reinforcement.
- Drifting from the Prescribed Consequence Procedures: Implementing consequences based on personal feelings or what “seems right” in the moment, rather than what the plan states. This is especially risky with punishment procedures.
- Not Knowing the Crisis Plan (if there is one): This is a major safety concern and is unacceptable.
- Failing to Collect Accurate Data: If data isn’t accurate and consistent, the BCBA cannot tell if the plan is working or if adjustments are needed.
- Viewing the BIP as Only “What to do when bad stuff happens”: A good BIP is a comprehensive teaching plan that focuses on building skills and making the challenging behavior irrelevant, inefficient, and ineffective in comparison to more appropriate behaviors.
A Behavior Reduction Plan is a multifaceted document that requires careful study and thorough understanding by the RBT.
Your ability to identify and comprehend each component is essential for safe, ethical, and effective implementation, ultimately helping your client learn more adaptive ways to get their needs met.
This provides a very comprehensive look at D-01. We’ve detailed the essential components of a BIP, why each is important, and common pitfalls for RBTs.
Next in Section D is D-02: Describe common functions of behavior. This directly builds on the FBA concepts we just touched upon, diving deeper into the “why” behind behavior.