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

Abstract in brief

• The study replicated and expanded a skill-based treatment approach for managing dangerous problem behaviors in children by integrating an enhanced choice model, which offers children multiple options such as participating in treatment, hanging out with access to potential reinforcers, or leaving the session, to reduce escalation.
• The children in the study preferred to participate in the treatment, which led to the reduction of dangerous behaviors and helped them learn and retain more appropriate skills, even during difficult periods without reinforcement.
• The findings suggest that using an enhanced choice model can be a safe, effective, and socially valid way to manage problem behaviors without physical interventions, promoting better outcomes for children in clinical and educational settings.