How The Enhanced Choice Model Changed Our Relationship

[@annroberts6536]

I LOVE THIS!

[@TheDailyBA]

This video was captured thanks to a conference hosted by Upstate Cerebral Palsy and ideated in conjunction with FTF Behavioral Consulting. UCP is an organization leaning fully into PFA/SBT and I encourage others to learn more about what they're doing over at UCP at: www.upstatecp.org/ - all other links mentioned are in the description of the video! :)

[@GabrielaTorres-du9pi]

Omg! He made it! ❤

[@TheDailyBA]

🥲🥲🥲

[@mocpml]

Love this! I'm so glad you all got to see Hamilton together.

[@TheDailyBA]

SO COOL IT HAPPENED!!!

[@jjazxd]

Interesting treatment strategy. But I think 18+ year old adult with I/DD need a different approach than traditional ABA approaches, and I think Dr Henley does it great, with compassion and person-centered approach. It's basically getting their assent (because they can choose to opt out and stay home) and providing environment where the learner will "want" to choose the more "socially appropriate" behavior.

[@TheDailyBA]

The enhanced choice model (what they used) was developed by Hanley et al... ;)

[@colej236]

I'm curious if there's any research of this model being used in juvenile justice. Definitely gonna look into this

[@melisasantacroce]

Hi Cole - the research on ECM is very new, but I think using this in the juvenile justice system would be an excellent extension. One potential barrier that I have run into with trying to utilize this (or any SBT based system) in a more restricted setting - such as a hospital for an individual I have referred to me right now - is that I believe that we really need an environment that can tolerate and have a space for a person to withdraw assent for therapy/demands and indicate that they are in the "leave" condition or even "hangout" if hangout for them includes an extended break from interaction - and we need an area that includes all known reinforcers for that individual. In the hospital setting for example, I am having trouble problem solving being able to have the reinforcers available. In some of the other settings I've worked in, I have struggled to have a space for the person to withdraw. I am beginning to come to the conclusion that both must be available in the space as a basic necessity for treatment. Since we are trying to work with "turning up the heat" with assent and in a very careful way to assist this person, we have to have clear space and signals that indicate to the person that they can "turn it down" or "turn it up" as they determine for themselves their ability or willingness to approach or withdraw from a challenge on any particular day. I would imagine in a juvenile justice setting this environment could be possible, but may be difficult to get buy in from the staff in a similar difficulty that I"m having with a hospital setting.

[@colej236]

@@melisasantacroce yes I could definitely see having the same struggles. Thank you for the response.

[@TheDailyBA]

I appreciate the kind exchange here :)

[@omg-bh4pg]

​@@melisasantacroce

[@milagrosmonserrat1678]

❤❤❤❤❤

[@FlipTCG]

This model is a little problematic

[@TheDailyBA]

I’d encourage you to read the study :) there’s some ancillary research on this too you can dig into.