Selecting and Implementing InterventionsDifficulty 3/5
After three weeks, a caregiver-implemented plan shows no improvement. Integrity data show the plan was implemented on 40% of opportunities. What is the appropriate next step?
- ARetrain and support the caregiver, then re-evaluate with integrity data
- BConclude the function was misidentified and repeat the functional analysis
- CDiscontinue services because three weeks without change indicates non-response
- DSelect a more intrusive intervention that is likely to overcome the resistance
Show answer and rationale
Correct: A. With low treatment integrity the data cannot evaluate the intervention. Improving implementation through training and support comes before changing the intervention or re-assessing function.
- D — Escalating restrictiveness on uninterpretable data is both ineffective and ethically questionable.
- B — Function cannot be ruled in or out when the procedure was rarely run.
- C — Discontinuation is unwarranted and abandons the client.