Assessment and treatment of problem behavior maintained by escape from attention
After you teach a break mand for escape-from-attention behavior, slowly lengthen the chat time to build social tolerance without bringing problem behavior back.
01Research in Context
What this study did
Two children who acted out to get away from people took part.
The team first checked that the kids’ problem behavior only happened when adults walked away.
Next they taught each child a simple way to ask for a break.
Then they slowly made the social break shorter and the play time longer.
What they found
Problem behavior dropped and stayed low for both kids.
The children also started to stay and chat for longer periods.
FCT plus the slow fade worked when escape from attention was the only reason for the behavior.
How this fits with other research
Hastings et al. (2001) did the same check 21 years earlier. They saw that some kids escape attention and also want toys. They used FCT but did not fade the social time. Cengher adds the graduated-exposure step for cases with a single escape function.
Greer et al. (2016) looked at 25 FCT cases. They used clear signals to thin the schedule. Cengher keeps the thinning idea but swaps the signals for longer and longer play periods.
Ramirez et al. (2025) tried an instant lean schedule after FCT. Two of three kids did fine; one needed a slower fade. Cengher starts with the slow fade from the start, matching the backup plan Ramirez used.
Why it matters
If your client hits or runs when people come near, run a quick FA. If the behavior only drops when you leave, teach a break mand. Then stretch the interaction bit by bit. Start with ten seconds, then twenty, then a minute. You keep problem behavior low while building tolerance to social time. No extra staff, no toys needed.
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02At a glance
03Original abstract
AbstractThis study describes the assessment and treatment of problem behavior for two participants whose functional analysis results identified escape from attention as the function of problem behavior. Treatment involved functional communication training to teach an appropriate alternative behavior that produced escape from attention. Additionally, in both cases, we expanded treatments by using graduated exposure to attention to facilitate increases in social interaction while maintaining low levels of problem behavior. We discuss findings as they relate to (a) functional analysis procedures to identify escape from attention as a function for problem behavior, (b) treatment strategies to reduce problem behavior, and (c) treatment strategies aimed at decreasing escape from, and avoidance of, social interaction for individuals who demonstrate this problem behavior function.
Behavioral Interventions, 2022 · doi:10.1002/bin.1838