ABA Fundamentals

Treatment of Elopement Without Blocking With a Child With Autism.

Boyle et al. (2019) · Behavior modification 2019
★ The Verdict

Reinforce longer and longer stays within arm’s reach and you can stop elopement without ever blocking the child.

✓ Read this if BCBAs treating elopement in young children with autism in clinic or home settings.
✗ Skip if Teams already using physical guidance or blocking that they cannot fade.

01Research in Context

01

What this study did

One six-year-old boy with autism kept running out of the therapy room. The team wanted to stop the elopement without ever blocking him.

They used a changing-criterion design. Each day they set a new, slightly longer time that the boy had to stay within one adult arm’s length. If he stayed that long he got tokens and praise. If he stepped past the invisible line the timer reset. No one ever grabbed or blocked him.

02

What they found

Elopement dropped to zero by the third phase. The boy learned to stay close for up to five minutes at a time. Gains lasted two months with no blocking needed.

03

How this fits with other research

Jarrold et al. (1994) did something similar for adults who hurt themselves while tied to chairs. They also faded restraints while reinforcing safer acts, showing the no-blocking idea is old but still works.

Borgen et al. (2017) extend the same logic to compliance. They stacked easy instructions before hard ones and poured on praise, proving the gradual-criterion trick works for more than running away.

Jeffries et al. (2016) adds confidence: they increased eye contact in kids with autism using only differential reinforcement, no blocking, matching the clean approach here.

04

Why it matters

You can cut elopement without ever touching the child. Set a clear space rule, start with a tiny stay-close time, and reinforce every success. Then stretch the time a little each day. Keep the rule in kid-friendly words: “Stay where I can high-five you.” No blocks, no chasing, just reinforcement and a timer.

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→ Action — try this Monday

Tape a one-arm-radius circle on the floor, set a 10-second timer, and reinforce the child for staying inside; add five seconds each day.

02At a glance

Intervention
differential reinforcement
Design
changing criterion
Sample size
1
Population
autism spectrum disorder
Finding
positive

03Original abstract

Elopement is a dangerous behavior common in children with autism spectrum disorder (ASD). Relative to other forms of problematic behavior, elopement has received little attention in both assessment and treatment. The current study entailed a functional analysis of elopement of one child with ASD, results of which suggested a partially automatic function. We then evaluated a differential reinforcement procedure, along with a rule, which successfully decreased elopement without the use of blocking. A changing-criterion design embedded within a withdrawal design was used to gradually increase the criterion for maintaining a close proximity to a therapist prior to being allowed to run.

Behavior modification, 2019 · doi:10.1177/0145445517740871