Unit 12 Service Learning Project Written Assignment Assessment-Based Intervention Project, Part 1

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Unit 12 SLP Written Assignment Assessment-Based Intervention Project Part 1 Crishtine A. Sundar The Chicago School of Professional Psychology AB 564-Behavior Assessment B Scott. Larson-McGuire June 17, 2022

Unit 12 SLP Written Assignment Assessment-Based Intervention Project Part 1 For this service-learning project, the client identified as SoTh will be referred to by that acronym or 'client' to protect their privacy and for other confidentiality purposes. SoTh is a 26- year-old Southeast Asian male. He is married, of middle income, holds a Bachelor's degree in Computer Engineering, and works in the same field as a Systems Engineer. The client is the partner of the therapist running the project (CrSu), and both live together in Orlando, Florida. The client’s primary language is English & Hindi, and the medium of all assessments was conducted in English. The client's longtime friends RaBh and CrSu were included in this Service Learning Project (SLP) to partake in completing and helping with indirect assessments. According to CrSu and RaBh, the client had been smoking since age 15 and switched to vaping around 23. They report that the client primarily works from home and has had a steady increase in the frequency of his vaping behavior since the onset of the pandemic. When left alone for long periods or someone stops attending to him, he also engages in the behavior. The client has no psychological or physical ailment diagnosed and is said to be in good to moderate health at the onset of this SLP. The behavior targeted for decrease is vaping. It is operationally defined as; inhaling and exhaling vape or vape products in any form which passes the vape vapor in and out of the lungs —using a vape pen and inhaling the vapor into the mouth with air coming out of the mouth or the nostrils. The client needs to engage in at least one puff of the vape pen in order for it to count as vaping behavior. The duration of engaging in vaping behavior is not a factor since each instance is counted, not the duration. The intensity of the behavior is also not counted due to the whole act of vaping being a continuous process without a change of intention midway. Things

that do not count as vaping include touching the vape pen looking at it, or touching it to your mouth but not inhaling the vapor. The therapist can conduct a preference assessment to determine the hierarchy of preferred items for the client. Multiple stimulus without replacement (MSWO) will be done on the client since he can adequately select preferred items amongst an array of items. He also has prerequisite skills such as consistent selection, no problem behavior when items are removed, etc. The MSWO can help indicate the preference levels for each item that may be given to the client, with the exploration of potential stimuli on the levels of high, medium, and low preference. The reinforcer assessment can then utilize the data gathered from the preference assessment and use it contingent that the aberrant behavior occurs. If the client responds to the reinforcement consistently with the assessment, then the reinforcer can be considered effective. In a multiple schedule reinforcer assessment, two stimuli are compared across two individual sessions with the same schedule of reinforcement. A signal indicates that the reinforcer is present during that session and is known as the SD. The session with the highest rate of responding is the one where the most effective reinforcer is. The client was also put under a series of assessments to understand the function of his behavior. Following acceptable data collection methods, indirect and descriptive assessments were done to identify key features of the clients' vaping behavior. The assessments focused on how we can measure and what functions maintain vaping behavior for SoTh. Upon analyzing the information from his FBA, the client is frequently seen engaging in vaping behavior during the entire day. One of the critical factors for this could be the workload and demand placed on the client. The client self-reported that social interaction and work demands significantly increase his vaping behavior; biological contributors or other physical variables do not.

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The client was also assessed through the Motivation Assessment Scale (MAS), which indicated that the client's maintaining function for vaping is sensory, with a score of 22. Other notable functions of this behavior are attention and escape, within the range of 10-11. Tangible was the least in all four of the functions, with a score of two, which is why it is ruled out as a possible function going forward. The client mentions on his FBAI replacement behaviors( meditation and yoga) for his vaping behaviors; however, they are not always completed by the client because of the nature of his work and the time he vapes the most. However, he mentions that if he was kept accountable for his actions or vaping behavior, he might be more prone to stop engaging in that behavior. Using the Functional Behavior Assessment (FBA) form, it was seen that the setting events for most vaping occurred with either chilling (relaxing) or working. The antecedents were covered over a broader range, and the results indicate that being alone, working, stressed, and seeing a vape pen are some of the things that trigger vaping behavior in the order listed. The consequence of then engaging in vaping gives the client two out of three things: one, the client is less stressed, and two, the client is remorseful for engaging in the behavior. Using the ABC recording chart, I looked at settings such as working, attending meetings, leisure time, time with friends, and alone for two whole days. The data gathered showcases that most vaping behavior occurs when the client is in meetings or working and when the client is with friends or in a position where others display vaping behavior. On 05/26 /22 at 9:02 am, during the client's workday, he received a call from his supervisor, which triggered the need to vape. The need was followed up with the behavior itself. The client vaped two puffs as soon as they opened their laptop. The consequence was that they got access to both their need being satisfied and to the

vape pen itself; since this automatically reinforcing behavior has not been challenged in any shape or form, it keeps on being reinforced. Currently, the client is on no program to help curb his vaping behavior; however, an incentivized program will be developed in the future to help the client combat this. This would be in the form of a token economy which the client can utilize throughout the day. Redner et al. (2018) identified through their research that financial incentives can be utilized and are highly effective in promoting abstinence from cigarette smoking, as seen by one participant whereby upon the introduction of incentives, cigarette smoking was reduced to a near-zero level. With the same idea of the application in mind, I will formulate a schedule for my client to consider as the SLP moves further.

References Redner, R., Robertson, N., & Lo, S. (2018). Application of a brief incentive treatment for cigarette smoking. Behavior Analysis in Practice, 11(2), 154–159. https://doi.org/10.1007/s40617-018-0240-1

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