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Results

#1. A consulting BCBA receives an urgent call from a school teacher reporting that a client has begun engaging in severe self-injurious behavior (SIB) whenever presented with math task demands. The SIB is reportedly frequent and has resulted in minor injuries. Given this critical situation, what should be the BCBA’s immediate priority when discussing this behavior with the teacher?

Ensuring the teacher strictly follows through with all task demands to maintain instructional integrity.

Immediately reducing the injurious behavior to protect the client from further harm.

Developing and implementing a mild punishment procedure, with a plan to increase intensity if initial effects are insufficient.

Scheduling a comprehensive functional analysis to be completed before any intervention is attempted.

The text explicitly states that when working with severe selfinjurious behavior the number one priority is Do no harm and to protect the client This means the immediate objective must be to stop the SIB as quickly as possible to prevent further injury While options A C and D are important considerations in the overall treatment process they are secondary to the immediate safety and wellbeing of the client Ensuring strict adherence to task demands A is not appropriate if it means continued SIB Implementing mild punishment first and gradually increasing C contradicts best practices for punishment which suggest implementing at an effective intensity from the outset if necessary to achieve rapid suppression Conducting a full functional analysis D is crucial for identifying the function of behavior and developing effective functionbased interventions but it takes time immediate action is required to ensure safety before a full FA can be completed

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