Monday, November 12, 2007

What are the essential components for a therapeutic plan?

Evaluation/Assessment: Evaluations come in a number of different formats and can be formal or informal or a combination. Evaluations provide the foundation. They provide the background, diagnoses, barriers, strengths and desires (and should often include functionality of inappropriate behaviors). They tell you where you are, and create a starting point for your journey. They tell you what kinds of consequences/reinforcements provide what kind of results in what circumstances for the individual. Often they give you an idea of where you have the most chance of future success.
Plan:The plan is the map; it tells you where you are going and how you are going to get there. (Generally including reinforcement/consequences/ successive approximations.)
Plan implementation: These are the actions required in order to follow the map. Even if you had a perfectly wonderful map to an incredible treasure, if you don’t follow the map, or if you don’t follow it exactly, you probably won’t find the treasure. (Generally includes reinforcement/consequences/ successive approximations.)
Reassessment/evaluation:This can include both formal and informal evaluations and includes the gathering of data as the implementation of the plan progresses. This must be an ongoing and continuous process. What is the data telling you? If it isn’t telling you anything, there is a problem.
Adjustment: Solid, inflexible, unalterable and unchanging plans are almost always like the brittle bolts of the titanic, easily broken and quite useless under any stress. Plans should be adjusted as often as needed and is helpful for the individual child/participant and/or care giver. The same plan year after year is almost ALWAYS outdated and ineffective, even if it was initially effective. (Each time this training is presented, I request feedback and adjust. When a plan is being implemented, there should almost always be adjustments for improvement in any component of the plan needing adjustment.)
: Remember the importance of the immediacy and value of the consequence. Remember satiation and natural and logical consequences. Is the consequence tied specifically to the target behavior and nothing else? How do you handle and vary schedules of reinforcement?

To continue with this information click here: Reinforcement

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