Goals:
Goals
represent where you want to go. MBOs
represent the steps needed to get there.
Goals
should be:
Positive,
well supported, logically tied to both formal and informal assessments---and developed/gleaned
from desired outcomes.
Goals
should always be set in full partnership with family members, the participant,
and/or guardian.
MBOs
should be:
1. Contextualized
within natural routines and/or desired natural routines.
2. Some
MBOs can lead (or provide logical steps) to MBOs which are contextualized
within natural routines, and/or desired natural routines---IF there is a clear,
parsimonious, path to the natural routine.
(For example: a pilot may spend many hours in a simulation responding to
various potential situations. Those
simulations mirror the actual situation as closely as possible, while the pilot
is not actually flying the plane.
Someone with ASD (autism) may practice making a purchase in a simulated
or practice store and speaking with the practice cashier before going to the actual
store and making the purchase. A common
mistake of some interventionists is incessant practice without actual
implementation. For many, modeling or
coaching, in the actual natural setting, making a purchase the child or adult
may want or need to make, is the more practical intervention. This may also include some pre-coaching for
the cashier and include prompting.)
This may also require going
to the store at optimal times when the store is not as busy and when the
individual is neither tired nor stressed.
It may require some adaptive equipment or clothing to reduce difficult
stresses or stimuli. Sometimes something
as simple as a hoodie, sunglasses and/or headphones can be helpful depending
upon the individual needs of the person.
What???
MBOs
should be contextualized within the natural routine and environment; however,
sometimes one must take steps to get to this point---as quickly as possible.
MBOs
should:
Use… as
much as possible, Natural Reinforcement In lieu of Contrived Reinforcement.
For example: if a child asks
for a hug, the natural reinforcement is a hug.
The contrived reinforcement (and an unhealthy substitute) might be a
piece of candy.
Another example: someone
makes a desired (based upon their current expression of the desire)
peanut-butter and jelly sandwich after work or school and then gets to eat the
natural reinforcement, the sandwich.
As a child, you may have
received a contrived reinforcement for cleaning or keeping your room
clean. Today; hopefully, you have a
different and more natural reinforcement for keeping your home or apartment
clean. This natural reinforcement may be
an internal feeling and/or social responses from visitors and/or permission
from your landlord to continue to rent or lease your apartment.
While you may feel a sense
of accomplishment and purpose for doing the work you do, in most cases, you
will also expect a paycheck. The
paycheck, is a natural reinforcement. It
is something that naturally flows from the work you do.
You may think of it this
way. A contrived reinforcement might be
considered a bribe. A natural
reinforcement may be considered a logical payment, consequence, outcome, or
product for your efforts. Both bribes
and payments come in many forms. Both
can be monetary, social, physical, edible, etc.
A
well written MBO will:
1. Identify
the learner (target of the intervention) [WHO]
2. Identify
the target behavior in measurable terms (what is the person supposed to do)
[WHAT]
3. Identify
the Target Stimulus or Cue that will clearly tell the person it is time to do
the target behavior. [WHEN]
4. Identify
the criteria for acceptable performance. [HOW] will we know the objective has
been accomplished.
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