Assessment & Intervention Form
Introduction: In this assignment, My classmate and I completed a Form for Intervention Techniques.
Summary: This assignment is a Case Scenario I had to complete with a classmate, it is an Assessment and Intervention Form about a Woman named Erica.
Core Competencies: Handling Conflict & Collaboration on a Group Project.
BEHAVIOURAL PROGRAM: ASSESSMENT and INTERVENTIONS:
Name of client: Erica
Age: 25
Male/ Female: Female
Date: August 12, 2022
ASSESSMENT
A. List all of the behaviours that are of concern:
flipping tables
punching walls
throwing chairs
complaining about bright lights in the home
screaming
B. Choose 1 behaviour to work on:
punching walls, flipping tables, throwing chairs
C. For this behaviour, describe:
1. Topography
Group home
2. Frequency
1-2 times a day
3. Duration
Between 5-10 minutes long
4. Intensity
High intensity
D. Setting Events: Identify any factors related to the following categories that appear to relate to the behaviour:
1. Physical Health
Irregular joint pain
lack of medical history
2 Mental Health
anxiety
depression
3. Sensory Impairments
Sensitive to bright lights
4. Lack of Skills
Poor social relations
5. Physical Environments
Shared living space (6 individuals+Staff)
6. Eating/Sleeping Patterns
N/A
7. Schedules of Activities/Routines
No daily activity schedule
8. Other People
Individuals + staff in living area
9. Amount of Control this Person has over his/her Daily Life
Moderate after daily activities erica has a lot of free time
10. Conditions under which challenging behaviours are less likely to occur
When Erica is swimming, bowling, and at sheltered workshops,
when she receives talk-time
when bright lights are off
11. Motivating Operations
Weekend activities
bright lights
talk-time
E. Antecedents (Triggers): Identify the antecedent(s) which prompt the behaviour:
When staff refuse to shut off the lights
when staff refuse talk-time
when asses to clean up her mess
F. Consequences: Identify what usually happens after the behaviour:
Positive Reinforcement (person gains something which is added to the situation which s/he wants) and/or Negative Reinforcement (person avoids or escapes from something)
negative reinforcement:
After the behavior staff sends erica to her room and clean the mess erica made
positive reinforcement: when staff have no time to talk erica, she creates a mess to get staff to talk to her
HYPOTHESIS
G. Behavioural Hypothesis: Develop a hypothesis (what factors contribute to the occurrence of the behaviour and what factors maintain the behaviour)
Physical health, Mental health, Sensory impairments, Lack of skills, Physical Environment, Schedules of Activity/Routine, Amount of Control this Person has over his/her Daily Life, Other people.
INTERVENTIONS
Develop Interventions for any factors which you have identified in the previous sections.
H. Setting Events:
1. Physical Health
Erica can be prescribed medication for irregular joint pain such as topical creams and oral substances from her doctor.
2 Mental Health
-a psycho-educational assessment
-assessment for depression and social anxiety. If symptoms are present I would formulate a treatment plan for my client accordingly.
3. Sensory Impairments
Since Erica is sensitive to bright lights, I would recommend supplying Erica with glasses or glasses/goggles when around the group home or in bright light areas. I would also suggest changing the light bulbs or adding dimmable light switches.
4. Lack of Skills
Erica’s social skills and communication skills are limited, Erica should start having workshops or work closely with social workers to increase these skills.
5. Physical Environments
the bright lights can be replaced or dimmed with switches. glasses can be provided for Erica to cope with the brightness in bright environments.
heavy chair and heavy/bolted tables so Erica cannot flip or throw. gloves can be introduced if Erica still exhibits the wall punching behaviors as we dont want her to break her hands.
Erica can be placed in a home that is not a group home setting.
6. Eating/Sleeping Patterns
N/A
7. Schedules of Activities/Routines
Erica will be provided daily activities in her free time that she enjoys, because it will keep her busy and could boost her quality of life .
8. Other People
Erica can be moved into a different setting from the group home environment.
9. Amount of Control this Person has over his/her Daily Life
erica has a lot of free time after daily activities, she has moderate control over her daily life
10. Motivating Operations
talk-time and weekend activities should not be ignored
I. Antecedents (Triggers):
Bright lights
When staff refuse “talk time”
When Erica is asked to clean up
J. Consequences:
Choose and label the consequences you will use. (positive reinforcement, negative reinforcement, positive punishment, negative punishment). Note you don’t have use all the consequences listed.
negative punishment: erica will not be sent to her room after a mess is created and will have to clean when done screaming or has calmed down.
Positive punishment: the bright lights have been changed and heavy chairs and tables have been added to the environment
positive reinforcement: praise erica for good behavior and using the glasses
Complete the Behaviour Plan for Erica. (5 marks)
BEHAVIOUR PLAN
Name of Client: Erica
Date: August 12, 2022
Of all the strategies which you have listed on the Functional Assessment and Intervention Form, choose the 5 which you would prioritize to work on first. Priorities for strategies should be in this order:
A. Health
B. Safety
C. Significant influence over the behaviour
D. Quality of life for the individual
List each of these strategies and for each one explain why it is a priority.
Strategy 1: Assess for medical issues related to joint pain by taking erica to the doctors office to be prescribed medication, or if need to be taken of the medication Risperidone because a less common side effect of the medication is joint pain
Strategy 2: Heavy chairs & bolted tables, so that Erica cannot pick them up and throw them.
Strategy 3: Avoid sensory overload, Dim the lights in the rooms or give Erica sensitivity glasses to help her cope with bright lighting.
Strategy 4: A social worker should be appointed to Erica to encourage her communication and support in forming relationships.
Strategy 5: exercise eases symptoms of depression and anxiety. Erica should be doing moderate physical activity daily for 30 min such as walks,runs, or sport games with other group home members.
Complete the table below for each strategy:

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