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JT is a teenager with an intellectual disability who lives in a group home with

ID: 3495544 • Letter: J

Question

JT is a teenager with an intellectual disability who lives in a group home with other teenagers with disabilities. He engages in self-injurious behavior involving face-slapping and ear-slapping. The staff are concerned that he will damage his hearing if he continues to slap himself in the ear. They report that he usually slaps himself when they are occupied in training programs with other residents. The group home manager has read a research study in which aromatic ammonia was shown to be an effective treatment for self-injurious behavior. He thinks it might work with JT. However, before going to the effort of writing up a program, having the program reviewed by the behavior intervention committee, and training staff to implement the procedure, he decides on a pilot program to see whether the procedure will work. He gives a box of ammonia capsules to the staff working with JT and instructs them to break open a capsule and wave it under JT’s nose when he slaps himself. The manager tells the staff to use to procedure for a few days and see whether it decreases the face-slapping. If it does, he will take all the necessary steps and formally implement the punishment procedure.

Discuss 2 problems with this approach?

Explanation / Answer

2 problems with this approach are:

A: Side effects of exposure to ammonia which include:

B: Child becoming desensitized to the treatment after some time and the need to increase the dose.