Escape-Motivated Bathroom Visits: Effects of Activity Scheduling, Cuing, and Duration-Fading in an Adult With Intellectual Disability

Author:

Luiselli James K.1,Sobezenski Timothy1

Affiliation:

1. North East Educational & Developmental Support Center, Tewksbury, MA, USA

Abstract

We report the case of a woman who had intellectual disability, made frequent bathroom requests, and spent excessive time in the bathroom at a day-habilitation center. Functional behavioral assessment suggested that frequency and duration of bathroom requests were escape-motivated. Intervention was directed at reducing the reinforcing effects of visiting the bathroom through (a) activity scheduling, (b) cuing the woman to exit the bathroom according to a fixed time limit, and (c) gradually reducing the time limit to an acceptable duration. Compared with a baseline phase, intervention was associated with decreased bathroom requests and duration of bathroom visits that were maintained at 2-month follow-up. We discuss clinical implications of these findings and recommendations to practitioners.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,Clinical Psychology

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