File size: 19,761 Bytes
c427f62
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
# Task Analysis / Chaining taxonomy — TRACE v1
# Self-contained: AFLS skills broken into step lists, chain types, prompting.
# Citation: CHH 2020 Ch. 23; Slocum & Tiger 2011 JABA; Partington & Mueller 2012.

method:
  id: task_analysis
  name: Task Analysis / Chaining
  short: Task Analysis
  citation: "Cooper, Heron, Heward (2020) Applied Behavior Analysis (3rd ed.), Ch. 23; Slocum, S. K. & Tiger, J. H. (2011). JABA, 44(4), 793–805; Partington & Mueller 2012 (AFLS)."
  when_to_use: >
    Multi-step skills with a natural sequence — toileting, handwashing,
    dressing, cooking, cleaning, classroom routines, community tasks,
    vocational routines.

# Chain types
chain_types:
  - id: forward
    name: Forward chaining
    description: "Teach step 1 to mastery, then 1->2, then 1->2->3, progressively adding later steps."
    best_for: "Skills where early steps are simple and the chain grows in complexity."
  - id: backward
    name: Backward chaining
    description: "Complete all steps for the learner except the last; teach the last step first, then work backward. The final reinforcer (task completion) is always present for the learner."
    best_for: "Skills where the terminal reinforcer is salient (bathing, dressing, meal cleanup)."
  - id: total_task
    name: Total-task presentation
    description: "Prompt the learner through the entire chain every trial; fade prompts across all steps simultaneously."
    best_for: "Skills with few steps, or when all steps are similar in difficulty."

# Prompt hierarchies commonly used in chaining
prompt_hierarchies:
  - id: graduated_guidance
    name: Graduated Guidance
    description: "Hand-over-hand physical guidance with fading pressure; move to shadow, then independent."
    best_for: "Self-care and motor-dominant chains."
  - id: most_to_least
    name: Most-to-Least
    description: "Start with full-physical prompt at each step; fade to partial physical, gestural, verbal, independent."
    best_for: "Acquisition phase; new chains."
  - id: least_to_most
    name: Least-to-Most
    description: "Allow independent attempt; add progressively more intrusive prompts only if learner does not initiate."
    best_for: "Partial-repertoire chains; promoting independence."

# Error correction procedures appropriate for chaining
error_corrections:
  - id: back_to_previous_step
    name: Back-step + re-approach
    steps: "Return to the previously-mastered step; re-execute that step correctly; then re-attempt the missed step with one prompt level above the last independent level."
  - id: model_prompt_fade
    name: Model -> prompt -> fade
    steps: "Demonstrate the correct step; provide physical or gestural prompt as needed; fade prompt across subsequent trials."
  - id: task_reset
    name: Task reset
    steps: "Pause the chain; reset environmental stimuli; restart the chain from the beginning with full prompts at the previously-missed step."

# Reinforcement schedules for chaining
reinforcement_schedules:
  - id: crf_per_step
    name: CRF per step (acquisition)
    description: "Continuous reinforcement for each correctly-completed step during acquisition."
  - id: terminal_reinforcement
    name: Terminal reinforcement (mastered)
    description: "Reinforcement delivered only at chain completion; no per-step reinforcement."
  - id: differential_per_step
    name: Differential per-step + terminal
    description: "Small per-step reinforcement for independent responses; larger reinforcer at chain completion."
  - id: token_economy
    name: Token economy
    description: "One token per correctly-completed step; token exchange at chain completion."

# Mastery criteria for chains (independence) vs toleration programs.
# Generator filters by applies_to when picking a criterion.
mastery_criteria:
  - id: mc_all_steps_independent
    applies_to: independence
    text: "100% of steps completed independently (no prompts) across 3 consecutive trials of the full chain."
  - id: mc_fluent_chain
    applies_to: independence
    text: "Full chain completed within {fluency_seconds}s across 3 consecutive sessions with independent responding on all steps."
  - id: mc_generalization
    applies_to: independence
    text: "Full chain completed independently with 2 different adults in 2 different settings across 2 consecutive days."
  - id: mc_self_initiation
    applies_to: independence
    text: "Chain self-initiated from the appropriate antecedent (no verbal prompt to begin) across 3 consecutive opportunities."
  - id: mc_toleration_full_duration
    applies_to: toleration
    text: "End-goal duration tolerated across 3 consecutive sessions with no safety behaviors (refusal, crying, SIB, aggression, property destruction)."
  - id: mc_toleration_caregivers
    applies_to: toleration
    text: "End-goal activity tolerated with 2 different caregivers (primary caregiver + one other) across 2 consecutive weeks."
  - id: mc_toleration_settings
    applies_to: toleration
    text: "End-goal activity tolerated across 2 different settings (e.g., home and clinic) across 2 consecutive weeks without safety behaviors."

# AFLS skill domains — learner profile + module + skill + step definitions
afls:
  modules:
    - id: basic_living
      name: Basic Living Skills
      learner_profiles: [school_age, adolescent, adult]
      # Two kinds of programs in this module:
      #   - "steps" field = independence-focused chaining (learner performs the skill with
      #     graduated prompts)
      #   - "shaping_steps" field = toleration program (learner allows staff or caregiver
      #     to perform the skill; duration-based shaping of tolerance)
      # Some real skills have BOTH variants depending on learner profile and history.
      skills:
        - name: washing hands
          chain_type_preferred: total_task
          steps:
            - Walk to the sink.
            - Turn on the water.
            - Wet hands under the water.
            - Apply soap to hands.
            - Rub hands together for 15–20 seconds, covering fronts, backs, and between fingers.
            - Rinse hands thoroughly under the water.
            - Turn off the water.
            - Dry hands with a towel.
        - name: brushing teeth
          chain_type_preferred: total_task
          steps:
            - Collect toothbrush and toothpaste.
            - Wet the toothbrush under water.
            - Apply a pea-sized amount of toothpaste.
            - Brush upper-front teeth in small circles for 30 seconds.
            - Brush lower-front teeth in small circles for 30 seconds.
            - Brush upper-back teeth (left and right).
            - Brush lower-back teeth (left and right).
            - Spit into the sink and rinse mouth.
            - Rinse the toothbrush and return it to the holder.
        - name: putting on a shirt (pullover)
          chain_type_preferred: backward
          steps:
            - Hold the shirt with the front facing away.
            - Place both arms into the sleeves.
            - Pull the opening over the head.
            - Push arms through the sleeves fully.
            - Pull the bottom of the shirt down to straighten it.
        - name: putting on pants
          chain_type_preferred: backward
          steps:
            - Sit or stand securely.
            - Hold pants with the front facing away.
            - Place one leg into the corresponding pant leg.
            - Place the other leg into the other pant leg.
            - Pull pants up to the waist.
            - Fasten the button / zipper / velcro.
        - name: showering
          chain_type_preferred: backward
          steps:
            - Enter the shower and close the curtain.
            - Turn on the water and adjust temperature.
            - Wet body completely.
            - Apply soap to a washcloth.
            - Wash body systematically (face -> torso -> arms -> legs -> feet).
            - Rinse all soap off.
            - Apply shampoo and rub into hair.
            - Rinse hair completely.
            - Turn off the water.
            - Exit the shower and dry off with a towel.
        - name: toileting routine
          chain_type_preferred: forward
          steps:
            - Recognize the need and walk to the bathroom.
            - Close the door for privacy.
            - Lower clothing appropriately.
            - Sit on the toilet.
            - Complete the elimination.
            - Use toilet paper correctly.
            - Stand and pull clothing up.
            - Flush the toilet.
            - Wash hands.

        # Toleration programs
        # For learners who do not tolerate the activity being performed on them.
        # Goal is NOT to do it independently — goal is to allow caregiver/staff to
        # complete the activity without refusal, crying, SIB, or aggression, with
        # duration shaped incrementally.
        - name: tolerating tooth brushing by caregiver
          program_type: toleration
          target_activity: tooth brushing performed by caregiver
          end_goal_description: "full 2-minute tooth-brushing routine completed by caregiver without refusal, crying, SIB, or aggression"
          shaping_steps:
            - "1-second toothbrush contact with teeth"
            - "3 seconds of brushing"
            - "5 seconds of brushing"
            - "15 seconds of brushing"
            - "30 seconds of brushing"
            - "60 seconds of brushing"
            - "Full 2-minute brushing routine"

        - name: tolerating hair washing by caregiver
          program_type: toleration
          target_activity: hair washing / shampooing performed by caregiver
          end_goal_description: "full hair-washing routine completed by caregiver without refusal or safety behaviors"
          shaping_steps:
            - "5 seconds of water on hair"
            - "15 seconds of water on hair"
            - "Shampoo applied without lathering"
            - "30 seconds of gentle lathering"
            - "60 seconds of lathering"
            - "Full rinse"
            - "Full routine: wet -> shampoo -> lather -> rinse"

        - name: tolerating nail clipping
          program_type: toleration
          target_activity: nail clipping performed by caregiver
          end_goal_description: "all 10 fingernails (and optionally toenails) clipped by caregiver without refusal, pulling hand away, or safety behaviors"
          shaping_steps:
            - "1 fingernail clipped"
            - "2 fingernails clipped in one sitting"
            - "5 fingernails clipped (one hand)"
            - "All 10 fingernails clipped"
            - "All 10 fingernails + 10 toenails clipped"

        - name: tolerating haircut
          program_type: toleration
          target_activity: haircut by caregiver or stylist
          end_goal_description: "full haircut (10+ minutes) completed without refusal, leaving the chair, or safety behaviors"
          shaping_steps:
            - "Sit in the chair with cape on for 30 seconds"
            - "Tolerate 1 minute of quiet sitting with cape"
            - "Tolerate 2 minutes of brief clipping"
            - "Tolerate 5 minutes of clipping"
            - "Tolerate 10 minutes of clipping"
            - "Tolerate full haircut routine"

        - name: tolerating showering assistance
          program_type: toleration
          target_activity: showering / bathing performed with caregiver assistance
          end_goal_description: "full assisted shower routine completed without refusal, exiting the shower, or safety behaviors"
          shaping_steps:
            - "Stand in shower for 30 seconds with water off"
            - "Tolerate 10 seconds of water on body"
            - "Tolerate 30 seconds of water on body"
            - "Tolerate soap application to torso"
            - "Tolerate full body wash by caregiver"
            - "Full assisted shower routine"

        - name: tolerating medical exam
          program_type: toleration
          target_activity: routine medical exam by clinician
          end_goal_description: "full routine exam (stethoscope, blood pressure cuff, otoscope, temperature) completed without refusal or safety behaviors"
          shaping_steps:
            - "Enter and sit in the exam room"
            - "Tolerate stethoscope contact for 5 seconds"
            - "Tolerate blood pressure cuff on arm"
            - "Tolerate otoscope in ear"
            - "Tolerate temperature reading"
            - "Tolerate full routine exam"

    - id: home
      name: Home Skills
      learner_profiles: [adolescent, adult]
      skills:
        - name: making the bed
          chain_type_preferred: forward
          steps:
            - Strip any disheveled linens and lay them flat.
            - Straighten the bottom sheet across the mattress.
            - Place the top sheet evenly over the mattress.
            - Tuck the top sheet in at the foot of the bed.
            - Place the comforter over the top sheet.
            - Place pillows at the head of the bed.
            - Smooth the comforter surface.
        - name: meal cleanup
          chain_type_preferred: forward
          steps:
            - Stack used dishes on one side of the table.
            - Carry dishes to the sink or dishwasher.
            - Rinse food residue into the trash or disposal.
            - Load dishes into the dishwasher (or wash by hand).
            - Wipe the table with a damp cloth.
            - Put away any leftover food into containers.
            - Place containers in the refrigerator.
        - name: dishwashing by hand
          chain_type_preferred: forward
          steps:
            - Scrape food residue into the trash.
            - Fill the sink with warm, soapy water.
            - Wash each dish systematically with a sponge.
            - Rinse each dish under clean water.
            - Place each dish on the drying rack.
            - Drain the sink and wipe it down.
        - name: operating the dishwasher
          chain_type_preferred: forward
          steps:
            - Collect dirty dishes from the table and sink area.
            - Scrape any solid food residue into the trash.
            - Rinse dishes briefly under water.
            - Open the dishwasher door.
            - Load plates and bowls into the bottom rack.
            - Load cups, glasses, and small items into the top rack.
            - Place utensils handle-down in the utensil basket.
            - Add detergent to the detergent dispenser.
            - Close the dishwasher door.
            - Select the appropriate wash cycle and press Start.
        - name: unloading the dishwasher
          chain_type_preferred: forward
          steps:
            - Open the dishwasher once the cycle is complete.
            - Unload the top rack first (cups, glasses, small items).
            - Put cups and glasses away in the correct cabinet.
            - Unload the utensil basket.
            - Put utensils away in the drawer.
            - Unload the bottom rack (plates, bowls, larger items).
            - Put plates and bowls away in the correct cabinet.
            - Close the dishwasher door.
        - name: doing laundry
          chain_type_preferred: total_task
          steps:
            - Sort laundry by color (lights / darks / whites).
            - Load the washing machine with one color group.
            - Add detergent according to instructions.
            - Select the correct wash cycle and start the machine.
            - When complete, move clothes to the dryer.
            - Start the dryer on the correct cycle.
            - When dry, fold clothes by category.
            - Put folded clothes away in drawers or closet.
        - name: simple meal preparation (sandwich)
          chain_type_preferred: total_task
          steps:
            - Collect all ingredients (bread, filling, spread).
            - Place two slices of bread on the plate.
            - Apply spread to one slice.
            - Place filling on the spread slice.
            - Place the second slice on top.
            - Cut the sandwich in half if desired.
            - Place on a plate to serve.

    - id: community
      name: Community Participation Skills
      learner_profiles: [adolescent, adult]
      skills:
        - name: crossing a street safely
          chain_type_preferred: total_task
          steps:
            - Approach the crosswalk and stop at the curb.
            - Look left, look right, look left again.
            - Identify the walk signal or absence of traffic.
            - Begin to cross while continuing to scan for vehicles.
            - Cross directly to the opposite curb.
            - Step up onto the sidewalk.
        - name: ordering in a restaurant
          chain_type_preferred: total_task
          steps:
            - Approach the counter or wait to be seated.
            - Review the menu.
            - Decide on a choice.
            - Place the order verbally (or with an AAC device).
            - Respond to clarifying questions.
            - Pay using money or a card.
            - Wait for the order and collect it.
        - name: using public transportation
          chain_type_preferred: forward
          steps:
            - Confirm the correct stop or station.
            - Purchase or have the fare ready.
            - Wait at the designated boarding area.
            - Board the vehicle when it arrives.
            - Pay the fare or present the pass.
            - Sit or stand safely.
            - Monitor the route for the correct stop.
            - Exit at the correct stop.

    - id: vocational
      name: Vocational Skills
      learner_profiles: [adolescent, adult]
      skills:
        - name: clocking in at start of shift
          chain_type_preferred: total_task
          steps:
            - Arrive at the workplace by the scheduled time.
            - Locate the time clock or digital system.
            - Enter identification (ID card / badge / code).
            - Confirm the clock-in timestamp.
            - Notify the supervisor or check the day's task list.
            - Proceed to the assigned workstation.
        - name: completing assigned tasks in order
          chain_type_preferred: forward
          steps:
            - Review the task list for the shift.
            - Gather needed materials for the first task.
            - Complete the first task to the specified standard.
            - Mark the first task complete on the list.
            - Return materials to storage.
            - Move to the next task on the list and repeat.

    - id: independent_living
      name: Independent Living Skills
      learner_profiles: [adult]
      skills:
        - name: taking medication as prescribed
          chain_type_preferred: total_task
          steps:
            - Check the medication schedule at the scheduled time.
            - Collect the correct medication bottle.
            - Confirm the dose against the label.
            - Measure or count the correct dose.
            - Take the medication with water.
            - Log the dose in the medication tracker.
            - Return the bottle to its storage location.
        - name: scheduling a medical appointment
          chain_type_preferred: forward
          steps:
            - Identify the reason for the appointment.
            - Locate the provider's contact information.
            - Call or use the online system.
            - Provide name, date of birth, and insurance information.
            - Request an available appointment time.
            - Confirm the appointment and save it to the calendar.