Checklist Template

• Technician Name

• Client Initials

• Location

  Irving

  Farmers Branch

• Conducted on

  Date

• Prepared by

15 Minute Session Prep

• Gathers Program Materials/Backpack

  2

  1

  0

  N/A

• Gathers Reinforcers

  2

  1

  0

  N/A

• Lay out materials in prep for session

  2

  1

  0

  N/A

• Reviews All About Me

  2

  1

  0

  N/A

Programs

• Delivers Correct SD

  2

  1

  0

  N/A

• Gives SD one time

  2

  1

  0

  N/A

• Delivers SD neutral/Apropiate tone

  2

  1

  0

  N/A

• Utilizes correct procedure

  2

  1

  0

  N/A

• Intersperse Programs (2-4 programs at a time)

  2

  1

  0

  N/A

• Utilizes correct reinforcement schedule/token economy

  2

  1

  0

  N/A

• Appropriate number of programs completed

  2

  1

  0

  N/A

• Accurate data Collection

  2

  1

  0

  N/A

Behavior Protocol

• Practices antecedent manipulation

  2

  1

  0

  N/A

• Follows Behavior plan as written

  2

  1

  0

  N/A

• Records BX immediately after BX ends

  2

  1

  0

  N/A

• Can answer questions about the all about me

  2

  1

  0

  N/A

• Remains calm during behavior

  2

  1

  0

  N/A

• Potty intervals followed/Log Tracked

  2

  1

  0

  N/A

• Maintains client dignity

  2

  1

  0

  N/A

Reinforcement

• In close proximity of the client

  2

  1

  0

  N/A

• Conditioning new reinforcers

  2

  1

  0

  N/A

• Appropriate reinforcement Duration

  2

  1

  0

  N/A

• Potency of reinforcer matches the effort of the task

  2

  1

  0

  N/A

• Switches out reinforces every hour

  2

  1

  0

  N/A

• Minimum of 3-5 reinforcers per session

  2

  1

  0

  N/A

Immediacy and Contingency of Reinforcement

• Delivers tangible within 2 secs of target response

  2

  1

  0

  N/A

• Reinforcers are under technician control

  2

  1

  0

  N/A

• Continues engagement after trial

  2

  1

  0

  N/A

• Engages with client during reinforcement for appropriate BXs

  2

  1

  0

  N/A

Requesting

• Establishing MO/Conducts preference assessment

  2

  1

  0

  N/A

• Runs mand trial every reinforcement schedule

  2

  1

  0

  N/A

• Reset's mand's (requests) for independence

  2

  1

  0

  N/A

• Contrives appropriate new request by conditioning reinforcers

  2

  1

  0

  N/A

Transitions/Group Activities

• Maintains arms reach during transitions

  2

  1

  0

  N/A

• On time to transitions/group activities

  2

  1

  0

  N/A

• Prompts child appropriately

  2

  1

  0

  N/A

• Differentiate reinforcement for appropriate BX's (walking, sitting, eating, etc)

  2

  1

  0

  N/A

• Engagement with client during entire activity/reinforcement

  2

  1

  0

  N/A

• Does proper handoff with client

  2

  1

  0

  N/A

Other

• Cleans up after session

  2

  1

  0

  N/A

• Ends session at an appropriate time

  2

  1

  0

  N/A

• Follows Sensory breaks/Sensory Diet

  2

  1

  0

  N/A

Review

• Strengths:

• Goals:

• Supervisor Signature

  Sign