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Assent
A learner’s active, voluntary agreement to participate in therapy
Consent
The legal and ethical process where a legally authorized adult voluntarily agrees to services after being fully informed of the procedures, risks, and benefits
Assent Withdrawal
Happens when a person indicates they don’t want to participate, don’t like, or are uncomfortable with an activity (may include words, body language, or other behaviors).
Support Assent Withdrawal
delay the task or activity, provide support to complete the task, and end the task or activity
Delay the Task or Activity
End the task for now and come back to it later. Ensure you have a powerful reinforcer
Provide Support to Complete the Task
Add more prompts or support to complete the task or reduce the overall expectation
End the Task or Activity
Remove the task or activity for the remainder of the session, then talk to your supervisor! They can help you set up your client for success in future sessions
Lesson Prep
Activity Schedule, Mix It Up, Split It Up
Activity Schedule
During the next session, do table work first and plan to spend the last hour doing quieter activities like books and puzzles
Mix It Up
Think about ways you can use Lilly’s love of markers to make her programs fun. What else can you draw to keep her engaged
Split It Up
Lilly was interested in the activities for short periods of time, structure her session to spread out the DTT trials, rather than saving them for the end