Abstract

A core feature of autism spectrum disorder is resistance to change, such as difficulty transitioning from one activity or environment to another. Transition-related problem behavior can include noncompliance with transitions, severe destructive behavior (e.g., aggression), and elopement, which all pose serious safety risks for the individuals with autism spectrum disorder and those around them. In this chapter, we discuss how to safely assess and treat transition-related problem behavior. We then describe a comprehensive treatment approach that incorporates traditional behavior-analytic interventions for problem behavior (e.g., differential reinforcement) as well as teaching safety skills and including safety precautions (e.g., physical barriers and tracking devices for individuals with elopement). Finally, we discuss considerations for selecting between intervention options and areas warranting future research.

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