Competing Behavior Diagram: Brushing Teeth Routine Desired Behavior Brush teeth and be finished Setting Event Antecedent Problem Behavior Maintaining Consequence Waking up in the “Time to brush teeth” instruction Elopement from the sink area Escape or delay night, change in given, especially if required to beyond 2 feet or attempt, routine end a preferred activity noncompliance, physically or verbally removing toothbrush Replacement Behavior Request delay by saying “I want break” Setting Event Interventions Antecedent Interventions Teaching Interventions Consequence Interventions Have a consistent bedtime Remove stool from bathroom Prompt Annie to say, “I If Annie says, “I want break” and wake time. so it is not in front of the want break” as soon as she she is given 5 seconds sink. removes the toothbrush without having to brush her Have a consistent bedtime from her mouth. teeth. Have the toothbrush in the routine each day, which bathroom before giving the includes brushing teeth instruction. Talk with Annie about Praise Annie for brushing earlier in the evening (i.e., brushing teeth at other her teeth. not right before bed, but Allow her to use the times and the benefits. before movie time). toothbrush she uses. If she engages in challenging behavior, do not let her Engage in brushing teeth in escape totally and redirect between activities she is her back to brushing her engaged in. teeth. Read the social script to Annie gets a hug from mom Annie and discuss the expectations. when she is done. Set the visual timer. Annie gets to pick a prize out of the treasure bag (i.e., Close the bathroom door small toy) if she finishes once she enters. brushing her teeth and there is still red on the visual timer Point to the steps on the (i.e., time has not expired). schedule when she is to complete them. Count to 10 while brushing her teeth. Adapted from O’Neill, R. E., Horner, R. H., Albin, R. W., Sprague, J. R., Storey, K., & Newton, J. S. (1997). Functional assessment and program development for problem behavior.