Communication during extinction should remain accessible and meaningful. A function-matched message in FCT is typically arranged to produce the relevant outcome under the current schedule, while the target response no longer does. Pain, help, stop, safety, food, water, bathroom, mobility, health care, and emergency messages require their own immediate routes. Families can ask which messages partners honor, how unavailable outcomes are explained, and how assent withdrawal is handled.

Protect communication during extinction

Write the recognized communication forms, meaning, partner response, response time, outcome schedule, unavailable signal, backup AAC, basic-needs route, safety route, and stop condition. Score partner responses separately from the person's communication. Never classify a missed device, unclear vocabulary, or staff inattention as client noncompliance.

Interpret the change cautiously

Extinction is function specific, so it should never become ignore the person. A partner can acknowledge communication, provide information, protect safety, and preserve connection while following a narrowly defined clinical contingency. If the response or schedule is unclear, the plan needs revision rather than improvisation.

Use current ethics and research sources

The FCT review describes recognizable communication that accesses the maintaining reinforcer. ASHA supports continuous AAC access. The Ethics Code addresses understandable communication, consent, assent when applicable, medical needs, risk, and evaluation. The CASP summary supports individualized planning.

Keep communication and immediate safety available

The ASHA AAC portal supports continuous access to communication tools. Preserve AAC, pain and safety reports, basic needs, emergency help, assent and dissent, and ordinary supports throughout this specific decision. Immediate danger follows the applicable emergency route.

A practical example

Jo uses break, help, and pain messages through speech or AAC. Partners answer all six pain messages immediately and follow the clinical break schedule in eight of ten eligible opportunities. The record never pools pain responses with delayed break practice.

Questions families can use

Which messages access which outcomes? What remains immediate? Is AAC always available? What happens when an outcome is unavailable? How does the person withdraw assent or report distress?

Related resources

Sources

Finni resources

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