Dennis is a developmentally disabled client who often asks repetitive questions. What is the first step to extinguishing this behavior?

The first step to extinguishing a maladaptive behavior, such as Dennis's repetitive questioning, is to obtain a baseline of that behavior. This involves observing and documenting the frequency, context, and patterns related to the questions being asked. Having a clear understanding of how often the behavior occurs and under what circumstances is crucial for several reasons.

Establishing a baseline allows you to identify any triggers or specific situations that lead to the questions, which can inform the development of effective intervention strategies. It will also provide a reference point to measure progress over time. Once baseline data is collected, you can implement targeted interventions based on the specific patterns you've observed.

In contrast, simply providing rewards for silence or redirecting attention might not address the underlying reasons for the behavior and could lead to inconsistent results. Ignoring the behavior may not be effective in reducing it without first understanding its context and frequency. Collecting baseline data is therefore a foundational step in behavioral modification techniques.