Betty is a large woman (200 pounds) with severe intellectualdisability. She lives in a group home and rides a van to and fromher work site each day. She does assembly work for a local factorywith a job coach and a group of five other peo- ple withintellectual disabilities. Betty has been exhibiting a problembehavior in which she refuses to get in the van in the morning andshe refuses to leave the break room after her morning break andafter lunch. Because of her size, Betty is intimidating and oftengets what she wants. When the job coach asks her to get on the vanor to come back to work, Betty yells “No,†makes a fist, and wavesit at the job coach, and continues to sit where she is. Eventually,Betty does get in the van or comes back to work, but only after thejob coach talks her into it. Because Betty is exhibitingnoncompliant behavior in work-related situations, the job coach hasdecided to implement guided compliance in which Betty will bephysically guided onto the van and back to work when she refuses.What is wrong with using guided compliance in this situation?
