It is becoming a problem because it is getting results. You said in your message that child screams, waits to be acknowledged, and then screams even louder for effect. Unfortuantely ignoring the screaming is the quickest way to make it stop. If you want to get my attention find another more acceptable method please not screaming. With a child 2 and up they would be told to use their words. For 16 months that likely won't happen but instead of collapsing in a devestated heap on the floor they could come to you for attention or something.
The parents need to also realize that this is why the screaming is working and do the same at home. No attention when the screaming is at the loudest.
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