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Challenging Behavior

Promoting Social Emotional Competence Creation and Implementation of Positive Behavior Support Plans. Challenging Behavior. What we are referring to when we say “challenging behavior” is:

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Challenging Behavior

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  1. Promoting Social Emotional CompetenceCreation and Implementation of Positive Behavior Support Plans

  2. Challenging Behavior • What we are referring to when we say “challenging behavior” is: • Any repeated pattern of behavior that interferes with learning or engagement in pro-social interactions with peers and adults. • Behaviors that are not responsive to the use of developmentally appropriate guidance procedures. • Prolonged tantrums, physical and verbal aggression, disruptive vocal and motor behavior (e.g., screaming, stereotypy), property destructions, self-injury, noncompliance, and withdrawal

  3. Promoting Social Emotional Competence Few children (PBS) Individualized Intensive Interventions Children at-risk Social Emotional Teaching Strategies Creating Supportive Environments All children Building Positive Relationships

  4. Intensive IndividualizedInstruction • Intensive individualized instruction and interventions are used with children who have very persistent and severe challenging behavior and do not respond to the typical preventive practices, child guidance procedures, or social emotional teaching strategies that would normally work with most children.

  5. There Are Many Variables to Explore Play Interactions Toys, Level of play, Opportunities, Choice, Expectations… Health Communication to the child, Emotional support, Attachment… Trauma, Illness, Stamina, Medication… Learning Environment Friends CHILD Schedules, Room arrangement, Materials, Adaptations, Resources, Predictability… Shared interests & experiences, Relationships… Home & Family Outings/Events Instruction Routines, Resources, Siblings, Environment, Respite, Predictability, Extended family… Places family goes, Activities… Transitions, Cues, Prompts, Supports, Accommodations…

  6. Positive Behavior Support (PBS) • An approach for changing a child’s behavior • Is based on humanistic values and research. • An approach for developing an understanding of why the child has challenging behavior and teaching the child new skills to replace challenging behavior. • A holistic approach that considers all of the factors that impact on a child, and the child’s behavior

  7. Research on PBS • Effective for all ages of individuals with disabilities 2-50 years. • Effective for diverse groups of individuals with challenges: mental retardation, oppositional defiant disorder, autism, emotional behavioral disorders, children at risk, etc. • PBS is the only comprehensive and evidence- based approach to address challenging behavior within a variety of natural settings.

  8. Old WayNew Way • General intervention for all behavior problems • Intervention is reactive • Focus on behavior reduction • Quick Fix • Intervention matched to purpose of the behavior • Intervention is proactive • Focus on teaching new skills • Long term interventions

  9. Challenging Behavior Communicates • Communicates a message when a child does not have language. • Used instead of language by a child who has limited social skills or has learned that challenging behavior will result in meeting his or her needs.

  10. Challenging Behavior Works • Children engage in challenging behavior because “it works” for them. • Challenging behavior results in the child gaining access to something or someone (i.e., obtain/request) or avoiding something or someone (i.e., escape/protest).

  11. Trigger Behavior Maintaining Consequence

  12. Setting Event • Event that occurs at another time that increases the likelihood the child will have challenging behavior. Setting events serve to “set the child up” to have challenging behavior.

  13. Behavior Equation

  14. Behavior Equation

  15. Video 3a.10: Observation Vignette #1

  16. Video 3a.11: Observation Vignette #2

  17. Video 3a.14: Observation Vignette #5

  18. Process of Positive Behavior Support Step 1: Establishing a collaborative team and identifying goals Step 2: Gathering information (functional assessment) Step 3: Developing hypotheses (best guess) Step 4: Designing behavior support plans Step 5: Implementing, monitoring, evaluating outcomes, and refining plan in natural environments

  19. Hypotheses Statements • Triggers of the challenging behavior • Description of the challenging behavior • Responses that maintain the challenging behavior • Purpose of the behavior

  20. Tim’s Support Planning Chart- Hypothesis Function:obtain toy/play

  21. Behavior Support Plan Behavior Hypotheses- Purpose of the behavior, your best guess about why the behavior occurs Prevention Strategies- Ways to make events and interactions that trigger challenging behavior easier for the child to manage Replacement Skills– New skills to teach throughout the day to replace the challenging behavior Responses- What adults will do when the challenging behavior occurs to ensure that the challenging behavior is not maintained and the new skill is learned

  22. Prevention Strategies How can the environment be changed to reduce the likelihood that challenging behavior will occur? What can be done to make challenging behavior irrelevant? What procedures can I select that fit in the natural routines and structure of the classroom or family? How can I build on what works? What can be done to help the child not respond to the trigger or change the trigger so it does not cause challenging behavior?

  23. Behavior Hypotheses- Purpose of the behavior; your best guess about why the behavior occurs Prevention Strategies- Ways to make events and interactions that trigger challenging behavior easier for the child to manage Replacement Skills– New skills to teach throughout the day to replace the challenging behavior Responses- What adults will do when the challenging behavior occurs to ensure that the challenging behavior is not maintained and the new skill is learned Behavior Support Plan

  24. Teaching Replacement Skills Teach alternative behavior to challenging behavior. Replacement skills must be efficient and effective (i.e., work quickly for the child). Consider skills that child already has. Make sure the reward for appropriate behavior is consistent.

  25. Functional Equivalence Identify an acceptable way that the child can deliver the same message. Make sure that the new response is socially appropriate and will access the child’s desired outcome. Teach the child a skill that honors that function of the behavior (e.g., if child wants out of activity, teach child to gesture “finished”).

  26. Designing Replacement Skill Instruction Procedures Select a skill to teach. Select a method of instruction. Follow steps of instructional procedure systematically. Teach throughout the day.

  27. Behavior Hypotheses- Purpose of the behavior; your best guess about why the behavior occurs Prevention Strategies- Ways to make events and interactions that trigger challenging behavior easier for the child to manage Replacement Skills– New skills to teach throughout the day to replace the challenging behavior Responses- What adults will do when the challenging behavior occurs to ensure that the challenging behavior is not maintained and the new skill is learned Behavior Support Plan

  28. Response to Challenging Behavior Respond in a way that will make challenging behavior ineffective. Make sure rewards for appropriate behavior are equal to or exceed rewards for challenging behavior.

  29. Safety-Net Procedures If a child is in danger of harming self or others, you must first be concerned about safety. You may hold a child or remove a child from the situation to keep children safe. Safety-net procedures may be planned for children who have a history of dangerous outbursts. Safety-net procedures only keep children safe; they do not change behavior. Safety-net procedures are appropriate only when there is also a full behavior support plan or intention to develop a plan.

  30. Step 1: Establishing a collaborative team and identifying goals Step 2: Gathering information (functional assessment) Step 3: Developing hypotheses (best guess) Step 4: Designing behavior support plans Step 5: Implementing, monitoring, evaluating outcomes, and refining plan in natural environments Process of Positive Behavior Support

  31. Tim’s Support Planning Chart Function:

  32. Step 2:Support Plan Development (cont.) Identify the Function of the Challenging Behavior and Write on Chart Paper.

  33. Tim’s Support Planning Chart Function: Obtain toy/play

  34. Step 3: Support Plan Development (cont.) Brainstorm Prevention Strategies Strategies to make routines or activities easier for the child Strategies to soften the triggers

  35. Tim’s Support Planning Chart Function: Obtain toy/play

  36. Step 4:Support Plan Development (cont.) Brainstorm ideas about what new skills should be taught to replace challenging behavior; write new skills on chart.

  37. Tim’s Support Planning Chart Function: Obtain toy/play

  38. Step 5:Support Plan Development (cont.) Brainstorm ideas about how to respond to challenging behavior when it occurs; write new responses on chart.

  39. Tim’s Support Planning Chart Function: Obtain toy/play

  40. Step 6: Support Plan Development (cont.) Review plan ideas; eliminate pieces that don’t fit or are too difficult for team to do. Review entire plan; emphasize that each column is necessary. Repeat process for other routines, settings, or behavior functions.

  41. Plan Development Tips Develop plan using plain language. Develop mini-plans for difficult routines. Make sure plan will fit with routines/activities/values of family and teaching staff. Develop action plan of who will produce what components needed to implement the plan. Design components that are easy to use, easy to remember. Plan must accommodate competing demands on teaching staff and family.

  42. Step 1: Establishing a collaborative team and identifying goals Step 2: Gathering information (functional assessment) Step 3: Developing hypotheses (best guess) Step 4: Designing behavior support plans Step 5: Implementing, monitoring, evaluating outcomes, and refining plan in natural environments Process of Positive Behavior Support

  43. Monitoring Outcomes Identify outcomes valued by the team “KIS it” (Keep It Simple) Create simple, user-friendly forms to monitor outcomes (e.g., rating scales, check sheets) Schedule dates for check-ins

  44. Ben’s Playtime 3 Cooperated, stayed briefly 4 Laughing, stayed 2 Fussed, took several turns 1 Cried, refused to play

  45. Amy’s Transition Week of: _________________ Rate the problem behavior: 0 = no problems, 1 = whining, resisting, 2 = screaming, falling on floor, 3 = screaming, hitting, other aggression

  46. Child’s Name: ______________ Week of: _________________Check the number of times the child is aggressive during the activity. Aggression includes: hits, pinches, pulls hair, bites, kicks, & scratches. Average Aggression

  47. Child’s Name: ______________________ Behavior: ____sitting______Week of: _________________ Average Duration for Week: ___9___ minutesStarting from the bottom, shade the number of boxes that represent the length of the target behavior. Each box represents TWO minutes. Average Duration

  48. Child’s Name: Tim Observer: ___________________Check yes (Y) or no (N) at time one (T1) and time two (T2) to indicate whether the child is interacting with a peer at the time of observation. T1 and T2 observations should be at least 5 minutes apart. Peer Interaction

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