Assessment of challenging behavior

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Assessment of and Interventions for‌ Challenging Behaviors Using Positive Approaches


Some kids show behaviors that are oppositional and defiant towards adults and peers at school


Challenging Behaviors: Setting the Stage for Adversarial Relationships and Subversion 

If oppositional and defiant behaviors begin to surface, an unhealthy communication paradigm often emerges between school and home. A phone call home, a detention slip, a suspension… THE STAGE IS SET


The Reaction Continuum     

“My son wouldn’t do that!! “I will punish him.” “ What do you expect me to do?” “You guys are always kicking him out!! “ He says other kids were doing the same thing and nothing happened to them” At this point a shift begins and the parent and school are at risk for developing an adversarial relationship.


The Downward Spiral 

Without evidenced-based decision making the school continues to respond in the only way they know how…punishment and exclusion.

Without proper supports, the parent becomes trapped in a dilemma. Do I blame myself, my child, or the school?


What the student learns He is becoming increasingly dis-enfranchised with school  He figures out that if he tells his parent he was picked on, singled out, overly or repeatedly punished, then his parent will begin to focus on the school rather than his behaviors.  It becomes increasingly probable for the student to misrepresent the school. He escapes punishment and takes the focus off of himself.  By blaming the school, the parent avoid responsibility, and is relieved of the feeling of helplessness,  The end result can be: a parent who rescues, defends, accuses a child who has an escape card-any time ` he wants to use it. 


Working on a Behavior Solution 1. DON’T RELY ON A CONSEQUENCE AT HOME FOR A BEHAVIOR THAT OCCURS AT SCHOOL 2. WHEN YOU MEET, HAVE ALL THE PLAYERS IN THE ROOM TOGETHER 3. DESIGNATE ONE “COMMUNICATION POINT PERSON” 4. HAVE THE PLAN CLEARLY STATED 5. DOCUMENT, DOCUMENT, DOCUMENT!! 6. AGREE TO ADVOCATE, AGREE TO DISAGREE BUT NEVER EVER IN FRONT OF THE CHILD! 7. FOR THE PARENT THAT DOESN’T FOLLOW THROUGH, FOCUS ON THE POSITIVES.


A functional assessment doesn’t leave treatment selection to chance

Let’s see what I can do to get Jenny to behave!!

Ms. Jones gambles Jenny’s Education on a hunch


What is the Function of the Behavior? Obtain…

Avoid…

Peer Attention

Peer(s)

Adult Attention

Adult

Items/Activities

Task or Activity

Sensory

Sensory




What is the Function of the Behavior? Obtain…

Avoid…

Peer Attention

Peer(s)

Adult Attention

Adult

Items/Activities (tangible)

Task or Activity

Sensory (seeking)

Sensory (defensive)



An Initial Line o f Inq uiry

Stre ng ths o f s tude nt: What the student does well. Student’s strengths, gifts, & talents. Slow Triggers (Setting Events)

Fast Triggers (Antecedents)

Behavior Problem

Actual Consequences

Perceived Function


An Initial Line o f Inq uiry

Stre ng ths o f s tude nt: What the s tude nt do e s w e ll. Stude nt’s s tre ng ths , g ifts , & tale nts . Slow Triggers (Setting Events)

Fast Triggers (Antecedents)

Behavior Problem

An observable and measurable description of the behavior(s) of concern.

Actual Consequences

Perceived Function


An Initial Line o f Inq uiry

Stre ng ths o f s tude nt: What the s tude nt do e s w e ll. Stude nt’s s tre ng ths , g ifts , & tale nts . Slow Triggers (Setting Events)

Fast Triggers (Antecedents)

Behavior Problem

Events with a discrete onset and offset, that occur immediately before the challenging behavior (e.g., task demand, teacher direction, social interaction)

An observable and measurable description of the behavior(s) of concern.

Actual Consequences

Perceived Function


An Initial Line o f Inq uiry

Stre ng ths o f s tude nt: What the s tude nt do e s w e ll. Stude nt’s s tre ng ths , g ifts , & tale nts . Slow Triggers (Setting Events)

Fast Triggers (Antecedents)

Behavior Problem

Events that may occur before and/or during the targeted response that causes the student to respond to a “typical” situation in an “atypical” way. Specific conditions, events, or activities that make the problem behavior worse? (missed meds, academic failure, conflicts at home, lack of sleep, missed meals, poor interactions with peers/teacher(s), school/classroom behavioral expectations unclear…

Events with a discrete onset and offset, that occur immediately before the challenging behavior (e.g., task demand, teacher direction, social interaction). “Make it Happen”

An observable and measurable description of the behavior(s) of concern.

Actual Consequences

Perceived Function


An Initial Line o f Inq uiry

Stre ng ths o f s tude nt: What the s tude nt do e s w e ll. Stude nt’s s tre ng ths , g ifts , & tale nts . Slow Triggers (Setting Events)

Fast Triggers (Antecedents)

Behavior Problem

Actual Consequences

Events that may occur before and/or during the targeted response that causes the student to respond to a “typical” situation in an “atypical” way. Specific conditions, events, or activities that make the problem behavior worse? (missed medication, history of academic failure, conflict at home, missed meals, lack of sleep, history of problems with peers…

Events with a discrete onset and offset, that occur immediately before the challenging behavior (e.g., task demand, teacher direction, social interaction)

An observable and measurable description of the behavior(s) of concern.

Those events that occur after the behavior (e.g., peer attention, escape task) or as a result of the behavior (e.g., time out, suspension, detention, …) What usually happens after the behavior occurs? (e.g., teacher’s reaction, other students’ reactions, power struggle …)

Perceived Function


An Initial Line o f Inq uiry

Stre ng ths o f s tude nt: What the s tude nt do e s w e ll. Stude nt’s s tre ng ths , g ifts , & tale nts . Slow Triggers (Setting Events)

Fast Triggers (Antecedents)

Behavior Problem

Events that may occur before and/or during the targeted response that causes the student to respond to a “typical” situation in an “atypical” way. Specific conditions, events, or activities that make the problem behavior worse? (missed medication, history of academic failure, conflict at home, missed meals, lack of sleep, history of problems with peers…

Events with a discrete onset and offset, that occur immediately before the challenging behavior (e.g., task demand, teacher direction, social interaction)

An observable and measurable description of the behavior(s) of concern.

Actual Consequences

Perceived Function

Those events that Obtain occur after the behavior (e.g., peer Escape or attention, escape task) Avoid or as a result of the behavior (e.g., time out, suspension, detention, …) What usually happens after the behavior occurs? (e.g., teacher’s reaction, other students’ reactions, power struggle …)


An Initial Line o f Inq uiry

Stre ng ths o f s tude nt: What the s tude nt do e s w e ll. Stude nt’s s tre ng ths , g ifts , & tale nts . Slow Triggers (Setting Events)

Fast Triggers (Antecedents)

Behavior Problem

Events that may occur before and/or during the targeted response that causes the student to respond to a “typical” situation in an “atypical” way. Specific conditions, events, or activities that make the problem behavior worse? (missed medication, history of academic failure, conflict at home, missed meals, lack of sleep, history of problems with peers…

Events with a discrete onset and offset, that occur immediately before the challenging behavior (e.g., task demand, teacher direction, social interaction)

An observable and measurable description of the behavior(s) of concern.

Actual Consequences

Perceived Function

Those events that Obtain occur after the behavior (e.g., peer Escape or attention, escape task) Avoid or as a result of the behavior (e.g., time out, suspension, detention, …) What usually happens after the behavior occurs? (e.g., teacher’s reaction, other students’ reactions, power struggle …)


Testable Hypothesis Setting Events

Triggering Antecedents

Problem Behavior

‫٭‬ Maintaining Consequences


When you wake up Christmas morning and realize that Santa came, but only left you a lump of coal and you begin to cry and beat up your sister, and then your dad spanks you with his new Christmas belt. Obtain sensory What function? Setting event You’ve been womping on your sister all year long

Antecedent You received a lump of coal

Response You begin to cry and hit your sister

Consequence Your dad spanks you with his new Christmas belt


Your favorite TV show is coming on in 2 minutes. It is your turn to wash the dishes. You happily oblige. After one minute, you have broken two glasses and one dish. Your significant other pushes you out of the way and says, “Just let me do them.” You sigh and go watch your TV show. Avoid activity What function? Setting event

Antecedent

You know if you pretend you can’t do something he/she will do it for you

Your TV show is coming on and it is your turn to wash dishes

Response

Consequence

You break two dishes and a glass

Your “other” takes over and washes the dishes for you.


When Sequoia misses her 12:30 medication & teachers make multiple task demands, she makes negative self-statements & writes profane language on her assignments. Teaching staff typically send her to the office with a discipline referral for being disrespectful. What function? Avoid difficult tasks Setting event Misses 12:30 medication

Antecedent

Response

Consequence

Teachers make multiple task demands

Sequoia makes negative selfstatements & writes profane language

Teacher sends Sequoia to office for being disrespectful


Fro m Hyp o the s is to Strate g ie s Given these circumstances

when this occurs…

Slow Triggers

Fast Triggers

Slow trigger Strategies

Fast trigger strategies

the person does…

Problem Behavior

Alternative/ Competing Behavior Skills:

Teaching Strategies: Long Term Desired Skills: Teaching Strategies:

in order to…

Get/Avoid

Reinforcement Strategies: Alternative Behaviors:

Long Term Skills:

Class Behavioral Expectations

because…

Function

Reduction/ Punishment Strategies


A Word About Replacement Behavior *Identify functionally equivalent replacement

behavior.

*Replacement Behavior may need to be

taught and then maintained.

Consider… •Is the replacement behavior effective and efficient for the student to use? •The Response Effort: how difficult is it for the person to perform the behavior? (physically and/or cognitively)


Replacement Behavior Replacement Behavior ď ąIdentify a plan for instruction in the replacement behavior ď ąIdentify plan for systematically adjusting the use of the replacement behavior requirements over time (based on data and reliant upon instruction)

Horner and Sugai, 2006


Reinforcement History ď Ž

ď Ž

Has reinforcement been used as a means of acknowledging approximations of desired behavior? Has reinforcement been used as a means of control, leading to resentment, and loss of motivation?


Preferred Activities and Reinforcers 

Activities the student has identified, or demonstrated to be highly motivating Items the student actively seeks out and/or are known to be reinforcing Involve the student in reinforcer identification FOR THE OPPOSITIONAL STUDENT, IT IS ESSENTIAL THAT HE TAKES PART IN DEVELOPING THE PLAN!!!


Behavior Mantra: “ It is easier to prevent a behavior from occurring than to deal with it after it has happened.�


If you’ve told a child a thousand times and he/she still doesn’t understand, then it is not the CHILD who is the slow learner!

Anonymous

31


Barriers to Successful BIPS 

     

not including all team members (including parents and the student) in the development, implementation and evaluation of the plan having too vague a definition of a target behavior incomplete measurement or data collection an inaccurate hypothesis inappropriate interventions a lack of skill or support to carry out the interventions failing to take into account other issues (like environment, culture, mental health, physical health, drug use, out of school activities, etc.) that are affecting the student's behavior.


Why don’t we handle difficult behavior better? When WE experience challenging situations with students, we select interventions that produce immediate (rather than sustained) relief. We tend to focus on OUR concerns, not the student’s. Discuss this statement with a partner.


Traditional Approaches to Dealing with Difficult Behavior 

Punishment

Exclusion


We Make Poor Decisions


Research on Coercion ♦ Coercive interchanges are much more frequent in the families of aggressive children.

♦ The aversive behavior of one person is usually responded to with aversive behavior of the other person.

♦ The mother is the focus for the majority of coercive behaviors. ♦ When mothers give in or comply with the child’s coercive behavior, such behavior immediately decreases.

♦ Mothers of children with behavior problems are more likely to provide attention following deviant behavior.

♦ Mothers of problem children are more likely to provide commands.

♦ Mothers of problem children administer more frequent punishment.

♦ Parents of problem children utilize more punishment than parents of non-problem children.

Kazdin, 1985


According to Research, the MOST EFFECTIVE responses to problem behavior are:

• Social skills training • Academic and curricular restructuring • Behavioral interventions

(Gottfredson, 1997; Lipsey,

1991, 1992; Lipsey & Wilson, 1993; Tolan & Guerra, 1994)



Three Ways to Prevent Challenging Behaviors   

1. Environmental Enhancements 2. Teaching Students Replacement Skills 3. Enhancing Your OwnCompetencies and Approach Strategies


The 1-7%      

We take them home with us every day. Our family knows them without ever having met them. We dream about them. They learn how to push our buttons. They can take us down a road we don’t want to travel. They make us think that maybe we should have gone into marketing or real estate. They are extremely difficult to like at times…


Our most challenging children…  

May not respond to traditional consequences Will require more support and change on OUR part Will need a “significant positive relationship” at school. You are the best candidate for this! Will need another way to find acceptance in the school environment May be resistant to strategies to develop self control


What does “Positive” mean? Climate of Mutual Respect Relationship Driven Teaching and Guidance Developing Self Control Clear Expectations Focus on Prevention Acknowledge Desired Behaviors


Ratio of Corrective Feedback 5 to 7 : 1 Positives Negative


Strategies for Defiance The I-ASSIST MODEL     

 

I-Isolate the young person A- Actively listen S-Speak Calmly S-Statements of Understanding proceed requests I- Invite student to consider positive outcomes and behaviors S- Space reduces pressure T-Time helps students to respond to requests

Cornell University. 2006


OTHER DIFFUSION STRATEGIES 

Turn to your elbow partner and generate at least three more strategies you could use to diffuse a situation with a challenging student. Share your ideas with the whole group.


Establishing a Relationship-Based Approach‌

Reinforcement should be a celebration of effort


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