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Supporting Positive Change in Children’s Behaviour
Rhonda Jackson
www.absolutelyautism.com
Challenging Behaviour
Positive Behaviour Support
Prevention Strategies
Responding to Challenging Behaviour
© www.absolutelyautism.com
“If a child doesn’t know how to read, we teach.”
“If a child doesn’t know how to swim, we teach.”
“If a child doesn’t know how to multiply, we
teach.”
“If a child doesn’t know how to drive, we teach.”
“If a child doesn’t know how to behave, we… …
teach?… punish?”
“Why can’t we finish the last sentence as
automatically as we do the others?” Tom Herner (NASDE President ) Counterpoint 1998, p.2
© www.absolutelyautism.com
…a form of communication
© www.absolutelyautism.com
Avoid Sensory stimulation
(pain and discomfort)
Attention
(adults and peers)
Social interaction
-i.e. people
Activities
Obtain Sensory stimulation
( internal)
Attention
(adults and peers)
Objects and materials
People
Activities
Help
© www.absolutelyautism.com
Any behaviour that is
Dangerous
Impedes learning
Chronic and frequent
Disruptive
Results in social or educational exclusion
© www.absolutelyautism.com
THEN
General intervention for all
behaviour challenges
Intervention is reactive
Focus on behaviour
reduction
Quick fix
NOW
A function of a child’s interaction with and his/her environment
Intervention matched to
purpose of the behaviour Intervention is proactive Focus on teaching new skills Long term interventions
© www.absolutelyautism.com
Aims to understand the behaviour from the child’s
perspective
Provides a framework for prevention
Is proactive- seek to prevent or minimize challenging
behaviours from occurring or escalating
(95% of energy and expertise)
Involves a plan for intensive interventions
( 5% of energy and expertise)
© www.absolutelyautism.com
Step 1:
Know the child
Step 2:
Functional Assessment
Step 3:
Action Plan
Step 4:
Monitor and Review
© www.absolutelyautism.com
Strengths
Communication skills
Social/Play
Likes/dislikes/special
interests
What motivates the child?
People they like to be with
Places they like to be
Self - help
Sensory needs
PBS Step 1:
Know the Child
Collect information from all those who know and
work with the child:
© www.absolutelyautism.com
Social/play
Sensory
Motivators Special Interests People & places they like to be with
Strengths
Likes
Dislikes
Self help skills
Communication
Child Profile
Name: Date:
© www.absolutelyautism.com
A process to examine the relationships between the behaviour and the environment
Context - Identification of times, places, situations where behaviours occur /do not occur
Setting events - Events that make it more likely that challenging behaviours will occur.
Triggers - What happened just before the event ? What started it?
Result - Identification of behaviour’s consequences
Hypotheses (Best Guess) - Presumed function of the behaviour.
PBS Step 2:
Functional
Assessment
© www.absolutelyautism.com
Situation:
Where? When? Who?
Triggers:
What happened just before the
behaviour?
Actions
Behaviour – what did the child do?
Result
What happened next? Adult action? Consequence?
PBS Step 2:
Functional
Assessment
© www.absolutelyautism.com
Situation Where, Who, When
Trigger What happened just before the
event? What started it?
Action What did the child do?
Behaviour?
Result What happened next?
Staff response?
How did the event end?
Consequence?
S.T.A.R Recording Form Child :__________ Observer:____________
Date_______ Time Stated:___________ Time Ended:_________
Function?
Setting Events? © www.absolutelyautism.com
At the end of the assessment process, develop
a hypotheses about the function of the
behaviour for that child, in that situation.
When (trigger) occurs, the child (action )and gets/ avoids(result).
This is more likely to occur if (setting event/s)occur.
The function seems to be ………
PBS Step 2:
Functional
Assessment
© www.absolutelyautism.com
© www.absolutelyautism.com
Trigger
When other children come close to him
The Child
Jake
Action ( behaviour)
Jake pushes, hits , bites, kicks and screams in their faces. He spoils
play by pushing over block towers and tearing up other children’s
works
Result
The child moves away and staff interact with him
Setting event?
Jake is very sensitive to the closeness of others – he needs his
personal space
Function?
To avoid (interacting)
PBS Step 2:
Functional
Assessment
Prevention Strategies - ways to make events and
interactions that trigger challenging behaviour easier for the child to manage.
a. Relationship building
b. Environmental changes
c. Teaching new skills (to replace the challenging behaviour)
Responding to challenging behaviour -what will
adults do when the challenging behaviour occurs to ensure that it is not maintained and the new skills is learned.
Consequence Intervention (including ‘Safety’ clause if needed)
PBS Step 3:
Action Plan
© www.absolutelyautism.com
Consequences
Praise Rewards
Encouragement
New Skills
‘Together Time’
Play
Use liberally
Rules Routines
Preparation
Effective Instructions Use liberally
Responses-
Ignore
Distract
Redirect Maintain
consistency
Respond
appropriately
Use sparingly PBS Step 3:
Action Plan
© www.absolutelyautism.com
Are pro-active and are introduced before
challenging is exhibited.
Are ways to soften and make events and interactions
that trigger challenging behaviour easier for the
child to manage
Aim to make problem behaviour irrelevant
Teach skills that can replace the challenging
behaviours
© www.absolutelyautism.com
Respond in a way that –
Will make the challenging behaviour irrelevant
Minimizes the behaviour
Ensures behaviour is not maintained or escalated-
i.e. make sure rewards for appropriate behaviour are equal to or
exceed rewards for challenging behaviour
© www.absolutelyautism.com
Includes, for example-
Time out
Withdrawal of privilege
Natural and logical consequences
Use very sparingly
For extreme or persistent behaviours only
PBS Step 3:
Action Plan
© www.absolutelyautism.com
Safety clause
- Include in PBS plan for children who have a history of
dangerous outbursts- i.e. if child is in danger of hurting
himself of others
- Work as a team to develop and agree on appropriate
intervention
PBS Step 3:
Action Plan
© www.absolutelyautism.com
Relationship Building
Relationship building strategies are
incorporated into daily interactions
with the child
Environmental Redesign
How can we redesign the physical
environment to reduce the likelihood of
the challenging behaviour occurring?
Teaching Skills
Teaching skills (to replace
challenging behaviour) are taught
systematically and throughout the
day. They make problem behaviour
inefficient.
Positive Behaviour Support Action Plan
Prevention Strategies Part A
Prevention strategies are used to soften the triggers of challenging behaviour, they make problem behaviour irrelevant
© www.absolutelyautism.com
Responses The response to behaviour used by carers and professionals when the child engages in the challenging
behaviours. They are selected procedures that will make the behaviour ineffective
Consequence Intervention Use very sparingly.
Eg. Time out
Withdrawal of privilege
Natural and logical consequences
Safety Safety outlines specific procedures that need to be developed and followed whenever the child engages in
behaviours that places themselves or others in danger. The safety procedures keep children safe they do not
change behaviours.
Positive Behaviour Support Action Plan Part B
© www.absolutelyautism.com
Plan needs to be reviewed at agreed regular intervals
Collaborative team
Determine if prevention strategies are having desired
effect
Adjust and set new strategies- i.e. what else can we
try?
If successful…celebrate!!!
Define new challenging behaviour and revisit
Behaviour Support Plan steps!
PBS Step 4
Monitor and
Review
© www.absolutelyautism.com
Play
Children learn about their world through play
Play is an opportunity to learn new skills eg. following
instructions, attention to task, sharing, social skills
Adults need to actively participate in play activities
with children, and to create a supportive environment
so that children will engage in a variety of play
experiences
© www.absolutelyautism.com
Child- Directed Play Follow the child’s lead
Play with unstructured toys – blocks, trucks, dolls etc.
Give the child time- don’t expect too much
Praise and encourage ideas and creativity – don’t
criticise
Engage in make-believe and role play
Be an ‘appreciative’ audience
Encourage the child’s problem solving – don’t give too
much help
Use descriptive comments rather than ask questions
Reward quiet play with your attention
Laugh and have fun! © www.absolutelyautism.com
‘Together time’
Play with the child for 10 minutes each day
No distractions- turn off television , computers, phones
Incorporate ‘together time’ into your routine
Use a timer
Follow the child’s lead
© www.absolutelyautism.com
Teach New Skills
Select skill to teach
Teach when child is not having challenging behaviour
Teach skills intentionally using planned procedures and
also incidentally
Teach throughout day
Use ‘most to least’ prompting
© www.absolutelyautism.com
Encouragement -‘Catch them being good’
Notice and acknowledge appropriate
behaviour and your child’s strengths
Provide positive consequences
Provide developmentally appropriate
activities
© www.absolutelyautism.com
Praise
Be specific, give labelled praise
Praise appropriately, at the right time
Show sincerity and enthusiasm when praising
Never combine praise with negative comments
Praise immediately
© www.absolutelyautism.com
Reward Appropriate Behaviour
Provide rewards immediately Ensure reward is motivating for the child
Keep specific rewards for specific behaviours
Phase rewards out- pair tangible rewards with praise
Rewards should be manageable and immediately available Intrinsic- e.g. smiles , hugs, thumbs up ,wink, funny face or voice, kisses
Extrinsic- e.g. sticker, stamp, access to favourite toy/activity
© www.absolutelyautism.com
Effective Instruction Giving Get the child’s attention- get down to eye level, say their name,
touch if needed Use a firm but calm voice Be clear, concise and concrete as possible- e.g. “ Shoes on” Allow ‘take-up’ time- repeat request if necessary Use key words
Don’t give the child a choice – state what to do Use gestures and/or visuals to support verbal Consider: Are your requests developmentally appropriate?
Is the timing right? The number of requests made in a day
© www.absolutelyautism.com
Planning for Better Behaviour
1. Identify ‘high- risk’ situation
2. Select interesting activities for the child to engage in- consider
your child’s special interests
3. Decide on behaviours you expect in this situation
4. Decide on behaviours you do not want in this situation
5. Select positive consequences for the child for engaging in
expected behaviours
6. Consider negative consequence for the child for engaging in
unacceptable behaviour
7. Teach the child the routine, and practise in a low risk situation.
Adapted from “Signposts for Better Behaviour” , Parenting Research Centre 2003
© www.absolutelyautism.com
Guidance/Clear limits (rules) Rules are positively phrased –
teach what to do, not what not to do
Start with 2 or 3 rules
Teach your child the rules
Display rules visually- use pictures, photos, symbols
Behaviour Rule
Non compliance Do as mummy
and daddy ask
Yelling Use a quiet voice
© www.absolutelyautism.com
Establish Routines i.e. sequences of tasks that are typically associated with
times of the day Make routine predictable so the child knows what is coming
next
Routines provide opportunities to teach children skills All team members need to know what their role is in the
routine Represent routines visually - use photos, graphics
(Boardmaker) or text
© www.absolutelyautism.com
Evening
Routine
example
© www.absolutelyautism.com
Tactical Ignoring
Respond clearly and firmly to first request.
Do not provide any attention
– no words, no eye-contact
Expect ‘explosion’ in behaviour –
i.e. it may get worse before it gets better
© www.absolutelyautism.com
Distracting/Re-directing
Give the child something else to do. Introduce a new activity, toy or game, or even show children
something new they can do with the toy they already have. Change the scene. Move a child to a new spot. Adapted from “Raising Children Network “2012
© www.absolutelyautism.com
Distracting/Re-directing
For older children, you can also: Change the topic of conversation. Introduce a simple game or activity. Simply suggest something else they could do when you
can see that things are beginning to deteriorate.
Raising Children Network 2012
© www.absolutelyautism.com
Challenging behaviour communicates a message
Children use behaviour to obtain something or
someone (access/request) , or avoid something or
someone (escape/protest)
Positive Behaviour Support is a pro-active and
preventative framework for supporting positive change
in children’s behaviour
© www.absolutelyautism.com
What will you do tomorrow?
What Preventative Strategies will you introduce to
develop relationships and change the environment?
What Replacement Skill will you plan to teach?
How will you change the way you respond to the child’s
challenging behaviour?
© www.absolutelyautism.com