Managing Behaviors. Understanding and Managing Severe Behaviors in Students. Keir Kutney, BSW, RSW. Behavior Consultant
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2 Managing Behaviors Understanding and Managing Severe Behaviors in Students Keir Kutney, BSW, RSW Behavior Consultant
3 Understanding Kid s Behaviour Why do kid s behave that way?
4 Understanding Kids Behavior Why do kids behave that way? Their environment promotes these behaviors
5 A Closer Look at the Environment Frequent Chaos
6 A Closer Look at the Environment Parents have limited skills
7 A Closer Look at the Environment Lack of sleep
8 A Closer Look at the Environment Hunger / Nutrition problems
9 A Closer Look at the Environment Minimal Supervision
10 A Closer Look at the No Boundaries Environment
11 A Closer Look at the Environment Parental Fighting
12 A Closer Look at the Environment Frequent relocation
13 Understanding Kids Behavior Why do kids behave that way? Learned Coping Skill
14 A Closer Look at Coping Skills Temper Tantrums
15 A Closer Look at Coping Skills Whining
16 A Closer Look at Coping Skills Pouting
17 A Closer Look at Coping Skills Crying
18 A Closer Look at Coping Skills Threatening
19 A Closer Look at Coping Skills Avoiding
20 A Closer Look at Coping Skills Blaming others
21 A Closer Look at Coping Skills Disability as an excuse
22 Understanding Kids Behavior Why do kids behave that way? Attention
23 Understanding Kids Behavior Why do kids behave that way? Manipulation
24 Understanding Kids Behavior Why do kids behave that way? Abuse or Neglect
25 Understanding Kids Behavior Why do kids behave that way? Anxiety or Over-stimulation
26 Understanding Kids Behavior Why do kids behave that way? Specific Diagnosis FASD AUTISM ADHD Etc
27 Fetal Alcohol Spectrum Disorder (FASD)
28 Let s look at some brains - FASD IS BRAIN DAMAGE
29
30
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32 How the Youth is Impacted by FASD Cannot understand abstract
33 Abstract thinking such as: No concept of money
34 Abstract thinking such as: No concept of time
35 Abstract thinking such as: No concept of temperature
36 Abstract thinking such as: Sayings like Time flies when your having fun Jumping through hoops Juggling priorities Use some elbow grease
37 How the Youth is Impacted by FASD Little or no stranger anxiety
38 How the Youth is Impacted by FASD Cannot ensure personal safety
39 In an emergency Call 911 What is an Emergency?
40 How the Youth is Impacted by FASD Cannot connect behavior with consequences
41 How the Youth is Impacted by FASD Parrots Behaviors
42 How the Youth is Impacted by FASD Pain triggers don t always work
43 How the Youth is Impacted by FASD Hunger triggers don t always work
44 How the Youth is Impacted by FASD Sleep triggers don t always work
45 How the Youth is Impacted by FASD Difficulty Transitioning Skills From One Location to Another
46 Autism and Asperger s
47 What is Autism and Asperger s, really? In order to better understand Autism and Asperger s, let s look at how the Youth translates information
48 Heightened Senses
49 Lights Can be as intense as sunlight Often have a faint hum May have a faint flicker
50 Clothing Can be like wearing sandpaper
51 Sounds Are amplified and of equal intensity
52 All Stimuli Is amplified and of equal intensity
53 Repetitive behaviors Often Autistic children fixate on a theme and can be rigid in their thoughts and actions
54 Autism and Asperger s also means problems with Reciprocal social interaction skills and communication skills
55 Autism also means problems with Reading social cues and facial expressions
56 Attention Deficit Hyperactivity Disorder
57 There are 3 types of ADHD 1. Inattentive type: where the person can t seem to get focused or stay focused on a task or activity 2. Hyperactive-impulsive type: where the person is very active and often acts without thinking 3. Combined type: where the person is inattentive, impulsive, and too active.
58 What is ADHD, really? In order to better understand ADHD, let s take a closer look at the different types
59 Inattentive Type: These are kids who Do not pay close attention to detail Forgets things
60 Inattentive Type: These are kids who Can t stay focused on play or school work Do not want to do things that require ongoing mental effort
61 Inattentive Type: These are kids who Don t follow through with instructions or finish school work or chores Do not seem to care about details, and make careless mistakes
62 Inattentive Type: These are kids who Get distracted easily Don t seem to listen Daydream
63 Inattentive Type: These are kids who Misplaces important things such as belongings, school work, and books Are disorganized
64 Hyperactive / Impulsive type: These are kids who Fidget and squirm Are in constant motion, as if driven by a motor
65 Hyperactive / Impulsive type: These are kids who Cannot stay seated Get out of their chairs when they re not suppose to
66 Hyperactive / Impulsive type: These are kids who Have trouble playing quietly Have trouble taking turns
67 Hyperactive / Impulsive type: These are kids who Talk too much Interrupt others
68 Hyperactive / Impulsive type: These are kids who Blurt out answers before questions have been completed
69 Hyperactive / Impulsive type: These are kids who Interrupt others when they are talking Act and speak without thinking
70 Hyperactive / Impulsive type: These are kids who Butt in on games others are playing Cannot wait for things
71 Combined type: These are kids who Have symptoms of both of the types we ve discussed. Have problems with paying attention, with hyperactivity, and with controlling their impulses.
72 The Number One Tool For Managing any Behavior A Relationship
73 Relationships There Are No Throw-Away Kids! The kids who need adult relationships the most, seem to have the least.
74 Relationships First Priority: Where are the healthy relationships Who are the youth s supports? Are they truly supports?
75 Relationships How to establish a relationship Communication
76 Relationships Working as a team with the youth
77 Relationships Mutual Respect
78 Relationships Communication Blocks Giving Solutions, Advising Ordering, Directing, Commanding Warning, Threatening Extorting, Preaching, Moralizing
79 Relationships More Communication Blocks Judging, Criticizing, Blaming Name Calling, Ridiculing, Shaming Interrupting, Diagnosing, Psychoanalyzing
80 Relationships Listening with meaning. Squarely Face the child Open posture Lean in Eye contact Relaxed
81 Relationships Listening with meaning. Be aware of the non-verbal cues that the youth is giving off. Facial gestures, wiping palms, tone of voice, changes in eye contact, fidgety, tired, head down
82 Relationships Listening with meaning. Be aware of the non-verbal cues that you are giving off. Facial gestures, wiping palms, tone of voice, changes in eye contact, fidgety, tired, head down
83 Relationships Builds Resiliency in Kids
84 Relationships Ensure You Know The Youth!!!
85 Assumptions Relationships
86 Targeting Behaviors
87 Targeting Behaviors If the behavior is out of control the youth is not in a position to learn
88 Targeting Behaviors Where do I start? What behaviors do I pick? Important things to know first: It takes 8 weeks to change a behavior The behavior will ALWAYS get worse before it gets better
89 Targeting Behaviors Where do I start? What behaviors do I pick? Make a list the behaviors Prioritize the behaviors Have the teen be a part of picking
90 Targeting Behaviors One behavior at a time
91 Targeting Behaviors What will the behavior look like when the goal has been reached?
92 Targeting Behaviors What is the youth capable of?
93 Targeting Behaviors Who or what is driving the goal?
94 Targeting Behaviors Is the goal realistic?
95 Teaching New Behaviors Ensure the youth is a part of the plan
96 Teaching New Behaviors Have the child perform the new behavior
97 Teaching New Behaviors Practice the behavior
98 Teaching New Behaviors Bring it into the real world
99 Teaching New Behaviors Creating Habits
100 Teaching New Behaviors Anger Management Jerry Wilde, Ph.D. ISBN #
101 Teaching New Behaviors Social Skills: How to introduce yourself How to make a friend How to keep a friend How to join in a conversation Understanding peer pressure
102 Responding to Problem Behaviours What Doesn t Work: Punishment
103 Responding to Problem Behaviours What doesn t work: Yelling or increasing your volume
104 Responding to Problem Behaviours What doesn t work: Sarcasm or criticism
105 Responding to Problem Behaviours What doesn t work: Public humiliation
106 Responding to Problem Behaviours What doesn t work: Lectures
107 Responding to Misbehaviour If the kid is loosing it: Younger Kids - put them in a quiet area by themselves (time out) until their calm Older Kids - let them walk away
108 Consequences
109 Consequences Must have a learning component
110 Consequences 3 Types of consequences Natural Logical Arbitrary
111 Consequences Must be done in private
112 Consequences Should be immediate
113 Consequences Should be simple
114 Consequences When they re done they re done
115 Consequences One consequence is enough
116 Consequences Example of appropriate consequences youth who puts a hole in the wall
117 Rewards Rewards are not Bribes Internal Motivators vs. External Motivators
118 Rewards Tangible Nontangible
119 Rewards Have the youth pick the reward
120 Rewards Rewards need to be changeable
121 Rewards Give two rewards
122 Class rewards Rewards
123 Rewards Unplanned rewards
124 Rewards Setting up the child to win
125 Behavior Chart Focus Behavior Listening (define on reverse) Prizes every 5 th line 0 day 1 day 2 day 3 day 4 day 5 day 6 day 7 day 8 day 9 day 10 (Bonus Ups for Social Skills)
126 (On the Back of the Chart) Listening Looking at the person Sitting still Doing as I m asked Bonus Ups Thinking of others * Helping a peer * Helping an adult (* Must be seen by an adult)
127 What do we need a chart for?? Motivational and maintains focus Displays progress and problem areas Can be used at home or at school Transferable among substitutes Visual for the child Visual for the adult Consistent and clear
128 Understanding Anxiety
129 Reducing Anxiety Problems when You Get Together? Meet and Greet
130 Meet and Greet What kind of day did they have?
131 Reducing Anxiety Problems following directions? One direction at a time
132 Reducing Anxiety Slow to respond? Lower your volume and simplify your request
133 Reducing Anxiety Problems on the playground? Structure recess
134 Use Fidget Kits
135 Extra Tips: Mentors for the 5% to 10 % of really hard to manage kids (let the youth pick) Meet and greet program Projects to encourage inclusion into the school community - Pet program - Picture Board - School Errand Kid - Video Game Organizer
136 Questions?
written by Harvard Medical School ADHD Attention Deficit Hyperactivity Disorder www.patientedu.org
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