Resolving Your Child’s Challenging Behavior
A Practical Guide to Parenting with Positive Behavior Support
Karen Elfner, M.A. Sarah Fefer, Ph.D., BCBA
Based on the work of: Meme Heineman Ph.D. BCBA
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What Is Positive Behavior Support?
Positive behavior support (PBS) may be best viewed as a framework and a process for understanding behavior, structuring our homes and interactions, and resolving behavior problems. PBS is based on the assumption that if we can determine the purpose of our children’s behavior and how that purpose serves them we are in a better position to address their behavior.
Elements of Effective Support
•Working Together •Understanding Patterns
- Preventing Problems • Teaching New Skills
- Responding Effectively • Changing Lives
Hieneman, Elfner, & Sergay, 2020
Step 1: Establish Goals
•Broad goals for child and family •Specific behaviors of concern
- Define behavior • Prioritize (“The Big Ds”)
•Find a starting point
What Would You Do?
Suzie refuses to complete schoolwork and chores, resulting in low grades and hassles at home.
Grant has 5-7 tantrums per day, lasting up to 45 minutes, and sometimes hurts his little sister.
Step 2: Gather & Analyze Information
- Understanding Behavior • Gathering Information
- Figuring Out Patterns
Understanding Behavior
| Antecedents |
Behaviors |
Consequences |
| (happens before) |
(happens after) |
|
ABC Observation
What happened before behavior | What the child said or did | What happened after behavior
Finding Patterns
| When is the behavior... |
Most likely |
Least likely |
| When |
|
|
| Where |
|
|
| With whom |
|
|
| What activities |
|
|
| What do they... |
Get |
Avoid |
|
|
|
The “Why” of Behavior
- Function = WHY the child engages in the behavior
- What is the purpose of the behavior? • 4 Most Common Functions of Behavior:
- Escape/Avoidance (to get out of something)
- Attention (to get attention)
- Tangible (to get something)
- Automatic Reinforcement (to get sensory stimulation) THINK: GET or GET OUT OF
Step 3: Develop a Plan
- Prevent Problems from Occurring • Avoid bad situations altogether
- Make difficult circumstances better • Add cues that prompt good behavior
•Teach Skills to Replace Behavior •Manage Consequences of Behavior
- á rewards for good behavior • â rewards for bad behavior
Common Skills that Need to be Taught
• Communication
• Social interaction
• Organization
• Daily living
• Problem-solving
• Self-management
Method to Teach New Skills
- Define & Explain with Examples
- Model / Role Play
- Practice & Reminders
- Provide Feedback
- Determine criteria for success
- Goal is to reduce support and improve independence over time
Sample Skill Development
Self-Management
Calm down tools: Perspective taking:
- Count to three before responding
- Use of emotion ID card to guess how others feel (made into a relax game)
- Take 5 deep breaths
- Request space from family members when needed (self time-out)
Grant’s Behavior Support Plan
| Grant's Behavior Support Plan |
|
|
| When someone interferes with Grant's play by using his toys or not following "his rules", he tantrums. |
|
|
| Prevent |
Teach |
Manage |
| Discuss rules of the game beforehand |
Ask permission to use his toys- separate or label his toys |
Reward cooperation by following Grant's rules and doing what he enjoys |
| Provide warnings if you will change the rules |
Teach Grant to explain his rules take turns |
Avoid giving in to his demands or changing activities for tantrums |
Suzie’s Behavior Support Plan
| Suzie's Behavior Support Plan |
|
|
| When adults tell Suzie to complete chores or schoolwork, she ignores them, refuses, or argues. |
|
|
| Prevent |
Teach |
Manage |
| Provide a list of chores and assignments required |
Teach Suzie to develop her own lists and schedule |
Make privileges available only after Suzie has done her work |
| Allow Suzie to choose how and when she will complete work |
break tasks down |
Avoid arguing- just redirect Suzie |
Step 4: Use the Plan
- Create an action plan
- Use strategies consistently
- Monitor the outcomes
- Adjust accordingly
| What needs to be done? |
By Whom? |
When? |
|
|
|
Questions/Discussion
•Thank you for your time!
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