Functional Behavior Assessment and Behavior Plan for STUDENT was observed several times during the month of September to assist staff in developing behavioral intervention strategies. It was reported that STUDENT engaged in aggression, impulsiveness, and a high frequency of inappropriate tactile/sensory-seeking behaviors. Observations were conducted in the classroom, sensory room, playground, and campus areas walking to and from these locations. All reported behaviors of concern were observed, including aggression towards staff, spitting, and impulsively touching and scratching almost ever surface within reach. Noncompliance with teacher directions and off-task behaviors were also observed. Specific behavior observed include: 1. 2. 3. 4. 5. 6. 7. 8. 9. Touching, scraping, and rubbing building surfaces Spitting on the ground, then wiping spit with fingers and putting fingers in his mouth Spitting on varied surfaces, into buckets, etc. Playing in the sand and water at drinking fountains Running off to touch a desired surface (scraping freshly painted pavement) Running off to observe work men in the cafeteria Hitting teacher in the classroom, and in the sensory room Hitting mother in the cafeteria Refusing to work without a specific pencil Some observations and interviews were conducted to begin the ABLSS Assessment, which has not yet been completed. However, based on data collected so far, it should be noted that STUDENT is a very bright boy with an extensive receptive language repertoire. He has a functional expressive language repertoire as well, and can give verbal responses and make verbal requests when required for reinforcement. The following language and behavior sample was collected in the classroom on September 29, 2011 during a 40 minute observation: Teacher/staff behaviors Student behaviors VP = Verbal direction or prompt GP = Gestural prompt PP = Physical prompt VSA = verbal social attention VR+ = verbal praise V? = verbal question R+ = reinforcement VS = off-task vocalizations, “vocal stereotypical behavior” PS = off-task physical behaviors, “physical stereotypical behaviors” Teacher/Staff Language and Behaviors 11:05 11:06 11:07 11:08 11:09 11:10 11:11 11:12 11:13 11:14 11:15 11:16 11:17 11:18 11:19 11:20 11:21 “Finish your work and get tape” Puts tape on desk at group desk area PP to sit Says “2” Standing near STUDENT’s desk GP to work, says “2” Talking with ST Away from STUDENT, students entering class, commotion outside door concerning a lizard Teacher outside addressing students Students checking schedules, teacher approaches STUDENT PP to work, VP to work, sits next to STUDENT, gives verbal social attention, silly faces and sounds Sitting next to STUDENT, GP to work, VP to return to desk, PP to return Back at desk, VP, VP, GP, VP, VP, GP “No hit”, backs away, PP to sit in chair Attempts to PP in chair “What do you need?” “What do you need?” “What do you need?” “Do you want box?” (referring to box of materials he is allowed to cut and tear) “Want box?” “Want box?” VSA Teacher walks away, brings white board to STUDENT showing “first-then”, VP, GP, PP to sit in chair “Good words C.”, VP “Let’s do it”, VP, follows STUDENT, PP back to desk Has white board with the numbers 1-10, with some crossed off VP, VP, VP, GP VP, VSA< sits with STUDENT at desk, repeated VPs and PPs Shows him the white board Blocks exit with leg STUDENT Language and Behaviors At his individual desk in corner area Standing, chewing on “P”, PS with pencil VS, pencil in hand, rubbing face, scribbling on desk, giggling, looking at ceiling Giggling, looking at ceiling Scribbling on desk VS, staring at ceiling, scribbling on desk Scribbling on his desk, stands Hits teacher Writing with prompt from teacher Writing, standing and writing, VS, leaves desk, throws paper off desk Looking up at teacher, hits teacher Hits teacher On floor by desk, in chair, on floor, holding ears, ignoring teacher I want my chewy In chair Throws chewy at Teacher Leaves desk, wandering, goes to desk in group desk area, peels tape Goes to desk in corner Leaves desk, goes to Teacher’s desk across room, grabs a paper, tries to switch papers with the one on his desk Working with prompts Sitting at desk, not working Working Drops under desk On floor, ripping Velcro pictures from drawers 11:22 11:23 11:24 11:25 11:26 11:27 11:28 11:29 11:30 11:31 11:32 11:33 11:34 11:35 11:36 11:37 11:38 11:39 11:40 11:41 11:42 11:43 11:44 “Want to get up”, VP “Say move Miss Haas” VP, VP, shows white board, PP back to desk Teacher leaves area, offers tape reminder, VR+ VR+, brings tape to desk, VR+, VR+ VP back to desk for more tape, VP, VP, VR+, VP, VR+, VR+, gives tape VP, VP, VP, VP, VP, VP, VP, VP Teacher walking room, comes back, “Do you need help?”, VP “I need help”, “1st work”, VP VP, VP, VP, VP, PP to sit in chair, VP, VP,VP VP, R+ reminder, VP, VP Teacher standing near STUDENT’s desk, walks away, approaches, VP, VP VR+, VP, VP, VP, VP, VP, VP, VP, VP, blocks escape VP, VP, VP, VP, shows first-then schedule, VP, VP, VP, standing near STUDENT, VP VP, R+ reminder, VP “Out of mouth”, VP, R+ reminder, VP V?, V?, V? (all R+ reminders), VP, R+ reminders VP, R+ reminder, peels tape, VP Teacher peeling tape, VP, VP, VR+, VR+, V?, V?, VR+, VP, VP Teacher near, shows schedule, VP, R+ VP, VP, R+ reminder, V?, V?, (“You want box?”, VP, VP “STUDENT box or tape?” VP, V?, VP, V?, VP Shows white board, VP, V?, V?, VP, VP, VP, VP, VP VP, VP, PP, sits behind STUDENT, sings “where does the 2 go STUDENT?, “Box or tape?”, VP to “say move” Teacher sitting near, blocking exit from desk area, VP, VP, R+ reminder, VP, VP, excited “Give me 2 pumpkins”, VR+, VR+ “Give me 2 pumpkins”, VP, laughs, VP, VP, VP, (singing instructions), VP, VP, VP VP, VP, VP, VR+, V?, V?, V?, V?, V?, VP, VP, VP, “Go to desk” On floor, ignores teacher, swipes at white board, up, drops to floor On floor, near desk, VS, playing with shoe lace, at desk working Writing VS, puts tape on desk at group desk area Tries to get a second piece of tape, works, gets tape, puts on tape pile Putting tape on, gets work task Has Velcro folder activity, standing at desk working, slams drawers in plastic work cabinet, drops to floor VS, in chair, drops to floor, on floor Stands, sits, working, chewing on Velcro piece, working Moving Velcro folder pieces, playing with Velcro piece, VS Working, runs from desk, back at desk Working Looking around Working, chewing on Velcro pieces Looking around, some work Off-task at desk, looking at tape At desk, some work, looking at tape, drops to floor On floor, swipes arm at teacher On floor, chewing on something Stands, sits, working Looking around, off task, stands, picks up task piece from floor, working, looking around Ignoring, sitting at desk, chewing on Velcro piece, pushes Teacher, drops to floor At desk, responding to Teacher, sitting Working with prompts Working with prompts, puts in finished box, gets R+ box The following data can be derived from this language/behavior sample: Of the 40 one-minute intervals for which data were collected: 25 intervals (62.5 %) contained no appropriate on-task behavior 15 intervals (32.5 %) contained some examples of on-task behavior 3 intervals (7.5 %)contained only on-task behavior, but all on-task behavior was teacher prompted 9 intervals (22.5 %) included on-task behaviors and inappropriate off-task behaviors 3 intervals (7.5 %) contained on-task and appropriate off-task behaviors (earned reinforcement). Approximately 160 prompts and reminders were given for an average of 4 per minute 0 intervals included appropriate, un-prompted, on-task behavior Based on interviews, observations, and data, the following Behavior Intervention Plan is recommended: Goals: 1. Reduction in aggression, including hitting and scratching (function determined to be access to a tangible item). 2. Reduction in aggression, including hitting and scratching (function determined to be the reaction of the person being aggressed towards, including physical injury and escape from a demand) 3. Reduction in inappropriate touching and mouthing of objects (function determined to be automatic reinforcement). 4. Reduction in impulsive grabbing of items in the classroom (function determined to be access to a tangible item). 5. Increase in compliance with task demands. 6. Increase in functional communication, using words to request items from an adult, and using gestures to gain the attention of an adult. Setting: Intervention will be implemented in the classroom and varied locations, as determined by the teacher, throughout the course of the school day. Antecedent Modifications: 1. Create a work area for STUDENT that reduces access to items in the environment to the greatest extent possible. 2. Wear protective clothing such as long sleeves and gloves to minimize the effects of hitting and scratching. 3. Coordinate with parent to ensure STUDENT’s finger nails are trimmed as much as possible. 4. Post a list of easily understood “Class Rules” over STUDENT’s desk that can be referred to frequently as a reminder of classroom expectations. “Class Rules” should include “Ask – don’t grab”, and “Safe hands and mouth”. 5. Develop social stories that address the following concepts in terms that STUDENT will likely understand: Following Class Rules Being Polite Safe Hands and mouth - should address germs and the need to keep hands clean and fingers and objects out of mouth. 6. Use a token reinforcement system where STUDENT earns a token for every 15 seconds that he remains on task, or is following Class Rules. When he earns 3 tokens allow access to a preferred activity for 1 minute. Return to work and continue same reinforcement schedule. Gradually increase the length of time on task required for each token earned. Behavior Building Interventions: 1. Practice giving up reinforcement Several times throughout the day, for approximately 10 minutes each session, give STUDENT something he wants, then tell him “my turn” or “give me”. If he does not respond, physically remove the item. Prompt him to ask “Can I have it?”, give him the item for less than one minute, and practice again. 2. Practice being told no and selecting from a choice of 2 alternate activities or items. At least 10 times each day, when you know STUDENT wants something, tell him “You can’t have that, but you can have ___ or ___”. Give him several seconds to choose. If he fails to choose, tell him “You can pick or I will pick”. Count to 3. If he makes a choice give it to him. If he fails to make a choice, tell him “OK I’ll pick” and give him the item of your choosing. 3. Practice complying with adult directives. At least 10 times each day, when you have the time and ability to follow through, give STUDENT a specific direction that can be easily followed and reinforced. If he follows the instruction independently, reinforce highly. If he fails to follow the instruction, implement the prompting procedure described below. 4. Provide positive reinforcement (praise, access to a preferred sensory item, token) frequently following the absence of target problem behaviors (i.e. appropriately attending to the task demand). 5. Practice getting attention of an adult and requesting items out of reach Place a desired item within STUDENT’s view but out of his reach, with you between him and the item. Prompt him to tap you on the shoulder to get your attention and ask “Can I have that?”. See # 1 above. Repeat several times. Behavior Reduction Interventions: 1. Aggression for access to a tangible: Intervention 1 = Extinction (Do not allow access to the desired item). Intervention 2 = Response Blocking –Gently block contact. Hold his arms firmly at his sides and calmly tell him he is not being safe. Keep his movement restricted until he is calm for 10 full seconds. Count out loud slowly to 10 beginning as soon as his body is calm. Start counting over if he becomes aggressive again before you reach 10. Intervention 3 = Functional Communication Training (Prompt and reinforce an appropriate request. Practice at least 2 times before delivering the item). 2. Aggression for reaction from person aggressed toward: Intervention 1= Extinction (Protective clothing should minimize a reaction from the person on the receiving end of aggression). Intervention 2 = Response Blocking –Gently block contact. Hold his arms firmly at his sides and calmly tell him he is not being safe. Keep his movement restricted until he is calm for 10 full seconds. Count out loud slowly to 10 beginning as soon as his body is calm. Start counting over if he becomes aggressive again before you reach 10. Intervention 3 = Escape Extinction (Continue to place any demand that preceded the aggression). 3. Inappropriate touching and mouthing of objects: Intervention 1 = Provide frequent, varied, sensory experiences, including oral, olfactory, tactile, etc. Intervention 2 = Extinction/Response Blocking – Do not allow access. Position yourself between STUDENT and the desired object. 4. Impulsive grabbing of objects in the classroom: Intervention 1= Extinction/Response Blocking – Do not allow access. Position yourself between STUDENT and the desired object. Intervention 2 = Functional Communication Training (Prompt and reinforce an appropriate request. Practice at least 2 times before delivering the item). Prompting for non-compliance for all staff providing instructions: DO NOT give STUDENT a direction if you are not able to follow through with prompting. Do not repeat yourself without delivering a prompt. Three step prompting procedure to prevent escape-maintained behavior: 1. STUDENT you need to (direction). Walk away, avert eye contact and give 5 seconds process time Reinforce all appropriate behaviors Ignore all inappropriate behaviors , or respond as indicated above 2. Present C.B. with the appropriate visual cue. Reinforce all appropriate behaviors Ignore all inappropriate behaviors Do not remove the visual cue, block escape 3. Present C.B. with the appropriate visual cue. Reinforce all appropriate behaviors Ignore all inappropriate behaviors If compliance is not gained, physically prompt the response. Use as little spoken instruction as possible. Deliver mild reinforcement/praise for completion of the demand. Please direct any questions to Julie Neenan, Behavior Intervention Specialist.