Development of Positive Behavioral Support Plan Examples Obtaining Attention or Preferred Items/Activities Examples of prevention procedures: Intersperse high attention activities with independent tasks Provide frequent response opportunities during group instruction Reduce group size Use preferential seating to facilitate frequent adult contact Increase level of adult attention through proximity, eye contact, signals, touch, praise, social talk, or humor Provide more reinforcement for appropriate behavior than for problem behavior. Identify the current reinforcer for the problem behavior and use that reinforcer to shape appropriate replacement behavior Examples of replacement behaviors: Teach a more appropriate attention seeking response and train student to use it (or shape an existing behavior into an appropriate attention seeking response) Teach functional communication that will be more effective than the problem behavior in obtaining reinforcement Teach “delayed gratification” using temporal supports such as schedules, timers, visual/auditory cues, etc. Teach self-assessment skills so students can learn to monitor their own behavior Teach/reinforce appropriate behaviors that are incompatible with target behavior Use preferred person, object or activity tot each contingencies such as: o Scheduling access to preferential reinforcer immediately following most difficult tasks; o Inviting high status peer to share reinforcer Examples of effective consequences: Time delayed strategies (“Wait time”) with timers Reinforcement of peer(s) modeling appropriate behavior Immediate corrective feedback and follow through using least to most system of prompts Response to cost procedure “time-away” from reinforcement Examples of ineffective consequences Negotiation or discussion Physical prompting or restraint Plan for “time-out” that involves special adult attention Obtaining Attention Behavioral Indicators Teasing Acting out when not receiving attention Fighting Acting out only in social situations Lying/story telling (e.g. touching others, spitting) Depressive symptoms Presence of parental guilt Suicidal Gestures Consistent rule violation Sexual acting out Over-dependant Drug/alcohol use Interrupts conversations Stealing Frequent initiations Chance/risk-taking Need for close proximity to adults Bold or bizarre clothing and/or peers Isolation/withdrawal Crying when separated Begging Peer conflict Bragging Bad companions Positive Programming Friendship-making skills Content and extra-curricular skill building Skill alternatives to aggression Positive self-talk Develop techniques to request adult/staff attention (e.g. secret Problem-solving signals, raising hand) Self-management skills Teach classroom discussion skills Ecological Manipulation Review classroom rules Monitor reinforcement ration/social praise Seating with a peer Provide extra responsibilities in Pairing with a peer classroom school Review content of discussion prior to Place in age appropriate recreational lesson activities Public acknowledgement of student Provide age appropriate clothing, successes play, and work materials Information to access resources (e.g. Counseling services scheduled at counseling help, medical assistance) intermittent or regular intervals Schedule regular conferences/check Social skills training program in pace ins Rearrangement of family schedule Pairing with advocate to maximize social involvement Maintain proximity to student Direct Treatment Pair alternative behaviors with reinforcement Place target behaviors on extinction/planning ignoring Use of group contingencies Public posting for student achievements Use of response cost, time out Increase reinforcement ration/social praise Obtaining objects/items/activities Behavioral Indicators Crying/whining/begging Temper tantrums Borrowing Stealing Overeating Obesity History of neglect Hoarding food objects Aggressive play Aggression, including intimidation, making treats Cheating/rule violation Lying/blaming Positive Programming Teach asking nicely/requesting skills Teach skills for accepting no Teach skills for obtaining desired object Teach delay of gratification/problem-solving/relaxation Vocational skill training Ecological Manipulation Training caregivers in limited setting Regular scheduling of, for example, meals, reinforcers Attention to diet/set nutritional goals Providing predictable schedule of reinforcement Social skills training program in place Defining stealing as anything in possession that does not belong to student (i.e. borrowing and finding) Use of “wait a minute” signal by caregiver Direct Treatment Planned ignoring Reinforcement of alternatives Consistent limit setting Use of consequences such as response cost, time out To Avoid/Escape Non-preferred Tasks/Activities Examples of prevention procedures: Desensitization training Relaxation training Use preferred activities to reinforce participation in nonpreferred activities Use safety signals to help student learn to identify when activity will end (Two more and then you will be finished.”) Implement developmentally appropriate social skills training Increase opportunities and experiences that promote growth of healthy self concept and self-esteem Alter pace of instruction Vary instructional mode (i.e. ear phones and audiotapes) Increase spatial supports: boundaries, spatial cues, study carrel or quiet place for planned escape Alternate large and small group instruction and 1:1 and independent work, gradually increasing tolerance of variety of social and instructional contexts Encouraging bonding with significant adults and/or peers Include pre-social experiences and cooperative learning tasks in daily schedule Modify expectations for participation: shorten or simplify nonpreferred tasks or activities Examples of replacement behaviors: Teach appropriate ways for student to request assistance, a break, and/or an alternative activity Teach delayed gratification using temporal supports such as timers, schedules, visual/auditory cues, etc. Teach/reinforce appropriate behaviors, (i.e. group participation, cooperation, attending to task) that are incompatible with the target behavior Teach self-assessment skills so student can learn to monitor their own behavior Examples of effective consequences: Redirection Offering choices Immediate corrective feedback and follow through, guiding responses to ensure success Most to least prompting Reinforcement of approximation of desired response using task analysis Use of behavioral momentum: give respect for behavior with which child usually complies Examples of ineffective consequences: Planned ignoring or time-delay strategies (wait-time) Time-out strategies Response cost procedure if it still allows escape of nonpreferred stimulus Reinforcement of high status peer modeling desired behavior Avoiding Tasks Behavioral Indicators Excuse making/blaming Poor work quality Missing assignments Talking back to adults Withdrawal/passivity Fear of failure Negative self-talk Refusal to perform assigned talks Doing opposite of what student is told Acting out/off-task (e.g. talking to others, out of seat) Crying/tantrums/pouting Leaving work area Aggression Positive Programming Teach request to change task Teach request to take a break Teach request to reject activity Teach to request assistance from teacher Role play direction following Teach question asking skills Increase academic or task relevant skills Teach tolerance to frustration/challenging tasks (e.g. relaxation) Teach negotiation if task is beyond tolerance level Self-monitoring of frustration/difficulty of task Ecological Manipulation Curriculum modification Use of clear/precise directives Provide high probability requests prior to low probability request Clearly established rules and routines Clearly established consequences for appropriate and inappropriate behavior Proximity to direction-giver Consistent follow-up of directions Short activities High interest activities Activities which are action oriented Provide for choice of activities or order of activities completed Use a safety signal to indicate that activity is about to end, contingent on appropriate behavior (e.g. you’re almost finished) Provide a cool down or break area in the room Task analysis of the required task Direct Treatment High reinforcement ratio Consistent use of praise and other forms of reinforcement Immediate use of mild punishers Use time out only if clear that it is a punisher and not a reinforcer After delivery of consequence, return student tot ask Avoiding Attention Behavioral Indicators Social isolation Depressed/withdrawn Frequent peer rejection Poorly developed social skills Target of teasing/bullying History of few friendships Unaware of age appropriate activities (e.g. game rules) Lack of awareness/acknowledgement of positive achievements Phobic/avoidant Feelings of fear and/or embarrassment Self-conscious and overly sensitive Negative self-statements Acting out behaviors when with others or that result in removal Positive Programming Friendship-making skills Appropriate play skills (e.g. turn-taking, sharing, cooperating, following rules) Problem-solving skills Relaxation methods Maximize awareness of achievements and positive self-characteristics Teach positive self-statements Ecological Manipulation Early exposure to other children Discussion of peers promoted by adults Structured play situations Supervised play situations Prompting initiations and appropriate interactions Availability of age appropriate materials and activities (e.g. games, parties) Encourage participation in extracurricular school activities Regularly schedule social outing with family and friends Use of cooperative learning activities Use of interactive games and play materials Use of peer models and peer tutoring Direct Treatment Reinforcement for appropriate interactions Use of natural consequences for avoidance/escape behavior To Request/Obtain Sensory Stimulation Examples of Prevention Procedures: Schedule frequent opportunities for desired sensory stimulation throughout or at scheduled times (i.e. when problem behavior is most likely to occur) Increase pace of instruction and plan stimulating activities during time problem behavior occurs Increase opportunities for responding (verbal and motoric) during times when problem behavior typically occurs. Alternate choral responding modes with individual opportunities to respond Incorporate movement opportunities during and between instructional times Systematically increase or decrease demands of instructional environment according to assessments of sensory thresholds Examples of Replacements Behaviors: Teach the student to use appropriate materials and/or equipment that is designed to produce the same sensory feedback as the target behavior Teach the student to request and engage in appropriate sensory stimulation activities Teach “delayed gratification” using temporal supports such as schedules, timers, visual/auditory cues, etc. Teach positive social interactions by involving preferred person in instruction of replacement behavior(s) Follow through with requests for compliance; do not allow the student’s problem behavior to result in escaping a non-preferred activity Examples of Ineffective Consequences: Planned ignoring or time-delay strategies (“wait-time”) Plan for “time-out” that involves special adult attention Extinction procedures (in the absence of learned alternative behavior that serves desired function) Obtaining Internal Stimulation Behavioral Indicators Rapid motor movements (e.g. rocking in chair, bouncing leg) Hitting head with hands or objects Off-task behaviors (e.g. out-of-seat, talk out, self-talk) Playing in desk Singing/talking (to self or others) Self-stimulation (e.g. rocking, chewing fingers, rubbing self) Self-inflicted wounds Positive Programming Teaching communication skills (e.g. asking for a change in activity) Problem-solving skills (e.g. finding something to do) Self-talk strategies Relaxation strategies Teach acceptable activities (e.g. sports, music, arts) Ecological Manipulation Increase interest level of activity Change in activity Break activity into smaller segments Teach stimulus control for acceptability Regular exercise program Provide free time in classroom involving movement Direct Treatment Queuing, prompting, redirecting Reinforcement systems Response cost Time out systems Stimulant drug medication Tapping fingers or objects Laughing Fighting Stealing Sexual behavior Smoking Drug/alcohol use Masturbation Thrill-seeking behavior Teach social skills for initiating activity Teach dealing with boredom/finding something to do Teach assertive skills (e.g. for saying “no”) Self-management skills (e.g. selfmonitoring) Vocational skills training Provide outside activities that involve climbing, running, pushing, pulling, or lifting Allow for student to choose position for working, including standing and lying on floor Frequent check-ins and/or close monitoring of student To Avoid/Escape Discomfort or Sensory Overload Examples of Prevention Procedures: Collect all information regarding any medical or pharmacological treatment student is receiving with documented effects across home, school, and community settings Identify behaviors that may indicate pain or discomfort Teach adults and peers to recognize and to respond to those behaviors Identify behaviors that may indicate impending sensory overload and activities/settings where student becomes easily over stimulated Design and implement “home base” procedures for student to use as a safe, appropriate escape plan Decrease level of stimulation where possible, i.e. less movement, more confinement, reduce auditory and visual distractions Relaxation training Desensitization training Examples of Replacement Behaviors: Teach appropriate ways (verbal or nonverbal) for student to convey pain or discomfort Teach appropriate ways (verbal or nonverbal) for student to request a break from instruction/activity Teach student to use a specified plan that leads to appropriate relief and/or treatment Teach self-assessment skills so student can learn to manage their own physical symptom(s) or medical condition(s) Examples of effective consequences Following prescribed medical treatment of pharmacological Redirection to more appropriate behavior Reinforcement for demonstrating behavior Offering choices between appropriate behaviors Reinforcement of peers who ignore student’s problem behavior Reinforcement of behavior incompatible with problem behavior Follow through on directions and requests for compliance; do not allow the student’s problem behavior to result in escaping/avoiding a nonpreferred activity Examples of ineffective consequences Planned ignoring or time-delay strategies (wait time) Time-out strategies Extinction procedures Avoiding Internal Stimulation Behavioral Indicators Acting out (e.g. arguing, fighting, vandalizing) Presence of extreme statements Nervousness Crying/moody Temper tantrums Depressive symptoms Somatic complaints Suicidal ideation/gesturing Illness/allergy symptoms Complaints of being hungry Drug/alcohol use Positive Programming Identification of feelings Problem-solving Teach expression of feelings/use of words Relaxation exercises Teach how to request help/assistance Appropriate release of anger (e.g. punching bag room) Ecological Manipulation Making helping resources available Regular physical examination Counseling available to student Make daily contract/frequent check-ins Active listening Life space interview/teacher interaction approaches Provide information on medical/health issues Provide quiet space for cool down Provide isolated area for release of anger Use of journal writing Direct Treatment Reinforce attention-seeking behavior Reinforcement of replacement skills Medication