Questions to ask yourself when helping children with autistic spectrum disorders (ASDs) who demonstrate behaviour which challenges us When faced with a child who is engaging with behaviour such as; screaming, kicking, smearing faeces, self-harm or not co-operating with requests we often experience feelings like, frustration, panic and fear. Sometimes we don’t know where to start to try and discover the cause of the behaviour. Years of working with pupils with ‘challenging behaviour’ has taught me to take a deep breath and work through a series of questions to help make the situation clearer. 1. Does the child understand what I am expecting of him/her? Often when I have thought a child was refusing to co-operate they have simply not understood what I want them to do. Once I have found a way to enable them to understand then the child has carried out the request. Using objects or pictures (if a child can recognise pictures) often helps to make it clearer – for example, showing a photograph of all the children sitting down for group time can make it clear that the child is to leave the current activity and move to the group area. Alternatively, you want the child to stop playing with the cars ready for drink time, have a beaker with you when you make the request so that the child understands why it is time to move from one activity to another. 2. Is what I am asking of the child reasonable – is the request too difficult? If a child only understands language at a very simple level and finds it difficult being physically close to others it is too much to expect them to sit for long periods for ‘carpet time’. Often a simple incentive can be introduced such as allowing the child to hold a favourite object at these times, e.g. a toy car, shoe lace or dinosaur. This will give the child with an ASD a reason for sitting. This is not giving the child with an ASD a privilege over other children – they are given the richness of the language content as their motivator for sitting. The rewards being given for sitting are simply different. 3. Why else might the child feel the need to resort to this type of behaviour? - - Nick Hodge feeling too confined feeling unwell uncomfortable, too hot, too cold always has to do what the adult wants, can never engage with own interests avoiding a task seeking an angry reaction from the adult? 1 Remember: there is always a reason for behaviour. We might not always be able to identify what it is but there will be one. 4. How am I reacting to this behaviour? - giving an angry or excitable reaction paying attention to the child ignoring remaining calm and objective We always need to examine our own reactions. If we are looking red in the face and yelling this may be of great interest to a child with ASD who may not be understanding emotions. In this instance ignoring the behaviour to take away the reward of the funny face and loud noise may well be the most effective way of dismissing unwanted behaviour. 5. Am I consistent in my approach? - do the rules change do I allow something one day when feeling relaxed and not on other days is one key person allowing the child to behave in a different way to another A consistent approach is vital to ensure clarity and security for the child. Children with ASDs do not like uncertainty. If the rules are not consistent then children feel insecure and will test the boundaries with challenging behaviour. 6. Am I rewarding the child when he/she does well? Frequently when a child who demonstrates challenging behaviour is suddenly calm and occupied productively we seize the chance to get on with our other jobs. It may be only when the child does something negative that we reward him/her with attention. Children who seek attention need to be shown that positive behaviour rather than negative behaviour is the most effective method. 7. Does the child know what to do instead? However hard we try we are not going to stop the child becoming angry or frustrated every time. While we try to identify the underlying cause we may need to modify the child’s reaction. For example, if the child breaks windows when angry, give him/her a close but safer alternative; punching a cushion, Nick Hodge 2 yelling, ripping old newspapers, stamping their feet, whatever is the most manageable in the situation. 8. Am I a positive role model for behaviour? Yelling ‘BE QUIET’ at a noisy child, or playing ‘rough and tumble’ with a child who is finding it difficult to be gentle at other times may not be the best examples of desirable behaviour! Working with challenging behaviour can leave us all feeling deskilled and incompetent as parents or professionals. Most of my ideas of ‘doing it right’ come from my experiences of ‘doing it wrong’. Try always to stay calm, look at the behaviour objectively, pick yourself up when it all goes wrong and try again. Challenging behaviour is usually the reaction of someone who is confused and fearful. All we can do is try our best to find the method that will help the child with an ASD to feel secure enough that the challenging behaviour will disappear. Nick Hodge Nick Hodge 3