2/11/2013 Utilizing Functional Behavior Assessment (FBA) to Develop a Positive Behavior Intervention & Support Plan (PBIS) L. Lynn Stansberry-Brusnahan, Ph.D. University of St. Thomas Autism Spectrum Disorder Programming llstansberry@stthomas.edu Individualized Supports for Students Vision Gather direct (specific) information Responses to problem behavior Teach alternative skills Implement, evaluate, & modify plan ABCs of FBA Consequences Behavior Target Triggering Events - Slow triggers -Fast triggers Occurrence NOT immediately before behavior B C Behaviors Consequences Observable actions – it is what we do! May serve to cue, trigger or set the stage for certain behaviors Events that occur after/follow a behavior that determine whether the behavior will be repeated or not. Serve to maintain, increase or decrease behavior. C Replacement (Problem ) (Appropriate) Behavior Behavior Goal: Occurrence immediately Decrease before behavior behavior Goal: Increase behavior & Acquire skill(s) Summary Statement Outcomes/Function B A Setting Events A Antecedents 5 Antecedents Factors that influence / predict behavior pbis.org 3-Term Contingency Events that occur before behaviors. Develop behavior support plan Adapted PBIS.org for Students with At-Risk Behavior 4 with Problem Behaviors, p. 50 Antecedent & Setting event interventions for Students with High-Risk Behavior Secondary Prevention: Specialized Group Systems Strengths Develop hypothesis Summary statement Bambara and Kern, 2005 ~15% Primary Prevention: School & Classroom Wide Systems ~80% of Students Preferences Conduct functional assessment Gather indirect (broad) information ~5% Tertiary Prevention: Specialized Individualized Systems For All Students, Staff, & Settings http://courseweb.stthomas.edu/Autism/WIDPI.pdf Prioritize & define problem behavior Tiers of Behavior Prevention & Support Reinforcement Punishment Access Avoid/Escape Gain something: Get out of something: Sensory Power/control Sensory Attention Tasks Acceptance Socialization Affiliation Consequences Gratification Stress/anxiety Tangibles Activities Justice/revenge Individuals Etc… Etc… The summary statement is an outcome of FBA & includes 3 components: • Prediction “When” ▫ Situation in which behavior occurs • Description “What” ▫ Specific problem behavior to target • Function “Why “ ▫ Intended outcome or function of behavior We need this information for Intervention! 1 2/11/2013 Hypothesis Template Summary Statement Simple, clear approach to organizing FBA data for problem behaviors so that you can develop a hypothesis. Setting Events Triggering Antecedents setting events and antecedents associated with problem behavior Problem Behavior Maintaining Consequences description of the problem consequences behavior to target for intervention maintaining behavior Competing Pathways Model Desired Behavior Maintaining Consequences Challenging Behavior Maintaining Consequences 2. the student does… (describe problem behavior) 1. When this occurs… (describe circumstances/ antecedents) When the student is in an environment that is loud & includes lots of people, the student hits his head which results in him being removed and thus he escapes the noise & the crowded room Use FBA & Design Effective Supports • Problem behaviors are irrelevant Triggering Events Setting Events ▫ Remove aversive events ▫ Provide access to positive events • Problem behaviors are inefficient setting events and antecedents associated with problem behaviors description of the desired, problem & possible alternative replacement behaviors Alternate Replacement consequences maintaining behaviors Behavior ▫ Make available appropriate behavioral alternatives ▫ Teach appropriate behavioral alternatives • Problem behaviors are ineffective ▫ Do not reinforce problem behaviors ▫ Reinforce desired behavior 9 Prevent Teach Reinforce Framework Prevent Teach •Identify antecedents •Choose replacement behavior •Determine how to alter or eliminate •Teach replacement skills that serve the same purpose as problem behavior •Modify or eliminate problem antecedent events • Introduce positive antecedents events • Teach coping and tolerance skills •Teach general/adaptive skills to expand overall competence •-Social •Communication Reinforce Adapted from Bambara and Kern, 2005 Individualized Supports for Students with Problem Behaviors, p. 59 •Determine what is reinforcing challenging behavior •Use to reinforce a different behavior. •Determine other ways to reinforce behavior . •Change our responses so that they no longer reinforce challenging behavior. •Increase rewards for appropriate behaviors • Reduce outcomes for problem behavior 3. to get/to avoid… (describe consequences) Design intervention to PREVENT behaviors Setting Events Triggering Antecedents Feels challenged by authority in front of audience Prevent •Pre-correct peers • Practice answering questions ahead •Adapt request for answering questions Teach to request to pass or ask to leave the room appropriately Reinforce function of behavior and appropriate behavior Desired Alternative Typical Consequence Problem Behavior Maintaining Consequences refuses to follow directions by ignoring, shutting down, refusing to participate To obtain attention from staff and status from peers Acceptable Alternative •Provide instructive feedback/ introduce logical consequences •Sensory 2 2/11/2013 Prevent Intervention: Visual Supports Visual support are a NPDC on ASD Evidence Based Practice. Use Visual Supports to provide more information about what is currently happening in the environment, future events in the environment, as well as scheduled changes in routines • Consider using when student has … ▫ ▫ ▫ ▫ Transition challenges Difficulty understanding options or choices Difficulty engaging in activities or tasks Does not understand expectations that are not clearly defined or established • Examples ▫ ▫ ▫ ▫ ▫ Schedules First-then boards Choice boards Finished folders Expectations To learn more visit the Autism Internet Module . Prevent Intervention: Transition Strategies Use Transition Supports to provide students with a cue or sequence of cues prior to changing in activities • Consider using when… ▫ Student doesn’t understand what is expected ▫ Student has difficulty reengaging in the next activity or ending a preferred activity • Examples of cues ▫ Auditory (bell or song) ▫ Visual (picture or timer) ▫ Motor (physical movement “freeze”) To learn more visit the Autism Internet Module . Prevent Intervention: Adaptations (Accommodations & Modifications to Curriculum & Instruction) Use Adaptations to provide accommodations & modifications (changes) in instructional tasks that lessen the likelihood of challenging behavior. This could be changes in curriculum or instruction • Two main categories of instructional adaptations ▫ Change content of instruction ▫ Change in presentation of the task • Consider using when student… ▫ Is presented with non-preferred academic task ▫ Engages in challenging behavior to escape academic tasks • Examples ▫ ▫ ▫ ▫ ▫ ▫ ▫ Embed/alter tasks Divide tasks in small chunks (when finished with each receive reinforcement) Provide choices Vary tasks Alter task difficulty Incorporate task preference Make task more meaningful, functional, and relevant Adapted from Dunlap et al. (2010) Prevent Intervention: Choice Making Use Choice-Making to provide a choice between 2 or more options • Consider using when… ▫ Antecedent is related to task demands ▫ Transitioning from preferred to non-preferred activity ▫ Control seems to be an issue for student • Examples ▫ ▫ ▫ ▫ ▫ ▫ Choice of materials within a task Choice between different tasks Choice of where to work Choice of when to do the task Choice of who to work with Choice of when to end an activity Adapted from Dunlap et al. (2010) Prevent Intervention: Differential Reinforcement Differential Reinforcement is a NPDC on ASD Evidence Based Practice. Use differential reinforcement to reduce challenging behavior. and increase appropriate and desirable behaviors. • Consider using when the student… ▫ Enjoys attention and praise from adults ▫ Gets more acknowledgement from the adults when performing challenging behavior and less acknowledgement when performing appropriate behavior • Examples ▫ Interact more frequently around appropriate behavior than challenging behavior ▫ Use positive language, even when redirecting ▫ Strive towards 4:1 ratio positive to negative statements Desired Alternative Design Setting Events intervention to TEACH behaviors (Both desirable and acceptable alternative behaviors) Typical Consequence Follow directions and participate appropriately Triggering Antecedents Feels challenged by authority in front of audience Problem Behavior refuses to follow directions by ignoring, shutting down, refusing to participate Maintaining Consequences To obtain attention from staff and status from peers Acceptable Alternative Ask for help appropriately Help teacher To learn more visit the Autism Internet Module . 3 2/11/2013 Amount of physical effort Speed of effect Number of time performed to get reward • Honor function of the behavior … ▫ ▫ ▫ ▫ To escape, avoid, or delay tasks To gain attention from staff or peers To obtain tangibles To delay transitions • Examples Ask for assistance Request a break Request attention Challenging behavior Teach Replacement Behaviors that… • Produce SAME outcome as problem behaviors • Are socially appropriate • Are as (or more) efficient than problem behavior Replacement Behavior Replacement Behavior Teach Intervention: Replacement Behaviors When Then When student is required to end art or music and begin independent work activities in reading and math Then, she will yell, scream, throw objects and/or hit As a result As a result he/she is allowed to delay or escape the independent work activities (sent to timeout or to the behavior Then she will ask for room or allowed to stay a break in art or music classes ) to obtain attention from the behavior specialist From Dunlap et al. (2010) Adapted from Dunlap et al. (2010) Teach Intervention: Replacement Behavior Desired Alternative Teaching Replacement Behaviors: 1. Identify function of behavior 2. Identify replacement behavior 3. Ask, can you honor the function 4. Directly teach using pre-correction strategies and visual prompts 5. Provide opportunities to use replacement behavior 6. Reinforce behavior with same outcome as problem behavior 7. Build in a tolerance for delay of reinforcement Replacement Behavior Key Questions Is this behavior in the student’s repertoire of skills? Acceptable Alternative 1.Same Setting Events consequence 2.Socially acceptable 3.Very efficient Work quietly at desk on tasks he can do independently Triggering Antecedents Independent work time, working on paper pencil task quietly at desk Teacher helping other students. Problem Behavior Tears up paper and throws it across room Typical Consequence Behavior points, praise, Call home, etc. Maintaining Consequences Teacher redirect sand helps student get to work. Function: Teacher attention. Acceptable Alternative Ask for help Teach Intervention: Social Skills Instruction Is this behavior as easy or easier to produce than the challenging behavior? Will it work to elicit the same response as challenging behavior? Social Skills Groups are a NPDC on ASD Evidence Based Practice. Social skills groups would be considered a secondary tier intervention. Teaching Social Skills: • Important to teach social interaction skillsand ways to appropriately interact with peers. • Social skills groups are small-group instruction practices with a shared goal or outcome of learned social skills in which participants can learn, practice, & receive feedback. To learn more visit the Autism Internet Module . 4 2/11/2013 Teach Intervention: Problem Solving Teach Intervention: Self Regulation Strategies Teaching Problem-solving Strategies : • Consider using when the student has challenging interactions with peers and doesn’t know how to deal with appropriately. Designed to increase social understanding & help individuals with social challenges problem solve social situations & see differences between their own and others’ perspectives. 1. 2. 3. 4. Social Autopsies SOCCSS Solving Problems Before They Become Problems Social Behavior Mapping Teaching Coping or Self-Regulation Skills: • These skills provide strategies for students to help them with self-control • Consider using when Student has issues responding to socially challenging situations Student demonstrates inability to control responses or reactions Student is easily frustrated Student is unable to effectively communicate frustration ▫ Examples Anger management Negotiation strategies Practice giving and accepting criticism • Program ▫ Five-point scale (http://www.5pointscale.com/) To learn more visit the Autism Internet Module . Behavior can be changed by… Teach Intervention: Self Management Self Management is a NPDC on ASD Evidence Based Practice. • Consider using when the student… ▫ engages in behavior to get attention ▫ seeks to escape tasks or activities ▫ attempts to delay transitions ▫ becomes frustrated Steps include: 1.Define behavior student will self-manage. 2.Establish self-recording method & when & how student will record. 3.Teach student how to self-observe. self-evaluate, record & reinforce. 4.Monitor for accuracy &make changes as needed. Teach expected behavior Enforce meaningful consequences Provide meaningful positive incentives •teaching expected behaviors •recognizing & providing reinforcement when appropriate behaviors occur •enforcing meaningful consequences when inappropriate behaviors occur To learn more visit the Autism Internet Module . Desired Alternative Follow directions and participate appropriately Setting Events Design intervention to REINFORCE behaviors Triggering Antecedents Feels challenged by authority in front of audience Problem Behavior refuses to follow directions by ignoring, shutting down, refusing to participate Acceptable Alternative Ask for help appropriately Help teacher Typical Consequence Classroom acknowledgem ent and teacher recognition Maintaining Consequences To obtain attention from staff and status from peers Response Interventions For response strategies to be effective they must • Occur following the appropriate replacement or desired behavior • No longer occur after the challenging behavior Response Interventions are in 3 categories 1. Reinforce replacement behaviors that are functionally equivalent to the problem behavior 2. Reinforce appropriate behaviors 3. Plan how to respond to challenging behavior (Utilize extinction if appropriate) 5 2/11/2013 Reinforcement Reinforcement is a NPDC on ASD Evidence Based Practice. Beginning Step 1. Identify the behavior you want to increase 2. Identify the reinforcers ▫ Reinforcer menu or sampling To learn more visit the Autism Internet Module . Reinforce Replacement Behaviors Immediately reinforce student’s response when he /she engages in selected functional replacement behavior . The replacement behavior… ▫ Serves same function as challenging behavior ▫ Is equally or more efficient in producing same outcome as challenging behavior, ▫ Replaces challenging behavior with a more socially appropriate way of getting same outcome Adapted from Dunlap et al. (2010) Examples of Functionally Equivalent Behaviors and Reinforcers Function of Behavior Obtain assistance from adult Obtain Attention from adult or peer Avoid or escape task Avoid nonpreferred activity Replacement Behavior Request Assistance Request Attention Request break Reinforcer Obtain assistance from adult Obtain Attention from adult or peer Avoid or escape task Request different Different activity activity Reinforcement Implementation • Immediately reinforce • Once consistently using the replacement behavior then implement a plan for fading the immediacy and frequency of the reinforcement • Tolerance for delay of reinforcement is a good strategy to pair with replacement behaviors. Response Efficiency RATE OF REINFORCEMENT QUALITY OF REINFORCEMENT (how often are reinforcers (is the quality of delivered?) reinforcement higher for appropriate behavior than challenging behavior?) RESPONSE EFFORT IMMEDIACY OF REINFORCEMENT (Is the replacement (How quickly is a reinforcer behavior easier to display delivered following a than challenging response?) behavior?) Extinction Extinction is a NPDC on ASD Evidence Based Practice. • It’s important for the team to change how adults and or peers respond to the students challenging behavior so that the student no longer gets a desired outcome (e.g., obtain attention, escape task, etc.) for the problem behavior • The goal is that the challenging behavior no longer “pays off” for the student so that the challenging behavior will lesson. To learn more visit the Autism Internet Module . 6