UNDERSTANDING & CHANGING BEHAVIOR FEBRUARY 25, 2011 SASED Institute Day Facilitated by: Diane Gould, LCSW, BCBA Social Worker, Behavior Analyst & Kathy Gill, Ph.D. Psychologist Visual Schedule of the Day 8:00 – 8:15ish 8:15 – 10:00 10:00 – 10:15 10:15 – 12:00 12:00 to 12:15 12:15 to 1:30 1:30 Introductions Rethinking behavior or “Why is this so difficult?” Break Functional Analysis and Behavior Plans that really work. Getting good (or better) at Data Collection Break Interventions and things that can go wrong Questions and discussion Turn in evaluations, Distribute certificates & Enjoy the afternoon Expectations Laugh at least one time Use at least one idea on Monday Respect your colleagues Rewards & Reinforcements Note cards Write name on one card and turn in for raffle prizes Can obtain additional cards/chances Participating – commenting Raffle prizes will be given: Drawing following breaks (positive reinforcement for returning on-time) Every ½ hour, (Fixed-interval) A Bit About Us A Bit About You Profession Setting Years of Experience What you hope to learn today Our Objectives Reinforce what you already know or think about behavior in a different way (Understand behavior function). Share and take home a few specific strategies (To use before, during and after challenging behavior occurs). Convince some of you to start taking data in place of guessing and take away some specific and easy data collection strategies. Behavior Basics You really need to understand a behavior before you try to get rid of it. The purpose (a.k.a.) FUNCTION of a behavior is either to get something or avoid something. Every behavior serves a legitimate FUNCTION or purpose for your students. It is just the FORM that needs to be changed. Behavior Basics So those challenging behaviors need to be substituted with new behaviors that make the old ones irrelevant, ineffective and/or inefficient. Just looking at rewards and consequences is usually not enough for long-term, permanent change. Yikes, get your heads around this It really isn’t about changing the student. It is about changing the environment in such a way that the student makes different choices about their behavior (Schramm). Figuring out the Function 1 – OBTAINMENT (a.k.a.: TOWARD) 2 – ESCAPE/AVOIDANCE (a.k.a.: AWAY) Obtain something Get attention (even yelling is attention) Control something Avoid something or someone Escape a situation or request or task demand 3 - SENSORY or AUTOMATIC Seek or avoid sensory input Activity itself is reinforcing Obtainment Attention Reaction Food Control Pleasure Tangibles Obtainment Characteristics Seek attention, tangibles, or control. Want to direct themselves and others. Skilled negotiators. Often do not follow direction or routines. May use challenging behavior to access interaction from adults or peers even though interaction is a negative. The more we focus on and give attention to this challenging behavior, the more we INCREASE the likelihood that the behavior will reoccur. Children that fit this OBTAINMENT function are often emotionally exhausting. Adapted from C. Dahlquist & L. Chandler 8/98 Obtainment – General Interventions The key to reversing the cycle of misbehavior for Obtainment is to STOP ENGAGING WITH THE CHILD DURING MISBEHAVIOR. Instead direct actions, energies and words to redirection of the activity at hand. Reinforce and focus on all appropriate behavior of the student (even small approximations of appropriate behavior). Adapted from C. Dahlquist & L. Chandler 8/98 Obtainment – Specific Interventions Firmly redirect the child back to the task instead of allowing the child to distract you away from the task when they engage in conversation, arguments or negotiations. Ex: “Tommy, I’ll be glad to talk to you after you go back to your table. ” Focus on reinforcing appropriate behavior instead of reprimanding or correcting inappropriate behavior (Balance scale in your head). Lengthy reprimands, negotiations, and explanations actually reinforce the misbehavior. Use only necessary words to redirect the child. Remain calm and use neutral tone of voice. Tell child what to do instead of what not to do. Use a reinforcement system at school that provides external rewards for appropriate behavior. Adapted from C. Dahlquist & L. Chandler 8/98 Beware… We can accidently reinforce behaviors of students when we reprimand. Escape/Avoid Certain peers Specific teachers/staff/therapists Tasks Settings Demands Escape/Avoidance Characteristics Seek to escape from tasks, persons, or places. Often refuse to begin an activity or may leave an area or refuse to engage with certain materials, adults, or activities. Have difficulty engaging in peer or adult interactions. Often have a history of failure or negative interactions. Adapted from C. Dahlquist & L. Chandler 8/98 Escape/Avoidant – General Interventions The key to reversing the cycle of misbehavior for Escape/Avoidance is to make changes in routines and activities to make them less aversive from the perspective of the child. Provide for immediate success as well as frequent incremental successes. Establish a reliable system that the child can indicate a need to temporarily escape. Adapted from C. Dahlquist & L. Chandler 8/98 Escape/Avoidant – Specific Interventions Make activities and tasks easier, shorter, more successful or interesting. Intersperse easy tasks within more difficult tasks . Provide opportunist to make CHOICES in everything. Choice of materials (Do you want to use pen or pencil?) Choice of amount (Do you want to do 4 or 5?) Choice of order (Do you want to do the facts sheet or problem solving sheet first?) Choice of location (Do you want to want to work at your desk or at the table on the side of the room?) Reinforce each SMALL step of the appropriate response Guide the response to ensure success Use schedule Guide child what to do next Give child step-by-step model Provide support to ensure success Reinforce ANY part of piece of effort that is successful Anticipate frustration and end the task on positive note before child engages in challenging behavior Make it easy of student to request assistance or breaks Adapted from C. Dahlquist & L. Chandler 8/98 Sensory regulation Increase level of sensory input Decrease level of input Diane Gould, LCSW, BCBA 22 Sensory – Increase or Sensory Seekers Out of Seat Wiggly Impulsive Rocking Kicking or sitting on their legs Sensory Regulation – Interventions to Increase Input for Sensory Seekers Create opportunities for movement breaks Adapt movement to be functional Decrease wait times Increase stimulation level Break down long tasks Use sissels, therapy balls, and other fun stuff from your OTs Sensory Decrease or Sensory Avoiders Cover their ears Put head down on desk Startle easily Show signs of stress/anxiety Sensory Regulation – Interventions to Decrease Input for Sensory Avoiders Provide structure to all situations Use quiet social reinforcement Provide less stimulating alternatives (hint: P.E., recess) Provide menu of break opportunities Be aware of high sensory events or activities (e.g., fire alarms) Begin to teach coping skills Ear phones, head phones in certain situations Reminder of Basic Principles Behavior is changed using proactive interventions that… CHANGE THE ENVIRONEMNT TEACH APPROPRIATE BEHAVIOR ACHIEVE THE SAME FUNCTION (the new appropriate behavior has to work just as or more effectively than the inappropriate behavior) So… We – yes us – the adults in control of the environment and reinforcements need to change (ugg!) And this is hard… Very hard Take a step back… Setting the Stage "When you have well-organized routines and procedures, you model and prompt organized behavior from your students.“--Randy Sprick (Safe and Civil Schools) The Most Effective Teachers: Establish smooth efficient classroom routines Directly teach students how to be successful Interact with students in positive, caring ways Provide incentives, recognition, and rewards to promote excellence Set clear standards for classroom behavior and apply them fairly and consistently Classroom Rules Rules should be stated positively Rules should be specific and refer to observable behaviors Teach your rules using positive and negative examples Applicable throughout the entire class period Posted in a prominent, visible location. What is Structure ? Structure ISN’T Punitive! Structure IS WELL Orchestrated Care! Randy Sprick Characteristics of Effective Rules Stated positively. Should be specific and refer to observable behaviors. Teach your rules using positive and negative examples. Should be applicable throughout the entire time students are there. Post them in a prominent, visible location. It’s not the SEVERITY of your consequences that will make them effective, it’s the CERTAINTY. Randy Sprick (Safe and Civil Schools) Keeping Things in Order Precorrection - remind of expected behavior for activities that have the potential for problems. Gentle reminders – short, one or two sentences, state expected behavior, walk away. Proximity- move towards the students who are engaged in misbehavior. Why is this so difficult? Challenging behavior is: Frustrating Exhausting Confusing Makes us feel incompetent Makes us feel helpless Worry that we will be judged Fear for safety of our students and self Embarrassing Last but NOT Least…Emotion Keeping calm (easy to say, hard to do) Keep this in mind No more than 2 emotional reactions in a school year, never within first six weeks, or with individual student. Why is this so difficult? Precipitating Factors: Internal or external causes of an acting out behavior over which a staff member has little or no control. Rational Detachment Ability to stay in control of one’s own behavior and not take acting out behavior personally. Something to think about… PUNITIVE PROCEDURES POSITIVE APPROACHES Rapidly stops behavior Slowly stops behavior Provides immediate relief to teachers Provides no immediate relief to teacher Teaches the student and peers what not to do Teaches the student and peers how to behave Decreases positive self concept Increases positive self concept Decreases positive attitudes towards school and school work Increases positive attitudes towards school and school work Causes withdrawal (non-task, tardy, truancy drop out) Promotes enhanced participation Causes aggression (against property and others Decreases likelihood of aggression Teaches students to respond in a punitive manner Teaches students to recognize the positive Dianna Browning Wright Diagnostic Center, Southern California Results in suppression of undesirable behaviors, not elimination Results in alternative, positive behavior to replace maladaptive behavior. Visual Schedule of the Day 8:00 – 8:15ish 8:15 – 10:00 10:00 – 10:15 10:15 – 12:00 12:00 to 12:15 12:15 to 1:30 1:30 Introductions Rethinking behavior or “Why is this so difficult?” Break Functional Analysis and Behavior Plans that really work. Getting good (or better) at Data Collection Break Interventions and things that can go wrong Questions and discussion Turn in evaluations, Distribute certificates & Enjoy the afternoon Functional Analysis & Behavior Plans that Work Visual Schedule of the Day 8:00 – 8:15ish 8:15 – 10:00 10:00 – 10:15 10:15 – 12:00 12:00 to 12:15 12:15 to 1:30 1:30 Introductions Rethinking behavior or “Why is this so difficult?” Break Functional Analysis and Behavior Plans that really work. Getting good (or better) at Data Collection Break Interventions and things that can go wrong Questions and discussion Turn in evaluations, Distribute certificates & Enjoy the afternoon What is a Functional Analysis? An attempt to look beyond the obvious interpretation of behavior as "bad" and determine what function it may be serving for a child. Way to truly understand why a child behaves the way he or she does to aid in developing strategies that prevent and reduce the behavior. What is a Functional Analysis? The process involves identifying the most critical target behaviors, the antecedents and consequences. It is also critical to identify other factors that contribute to the target behaviors. Settings: Who (with whom), what, when, where. Environmental variables: Medication, diet, sleep, schedule. Goals of Functional Analysis Prevent target behavior by manipulating environmental variables. Provide/teach alternative behaviors that achieve same function. Teach coping skills. Good Questions to Ask If you wanted to make sure an observer witnessed the challenging behavior how would you set that up? If you wanted to make sure an observer did not see the challenging behavior, how would you set that up? These give great information about the behavior. Describing Behavior/Operational Definition Topography – what are the physical characteristics of behavior – what does it look like, sound like, smell like, taste like, feel like. From Willis & LaVigna, 1999 Describing Behavior/Operational Definition Cycle – At what point has the behavior/episode started and stopped. This will guide the recording of the behavior. From Willis & LaVigna, 1999 Describing Behavior/Operational Definition Course – From the beginning to the end describe what the person does. Describe the precursors, the early signs that the person is likely to engage in the behavior, to the actual demonstration of the behavior, and de-escalation. From Willis & LaVigna, 1999 Describing Behavior/Operational Definition Strength Rate – Frequency of the behavior in a period of time (Ex. 1 time per hour, 4 times per week) Duration – Longest, shortest, average Severity – Describe the impact of the behavior on the student and others (damage, injuries, exclusion, stigmatization) Other – Any other important measures From Willis & LaVigna, 1999 Getting Good (or Better) At Data Collection Visual Schedule of the Day 8:00 – 8:15ish 8:15 – 10:00 10:00 – 10:15 10:15 – 12:00 12:00 to 12:15 12:15 to 1:30 1:30 Introductions Rethinking behavior or “Why is this so difficult?” Break Functional Analysis and Behavior Plans that really work. Getting good (or better) at Data Collection Break Interventions and things that can go wrong Questions and discussion Turn in evaluations, Distribute certificates & Enjoy the afternoon Data Collection Why do we take data? Deciding What & How to Collect Useful Relevant Priority Painless as possible Deciding What Data to Collect Amount of work turned in Talk-outs Discipline referrals Grade report Frequency of time-outs or direct intervention Student report Parent report Structured observation Data Collection Techniques ABC Recording Antecedent- what happens before behavior (loud noise, transition, request from teacher) Behavior- actual behavior (whining, hit desk with palm of hand, bit self on back of hand) Consequence- result of behavior (verbal redirection from teacher, peer response, received pencil) Data Collection Techniques ABC Recording Time consuming Use for helping determine function or baseline recording Use of ongoing sampling of behavior Data Collection Tools Frequency Recording - Record each time the behavior occurs over specific period of time. Use when goal is to increase or decrease occurrence of behavior (Jack will decrease number of prompts required to stay on task during 20 minute free-reading from 10 to 2) Good for clear onset/offset behaviors Problem if behavior is high-rate Don’t use with non-compliance Data Collection Tools Duration Recording - Total time the student engages in target behavior. Good for open-ended behaviors you are trying in increase (Ex. Jack will increase the time he is able to sit in circle without a prompt from 30 seconds to 3 minutes) Time consuming Need stopwatch May want to use estimate or rating system Data Collection Tools Proportion Recording – What percentage of time the target behavior occurs in relation to opportunities for target behavior. Typically used for behaviors that occur in given time frame (Ex. Jack will increase correct identification of body parts from 50 percent to 90 percent) Good for academic behaviors Good when tracking quality of behavior Data Collection Tools Latency Recording Time between two events Ex. Jack will decrease the amount of time to start a work assignment after a direction is given from 4 minutes to 30 seconds. Data Collection Tools Time Sample - Frequency of behaviors within a given amount of time Good for attending behaviors Data Collection Tools Anecdotal Recording - A description in plain language and in detail Be careful to be objective, not subjective Baseline Use the data you take from the before intervention period to serve as a baseline so you know if your interventions are working. Now that you have some data… Writing clear objectives Probably Not: Jack will decrease aggressive behavior. Jack will improve his social skills. Better: Jack will reduce his aggressive behavior* toward peers from 4 episodes per week to 1 episode per month by the end of May/within 12 weeks. *Define aggressive behavior toward peers in BIP Behavior Plan Use the information that you have from the functional analysis to write a plan. You will find out if your hypothesis was correct about the function of behavior If the interventions work.. great.. congratulate yourselves and consider if prompts need to be faded and reinforcement schedules thinned. If interventions aren’t working, figure out what is wrong. You may need to go back and redo the analysis. Behavior plan Best when written as a team Be very specific about who will do what Figure out what new interventions you are going to do Figure out how data will be taken and be who Plan when you will review the data and compare it to baseline It is a continuous process Ideas to Incorporate Data Collection As communication with parents As behavioral contract As a self monitoring Reminders Once a skill is mastered…Generalize New place New person/people New materials Varied (and more natural) cue Follow-up Explain and TEACH plan to all people working with the student. Student Parents Teachers Support staff Bus drivers Security Other students Follow-up Monitor adherence to plan. 3 to 5 key components that can be tracked Visual Schedule of the Day 8:00 – 8:15ish 8:15 – 10:00 10:00 – 10:15 10:15 – 12:00 12:00 to 12:15 12:15 to 1:30 1:30 Introductions Rethinking behavior or “Why is this so difficult?” Break Functional Analysis and Behavior Plans that really work. Getting good (or better) at Data Collection Break Interventions and things that can go wrong Questions and discussion Turn in evaluations, Distribute certificates & Enjoy the afternoon Interventions and Things That Can Go Wrong Visual Schedule of the Day 8:00 – 8:15ish 8:15 – 10:00 10:00 – 10:15 10:15 – 12:00 12:00 to 12:15 12:15 to 1:30 1:30 Introductions Rethinking behavior or “Why is this so difficult?” Break Functional Analysis and Behavior Plans that really work. Getting good (or better) at Data Collection Break Interventions and things that can go wrong Questions and discussion Turn in evaluations, Distribute certificates & Enjoy the afternoon NOW, the Nitty Gritty of Changing Behavior The rest of the presentation will be spent on how to prevent, reduce or stop the challenging behaviors. We will end with a list of what can go wrong so if the behavior change methods are not working, you know where the breakdown may be. Behavior changes through 5 channels Reinforcement Extinction Motivation Punishment Stimulus Control Things you can do Strategies that can make a difference Before the misbehavior (proactive) After the misbehavior (reactive) Again everything is dependent on your students being very clear on your expectations. Changing Behavior We want to reinforce the behaviors we want more of so they increase We want to punish or withhold reinforcement for behaviors that we don’t want to they will decrease Need to think through how we want to do this which is our plan. Situational Management Strategies Antecedent control – remove seductive objects, people or unnecessary demands, eliminate provocative statements and actions, rearrange environment. Planned ignoring/Differential attention – Ignore lowlevel attention seeking behaviors (hint: ignore behavior NOT student). Introduce humor – Laughter, a humorous reaction that complete with the challenging behavior. Situational Management Strategies Active listening – Respond in a way that is nonjudgmental and non-directive. Redirect/Distract– Interrupt the behavior. Stimulus Change – Introduce a novel and sudden or unexpected change in stimuli. Proximity control – Increase OR decrease space between you and student (BOTH preventative & reactive) Reinforcement You need to make sure that the behavior you want is in the child’s repertoire if not, it won’t work. Adding reinforcement cannot make individuals perform behaviors that they cannot do. (Fouse and Wheeler 1997) You may have to teach new skills Differential reinforcement DRA (alternatives to the misbehavior) DRI (incompatible with the misbehavior) DRO (any other acceptable behavior) DRL (lower rates of responding) Behavioral momentum Directing a persons energy towards the desired response. Teaching Self Regulation Antecedent control Relaxation training A quiet area Props that assist with calming Physical activity for agitation Teaching self awareness Discussions Discussions- save them until a time that works later when you are more calm and the child is likely to be less defensive. Problem solve better ways to handle the situation. Consequences You need to figure out what you want to do consistently for rule violations Time owed Timeout Restitution Positive practice Response cost Lottery Detention Contracts Involves placing contingencies for reinforcement on a piece of paper that is agreed to and signed by the individuals involved. Can be used to increase positive behaviors or decrease problem behaviors- individuals or group. They need to be very specific Child should help pick reinforcers Define expectations and negotiate until agreement Plan when it will be reviewed Make time lines clear Diane Gould, LCSW, BCBA 93 Self Monitoring A process where the student observes and collects his or her own data on behavior. Monitoring one’s own behavior is an important part of self-management. Select a target behavior Have child record on a specific form Define time period Summarize and maybe graph Reinforce Can connect with a contract Class wide systems Marble jar Coloring tower/picture Behavior of the day or week Mystery motivator Reinforcement Tower Diane Gould, LCSW, BCBA 96 Video modeling There is self modeling and peer modeling Self modeling works much better Be careful not to record any errors in the video or it will increase that behavior Have watch the video before a potentially challenging activity or time of day. Keeping a positive atmosphere Positive to negative ratios Intermittent celebrations Things that can go wrong Not defining the behavior clearly enough The data to hard to collect Reinforcement schedules incorrect Data collection ends after the BIP is created Data taken but not broken down and reviewed in detail Not enough time to work as a team and review Diane Gould, LCSW, BCBA 99 Things that can go wrong Focusing on too many things at once Making things too complicated Having too strong an emotional response Taking misbehavior personally Too much down time Not paying enough attention to the environment Diane Gould, LCSW, BCBA 100 Visual Schedule of the Day 8:00 – 8:15ish 8:15 – 10:00 10:00 – 10:15 10:15 – 12:00 12:00 to 12:15 12:15 to 1:30 1:30 Introductions Rethinking behavior or “Why is this so difficult?” Break Functional Analysis and Behavior Plans that really work. Getting good (or better) at Data Collection Break Interventions and things that can go wrong Questions and discussion Turn in evaluations, Distribute certificates & Enjoy the afternoon References Jenson, Rhode & Reavis, The Tough Kid Tool Box. Fouse and Wheeler, A Treasure Chest of Behavioral Strategies for Individuals with Autism Visual Schedule of the Day 8:00 – 8:15ish 8:15 – 10:00 10:00 – 10:15 10:15 – 12:00 12:00 to 12:15 12:15 to 1:30 1:30 Introductions Rethinking behavior or “Why is this so difficult?” Break Functional Analysis and Behavior Plans that really work. Getting good (or better) at Data Collection Break Interventions and things that can go wrong Questions and discussion Turn in evaluations, Distribute certificates & Enjoy the afternoon Enjoy the Afternoon