Transcript Taking the “Challenging” out of Challenging Behavior

Positive Behavior Support
For Families with Children and Adults
with Autism Spectrum Disorders
Autism Across the Lifespan Conference
Wichita Nov.09
Amy McCart, Ph.D
Diane Bannerman Juracek, Ph.D, BCBA
Agenda
Understanding Positive Behavior Supports
 How does behavior work?
 Understanding the functions (or reasons) for
problem behavior
 Developing effective intervention strategies
using the Behavior Analysis and Intervention
Summary (BAIS)
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Positive Behavior Support
PBS involves comprehensive multicomponent support that focuses on:
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preventing problem behavior
Use of research-validated practices
teaching new skills
enhancing quality of life
assessing the reasons for problem behavior and
redesigning environments and challenging
contexts
embedding intervention into natural routines
person-centered support
How Behavior Works
There’s so much more than what you see on the surface
The ABCs
 Behavior
– observable response
 Antecedents
– what happens before the
behavior (can function to trigger behavior)
 Consequences
– what happens after (can
reduce or increase the likelihood of behavior
through the principles of reinforcement and
punishment)
History
Medical Conditions
Context
Can
increase the
Can increase
the
Likelihood of Behavior
likelihood of behavior
Antecedent
Triggers
Consequence
Can decrease the
Can decrease
the
likelihood
of Behavior
Likelihood of Behavior
Sleep
Medications
Bad Morning
Setting Events
Conditions or circumstances that increase the
likelihood of problem behavior
Setting events “set the stage…”
Setting Events
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Can be due to social, environmental or
physiological factors
May or may not immediately proceed
the behavior
Examples may include: lack of sleep,
sickness, medication changes,
stressful experiences, cultural issues,
history and family experiences
Understanding the ABC’s
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Mom and Jermaine in the PigglyWiggly at
5:30pm.
History
Medical Conditions
Context
Can
increase the
Can increase
the
Likelihood of Behavior
likelihood of behavior
Antecedent
Triggers
Consequence
Can decrease the
Can decrease
the
likelihood
of Behavior
Likelihood of Behavior
Sleep
Medications
Bad Morning
Why is the Behavior Occurring
Determining Function
Problem behavior occurs to accomplish the
following:
Escape
Obtain
Activities
Items
Activities
Items
Attention
Attention
Physiological
Stimulation
Physiological
Stimulation
Sugai & Horner, 2001
How do you determine function?
Be
(or find) an objective
observer
Interview other people in the
child’s life
Developing effective
intervention strategies through
the use of…
Behavior Analysis and
Intervention Summary
(BAIS)
PBS Research & Consultation, LLC.
Setting Events
Conditions that increase the likelihood of problem behavior
Antecedent
Behavior
Consequence
Escape
Or
Obtain
Intervention: Setting Events
Could I change or remove a setting event to prevent this problem behavior?
Intervention: Antecedent
Could I change or remove an antecedent event to prevent this problem
behavior?
Intervention: Replacement Behavior
How can the child get what he/she wants by engaging in appropriate
behavior rather and negative behavior?
Intervention: Communication
Is there a way that a communication strategy might be effective in addressing
this behavior?
Intervention: Environment
Can I change the environment, routine or schedule to make the behavior less
likely?
Intervention: My Behavior
Can I change my behavior to make the child’s problem behavior less likely?
Intervention: Consequences
Can I change the consequences to decrease the likelihood of this behavior?
Let’s use the BAIS to develop an
effective multicomponent
intervention to help mom with
Jermaine at the Pigglywiggly
You’ve done it!!!
You’ve learned about:
 How behavior works?
 How to determine the function (or reason) for
problem behavior
 Developing effective intervention strategies
using the Behavior Analysis and Intervention
Summary (BAIS)
Positive Behavior Support
Research & Consultation Group
Diane Bannerman Juracek
Amy McCart
[email protected]
[email protected]
Appreciation
Resources
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Weaving Intervention into the Fabric of
Everyday Life: An approach to family
assessment (Bernheimer & Keogh, 1995)
Contextual Fit for Behavioral Support Plans
(Koegel, Koegel, & Dunlap, 1996)
Positive Behavior Support with Families
(Lucyshyn, Dunlap, & Albin, 2002)
Parenting with Positive Behavior Support:
A practical guide to resolving your child’s
difficult behavior (Hieneman, Childs &
Sergay, 2006)
Developing Cross-Culture Competence
(Lynch & Hanson, 2004)
Resources
Center for Evidence Based Practice
www.challengingbehavior.org
 Online academy PBS module
www.onlineacademy.org
 OSEP Technical Assistance Center on
Positive Behavioral Interventions &
Supports
www.pbis.org
 Kansas Institute on Positive Behavior
Support
www.kipbs.org
 Don’t forget APBS in March 2009
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