Function-Based Behavior Support: Big Ideas George Sugai University of Connecticut Center on PBIS www.PBIS.org “Lemon Drop Kid” • Problem contexts – Multiple task demands – Pending timelines – Halt in.
Download ReportTranscript Function-Based Behavior Support: Big Ideas George Sugai University of Connecticut Center on PBIS www.PBIS.org “Lemon Drop Kid” • Problem contexts – Multiple task demands – Pending timelines – Halt in.
Function-Based Behavior Support: Big Ideas George Sugai University of Connecticut Center on PBIS www.PBIS.org “Lemon Drop Kid” • Problem contexts – Multiple task demands – Pending timelines – Halt in engaging activities – Adult directives • Verbal & physical noncompliance • Leaving classroom -> principal’s office • Disruptive behavior = throwing school materials & furniture LDK – requested “intervention” • At first sign of problem behavior, immediately provide lemon drop candy • Provide shoulder rubs & pressure • If escalation/crisis, enclose in “body sock” “LDK” - logic “Body sock” • Create secure environment • Re-create maternal “womb-like” conditions “LDK” – Logic! Repetitious tactile & sensory stimulation Re-training & realigning neural pathways Improvement in neurological & physiological functioning Improvement in social competence & academic achievement “LDK” – Outcomes At home…. • Decrease in problem behavior chain • Increase in frequency of problem behavior episodes At school…. • Modification in intervention • Decrease in problem behavior chain & behavior episodes • Increase in time in classroom & academic engagement Non-validated Interventions for students Concerns Examples • Sensory re-integration or stimulation • Facilitated communication • Introspective psychoanalytic therapies • Rebirthing therapy • • Poor ecological (school) validity • Redirected specification of actual causal factors • Adverse side effects • False hopes & expectations • Inefficient use of resources & opportunities • • Lack of empirical support Purpose Provide overview of critical features of function-based approach to addressing problem behavior Function Matters! “How many of you have….” • Participated in behavior intervention planning meeting? • Used functional assessment information to develop behavior intervention plan? • Conducted functional assessment….Informally? Formally? • Know why functional assessments are conducted? Outcomes (“Answers”) • Features & requirements of function-based approach to behavior support – Process • Behavioral description of “function” – Get or escape/avoid • Steps in function-based approach to behavior intervention planning – Behaviorally competent team CONTINUUM OF SCHOOL-WIDE INSTRUCTIONAL & POSITIVE BEHAVIOR SUPPORT ~5% ~15% Primary Prevention: School-/ClassroomWide Systems for All Students, Staff, & Settings ~80% of Students Tertiary Prevention: Specialized Individualized Systems for Students with High-Risk Behavior Secondary Prevention: Specialized Group Systems for Students with At-Risk Behavior Positive Behavior Support Social Competence & Academic Achievement OUTCOMES Supporting Decision Making Supporting Staff Behavior PRACTICES Supporting Student Behavior Behavior Support Elements *Response class *Routine analysis *Hypothesis statement Problem Behavior *Alternative behaviors *Competing behavior analysis *Contextual fit *Strengths, preferences, & lifestyle outcomes *Evidence-based interventions Functional Assessment Intervention & Support Plan • Team-based *Implementation support *Data plan *Continuous improvement *Sustainability plan Fidelity of Implementation • Behavior competence Impact on Behavior & Lifestyle What is FBA? A systematic process for developing statements about factors that – contribute to occurrence & maintenance of problem behavior, & – more importantly, serve as basis for developing proactive & comprehensive behavior support plans. Function-based support is all about… Re-design & improvement of learning & teaching environments – Attention to environment & function – Not re-design of individuals – Change in behavior of implementers of plan Logic of functional approach • Behaviors are maintained by consequence events (function) – Positive or negative reinforcement • Behaviors are occasioned by antecedent events – Relate antecedent to emission of behavior & likelihood of consequence event • Changing behaviors requires consideration of maintaining consequences Functions Problem Behavior Pos Reinf Escape/ Avoid Something Obtain/Get Something Stimulation/ Sensory Tangible/ Activity Social Adult Neg Reinf Peer When has FBA been done? 1. Clear & measurable definition of problem behaviors. 2. Complete testable hypothesis or summary statement is provided. • Statement of function (purpose) of behavior 3. Data (direct observation) to confirm testable hypothesis. 4. Behavior intervention plan based on testable hypothesis • Contextually appropriate supports for accurate implementation Defining behavior Must result in clear, measurable, & objective descriptions of individual, groups, or sequences of related behaviors • Any observable or measurable action or act. • Observable beginning & end • Has measurable dimension(s) • Frequency, duration, latency, force, topography, locus Non- v. Observable (-) hyperactivity (+) initiates 5 different tasks within 2 minutes (+) leaves room at least 3 times during a 30 minute lesson (+)…. Which is described in observable terms? Hits with his fist OR Aggressive Which is described in observable terms? Hits with his fist OR Aggressive Delinquent OR Takes money from peers Delinquent OR Takes money from peers Psychotic OR Says she hears voices Psychotic OR Says she hears voices Arrives 10 minutes late OR Irresponsible Arrives 10 minutes late OR Irresponsible Out of seat 55% of time OR Hyperactive Out of seat 55% of time OR Hyperactive Consider response class Set of topographically different behaviors with similar or related purpose or function – Hit, spit, runaway, yell… • Escape difficult task request – Cry, hit, whine, raise hand, spit….. • Obtain adult attention ٭ Consider response chains • Predictable sequence of behaviors • Possibly different functions at beginning & end of chains Ex1. Behavior Chain Given a task, student… 1. Whispers that work is stupid, 2. Writes on papers, 3. Says work is stupid, 4. Throws paper in waste basket, & 5. Leaves room. What is function of behavior? (Test) Ex2. Given difficult task, student… 1. Says this work is stupid, 2. Pokes student at next table, 3. Argues with student, 4. Tells teacher to butt out, 5. Threatens teacher 6. Runs away from teacher who chases. What is function of behavior? (Test) Testable Hypothesis “Basic Unit” Setting Events Triggering Antecedents Problem Behavior • “Best guess” about behavior & conditions under which it is observed • Represents basic working unit of FBA • Directly guides development of BIP Maintaining Consequences Testable Hypothesis “Basic Unit” Setting Events Infrequent events that affect value of maint. conseq. Triggering Antecedents Preceding events that trigger or occasion Problem Behavior Set of related behaviors of concern Maintaining Consequences Following events that maintain behaviors of concern When Sequoia misses her 12:30 medication & teachers present multiple task demands, she makes negative self-statements & writes profane language on her assignments. Teaching staff typically send her to the office with a discipline referral for being disrespectful. What function? Avoid difficult tasks Setting event Misses 12:30 medication Antecedent Response Consequence Teachers make multiple task demands Sequoia makes negative selfstatements & writes profane language Teacher sends Sequoia to office for being disrespectful Caesar has dyed his hair three colors & is teased several times by his friends before class. When he enters the class, his teacher stares at his hair. Caesar immediately says “what are you staring at?” His teacher immediately sends him to inschool detention. Escape adult & What function? peer attention Setting event Caesar is teased several times about his hair by his friends before class Antecedent Response Consequence His teacher stares at his hair in class Caesar asks his teacher what she’s staring at His teacher sends him to in-school detention Cleo is new to the 6th grade, & English is her second language. When another student approaches & says something to her in English, Cleo turns away. The other student walks away. This happens several times during the day. Whatpeer function? Escape attention Setting event Antecedent New student Student approaches & speaks in English Response Cleo turns away Consequence Other student walks away When his teacher asks him what the capitol city of a country is, Napoleon gives the correct answers. His teacher praises his correct answer, & tells him he may work by himself or a friend on the rest of the assignment. Setting event Antecedent Response None Teacher asks what capitol city of country is Napoleon give correct answer Accessfunction? peer & What adult attention Consequence Teacher gives verbal praise & time to work with a friend As Veloce is walking, other kids look at him & say “what’s up?” He looks back and says: “Who ya lookin’ at?!” “Ya want some of this?!” “Ya talkin’ to me?!” Kids shake their heads & all him “weirdo.” Setting event ?? Access escape What OR function? peer attention? Antecedent Response Look at him. “What’s up!” “Who ya lookin’ at?” “Ya want Some?” “Ya talkin’ to me? Consequence How do do you you know? know? How Kids shake Assess? heads & call him “weirdo” TE is “best guess.” What if testable hypothesis is incomplete or inaccurate? • Review what you know • Collect more information • Change hypothesis statement • Test/confirm new hypothesis statement TE1 for Hillary: "When Hillary sits next to Bill, Hillary whispers in his ear. Bill laughs." • Test manipulation? – Put Al in Bill’s seat. • Effect: – Hillary whispers in Al’s ear. Develop new TE! TE2: “When Hillary sits next to boys, she whispers in their ears. The boys laugh.” • Test manipulation? – Put Tipper in Bill’s seat. • Effect: – Hillary does not whisper. Avoid explanatory fictions Restatement of problem & not measurable (-) She’s aggressive because she’s angry (+) When she is teased about her looks & family, she uses profanity & hits until the teasing stops. Avoid explanatory fictions Not measurable or testable (-) He’s emotionally disturbed (+) When he is with peers, he talks about hurting them & himself. “Petunia” • Problem: Petunia is in 9th grade & very inattentive. In class, she is forever inattentive, distractible, off-task, & bothering others. • Explanatory fiction: Petunia has ADHD & conduct disorders • Testable hypothesis: Petunia works on each assignment for about 2 minutes, answers before presentation of questions are completed, asks other students for help, & gets out of her seat 12 times per 30 min. period. “Rhus” • Problem: Rhus is an 11th grader with autism. He’s high functioning but is hated by his peers. When he gets frustrated, he screams & bites his hand. • Explanatory fiction: Rhus has Fragile X & is emotionally disturbed • Testable hypothesis: Rhus has verbal skills to describe his situation, but if presented with difficult academic work & short timelines, he screams until teachers help him. If peers tease him, he bites his hand, & the teasing stops. “Catoneaster” • Problem: Catoneaster is a 7th grader who resists going to school each morning. • Explanatory fiction: Catoneaster has parent separation anxiety • Testable hypothesis: Catoneaster finds attention from his Dad to be very rewarding. His mother died when he was 5 years old. When he argues with his Dad in the parking lot, his Dad takes him out for breakfast & brings him back during 2nd period. “Azalea” • Problem: Azalea is an 8th grader who skips most of her morning classes. • Explanatory fiction: Azalea is a school phobic. • Testable hypothesis: On days she misses breakfast, Azalea goes to the cafeteria to eat instead of going to class. When she gets to the cafeteria, she visits with her friends until a teacher tells her to go class. Her friends tell her she is cool the way she talks to teachers & skips 1st period. Example 1: Different behaviors with different functions • Kirsten’s teachers agree that she has two behaviors that interfere with her social success at school, & develop two testable hypotheses: Setting Event Antecedent Event None Teacher presents multiple step request. Setting Event Antecedent Event None Peers play game & have conflict. Consequence Event Behavior Verbal protest, noncompliance, foot stomping. Consequence Event Behavior Pushes peers away, uses profanity, throws rocks. Teacher repeats request 4 to 5 times & threatens after school suspension. Peers stop playing with Kirsten. Example 2: Same behaviors with different functions • Amy teachers have noticed two different conditions when Amy displays same problem behaviors. They developed following two testable hypotheses: Setting Event Antecedent Event None Peers try to engage Amy in conversations. Setting Event Antecedent Event None Teachers give Amy corrective feedback about her work. Consequence Event Behavior Turns eyes away, does not comply verbally, pulls sweater over his head. Peers move away. Consequence Event Behavior Turns eyes away, does not comply verbally, pulls sweater over his head. Teachers sit down next to her, rub her shoulders, & say comforting words. Functional Assessment Checklist for Teachers “FACTS” STEP 1: Student/ Grade: _____Clarence/5th grade_____ 11___________ Interviewer: ___________Sugai________ Date: ____January Respondent(s): ____Thomas_____ STEP 2: Student Profile: Please identify at least three strengths or contributions the student brings to school. C. has leadership potential. Peers listened to him, and he can be very convincing and sincere. He’s academically competent and seems to be moving smoothly and successfully through the school curriculum. STEP 3: Problem Behavior(s): Identify problem behaviors ___Tardy_X Fight/physical Aggression ___ Disruptive___ Theft___ UnresponsiveX Inappropriate Language_X__ Insubordination___ Vandalism___ Withdrawn_X__ Verbal Harassment____Work not done___ Other __________ ____X _ Verbally Inappropriate___ Self-injury Describe problem behavior:C. may have one of the shortest fuses I’ve seen. One little tease by a peer, and he quickly and predictably escalates through a behavioral sequence that begins with passive in subordination (non response), moves to a mild protest, shifts to harassment and name calling, increases to property damage and even to physical aggression. Its interesting that he seems to “enjoy” the reactions he gets from peers that he aggresses toward, and from peers who look up to him for his aggressiveness. STEP 4: Routine Analysis Schedule (Times) Activity Likelihood of Problem Behavior Specific Problem Behavior 8:00 Waiting to enter building Low 1 2 High 5 6 See escalation described above 3 4 8:15 Advisory & Planning 1 2 3 4 5 6 Mostly teasing and touching property of others. Doesn’t escalate much further 9:15 Language Arts 1 2 3 4 5 6 Occasional name calling/teasing 10:15 Recess 1 2 3 4 5 6 See escalation described above 11:30 Math 1 2 3 4 5 6 Occasional teasing 12:00 Lunch 1 2 3 4 5 6 See escalation described above 12:35 Earth Science 1 2 3 4 5 6 Minor verbal harassment 1:15 Art or Phy Ed 1 2 3 4 5 6 See escalation described above 2:00 Reading 1 2 3 4 5 6 Rarely a problem 2:50 Waiting for bus 1 2 3 4 5 6 See escalation described above Fundamental Rule “You should not propose to reduce a problem behavior without also identifying alternative, desired behaviors person should perform instead of problem behavior” (O’Neill et al., 1997, p. 71). Summary Statement Setting Events Triggering Antecedents Desired Alternative Typical Consequence Problem Behavior Maintaining Consequences Acceptable Alternative Competing Behavior Pathway Setting Events Peer conflict Desired Alternative Comply with request Triggering Antecedents Problem Behavior Teacher/ peer request Escalated profanity physical aggression Acceptable Alternative Caesar Walk away Desired Maintaining Consequence Request completed Maintaining Consequence Avoid request Competing Behavior Pathway Setting Events None Desired Alternative Normal volume response Triggering Antecedents Problem Behavior Teacher Request Eyes/head down on arms Acceptable Alternative Lisa Whisper response Desired Maintaining Consequence Praise for task completion Maintaining Consequence Teacher directs request to another Summary Statement Desired Alternative Typical Consequence Do work w/o complaints. Points, grades, questions, more work. Setting Events Triggering Antecedents Problem Behavior Maintaining Consequences Lack of peer contact in 30 minutes. Do difficult math assignment. Noncompliance, profanity, physical aggression, Avoid task, remove from class. Why is function important? Because consequences compete!! Acceptable Alternative Ask for break, ask for help. Function Setting Event Manipulations Antecedent Manipulations Arrange for peer interaction before math class Introduce review type problem before difficult tasks Provide positive adult contact Remind of alternative behaviors Sit with preferred peer Do first problem together Behavior Manipulations Teach options to problem behavior: 1. Ask for break 2. Ask for help 3. Turn in assignment as is. Teach missing math skills Consequence Manipulations Immediately reinforce entering class. Provide reinforcer w/in 1 min. of starting task (3 min., 5 min., 10 minutes) Give break & help Sit with preferred peer when done COMPETING PATHWAYS On Mondays and/or when up all of the night before. Daily nongraded quiz on previous night’s homework BEHAVIOR SUPPORT PLANNING + Give time to review homework. + Give quiet time before starting. + Give easy “warmup” task before doing quiz. + Precorrect behavior options & consequences. Do quiz without complaints. Verbal protests, slump in chair, walks out of room. Discussion about answers & homework. Avoids doing quiz & homework discussion. Turn in with name & sit quietly w/o interrupting. Teach options to problem behavior: 1. Turn in blank 2. Turn in w/ name 3. Turn in w/ name & first item done. 4. Turn in w/ name & 50% of items done. + With first sign of problem behaviors, remove task, or request completion of task next period. + Remove task based on step in task analysis (STO). + Provide effective verbal praise & other reinforcers. COMPETING PATHWAYS BEHAVIOR SUPPORT PLANNING Neutralize/ eliminate setting events Add relevant & remove irrelevant triggers Teach alternative that is more efficient Add effective & & remove ineffective reinforcers Start Conduct FA. Develop behavior support plan. Yes High confidence in hypothesis? No Satisfactory improvement in behavior? No Conduct full FA. Yes Monitor & modify BSP regularly. Develop behavior support plan. FBA Team Process Steps 1. Collect information. 2. Develop testable hypothesis or summary statement. 3. Collect direct observation data to confirm summary statement. 4. Develop “competing pathways” summary statement. 5. Develop BIP. 6. Develop details & routines for full implementation of BSP. 7. Develop strategies for monitoring & evaluating implementation of BSP. Process Guidelines 1. Conducted by team • Behaviorally competent • Student-knowledgeable 2. Led by behavior specialist 3. Link behavioral strategies to summary statement 4. Ensure that implementers are fluent 5. Monitor continuously & evaluate early ٭ 6 FBA Misrules 1. Only one way to conduct FBA…. – FA process is basically same – Methods for collecting data may vary • Observe • Ask • Review records • Test NO 2. Must do everything every time….NO • Base FBA activity on what you know • FBA is systematic planning process 3. Everyone has to know how to do a full FBA…. NO • Small number of people must have high fluency • All people must know process & what to expect • Some individuals must work on sustainability 4. FBA is it….. NO • One component of comprehensive plan of behavior support academic, medical, vocational, mental health, etc. 5. FBA is only for students with disabilities… NO • Process for behavior of all individuals across multiple settings 6. “Power,” “authority,” “control,” etc. are functions…. NO 2 research validated functions Pos. & Neg. Reinf. Behavior Support Elements *Response class *Routine analysis *Hypothesis statement Problem Behavior *Alternative behaviors *Competing behavior analysis *Contextual fit *Strengths, preferences, & lifestyle outcomes *Evidence-based interventions Functional Assessment Intervention & Support Plan • Team-based *Implementation support *Data plan *Continuous improvement *Sustainability plan Fidelity of Implementation • Behavior competence Impact on Behavior & Lifestyle