Addressing Challenging Behaviour in Preschool

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Addressing Challenging

Behavior in Early Childhood:


Strategies for Teachers and
Trainers
Maureen A. Conroy, Ph.D.
University of Florida
Center for Evidence-based Practice: Young
Children with Challenging Behaviors
DEC Recommended Practices Training Series
Erlanger, KY
September 24, 2004

Purpose of Presentation
Provide an overview of challenging
behaviors
Present techniques for identifying the
reasons for challenging behaviors
Describe proactive interventions for
changing challenging behaviors

Challenging Behaviors
Behaviors that
Cause injury to self, or others
Cause damage to the physical
environment
Interfere with learning new skills
Socially isolate a child

Challenging Behaviors
Behaviors that.
are inappropriate for the childs
developmental level and/or cultural
background

Challenging Behaviors
Behaviors that.
are a challenge for educators and family
members to be manage

Challenging Behaviors
What do challenging behaviors look
like?

Challenging Behaviors
How do these behaviors make us feel?

Changing Our View


Understand why challenging behaviors
happen and what purpose they serve
Focus on developing a broader range of
skills and outcomes for children
Implement interventions for these behaviors
at an early age that help children learn new
behaviors
Develop preventative interventions that are
practical and ongoing

Changing Our View


Take the problem away from the child and
ask:
Why is this behavior occurring?

What changes can I make to prevent the


problem from occurring and teach the child
new skills?

Understanding
Challenging Behaviors
Form vs. Function
Form
What does the behavior look like?

Function
What is the purpose of the behavior from the
childs perspective?

Forms of Challenging
Behavior
Aggression

Tantrum

Noncompliance

Hitting
Scratching
Kicking
Biting
Throwing things
Pinching
Threatening

Screaming
Crying
Whining
Cussing

Refuses to respond
to a request
Passive when a
request is made

Forms of Challenging
Behavior
Social Withdrawal

Self injury/
Repetitive
Behaviors
Primarily plays
Scratching self
alone
Biting self
Doesnt respond to Hitting self
peers attempts to
Rocking back &
play
forth
Spinning objects

Others?

Functions of Challenging
Behaviors
Why do children do these behaviors?
What is the purpose or outcome for
the child?

Functions of Challenging
Behaviors
3 Functions
1. Obtain something

Attention of adult or peer


Activity, toy, food, materials

2. Escape something

Attention of an adult or peer


Activity, toy, food, materials

3. Self stimulation

What is the function?


Sevon, a 3 year old hits the teacher and says
no when given a puzzle to complete. The
teacher removes Sevon from the table and
places him in a chair away from the group.
Franz, a preschooler with mental retardation,
cries when the teacher is passing out
popcorn and accidentally skips him. The
teacher quickly gives him some popcorn.

What is the function?


Kevin, a 4 year old throws a temper
tantrum when he see the M & Ms at
the checkout counter at the grocery
store and is told by her caregiver no
candy today. He continues to tantrum
and the caregiver says Oh, alright and
buys Kevin the candy

What is the function?


Christina, who has autism, rocks back and
forth when there is free play in the
classroom. The class ignores her.
Mary, a 4 year old, smarts off to her teacher
and the entire class laughs.
Kirby, who is 3 years old, runs to the play
area when his teacher tells him it is time to sit
at the table. The teacher says no and
brings Kirby back to the table.

What is the function?


Jose cusses loudly when the teacher asks
him to stop playing, the entire class looks at
him and the teacher sends him to time-out.
Rudy, who is 4 years old, refuses to sit down
at the beginning of story time. The teachers
assistant picks Rudy up and puts him in her
lap.

How do these situations


apply to the behaviors you
see in your early childhood
settings?

The Functional Assessment


Process
Choose from a variety of assessment
tools
Interview the teacher, caregiver, and/or
child
Complete a rating scale
Directly observe the challenging behaviors
when they occur and appropriate
behaviors when they occur

Identifying Functions of
Behavior
Look at the situation in which the
behavior occurs
Identify and describe the challenging
behavior
Identify what events, people, activities,
are usually associated with the behavior

Identifying Functions of
Behavior
Identify the outcome of the behavior
Ask yourself What is this child getting by
engaging in this behavior?
Obtaining peer or adult attention?
Obtaining an activity, materials, food, toy?
Escaping a task or activity?
Escaping peer or adult attention?
Self stimulation?

Functional Assessment
Interview
An interview that describes the problem
behavior and identifies environmental
factors that reliably result in the
challenging behavior

Function Assessment
Interview
Ask the following questions:
What exactly does the behavior look like?
What do you think is the possible reason that the
child is engaging in the behavior?
What events/situations predict the behavior?
What does the child like and not like?
How does the child communicate what she or he
likes or dislikes?
Does the child have skill deficits?
What other things may be related to the behavior?
Does the child have a illness?
Is the family in transition?

Motivation Assessment Scale


A rating scale designed to assess the
potential functions of challenging behaviors

Attention
Escape
Tangible
Sensory

16 items (4 for each function)


Likert scale from 0 - 6

Motivation Assessment
Scale
1. Would the behavior occur if the person was
left alone?
2. Does the behavior occur following a request
to perform a difficult task?
3. Does the behavior occur in response to
your talking to another person
4. Does the behavior occur to get a toy, food,
or activity?

Direct Observation
Snap-shot method
Direct observation tool developed to obtain
a picture of the events that occur prior to
and following challenging behavior

Behavior Snap-shots
Name:

Date:

Classroom Context/Activity
Social Context
Childs Response
Social Reaction
Possible Function?

Lets Practice: Alex


The children are sitting at small tables
working on puzzles, beads, and
coloring. Ms. Chrissy, the teacher,
notices that every day during this time,
Alex is noncompliant, whines, and
throws his play materials. When Alex
does this, Ms. Chrissy removes him
from the activity.

Alexs MAS Results

Escape ranked 1 (mean = 4)


Tangible ranked 2 (mean = 2)
Attention ranked 3 (mean = .75)
Sensory ranked 0 (mean = 0)

Alexs Snap-shot
Name: Alex

Date: 9/2/04

Classroom Context/Activity: Small group, manipulative


activity
Social Context: Teacher and peers close by engaging in task
Childs Response: Alex throws play materials
Social Reaction: Teacher removes Alex from table
Possible Function?

According to the MAS, she determines


that the purpose of Alexs behavior is
escape. Ms. Chrissy also notices when
observing Alex that he has difficulty
completing fine motor tasks by himself.
What might be possible interventions?

Ms. Chrissy decides to teach Alex to request


assistance when she notices that he begins
to get frustrated with the task. She uses the
following strategies:
Practicing requesting assistance in a one-to-one
situation with Ms. Chrissy prompting Alex and
praising his attempts
Placing Alex in a small group with other children
who will model requesting assistance.

Lets Practice: Heather


Heather is a five year old with mental
retardation & autism. The teacher notices
that during recess, Heather is socially
withdrawn and spends most of her time
spinning the wheels on a toy truck or
rocking back and forth. Heathers teacher is
concerned that she doesnt like to play with
the other children.

Heathers MAS
Sensory ranked 1 (mean = 5.24)
Escape, Attention, Tangible ranked 0

Heathers Snap-shot
Name: Heather

Date: 5/30/04

Classroom Context/Activity: Outside playground


Social Context: Peers are playing on the playground
Childs Response: Heather plays by herself
Social Reaction: Peers ignore her
Possible Function?

According to the MAS, the function of Heathers


behavior is sensory. The teacher also noticed from
the direct observation, that the children ask Heather
to play, but she is unable to respond. The teacher
believes that Heather does not know how to interact.
What would be a good replacement behavior for
Heather?

The teacher decides to teach Heather to play


with another child using the toy cars. She
uses the following strategy:
Chooses a peer to a model and buddy for
Heather
Teaches the peer to initiate to Heather by holding
her had and taking her over to the toy cars
Prompts and praises Heather for playing with her
friend

Using Assessment
Information
Develop hypotheses about the function of
the behavior
Develop hypotheses about factors that may
predict the behavior
Identify new behaviors to teach that match
the functions of the behaviors and
strategies for teaching these behaviors

Developing Proactive &


Preventative
Interventions

Proactive Interventions
You have
1. Defined the behavior
2. Identified factors related to the behavior

When and where the behavior occurs


Persons the behavior occurs with
Activities and times related to the behavior

3. Identified the functions/outcomes for the


behavior

Proactive Interventions
To develop an intervention ask yourself
1. What can I do to change the behavior?
2. How can I modify or change the factors
that contribute to the behavior?
3. What can I teach the child to use as a
replacement behavior that addresses the
same purpose or outcome?

Proactive Interventions
4. How will I teach the replacement behavior
to the child?
5. How can I make sure that I am NOT
reinforcing the outcome of the challenging
behavior?
6. How can I reinforce the replacement
behavior so that it matches the function of
the challenging behavior?

Environmental
Arrangement

Purpose of Environmental
Arrangement
Maximize the childs engagement
with the environment
Decrease challenging behavior
Encourage greater staff efficiency
Easy to implement
Developmentally Appropriate
Practices

Environmental
Arrangement
Arrange physical space to minimize
challenging behaviors
Organize the classroom schedule &
transitions
Implement classroom rules
Examine staffing patterns and
arrangement

Physical Arrangement
Space
Quiet Vs. Active
Centers
Building Independence in Classroom
Density of Areas
Physical Boundaries
Seating Arrangements
Materials

Physical Arrangement
Activity
Book Activity (clip #7)
Why are the children engaged during this
activity?

Physical Arrangement
Activity
Outdoor Play (clip #2)
What would make this activity run more
smoothly

Physical Arrangement
Activity
Snack (clip #5)
What went wrong here? What would you
do differently?

Physical Arrangement
Activity
Draw a map of your classroom
Target classroom areas where problem behaviors
occur

Reorganize your classroom to minimize


problem behaviors
Incorporate the following into your plan

Room dividers where children are observable


Accessible space for personal items (teacher & child)
Large group, small group, and individual work areas
Structured seating arrangements

Organizational

Schedule
Transitions
Staffing Patterns
Classrooms Rules

Schedule

Arrival Times
Consistent Times
Sequencing and Length of Activities
Planned Clean-up/Transitioning Routine
Productive Learning Times Early
Explaining Changes

What is a schedule?
A group of symbols (e.g. objects,
pictures, written words) that informs the
child of the activities that will occur
during a designated period of time

What is the purpose of the


schedule?
To give the child information about the day
To teach the child to be independent
To facilitate interaction with peers, teachers,
and family members about what the student
has been doing or is going to do

For whom is a schedule


useful?
Children who have difficulties with
transitions
Children who need predictability and
structure
Children who need visual cues

Developing Schedules
What would you change in this schedule?

Inside Free Play


Outside Free Play
Circle Time
Centers
Lunch
Sleep
Free Play
Home

Developing Schedules
What would you change in the schedule?
Conduct a structured activity first thing in the
morning
Plan transition activities
Incorporate another structured activity in the
afternoon
Alternate active and more passive activities

Schedule Group Activity


Create a classroom schedule for your
classroom
Include the following:

Teacher-initiated activities
Child-initiated activities
Quiet, individual time
Large and small group activities
Transitions
Outdoor play
Meals (as appropriate)

Note:
Remember to use written or pictorial cues to
communicate the schedule to the children

Schedule Group Activity


How would you adapt your schedule for
the following children?
Jane (3 years old) who does not verbally
communicate?
Dick (2 years old) with almost ageappropriate expressive and receptive
communication skills, but is unable to
follow directions?

Transitions

Routine
Clearly Outlined
Cues/Prompts
Practice Wait Time

Staffing Patterns
Zone/Man-to-Man
Ratio
Assistants

Classroom Rules/Routines

Few
Concise
Positive
Posted
Provide Consequences (+ & -)
Apply Consistently
Review Frequently

Routine Activity
Arrival (video clip #1)
Morning routine to prevent problem
behavior during arrival
Why are the children engaged and compliant?

Routines Group Activity


Choose from the following and develop
specific procedures to teach children the
following routines:

Putting coats and belongings away


Getting quiet
Cleaning up
Lining up
Getting ready for rest time
Using the bathroom
Getting ready to go home for the day
Sitting at the circle or morning meeting time

Curriculum Adaptations
Ensuring an individually appropriate curriculum

Does the child have the skills to successfully


complete the activity or task? Can the child
follow directions?
Provide material on a skill level that is
appropriate for the child
Reduce or change initial expectations, gradually
increasing expectations
Implement more frequent activity breaks
Provide positive and appropriate reinforcement
for appropriate behavior

Curriculum Adaptations
Provide distraction free areas for children who
need quiet time
Vary teaching methods and activities
Provide adult support when needed
Develop materials so that the child can be
independent
Get additional information or training if you are
unsure about how to address the challenging
behavior

Teacher Responsibilities
Develop materials so that child can be
independent
Present information via visual, auditory,
kinesthetic, tactile modalities
Provide additional adult support when
needed

Teacher Responsibilities
Vary levels of difficulty in instructional
activities
Use cooperative learning techniques
Consult with other teachers and parents
Get information/training if unsure how to
address the problem

Teaching Replacement
Behaviors
When the function is appropriate
But the form is not appropriate
What can I teach as a replacement
behavior for the challenging behavior
that addresses the same outcome?

Teaching Replacement
Behaviors
Choosing a replacement behavior
Find a behavior that serves the same
purpose or function as the challenging
behavior
Teach a behavior that helps the child
achieve the purpose easier, quicker, and
better than the challenging behavior

Teaching Replacement
Behaviors
Teaching functional communication
skills
Replace the need to obtain or escape from
attention, activities/tasks, or predictability
Teach appropriate skills for saying no or
requesting help

Communicative
Replacement Examples

Beth
wants to interact with peers
expressive language
disorder
doesnt know how to initiate
interactions
takes objects or interrupts
peers
learn & use social initiation
skills

Billy
whenever another child tells
teacher he/she is hurt or
needs help
Billy immediately
approaches teacher and
makes same request
learn & use appropriate
attention getting or
conversation behavior

Teaching Replacement
Behaviors
How will I teach the replacement
behavior to the child?
What are the goals and expectations of
the situation, activity, or task?
How much instruction is needed to teach
the child these skills or expectations?

Teaching Replacement
Behaviors
Be consistent in setting expectations and
stick to them!
Reinforce the replacement behavior
Who?
How often?

Teaching Replacement
Behaviors
How to make sure you are NOT reinforcing
the challenging behavior Ask ourselves...
What are we doing now that may be reinforcing
the challenging behavior?
How can we change our response to the
challenging behavior when it does happen?
How can we be consistent with our response?
How will we reinforce the replacement behavior
so that it addresses the function?

Teaching Replacement
Behaviors
Decide when you want the child to use the
replacement behavior, teach the child to
use the behavior, and reinforce that
behavior by providing the child with the
outcome
If you can, ignore the challenging behavior
or only minimally attend to the behavior

Alternative Instructional
Strategies

Preferred Items
High Probability Requests
Embedding Difficult Tasks
Providing Choices
Collaboration
Teaching Tolerance for Delay

Lets Practice
Betty and Veronica have observed that there
is a lot of fighting after lunch around the
sink area
What interventions could you try to address
this?
Entire Class
Single child who is engaging in most of the
pushing and shoving

Lets Practice
Archie and Jughead are concerned because
the children are rolling around on the floor
during circle time
What interventions could you try to address
this?
Entire class
Single child who is engaging in the behavior

Next Steps

Choose a child in your program


What are the target challenging behaviors?
Why do think those behaviors occur?
What is the function?
What environmental factors are associated with
the behavior?
What environmental factors can you change to
decrease the probability of the behavior?
What curriculum modifications are needed?
What replacement behaviors can you teach the
child?
What alternative instructional strategies would be
helpful?

Thank you!
Contact Information:
Maureen A. Conroy, Ph.D.
Box 117050
Department of Special Education
University of Florida
Gainesville, FL 32611
[email protected]

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