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FBA and BIP for FBA and BIP for Autistic Spectrum Autistic Spectrum Students Students A staff friendly approach to practice with challenging behaviors

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Page 1: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

FBA and BIP for Autistic FBA and BIP for Autistic Spectrum Students Spectrum Students

A staff friendly approach to practice with challenging

behaviors

Page 2: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Our SchoolOur School St. Elizabeth

School is a member of MANSEF; Maryland Association of Nonpublic Special Education Facilities

Our students range of 11-21 years of age

125 Students

Page 3: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Who We ServeWho We Serve

Our students are from: Baltimore City, Baltimore County, Anne Arundel County,

Carroll County, Harford County,

Howard County, and Prince Georges

County

Handicapping Codes include:

01-mental retardation 04-speech or language

impairment 06- emotional disturbance impairments 09-specific learning

disabilities 13- traumatic brain injury 14-Autism

Page 4: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Diagnostic ContinuumDiagnostic Continuum Pervasive

Developmental Disorders:

Autism Aspergers PDD NOS Co-morbid disorders: Anxiety D.O.;

Obsessive Compulsive D.O.; Bi-Polar D.O.: Sensory Integration D.O.

Page 5: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

3 Paramount PBIS Principals3 Paramount PBIS Principals

Accepting/Nurturing Host Environment

Tremendous Emphasis on Prevention

Change Occurs in Environment/Staff Approach First

Page 6: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

STRATEGIESSTRATEGIES

1. Program Modifications2. Program Modification/Behavior

Support3. Behavior Supports4 Clinical Approaches

Page 7: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

PROGRAM MODIFICATIONSPROGRAM MODIFICATIONS

Modify the student’s schedule up front to prevent meltdowns

Be flexible with schedule, and become more structured over time

Prepare student for any change in routine, i.e.. Assemblies, quarter changes

Page 8: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Address Behavior Indirectly in the classroom. e.g. “I can tell your upset, let’s walk.” Vs. “Do not threaten people.”

Incorporate Interest Areas into curriculum; allow them Down Time, to be in their own worlds

Page 9: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Program Modification and Program Modification and Behavior SupportBehavior Support

Utilize Pacing, walking when anxious-allow pacing in the classroom

Create Safety– students may have a special place to go to (within and/or outside of classroom) that helps them self soothe. Should be specific to each student, and may include beanbags, headphones, weighted blanket, computer, drawing, special books,etc.

Page 10: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Behavior Support StrategiesBehavior Support Strategies

Avoid Negative Consequences, assume they are Self Punishing, and avoid firm limit setting

Avoid Anxiety Provoking Situations e.g. fire drills, discussion of death (specific to student)

Page 11: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

OT Strategies-respond to sensory issues, e.g. removing smells that are noxious to students, headphones in noisy environments

Use Humor and Distraction, when agitated, rather than processing. Decrease anxiety rather than addressing content.

Page 12: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Clinical ApproachesClinical Approaches

Emphasize Social Skills Training—social stories, direct coaching with peers and adults

Incorporate Interest Areas into sessions

Page 13: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Group Work with project focus to work on interaction and awareness of others.

Review and Praise Social Skills

Page 14: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Emphasize Communication with parents

Overall, these students Need Constant Reassurance and Praise

Page 15: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

The Teachable Moment(s)The Teachable Moment(s)

No such Thing. Teaching is a process over time. They don’t learn from experience, but rather ARE their experience. Avoid thinking of them as manipulative. Think in terms of the function of their behavior.

Page 16: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Antecedent- Most often is loss, perception of loss or rejection

Behavior-Explosion/Temper Tantrum, Implosion (Withdrawal, Self-injuring behavior) Elopement (Taking off-out of room, out of building)

Consequence-Restoring the sense of well-being for the student

Page 17: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Case ExamplesCase Examples

Wills Mandy KennyBuster

Page 18: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

WillsWills

“Sooner or later Hollywood Middle will be gone. Never to be seen or heard from or teach in madness and never to nail a kid down to the floor with their hands again.”

Page 19: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

MandyMandy

Review of FBA and Strategies

Page 20: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

KennyKenny

Is it 3 things or not three things???

Page 21: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

BusterBuster

And The Therapeutic Parking Garage

Page 22: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Team Work is Team Work is EssentialEssential

Important for everyone who interacts w/ student to be on same page

Page 23: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Recommended ReadingsRecommended Readings

Attwood, T. (1998). Asperger’s syndrome: A guide for parents and professional. Philadelphia, PA: Jessica Kingsley Publishers.

Klin, A., Volkmar, F. R. & Sparrow, S.S. (Editors). (2000). Asperger Syndrome. New York, NY: The Guilford Press.

Page 24: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Greene, Ross W., Ph.D. (1998). The Explosive Child: A New Approach for Understanding and Parenting Easily Frustrated, “Chronically Inflexible” Children., New York, NY: Harper Collins Publishers.

Newport, Jerry & Mary. (2002). Autism-Asperger’s and Sexuality: Puberty and Beyond. Arlington, TX: Future Horizons, Inc.

Wilens, Timothy E., MD., (1999). Straight Talk about Psychiatric Medication for Kids., New York, NY: The Guilford Press.

Page 25: FBA and BIP for Autistic Spectrum Students A staff friendly approach to practice with challenging behaviors

Lori Revitz, MSW, [email protected]

410-889-5054 x1154

Nano K. Kolls, MSW, [email protected]

410-889-5054 x1143

Allyson Wynn, BS-ALE [email protected]

410-889-5054 x1249

Lisa Scherer, MA, MSW, [email protected]

410-889-5054 x1164