simple strategies to change behavior - cigna...change behavior simple strategies to change behavior...
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Simple Strategies to Change Behavior
Simple Strategies to Simple Strategies to Change BehaviorChange Behavior
Janet VasquezJanet VasquezClinical Director, World Evolve, Clinical Director, World Evolve, IncInc
May 9, 2013May 9, 2013
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ABCs of Behavior• Antecedent: What happens before
the behavior• Behavior: What action the child does• Consequence: What happens after
the behavior
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ABCs of Behavior
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Simple Strategies• These simple strategies manipulate the
ABCs of behavior:– Antecedents manipulations– Communication Skills – Time out from positive reinforcement– Ignoring Junk behavior– Behavioral contracting– Token economy
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Antecedent Manipulations
• Come before the behavior.• Attempt to prevent problem behavior
before it happens and promote good behavior.
• Only effects behavior in the short-term, consequences (occurring after the behavior) will determine the long-term effects.
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Antecedent Manipulations
1. “Non-contingent” attention– Attention that is given throughout the
day, without the child having to do a good or bad behavior before the parent gives them attention.
2. Enriched Environment– Have many engaging activities for the
child to access.
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Antecedent Manipulations
3. Give Choices– Child can choose the chore they do and when
they do it ahead of time. – This can help eliminate arguments that lead
to problem behaviors.4. Build Behavioral momentum
– Ask your child to do several simple (high probability) tasks before asking them to engage in a less preferred task.
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Antecedent Manipulations
5. Use clear, age appropriate instructions.
6. Gradually fade in tasks– Require only partial completion and
slowly increase what is expected (like chaining)
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Antecedent Manipulations
7. Have a semi-predictable schedule– Setting a routine gives the child
consistency from day to day.8. Inform client of what is next
– Giving the child a buffer time before some event or task demand can avoid emotional outbursts.
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Antecedent Manipulations
9. Set expectations– Tell your child what types of behaviors
are expected from them.10. Prompt incompatible or
alternative behaviors.
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Communication Skills• Teaching the child to communicate
appropriately is a good way to reduce problem behaviors that function to get attention, to get a desired item or activity, or a break from task demands.
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Communication Skills• Some simple skills to teach:
– Asking for a break– Asking for attention appropriately– Expressing physical needs– Asking for help
• It is important that you reinforce these skills especially when they are first beginning to use them.
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Time Out from Positive Reinforcement
• Occurs after the problem behavior.• It is the withdrawal of the opportunity to
earn positive reinforcement for a specified time period.
• The effect is to reduce the future frequency of the problem behavior (has long-term effects)
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Time Out from Positive Reinforcement
• Must make a distinction between “Time Out” and “Time In”.
• “Time In” must be desirable and fun.– The more desirable “Time In” is, the more
effective “Time Out” procedures are.• “Time Out” cannot be fun and interesting,
or allow the child to escape task demands.
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Time Out from Positive Reinforcement
• During a “Time Out”, the child should not receive attention, including yelling at them, holding them in time out, eye contact, etc…
• Time out procedures can vary, sometimes it is on the couch in the same room as the parent, sometimes in a separate room, etc.
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Ignoring Junk Behavior• What is junk behavior?
– Problem behavior that is not putting the child or others in danger.
– Examples: whining, crying, yelling, rolling eyes, etc…
• Why does it happen?– To get attention or you to respond/react.– To get you to give in to them or go away.– To get you to comfort them.
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Ignoring Junk Behavior• What do you do when junk behavior
occurs?1. REMOVE ALL ATTENTION.
• This means no talking to them, yelling at them, making eye contact, gestures, or facial expressions that acknowledge their inappropriate behavior.
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Ignoring Junk Behavior– 2. Stay cool
• Don’t let the “junk” behavior get to you – 3. Don’t give in
• Giving in just teaches the child that bad behavior can get them what they want, and if they try hard enough and long enough they will get you to give in.
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Behavioral Contracting• It is a written agreement that identifies
the expectations of the child and the consequences for meeting or not meeting these expectations.
• Make the contract age appropriate:– Keep it simple for younger or lower functioning
children by making it colorful, using pictures or making a sticker chart.
• Make the contract all positive.
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Behavioral Contracting• What to include:
– State the appropriate behaviors you would like to see.
– When and how often you want these behaviors to occur.
– What will be earned (not taken away) when the expectation is met.
– Contract beginning and end dates, review times, and signatures if needed.
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Token Economy• Identify behaviors that are to be
reinforced. • Choose what you will use as a token. (Pick
something the child cannot reproduce)• Select items (reinforcers) that will be
purchased with the tokens and assign them a value.
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Token Economy• Tokens are to be given immediately
after behavior.• Set a time to allow child to turn in
tokens for reinforcers (could be daily or weekly… depends on child)
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Review• 1. Antecedent Manipulations:
– A. Come before the behavior happens– B. Can prevent problem behavior before
it happens and promote good behavior.– C Typically, have only short-term
effects on behavior.– D. All of the above.
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Review• 2. Name three Antecedent
Manipulations you can you to prevent problem behavior.– 1– 2– 3
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Review• 3. What are 3 simple communication
skills you can teach a child to help prevent problem behavior.– 1– 2– 3
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Review• 4. When implementing a time out:
– A You should give the child something to keep themselves busy, so they stay in time out.
– B Give minimal attention to the child.– C. Withdrawal of the opportunity to earn
positive reinforcement for a specified time period.
– D. Both B and C.
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Review• 5. What can make Time Out more
effective?– A. Putting them in their room for Time out.– B. Making “Time In” fun.– C. Holding the child in Time Out when
necessary.– D. Yelling at them every time they leave Time
Out.
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Review• 6. Name 3 things you need to do
when ignoring Junk behavior.– 1– 2– 3
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Review• 7. A Behavioral contract should
include:– A. Appropriate behavior you want to see.– B. When and how often you want to see
these appropriate behaviors.– C. What the child will earn if they
engage in these appropriate behaviors.– D. All of the above.
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Review• 8. When using a Token Economy:
– A. You can give the child the token anytime as long as the behavior occurred sometime that day.
– B. All reinforcers should be worth the same number of tokens.
– C. Chose an item that cannot be reproduced by the child as the token.
– D. Allow the child to turn in tokens whenever they have saved enough to purchase an item.