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"My Journey to Improve My Son's Challenging Behavior with Positive Behavior Support: Part 5 - Developing a Positive Behavior Support Plan"

5/23/2016

4 Comments

 
Developing a Positive Behavior Support Plan

Developing a Positive Behavior Support Plan

In this process, we have taken the important steps needed for the development of a positive behavior support plan.  So far in the Positive Behavior Support blog series, we have:
  • Taken a deeper look into each of our relationships with Richie 
  • Identified members of our PBS team 
  • Agreed to observe and record Richie’s behavior across all settings (home, school and in the community) 
  • Reviewed and analyzed all data recorded by members of the team and set goals
The Positive Behavior Support plan serves as a roadmap that outlines all the steps each team member will take to keep undesirable behaviors from happening, teach new skills, and manage behaviors. Thinking about the four patterns of behavior our PBS team agreed with, it was time for us to gather all of our ideas and strategies identified for addressing, preventing, and managing Richie’s behaviors.  Using the information gathered by our team and guidance provided by our behavior consultant, it was important for us to make sure we were including the core elements of a positive behavior support plan:                                                           
  • Identified goals for successful experiences:  What are our expectations? What does a successful activity or routine look like?                                                                          
  • Identified behavior(s) and patterns of behavior: What behavior(s) did we feel was important to address? Did we notice behavioral patterns (i.e: happens every day at certain times or places)?                                                                                             
  • Hypothesis: Our best guesses for why Richie’s behaviors take place. This includes descriptions of the antecedents (what happened before/triggered the behavior), what might have reinforced the behavior, and the purpose of the behavior.                              
  • Description of Replacement/New Skills to be learned: sometimes challenging behavior happens when a child/person is limited or deficient in other important daily living skills. It’s important for Richie to learn new skills and continue to make progress in areas of self-advocacy and independent living.                                                                                 
  • Consequence Strategies – a description of what we’re going to do when these behaviors happen.                                                                                                                     
  • Management Strategies – What could we be doing to help support good behavior and our goals for successful experiences?
​Each of the four patterns of behavior is relevant to the broad-based goals we set (identified in part 4 of our blog series), and here’s what we came up with:   
Picture
 A planning sheet was used to address each of the following issues we needed to address:
  1. Access to Devices:   Whenever Richie had to part with his iPad or device, he would display challenging behaviors. In the evening when it was time for a shower, Richie would become so angry he would start pinching and hitting me on the way to the bathroom. We guessed that he behaved this way because either he didn’t think he would get the iPad back again, or he just preferred to play with it over any other activity expected of him.  Most recently, we discovered that having his CD player play his favorite song in the bathroom prior to mentioning the word “shower” has worked wonders.  He now smiles on the way to the bathroom!                                                                                                              
  2. Attention and Interaction: if Richie wants attention or to interact with us and we were unable to play with him at the moment, Richie would engage in the same challenging behaviors. There were many times Richie would expect my attention, but as a blogger I’m not always available even though I work from home. As a result, Richie would become agitated and start pinching me.  Playing a certain movie, or giving him a specific toy that is only available during times I’m unavailable for play was a great idea suggested by our behavior consultant. It was also important that I come up with a way to let Richie know when my attention would become available to him.  The use of a visual timer was one strategy that could be used to communicate the length of time he would have to wait for my attention.                                                                                                             
  3. Sensory and Tolerance: if Richie is exposed to sounds that irritate him, he will engage in challenging behaviors. We go to restaurants and other events in the community with Richie all the time.  There is always the possibility of an infant or toddler screaming or making high pitch sounds, or noisy crowds that will irritate Richie causing him to have an episode. Having headphones handy and teaching Richie to ask for them when he needs them is key. I always have his mp3 player and headphones in my purse for when outside noises become too overwhelming for Richie. I also found some sites that have an impressive list of “soundbanks” that will help Richie to develop a tolerance to certain noises that are sometimes unavoidable in public places. (Big Soundbank and FND Soundbank).                                                                                                                         
  4. Task Demands:  when Richie is asked to perform a new task or activity, he may become frustrated and engage in challenging behaviors. Getting Richie to conduct an activity or complete a new task is not always easy, especially if it’s not something he’s interested in. We needed to figure out how to get Richie to understand daily expectations.  Using visual pictures would be great for teaching schedules, chores, and having a visual list of preferred activities for him to choose from would be great too. Richie needed to understand the purpose of the activity and what would happen after he completed the task.  
We now have a positive behavior support plan developed.  The next step is:
 
“Putting the Plan in Place.”
 

Sincerely, Christine SensoryFriends

4 Comments
Linh link
5/24/2016 12:57:21 pm

What great information! I have a 3 yr old and could definitely use all of these to practice with her.

Reply
Christine Goulbourne link
5/24/2016 05:12:07 pm

Thank you for visiting. The positive behavior support process is about using positive reinforcement for improving behavior - because it's not just about discipline, it's about replacing unwanted behavior with good actions, teaching new skills, and getting our kids to understand what's expected of them. And there is no age too early or too late to begin using this process! I'm glad you found it helpful. It has been life changing for us.

Reply
Jenn link
5/24/2016 01:59:37 pm

Loving this post. I'm an autism mom too. How old is your little guy? My son is 3. We started him in school this year and he has totally blossomed, although we need to get his behavior really under control. Hoping ABA will help. Great post. I'll be bookmarking this.

Reply
Christine Goulbourne link
5/24/2016 05:19:59 pm

Thank you so much for stopping by! My son Richie is 14 and severely developmentally delayed on the Autism spectrum. The Positive Behavior Support process combines ABA practices and principles with a person-centered and team based approach. If medical interventions are used, then that information is also reviewed and factored into the development of the plan. I learned so much about my son and myself as a parent by going through this process. All of the posts in this series provides the same forms, sources, and other resources I used so anyone can go through the same process I did. I hope you continue to see progress in your son and I wish you and yours well.

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    Author: Christine Goulbourne
    christine@sensoryfriends.com 

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