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  • 7/29/2019 Beahvior Management Slide Previews

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    Created by

    Tatyana Elleseff MA CCC-SLP

    Smart Speech Therapy LLC

    For Individual Use OnlyDo not resell, copy, or share downloads.

    Do not remove copyright

    Behavior Management Strategies for

    Speech Language Pathologists

    Copyright Smart Speech Therapy LLC All Rights Reserved

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    Common Diagnoses with Behavior

    Challenges:

    Autistic Spectrum Disorders (including Asperger's)

    Nonverbal Learning Disability

    oMental Retardation: (Genetic, Neurological, Acquired)

    oDown Syndrome, Fragile X, CHARGE, Prader-Willi

    o Injuries at Birth, Infections, Iodine Deficiency

    oEncephalitis, Meningitis, Fetal Alcohol Spectrum Disorder

    Psychiatric Disorders (e.g. Mood Disorders; AnxietyDisorders, ODD, ADHD, etc)

    Traumatic Brain Injury (frontal lobe)

    Severe Communication Impairments

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    Common Diagnoses with Behavior

    Challenges:

    Autistic Spectrum Disorders (including Asperger's)

    Nonverbal Learning Disability

    oMental Retardation: (Genetic, Neurological, Acquired)

    oDown Syndrome, Fragile X, CHARGE, Prader-Willi

    o Injuries at Birth, Infections, Iodine Deficiency

    oEncephalitis, Meningitis, Fetal Alcohol Spectrum Disorder

    Psychiatric Disorders (e.g. Mood Disorders; AnxietyDisorders, ODD, ADHD, etc)

    Traumatic Brain Injury (frontal lobe)

    Severe Communication Impairments

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    Session Structure Modifications Use of written/picture rulesClarify expectationsUse positive languageKeep your hands neat vs. no touching Speak softly vs. no yelling

    Use of schedules Establish routine Identify order of activities Facilitate transitions

    Use of Timers Specify activity length

    Several Changes of Activities

    +/- 3 per session to reduce frustration

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    Importance of Determining Behavior

    Function

    Danny 7 years old

    Diagnosis: Impulse Control D/O NOS, LD D/O

    Problem Behavior: aggression towards others (hitting) during select

    therapy sessions Consequences: call for back up; staff use physical restraints,

    therapeutic hold BUT

    FBA revealed: Danny hits to gain attention from others;

    Physical restraints are a positive reinforcement, as long as they areimplemented she will continue to hit.

    Antecedents may trigger behavior but inappropriateconsequences will maintain the behavior.

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    Examples of FBA write-ups (cont)

    When Josh is in large groups (antecedent) hebecomes disruptive (behavior) to obtain attention(function).

    When Anna is called on during group sessions(antecedent) she starts to cry (behavior) to escapeattention (function).

    When Alex is given an instruction to follow(antecedent) he refuses task participation (behavior)to obtain control (function).

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    Appendix IV: Modifications

    Physical SpaceModifications

    Session StructureModifications

    Session MaterialModifications

    Child BehaviorModifications

    Eliminate visualdistractions

    Use ofwritten/picture rules

    with positivelanguage

    Reduce Complexitysee

    MaintainingFactors*

    Incorporate studentsinterests into activities

    Eliminate auditorydistractions

    Use of schedules andTimers

    Select materials atclients level

    Use of cues in therapy

    De-clutter TherapyRoom

    Several Changes ofActivities

    Use relevant visuals Offer 2 choices* ofactivities

    Sit child in closeProximity to

    Clinician

    Seat modifications Reduce irrelevantvisual distractions

    Errorless Learning/80/20 rule

    Use of sensorymanipulatives

    List of predeterminedstrategies

    Use of sensory breaks Use of preferredactivities*

    Catch being good

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