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Positive Parenting in 20 Minutes John C. Duby, MD, FAAP, CPE
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Objectives
• Establish systems within practice to support mental health including positive parenting
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The A B C’s of Behavior • Antecedents • Behavior
– Description – Function
• Attention Seeking • Escape-Avoidant
• Consequences – Intentional – Unintentional
• Onset and Course • Frequency and Duration
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Framework for Discussing Problem Behavior: Exemplification Probe
Antecedent or Trigger
What happened before the problem behavior?
Problem Behavior or Target for Change
What is the problem?
Describe as specifically as possible
Summarize incident and check for understanding
Check for generality. Is this typically what
happens?
Consequences
What happens as a result of the problem
behavior? How does the incident come to an end?
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Causes of Behavior Problems
• Genetic Make Up: Temperament – Sociability – Reactivity – Activity level
• Family Environment – Accidental rewards for misbehavior – Escalation traps – Watching others – How instructions are given – Emotional messages
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Causes of Behavior Problems
• Family Environment – Ineffective use of punishment – Parents’ beliefs and expectations – Parents’ relationship – Parents’ emotions – Stress
• Influences Outside the Home – Peers and friends – School – Media and Technology
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Keeping Track
• Tally Sheet • Time Sample • Behavior Diary • Duration Record
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Specific Praise
• Be very clear and specific.
• Describe the behavior that you like.
• Be sincere, but also be enthusiastic.
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Specific Praise
• Better than general approval in order to get more of a particular behavior.
• Teaches child to receive and be motivated by compliments.
• Focus only on the behavior you like.
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Giving Clear, Calm
Instructions
Give a clear, calm, specific instruction. Tell your child what to do, not what not to
do! Never ask a question that has an answer
you do not want to hear.
Wait 5 seconds
Child does not do as asked
Repeat Instruction Change tone of
Voice Use NEED… NOW
Wait 5 seconds
Child does not do as asked
Logical consequence or Time Out
Child does what is asked
Give Specific Praise
Child does what is asked
Give specific praise
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• Introduction • Asking for Help • Whining • Lying • Swearing
• 43 Topics so far
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Triple P Online
What is the Triple P Online Parenting course?
• 8 module interactive internet program with video clips, interactive exercises and suggested homework tasks.
• Parents who completed Triple P developed much greater confidence in managing behavior and had far fewer incidences of stress, conflict and behavioral problems in their children.
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Take Home Messages
• Remember the ABC’s of Behavior • Use the Exemplification Probe • Consider the Causes of Behavior Problems • Use Specific Praise • Give Clear, Calm Instructions • Try out the Handouts • Explore Online Resources