Teaching Students with Oppositional Defiant Disorder (ODD) Building a fundamental knowledge base Bender vs. Principal Vernon Show video link

An Overview of ODD Definition of ODD Comorbidity (handout) DSM-IV (1994) Characteristics Prevalence about 6-10% Comorbidity (handout) 25-50% meet DSM diagnosis ADHD 50-65% Assessments (handout) Non-clinical (ODD & ADHD) Vanderbilt Assessment Scale

Ramifications of ODD Risk factors Treatments: Nurture – Changing Practice (Joe) Nature – Adopted children of anti-social fathers more likely than non-AS fathers Twins studies support genetic components Treatments: Early interventions Medication? Family centered CBT Dialectical behavior therapy (DBT) Implications for the child's future? Conduct Disorder 30% (separate disorder) Academic Difficulties

Strategies for Teaching Students with O.D.D. Observing Models and Cases: Nancy Strategies for Teaching Students with O.D.D.

Setting up for success: Cassandra “Arrange the child's environment so the right response is the easiest response.” Macro Environment Room Schedule Desk Placement Your Attitude Clear and finite expectations Micro Environment Comfort of desk Childs Daily Schedule Organizational System Hall & Hall, 2003

Removal from the classroom: Billy “The child is removed only to protect people, property and to ensure a viable teaching and learning environment.” Voluntary leaving the classroom Child involved Develop a relationship Develop a plan Your Attitude Clear and finite expectations When the plan fails Use physical restraint as a last resort Re-direct behavior Do not threaten or get angry Hall & Hall, 2003

Oppositional Defiant Disorder Reflection on Your Practice Jenn

The Perspectives of Donald & Mrs. Burke Working Toward A Reward Disruptive During Normal Tasks Unaware of Impact Not Seeking Attention Fails to Exhibit Appropriate Behavior Fails to Gain Reward How would this student feel? Offers Large Enticing Reward Asks Simple Requests for Participation Frustrated with Disruptions Ignores “Attention Seeking” Behavior What would you do? Share the abbreviated scenario of Donald and Mrs. Burke. Review with this slide. Ask for feedback.

Survey: What Are Your Experiences? Environment Removal/Time Out Ignoring/Acknowledging Reward Systems Fears/Frustration Successes Proactive Approaches Skill Building Opportunities Hand out survey that has 10 or less questions. Multiple choice 1-9. Last question can be: What technique do you want to learn about the most?

Oppositional Defiant Disorder Changing Practice

You Know This Student Disrupted Home life Co-morbidity with ADHD Medicated Non Compliant Distracted or Disinterested Verbally or physically abusive. Lacks inhibition control

Turn the behavior upside down What is the behavior achieving for the student? Autonomy. Attention. Definition of self. Intentional?

That Won't Work! Punish the Behavior withstanding punishment linked to self image Ignore the Behavior no awareness of impact Reward systems impulse behaviors are unresponsive

Teaching Students with Oppositional Defiant Disorder Gaining and Sharing Expertise John

Classroom and School Strategies Removing a Student from the Classroom When should a student be removed? Creating a plan with the student Importance of building a strong relationship with the student Students must feel physically and emotionally safe Students must feel valued and accepted

Classroom and School Strategies Strategies for Building a Positive School Culture: Ensuring Success Independent Decision Making Teaching for Behavior Change No Punishment Gentle Interventions Logical Consequences Developing a Mission Statement Importance of Hiring Summary of Strategies from Survey What’s working?