Encouraging Preferred Behavior Jessica L. Fanning, PhD, CCC-SLP
Few tech reminders… ANY clinic tech difficulties Lalla & Lindsay! Recording sessions Overheads don’t move Kodak camcorders never remove card Use mini-USB cable to transfer to secure video server General check-out; all devices Plug-in devices for max charge Delete your video file asap (all content deleted on Fri) Careful with bins, devices, & plugs infoCDS Apps listed per iPad Software across all devices
Onto preferred behaviors… Today we will discuss prevention Starting this week, you need to raise your self-awareness for certain behaviors As you become aware of certain behaviors, please try incorporating a few new strategies… First, let’s think about your language & then think like a child…
Use meaningful language You’re a big part of determining whether your client follows your directions Use “meaningful language” for preventing power struggles Clear statements; no Empty Questions Frequent choices Specific praise
Prevention Strategies Let’s avoid “power struggles” Non-preferred behaviors ‘get’ the child something so start wondering how to make the non-preferred behavior ineffective for the child Non-preferred behaviors can be viewed as an ABC sequence so consider contexts, participants, & motivations Parents are big parts of the overall equation & TX approach…so observe current interaction styles/patterns Give client a “sense of control” (with agendas) Encourage preferred behaviors (with clear expectations) Give the client a reason for following adult agenda (with contract)
Prepare for the child (think like the client) Where are we going? Setting What are we doing? When will things happen? What & When How will things feel? Behavior expectations What about my parent? Family involvement Across ages
Prepare for the child (think like the client) Where are we going? Setting Setup a fun looking environment (use vertical surfaces) Pediatric furniture (2’x2’ plastic; 2’x4’; chairs; back support) Floor feedback + 90 + 90 = good attention potential Stations = movement = less boredom = more compliance Limit access to materials; keep materials organized Ability-appropriate activities Across ages
Prepare for the child (think like the client) What are we doing? When will things happen? What & When Toddler: You monitor Preschool & School-age: Visual agenda If client can attend create with them so just bring all supplies into the room with you Gives them a “sense of control” over the timeline Gives them an idea of expectations & flow Gives you a 3rd-party item to point to… If client does not attend typically prepare agenda in advance for reference Across ages
Prepare for the child (think like the client) How will things feel? Behavior expectations Words: be clear on what is preferred & non-preferred Voice: use pleasant, non-emotional voice regardless of button pushed “Success Chart” (Fanning, 2007): Encourage preferred behaviors Catch them frequently Behavioral & Attention self-regulation chart picture notes, good job marks, choices, problem solving, contract, treasure The contract gives them a reason to follow adult agenda The S.C. encourages frequent specific praise internal, intrinsic Across ages
Prepare for the child (think like the client) What about my parent? Family involvement Observation room? Give “tour & try” separate after child can say, “bye!” Plan how & when to include caregivers, parents, siblings Coaching? Transfer? Real-life in home w siblings? Sibling advocates? Across ages
This week…pick 1 language & 1 child Pediatric furniture Stations? Movement opportunities? Control materials (in sight—out of reach) _________________________________________________________________________________ Language 1: Empty Questions Fix with immediate choice Language 2: Frequent Choices Fill with choices so they don’t have to fight for control Language 3: Frequent Specific Praise Develop your “How To manual” ______________________________________________________________________________________ Encourage Preferred Behaviors SAJA folder MakeniWSAJA Fall18Session 2 Success Chart (3:40-13:50) Visual agenda (vertical) Success Chart (horizontal)