1. Encouraging Preferred Behavior
Jessica L. Fanning, PhD, CCC-SLP

2. 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

3. 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…

4. 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

5. 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)

6. 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

7. 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 = good attention potential
Stations = movement = less boredom = more compliance
Limit access to materials; keep materials organized
Ability-appropriate activities
Across ages

8. 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

9. 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

10. 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

11. 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
MakeniWSAJA Fall18Session 2 Success Chart (3:40-13:50)
Visual agenda (vertical)
Success Chart (horizontal)