Managing Acting Out Behavior: Respectful and Responsible Ways of Responding to Challenging Behavior St. Louis, MO June 21st, 2016 Kathleen Lynne Lane, Ph.D., BCBA-D Agenda • Respectful & Responsible Ways of Responding to Challenging Behavior • Maintaining an Instructional Approach • Clarifying Consequences • Practical, Effective, Research-based Strategies for Responding • Tier 3: Developing a De-escalation Plan for Individual Students Comprehensive, Integrated, Three-Tiered Model of Prevention (Lane, Kalberg, & Menzies, 2009) Goal: Reduce Harm Specialized individual systems for students with high-risk Tertiary ≈5% Prevention (Tier 3) ≈15% Goal: Reverse Harm Specialized group systems for students at-risk Secondary Prevention (Tier 2) Goal: Prevent Harm School/classroom-wide systems for all students, staff, & settings PBIS Framework ≈80% Validated Curricula Primary Prevention (Tier 1) Academic Behavioral Social Comprehensive, Integrated, Three-Tiered Model of Prevention (Lane, Kalberg, & Menzies, 2009) ≈5% Tertiary Prevention (Tier 3) ≈15% Secondary Prevention (Tier 2) ≈80% Primary Prevention (Tier 1) Academic Behavioral Social What do I need to know? Sunflower Elementary What do I need to know? West Middle Reactive Plan Consequences … Examining Academic and Behavioral Data Elementary Level Low-Intensity Strategies Opportunities to Respond Behavior Specific Praise Active Supervision Instructional Feedback Self-monitoring High p Requests Precorrection Incorporating Choice Behavior Contracts Antecedents -Behavior - Consequences A B C Precorrection: Identifies predictable contexts that often result in problem behavior and provides students with supports, prompts, and reinforcement for engaging in appropriate behavior The Acting-Out Cycle 5. Peak 4. Acceleration Intensity 3. Agitation 2. Trigger 1. Calm Whether the problem behavior is 6. De-escalation managed safely or not or is defused in a large measure depends on 7. Recovery YOUR INITIAL RESPONSE -Dr. Geoff Colvin Time Colvin, 2004 Overview of the Acting Out Cycle--Vanderbilt IRIS Module Behavioral Chains Each ensuing behavior in a given behavior chain becomes more serious than the one preceding it. (Walker, Colvin, & Ramsey, 1995) Change the Behavioral Momentum (Nevin, 1970) Interrupt the behavioral chain at any time to prevent the occurrence of more serious types of behavior. Stages of the Acting Out Cycle Colvin (1992) • Calm • Triggers • Agitation • Acceleration • Peak • De-Escalation • Recovery TheThe Model: Seven Phases of The Escalation Acting-Out Cycle or Acting-out Cycle 5. Peak 4. Acceleration Intensity 3. Agitation 2. Trigger 1. Calm 6. De-escalation Whether the problem behavior is managed safely or not or is defused in a large measure depends on7. Recovery YOUR INITIAL RESPONSE -Dr. Geoff Colvin Time Colvin, 2004 Overview of the Acting Out Cycle--Vanderbilt IRIS Module Calm Overall behavior is cooperative, compliant, and desirable. Strategies: Intervention is focused on proactive strategies. on instruction and positive behavior • Academically Focus Engaged support. • Follows Rules &• Implement the schoolwide Ci3T plan Expectations • Vary instructional delivery • Provide behavior specific praise • Is Responsive to• Praise Implement low-intensity teacher managed strategies (e.g. precorrection, active supervision, • Initiates Interactions providing opportunities to respond) • Goal Directed • Carefully plan instruction and implement clear Behaviors routines and procedures • Attend to the physical environment for potential problem areas Colvin, G., & Scott, T. (2015). Managing the cycle of acting-out behavior in the classroom (2nd Edition). Thousand Oaks, CA: Corwin. Triggers Overall behaviors involve a series of unresolved problems. Strategies: • School-Based Triggers • Nonschool-Based Intervention is focused on prevention and • Conflicts Triggers redirection. • Changes in Routine • High-need Lifeis likely • Identify the situation where theHome behavior • Peer Provocations to occur. • Health Problems • Pressure • Use precorrection•toNutritional teach appropriate Needs response. Rehearse the expectations, prompt or remind • Ineffective Problem • Inadequate Sleep Solving students as needed, provide specific praise and • Substance Abuse • Facing Errors in reinforcement. Instruction Gangs • Work with all staff•and faculty to teach and • Facing Correction reinforce social skills. Procedures • Group social skills, anger management, • Denial of Something community services. Needed • Work with families for outside supports of Colvin, G., & Scott, T. (2015). Managing the cycle of acting-out nonschool-based triggers behavior in the classroom (2 Edition). Thousand Oaks, CA: Corwin. nd Low-Intensity Strategies Opportunities to Respond Behavior Specific Praise Active Supervision Instructional Feedback Self-monitoring High p Requests Precorrection Incorporating Choice Behavior Contracts Agitation Overall behavior is unfocused and off-task. • Increases in Behavior Strategies:• Decreases in Behavior Intervention is•focused • Darting Eyes Staring on intoreducing Space anxiety. • Show empathy • Nonconversational • Veiled Eyes • Provide reasonable options and choices Language • Nonconversational • Allow wait time for student to decide (usually • Busy Hands Language less than a minute) • Moving In and Out of • Contained Hands • During wait time, walk away from student, Groups • Withdrawal attend to other students, or engage in some • Off-task, Then On-task other task Behavior • Involve in successful engagement (behavior momentum) Colvin, G., & Scott, T. (2015). Managing the cycle of acting-out behavior in the classroom (2nd Edition). Thousand Oaks, CA: Corwin. Acceleration Overall behavior is teacher-engaging. • • • • • • • • • • • Questioning and Arguing Noncompliance and Defiance Off-Task Behavior Strategies: Provocation of Others Intervention is focused on safety. Compliance with Accompanying Inappropriate Behaviors • Remove all triggering factors Criterion Problems • Avoid escalating prompts Whining and Crying • Maintain calmness, respect and detachment Avoidance and Escape• Approach the student in a nonthreatening manner Threats, Intimidation • Utilize non-confrontational limit-setting Destruction of Property procedures Verbal Abuse Colvin, G., & Scott, T. (2015). Managing the cycle of acting-out behavior in the classroom (2nd Edition). Thousand Oaks, CA: Corwin. Peak Overall behavior is out of control. Strategies: • Serious Destruction of Focus on safety only! Property • Remain calm • Assault • Crisis management • Behavioral Emergency – Room Clear • Self-Abuse example • Severe Tantrums • Safe strategies- emergency safety • Hyperventilation intervention (ESI) if there is immediate danger (if ESI used, document & notify) • Running Away • Learn from it…(FBA, BIP, Mental Health Assessment, etc.) Colvin, G., & Scott, T. (2015). Managing the cycle of acting-out behavior in the classroom (2nd Edition). Thousand Oaks, CA: Corwin. De-Escalation Overall behavior displays confusion. • Confusion • Reconciliation Strategies: • Withdrawal Intervention is focused on monitoring for re• Denial escalation of behavior. • Blaming Others • Monitor for health/safety of all involved • Avoid blaming- provide opportunity for non• Responsiveness to Directions judgmental discussion • Responsive to Manipulative or Mechanical • Allow cool-down time and spaceTasks • Engage in independent work- provide • Avoidance of Discussion easy/concrete tasks • Avoidance of Debriefing Colvin, G., & Scott, T. (2015). Managing the cycle of acting-out behavior in the classroom (2nd Edition). Thousand Oaks, CA: Corwin. Recovery Overall behaviors shows eagerness for busy work and reluctance to interact or discuss. Strategies: • Eagerness for Independent Work or Intervention focuses on Activity returning to normal activities. • Subdued Behavior in Group Work • • • • Follow through with consequences-but do Subdued Behaviornot in disrupt Class Discussions flow of instruction. • Positively reinforce any displays of Defensive Behavior appropriate behavior Avoidance of Debriefing • Debrief/rehearse problem solving routine Colvin, G., & Scott, T. (2015). Managing the cycle of acting-out behavior in the classroom (2nd Edition). Thousand Oaks, CA: Corwin. Debriefing Session 1. 2. 3. 4. 5. 6. Facilitates transition back to task/activity… not further negative consequence. Goal is to increase appropriate behavior Focus on problem solving Pinpoint events that contributed to the incident Teach replacement behaviors Debriefing activities and forms Defusing Off-Task Behavior 1. Assess the situation: determine “can’t do” or “won’t do” (Is it an emergency situation? If so, follow crisis procedures. If not, follow off-task defusing steps). 2. Maintain the flow of instruction. 3. Recognize on-task students, making no response to off-task students. 4. Redirect (focus on task, brief language/gestures, prompt student of procedures for asking for help). 5. Praise compliance. Keys to Addressing Disruptive Behavior • Recognize and respond quickly to student agitation • Redirect • Clearly state the expected task • Communicate concern • Present options • Allow student space –do not hover • Assist student to begin work • Attend to other students and prepare for the worst • Acknowledge compliance or institute standard consequence in neutral manner Scott, 2014 Keys to Addressing Fighting and Aggressive Behavior • Recognize conditions under which fights are likely and attempt to avoid by using • • • • • Assigned seats Space, options, preferred activities Teacher proximity – stay between as long as there is no physicality Independent activities Relaxation activities • If altercation becomes verbal - intervene verbally • Provide specific and concrete directions • Redirect – get attention off of altercation • Separate as much as possible without placing hands on students • If altercation becomes physical - initiate crisis procedures • Call office or send runner • Provide clear, loud, and concrete directions to both students • Clear other students away to keep safe • Wait for assistance Four Key Strategies 1. Take an instructional approach to behavior school wide. 2. Intervene early in the acting out cycle. 3. Learn strategies to intervene at each stage in the acting out cycle. 4. Be respectful at all times. A Tier 3 Approach To Managing Acting Out Behavior: An Individualized De-escalation Plan Planning See Implementation folder for “Individualized De-escalation Support Plan” Sample Intervention Grid Support Individualized De-escalation Plan Description School-wide Data: Entry Criteria Data to Monitor Progress Exit Criteria Ongoing strategy involving identifying specific student characteristics for each phase of the De-escalation cycles and implementing appropriate and evidence-based adult responses to managing student acting out behavior. Behavior: SRSS-E7 score: High (9-21) SRSS-I5 score: High (4-15 – elementary only; under development for middle and high schools) or 6 or more office discipline referrals (ODR) Identify a target behavior for the individual student. Include: (a) label for the behavior, (b) definition, (c) examples, and (d) non examples Set behavioral goal based on baseline performance of the behavior. Direct observation of the target behavior with data points graphed for decision making. Social Validity: Teacher: IRP-15 Student: CIRP Treatment Integrity: Procedural & treatment integrity checklist SRSS-E7 score: Low (1-3) SRSS-I5 score: Low (1-2) Observation data demonstrate behavior is consistently within expected level (per goal; three consecutive data points) – then transition to maintenance plan and monitor behavior during transition. Sample: Individualized De-escalation Support Plan See Implementation folder for “Individualized De-escalation Support Plan SAMPLE” Exploring a New Tier 3 Support ci3t.org On Demand Resources • Information on Ci3T professional development: PowerPoints, literature, user feedback, professional learning resources and measures • Systematic screening: instructional videos, PowerPoint presentations and resources • Free access to tools and measures available for viewing and downloading Resources Please see additional resources in the notes page
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