SLIDE 1
Best Practice & Behavior Supports for Learners with Down Syndrome
Gretchen Carroll, M.A. Jane and Richard Thomas Center for Down Syndrome Cincinnati Children’s Hospital Medical Center
SLIDE 2 Approaching the Hot Topic
- f Behavior
- Why It Matters
- Understanding Problematic Behavior
- Preventing Problematic Behavior
- Replacing Problematic Behavior
- Responding to Problematic Behavior
SLIDE 3 Potential Behavioral Challenges
transitions
- Poor compliance
- “Stubbornness”
- Inattention
- Impulsivity
- Physical Behaviors
- Noises, sensory
stimulations
Language
SLIDE 4 Why It Matters
- Behavior affects learning
- Behavior affects social
relationships
- Behavior affects independence
- Behavior affects placement
SLIDE 5 Understanding Problematic Behavior
- Every behavior is a form of communication
- What is the behavior saying?
I don’t understand/This is hard for me I want to do something else I want you to pay attention to me I am tired/physically uncomfortable I have a sensory need
SLIDE 6
The Importance of a Functional Behavior Assessment & IEP Goals
Components – Antecedents/triggers – Behavior itself – Events/consequences following the behavior – Hypothesis about function of behavior – Development of Formal Behavior Plan IEP Behavior Goals
SLIDE 7 Interventions to Prevent Problematic Behavior
- Awareness of setting events
- Use of reinforcers/rewards/tokens
- Offering choices
- High probability sequence request
- Collaboration
- Preferred item as distractor
SLIDE 8 Interventions to Prevent Problematic Behavior
- Picture schedules
- Positive, visual behavior plans
– Behavior charts based on portions of day – Behavior charts based on task completion
- Written/video social stories
- Regular sensory breaks
SLIDE 9
The Critical Role of Modification in Supporting Behavior
Consider modification of the academic task – Change the delivery of the information – Change the output required by the learner – Change the pace of delivery – Change the amount of content – Change the content itself
SLIDE 10
Replacing Problematic Behavior
Teaching replacement skills – Replacement behavior should serve same function as non-desired behavior – Visual, tactile, readily available – May require direct teaching and repetition – Reinforce replacement behavior strongly
SLIDE 11 Responding to Problematic Behavior
- Diversion and distraction
- Offer choice to return to appropriate behavior
- Short, specific consequence with focus on
desired activity
- Ignore attention seeking behavior (when
possible)
SLIDE 12
Reframing our view of behavior challenges of students with Down syndrome
SLIDE 13
Sources
https://library.down-syndrome.org/en- us/research-practice/12/2/strategies- address-challenging-behaviour-young-down- syndrome/