Positive behavioral strategies and supports for individuals with tbi
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Positive Behavioral Strategies and Supports for Individuals with TBI. Presented by Mitzi Curtis Co-created with Laura Moore. 03/29/2012. Perceptions. People Do Well If They Can People do the best job they can with the skills they have

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Positive behavioral strategies and supports for individuals with tbi

Positive BehavioralStrategies and Supports for Individuals with TBI

Presented by Mitzi Curtis

Co-created with Laura Moore

03/29/2012


Perceptions

Perceptions

  • People Do Well If They Can

  • People do the best job they can with the skills they have

  • Explosive Behavior = Incompatibility of skills and environmental demands


What is behavior

What Is “Behavior”

Behavior is Communication

  • When behavior interferes with an individual’s ability to succeed in school, work, home and society - that is a communication issue.

  • We communicate to get our needs met in the most efficient way we can.


Communication is

Communication is

The act of exchanging information


Behavior as communication

Behavior as Communication

  • Combine slow processing speed, anxiety and stress impeding access to vocabulary, significant language disabilities…

  • Behavior becomes the most efficient way of getting needs met


Communicative intent

Communicative Intent

  • Responding to

  • the Words

  • Lecture

  • Judge

  • Argue

  • Responding to Communicative Intent

  • Teach

  • Help

  • Support

The message behind the words


Reframing

Reframing

Managing Your Stress by Controlling Your Thoughts

Upsetting Thoughts

become

Calming Thoughts


Reframing managing your stress controlling your thoughts

ReframingManaging Your StressControlling Your Thoughts

Upsetting Thought

Why does she always

have to argue!

Calming Thought

She is testing to see where the limits are.

My job is to stay calm and help her learn better ways to communicate.


Reframing managing your stress controlling your thoughts1

ReframingManaging Your StressControlling Your Thoughts

Upsetting Thought

He is so clingy with his mom. He doesn’t let anyone else get close to her.

Calming Thought

He has a difficult time warming up to people and feeling safe with them.

He feels safe with his mom.


Reframing managing your stress controlling your thoughts2

ReframingManaging Your StressControlling Your Thoughts

Upsetting Thought

I have to watch her like a hawk or she will run out of the play area.

Calming Thought

She may not understand my expectations.

She may need visuals to help her understand

Boundaries.


Reframing managing your stress controlling your thoughts3

ReframingManaging Your StressControlling Your Thoughts

Upsetting Thought

He constantly gets into other people’s stuff and destroys their things.

Calming Thought

He may want to play with others and doesn’t know how to ask.

He may need visuals to help him understand ownership and boundaries.


Reframing1

Reframing

  • Is not necessarily coming up with solutions to a problem.

  • Reframing is restating a problem to make it more manageable.


Now practical take home strategies

Now….Practical take Home Strategies

  • Basic Incredible 5 point scales

  • The Anxiety Curve Worksheet

  • Problem Solving Worksheets


Examples of rating scales for everybody

Examples of Rating Scales for Everybody

  • Voice Volume

  • Energy Level

    3. My Verbal Responses to Requests


Voice volume scale

Okay Not Okay

5

Voice Volume Scale

Loud

4

3

Talk/Conversation

Screaming

2

Soft /Whisper

No sound

1


My energy level

5

My Energy Level

A lot of Energy -Excited

4

3

Average Energy - Awake

Too Much Energy - Bonkers!

2

Calm Energy- Peaceful

1

No Energy - Drowsy

WHEN, WHERE, with WHOM would these energy levels

Be Okay and Not Okay?


Positive behavioral strategies and supports for individuals with tbi

My Verbal Responses to Requests

5 - hurtful

4 - negative

3 - neutral

2 - constructive

1 - positive

From Who’s Perspective?

How does tone of voice, volume and facial expression impact opinion?


Understanding my feelings

Understanding My Feelings

When the individual with TBI can be part of problem solving and self-awareness


Which leads us to the anxiety curve worksheet

Which Leads Us to:The Anxiety Curve Worksheet

Helping All of Us Know What to Do


Positive behavioral strategies and supports for individuals with tbi

The Anxiety Curve Worksheet

‘Being and teaching’ occurs at 1 and 2. Redirection at 3.

Protection, silence and nerves of steel at 4 and 5.

Be the individual’s advocate / ally 1 - 5

5

4

4

3

3

2

2

1

1


Last but not least problem solving worksheets

In Your Packet:

Last but not LeastProblem Solving Worksheets

  • What People Need to Know

  • (form to make a visual/written plan)

2. Problem Solving Worksheet


Questions

Questions?


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