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Building the Capacity of Programs to Meet the Needs of Young Children with Challenging Behavior. Lise Fox, Ph.D. University of South Florida www.csefel.uiuc.edu www.challengingbehavior.org. Overall Purpose of the Center.

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Building the capacity of programs to meet the needs of young children with challenging behavior

Building the Capacity of Programs to Meet the Needs of Young Children with Challenging Behavior

Lise Fox, Ph.D.

University of South Florida

www.csefel.uiuc.edu

www.challengingbehavior.org


Overall purpose of the center
Overall Purpose of the Center Children with Challenging Behavior

  • To improve the lives and futures of young children and their families by:

    • (1) building a more unified and widespread awareness of positive, evidence-based practices,

    • (2) enhancing the capacity of families, educators, and other professionals to implement evidence-based practices, and

    • (3) adding to the data base of evidence-based practices that are incorporated in the comprehensive service delivery system.


Cebp resources
CEBP Resources Children with Challenging Behavior


Research syntheses
Research Syntheses Children with Challenging Behavior

  • Pathways to Service Utilization

  • Research Synthesis on Effective Intervention Procedures

  • Systems of Service Delivery

    • All available on www.challenginbehavior.org


Csefel resources
CSEFEL Resources Children with Challenging Behavior


Csefel what works briefs
CSEFEL - What Works Briefs Children with Challenging Behavior


Training modules
Training Modules Children with Challenging Behavior

  • Module 1- Promoting Children’s Success: Building Relationships and Creating Supportive Environments

  • Module 2 - Social-Emotional Teaching Strategies

  • Module 3a- Individualized Intensive

    Interventions: Determining the

    Meaning of Challenging Behavior

  • Module 3b - Individualized Intensive

    Interventions: Developing a Behavior

    Support Plan

  • Module 4 - Leadership Strategies

    for Supporting Children’s Social and Emotional Development and Addressing Challenging Behavior


Promoting children s social and emotional development and addressing challenging behavior
Promoting Children’s Social and Emotional Development and Addressing Challenging Behavior

1-10%

Children with

Persistent

Challenges

Focused

Interventions

5-15%

Children at-Risk

Intervention and

Support

All Children

Universal Interventions

Center for Evidence Based Practice: Young Children with Challenging Behavior www.challengingbehavior.org


Promoting social and emotional competence within early education and care environments

Promoting Social and Emotional Competence within Early Education and Care Environments

Intensive Individualized Interventions

Children with persistent challenges

Positive Behavior Support

Social and Emotional Teaching Strategies

Social Skills Curricula

Children At-Risk

High quality

early education

Creating Supportive Environments

All Children

Building Positive Relationships

with Children and Families

Center for Evidence Based Practice: Young Children with Challenging Behavior www.challengingbehavior.org


Universal level
Universal Level Education and Care Environments

  • High quality early childhood environments are related to positive outcomes in children’s social social emotional development and reductions in challenging behavior

  • Supportive, responsive relationships are a key component to promoting children’s social emotional development

  • Providing training and support to parents can impact both social development and problem behavior

Center for Evidence Based Practice: Young Children with Challenging Behavior www.challengingbehavior.org


Secondary level
Secondary Level Education and Care Environments

  • A systematic approach to teaching social skills and promoting children’s emotional development can have both preventive and remedial effects.

  • There are data to support the use of specific social skills curricula.

  • Effective approaches to teaching social skills involve multiple teaching strategies including direct teaching of the skill, opportunities for practice and feedback, and support for the skill in context.

  • Social skills programs that include a parent training and education component are most effective.

Center for Evidence Based Practice: Young Children with Challenging Behavior www.challengingbehavior.org


Tertiary level
Tertiary Level Education and Care Environments

  • Assessment based interventions developed through a process of Positive Behavior Supports have been shown to be effective

    • Across a variety of populations

    • Only evidence-based comprehensive approach for intervening with children with challenging behavior

  • Key Elements of Approach

    • Team based

    • Family involvement

    • Based on knowledge of the function of the child’s behavior

    • Strength based

    • Development and implementation of a behavior support plan across environments

Center for Evidence Based Practice: Young Children with Challenging Behavior www.challengingbehavior.org


The promise the challenge
The Promise, The Challenge Education and Care Environments

  • We have evidence- based practices

    • Earlier is better

    • Support for parents matters

    • High quality environments are key

    • A comprehensive approach is necessary for addressing the range of needs

  • Data are mostly confined to research demonstrations or model programs

    • Limited data on community based implementation

  • There are very few programs that have the resources (e.g., personnel, funding, policies) to implement the comprehensive approach that is needed

Center for Evidence Based Practice: Young Children with Challenging Behavior www.challengingbehavior.org


Bradford

Bradford Education and Care Environments

PBS Application in a Community Preschool


About bradford
About Bradford Education and Care Environments

  • 2 years, 7 months

  • Part C services of speech/language therapy

  • Diagnoses of Expressive/Receptive Language Delay, Behavioral Disorder

  • Lives with parents, one brother (age 3 1/2 years)

  • Strengths - social, likes music, good fine motor skills, strong family support system

  • Problem Behaviors - Aggression, Noncompliance, Property Destruction, Self-Injurious Behavior,Elopement

  • Significant risk of Preschool Expulsion


Process of Positive Behavior Support Education and Care Environments

Step 1: Identify Goals

Step 2: Gather Information/ Functional Assessment

Step 3: Develop Hypotheses

Step 4: Design Behavior Support Plan

Step 5: Implement intervention


Hypotheses Education and Care Environments

Bradford engaged in challenging behavior:

1. in an attempt to escape from activities that

were unpredictable or had unclear expectations

2. In an attempt to escape from activities that were nonpreferred (difficult, boring)

3. In an attempt to escape from activities associated with high levels of noise or people

4. In an attempt to gain peer or teacher attention


Prevention strategies
Prevention Strategies Education and Care Environments

  • Visual cues/photo schedule/stop signs

  • Social stories for routines

  • First/Then boards

  • Choice chart

  • Preferred items

  • Manipulatives

  • Modified materials

  • Remove distractions

  • Add quiet area in room

  • Add breaks

  • Peer buddy


Replacement skills
Replacement Skills Education and Care Environments

  • Teach how to verbally initiate/terminate interactions

  • Teach how to initiate appropriate physical affection

  • Teach how to appropriately ask for “break” or “help”

  • Teach how to respond to loud or overstimulating situations

  • Teach how to make and express choice


Teacher responses
Teacher Responses Education and Care Environments

  • Clear instructions

  • Redirect and ignore

  • Specific praise

  • Provide choice

  • Provide consistent verbal “All done”, countdowns

  • Promote active participation with modeling

  • Encourage verbal communication

  • Monitor and anticipate difficult play activities provide option to leave area


Challenging Behavior Education and Care Environments


Replacement Skills Education and Care Environments


Social Initiations Education and Care Environments


Promoting Social Emotional Competence Education and Care Environments

ProgramPhilosophy

Well defined

procedures

Teacher Training/Implementation

Individualized Interventions

Administrative Supports

Social Emotional Teaching Strategies

Creating Supportive Environments

Positive Relationships with Children, Families, and Colleagues


Critical elements of a program wide model in ec programs
Critical Elements of a Program Wide Model in EC Programs Education and Care Environments

  • Administrative buy-in and commitment

  • Buy-in from staff

  • Family involvement and buy-in

  • Developmentally appropriate and clearly articulated expectations for children’s social behavior

  • Intentional strategies for teaching social skills, supporting emotional competence, and acknowledging children’s behavior


Critical elements of a program wide model in ec programs1
Critical Elements of a Program Wide Model in EC Programs Education and Care Environments

  • Strategies for addressing problem behavior

  • Team based, individualized approach for addressing ongoing problem behavior

  • Ongoing professional development

  • Strategies for supporting teachers

  • Process for monitoring outcomes


Program wide models
Program Wide Models Education and Care Environments

  • Florida; Palma Ceia Presbyterian Preschool

  • Kansas; SEK-CAP Head Start

  • Illinois; Valeska-Hinton Early Childhood Education Center


Outcomes across programs
Outcomes Across Programs Education and Care Environments

  • Reduction of child problem behavior

  • Improved staff satisfaction

  • Decreased turnover

  • Increase in overall program quality

  • Clearly articulated and implemented policies and procedures

  • More intentional teaching and purposeful in supporting children’s emotional development

  • Elimination of “time-out”

  • Less reliance on “outside”experts

  • Stronger collaboration with mental health providers


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