behavioral intervention Flashcards
what are some Challenging Behaviour of DD?
Exhibited by about half of people with DD Physical aggression Non-compliance Inappropriate verbal behaviour Self-injurious behaviour
Self-Injurious Behaviour
Any behaviour that causes physical injury to oneself
E.g. bruises, redness, cuts, concussion
May include head banging, hand biting, self-rubbing and scratching
Distinct from suicidal behaviour
When is Behavioural Intervention Necessary?
To teach new skills
When a behaviour is disruptive, causes physical harm, or reduces quality of life
When an individual has a desire to change
what is ABCs of behavior?
Antecedent- conditions that precede or prompt a behaviour
Behaviour- what the person does
Consequence- what happens after the behaviour to increase, decrease, or maintain the behaviour
what are Reinforcements?
consequences that increase a behaviour
what are Punishments?
consequences that decrease the likelihood that a behaviour will re-occur
Two Approaches to Behavioural Intervention
Intrusive Procedures
Positive Behavioural Supports
Intrusive Procedures
Focuses on punishment (changing consequences)
May include things like electric shock, time out, restraints, facial screening
Can harm the relationship between the person receiving and giving the punishment
Negative representation in public
Positive Behavioural Supports
Focus on less intrusive techniques to affect behaviour change without pain or loss of dignity
Focuses on prevention, and changing antecedents
May include environmental changes, increased positive reinforcement, skill building, and planned natural consequences
Types of Behavioural Interventions
Behaviour enhancement Increasing desirable behaviour Behaviour reduction Decreasing undesirable behaviour Educational strategies Teaching adaptive replacement skills Eco-behavioural strategies Preventing problem behaviour by changing the environment
Medication to Treat Problematic Behaviour
Should be used:
As a last resort after loess intrusive methods have been unsuccessful
As a temporary crisis measure
Only when monitored closely by a physician
In conjunction with a behavioural intervention program
Assessments of Behaviour
Biomedical assessment Environmental/Interactional assessment Functional assessment Experimental Descriptive
Biomedical assessment
Rule out any medical causes
Environmental/interactional asesssment
Consider activities in the environment and the individual’s preference
functional assessment
Figure out the purpose of the behaviour for the individual
what is experimental assement?
A series of sessions designed to demonstrate the influence of different consequences on the problem behaviour
what is descriptive assement?
Indirect and direct assessment of the function of problem behaviour
Treatment Plan
Informed by the behavioural assessment
Goal is to prevent or decrease problematic behaviour using the least intrusive procedures while teaching adaptive replacement skills
Must be documented, monitored, and approved by caregivers or the individual
what are some intervention strategies?
prevention, skill training, planned ignoring, blocking,extinction
prevention
Prevent behaviour by changing the antecedents in the environment
Skill Promotion
Teach new adaptive replacement behaviours that serve the same function
Planned ignoring
Not providing attention to an undesired behaviour
Blocking
Physically preventing the behaviour
extinction
A behaviour decreases because is no longer reinforced
