Positive Behavioral Strategies and Supports for Individuals with TBI
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Transcript of Positive Behavioral Strategies and Supports for Individuals with TBI
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Positive BehavioralStrategies and Supports for Individuals with TBI
Presented by Mitzi Curtis
Co-created with Laura Moore
03/29/2012
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Ross Greene, The Explosive Child
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
Perceptions
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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.
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Communication isThe act of exchanging
information
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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
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Communicative IntentThe message behind the words
Responding to Communicative Intent
•Teach•Help
•Support
Responding to the Words
•Lecture•Judge•Argue
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ReframingManaging Your Stress by Controlling Your
Thoughts
Upsetting Thoughts
become
Calming Thoughts
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ReframingManaging Your Stress
Controlling Your ThoughtsUpsetting Thought
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.
Why does she alwayshave to argue!
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ReframingManaging Your Stress
Controlling Your ThoughtsUpsetting Thought
Calming Thought
He has a difficult time warming up to people and feeling safe with them.He feels safe with his mom.
He is so clingy with his mom. He doesn’t let anyone else get close to her.
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ReframingManaging Your Stress
Controlling Your ThoughtsUpsetting Thought
Calming Thought
She may not understand my expectations.She may need visuals to help her understandBoundaries.
I have to watch her like a hawk or she will run out of the play area.
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ReframingManaging Your Stress
Controlling Your ThoughtsUpsetting Thought
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.
He constantly gets into other people’s stuff and destroys their things.
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Reframing Is not necessarily coming up with
solutions to a problem.
Reframing is restating a problem to make it more manageable.
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Now….Practical take Home Strategies
1. Basic Incredible 5 point scales
2. The Anxiety Curve Worksheet
3. Problem Solving Worksheets
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Examples of Rating Scales for Everybody
1. Voice Volume
2. Energy Level
3. My Verbal Responses to Requests
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Voice Volume Scale
Screaming
Loud
Talk/Conversation
Soft /Whisper
No sound
Okay Not Okay 5
4
3
2
1
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My Energy Level
Too Much Energy - Bonkers!
A lot of Energy -Excited
Average Energy - Awake
Calm Energy- Peaceful
No Energy - Drowsy
5
4
3
2
1
WHEN, WHERE, with WHOM would these energy levels Be Okay and Not Okay?
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My Verbal Responses to Requests
5 - hurtful4 - negative3 - neutral2 - constructive 1 - positive
From Who’s Perspective? How does tone of voice, volume and facial expression impact opinion?
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Understanding My Feelings
When the individual with TBI can be part of
problem solving and self-awareness
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Which Leads Us to:The Anxiety Curve Worksheet
Helping All of Us Know What to Do
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The Anxiety Curve Worksheet
432
1
43
2
‘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
1
5
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Last but not LeastProblem Solving Worksheets
1. What People Need to Know (form to make a visual/written plan)
In Your Packet:
2. Problem Solving Worksheet
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Questions?