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Best Practice & Behavior Supports for Learners with Down Syndrome Gretchen Carroll, M.A. Jane and Richard Thomas Center for Down Syndrome Cincinnati Childrens Hospital Medical Center Approaching the Hot Topic of Behavior Why It


  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

  2. Approaching the Hot Topic of Behavior • Why It Matters • Understanding Problematic Behavior • Preventing Problematic Behavior • Replacing Problematic Behavior • Responding to Problematic Behavior

  3. Potential Behavioral Challenges • Difficulty with • Physical Behaviors transitions • Noises, sensory • Poor compliance stimulations • “Stubbornness” • Inappropriate Language • Inattention • Flight • Impulsivity

  4. Why It Matters  Behavior affects learning  Behavior affects social relationships  Behavior affects independence  Behavior affects placement

  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

  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

  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

  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

  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

  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

  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)

  12. Reframing our view of behavior challenges of students with Down syndrome

  13. Sources https://library.down-syndrome.org/en- us/research-practice/12/2/strategies- address-challenging-behaviour-young-down- syndrome/

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