Professional Documents
Culture Documents
Darin Li Fab Bip 4072015
Darin Li Fab Bip 4072015
Darin Li Fab Bip 4072015
We are very much looking forward to summer with Darin as he had a blast last time
swimming and he truly loves being outdoors.
Darins toileting skills are quite
challenging at this time. He likes to go independently, but he will urinate on himself
(this is no longer including his face) and/or urinate on his staffing aide if they get
too close to him.
Academically he is continuing to work on addition and subtraction, improving his
reading skills to short paragraphs containing 3 - 4 word sentences, and science. His
skills are improving with time, although during behaviorally challenging periods is
attention to task is difficult. The challenge with his learning here is his inability to
stay in one place for a period of more than 5 minutes. His attention span is very
short, maybe 15 seconds at most. Once engaged with objects or manipulatives, he
can maintain a task from last years up to 11 minutes to this year up to 20 minutes.
He uses a written schedule and is very aware when his schedule changes.
Behavioral Deficits:
Interviews with Cypress School staff, behaviorist and Darins parents showed that
Darins aggression, bolting, non-compliance/defiance and enuresis were most often
specific to being in new environments, transitioning between activities, seated tasks
and demands being made.
Aggression was defined as incidents in which Darin hit, pinched, head butted,
scratched, hair pulled, grabbed, or kicked others.
Bolting consisted of Darin running away from his parents or adult supervision to
escape less-preferred activities or to access preferred activities or something he
sees that he likes.
Non-Compliance / Defiant consists of refusing to engage in activities,
refusing to move from one spot, sitting on the ground or standing against the
wall.
Enuresis will pee on self in bathroom, pee on himself (not including his face)
or pee on others to create escape.
Fairs, water fountains, toy cars, music, asking questions and talking
On a special gluten free, casein free diet.very specific only eats foods
sent from home.
Plan Justification
Through this assessment it can be clearly documented that Darin exhibits the
majority of his aggression during demands, and when he desires something he sees,
when he wants to escape, wants attention or access to a more preferred activity. It
is recommended that school staff receive training in recognizing antecedent
situations, as well as expand the list/amount of Darins preferred sensory integration
tasks and reinforcers.
School staff will use a systematic timed incremental
behavioral shaping procedure using chaining of increasingly longer less-preferred
tasks with access to preferred reinforcers and sensory modulating activities in the
absence of aggression.
The purpose of this current plan was to apply the results of the current review to the
target behaviors of Aggression, Bolting, Enuresis and non-compliant/defiant
behaviors for Darin. The plan is justified by the significant restrictions to Darin
accessing the least restrictive school activities and school placement that has been
the result of these behaviors. It is hoped that with positive supports in place, Darin
will experience an enhanced quality of life, access to less disabled peers and
greater independence in community and school activities in the future.
By modifying the daily schedule/increasing discrimination and modulation of
sensory information, obtaining preferred objects/activities/attention/sensory
stimulation, accepting alternative activities when denied or delayed access and
escaping/avoiding and stopping demands and interactions or aversive sensory input
tasks, and learning how to transition between activities Darin gains relevant,
effective and efficient work skills. The plan is justified as it will reduce inappropriate
problem behaviors; contribute to Darins overall habilitation, independence,
productivity, acquiring more reinforcing consequences and increase more positive
and normalized interactions with his family at home.
As Darin will engage in up to 20 minute preferred tasks and generally does not
engage in five minutes of less-preferred tasks - school staff will incrementally
increase less-preferred tasks from a three minute baseline to the goal of a fiveminute baseline.
Ecological management includes consistent activity setting - quiet, calm
environment; individual desk and chair; consistent staffing; more prompting when
other participants are making loud noises; and visual cue to chain less-preferred
task completion; accessing preferred reinforcers followed by a sensory task with
verbal praise reinforcers.
As Darin is successful, (i.e. no inappropriate behavior and increasing positive
replacement behaviors), the length of the interval will be increased.
Skill/Communication Deficits:
Darin has specific needs to replace the behavioral deficits with adaptive skills and
communication goals. The skill and communication deficits that have been seen
historically and at present include - adaptive skills, self-regulating, waiting,
transitioning between preferred to non-preferred activities, responding to unfamiliar
environments, and communicating wants and needs.
Antecedent and Ecological Factors:
Analysis of ABC recording data and direct observations showed that
incidents of Aggression, non-compliance/defiance, enuresis and Bolting
were most likely to occur during the following times:
When Darin wants to escape, avoid, and stop aversive sensory input,
demands, and interactions. When Darin is in the vicinity of a loud,
unexpected noise (another participant tantrumming, emergency vehicle
sirens, etc), he (may) respond negatively
activities
When
Darin
is
engaged
in
sensory
motor
activities/reinforcements: riding a scooter, swinging, and jumping in
the OT room or partaking in similar activities at the park, engaging in
tactile stimulatory activities
Listening to music
activities, tangible treats and social feedback (Great job buddy! paired with a high
five). Incidents of aggression, bolting, enuresis and non compliance/defiance were
less likely to occur during times when Darin was receiving positive reinforcement
through social feedback, choices of the preferred activities and when the
environment was quieter.
Objective: Darin will have reduced and/or replaced aggression, noncompliance/defiance, enuresis and bolting by 50% of the current levels with
functionally incompatible goals of habilitation, independence, productivity,
communication and living skills. A functional emphasis on verbalizing and/or using
the break and help cards when he cannot tolerate the activity and/or environment
will continue to be utilized.
Behavioral Objectives #1 Aggression
Skills Replacement Plan
I. Reinforcers for Darin:
Attention, Activities and Items that when given to Darin are likely to produce
compliant behaviors while reducing aggression
1. 1.
2. 2.
to over-stimulate).
14. 14.
Avoid lengthy waiting periods.
III. Replacement/Alternative Behaviors (skills to teach replacement of
aggression, etc.)
like/dont like this, I want, one more time please, I need a break".
1. Help Darin with the correct response to the instructor's question, so that he
can actively participate in the activity or ask to take a break or ask for an
alternative activity.
IV. Preventative Strategies (strategies to prevent aggression, etc.)
1. 1.
2. 2.
If Aggression occurs, staff will redirect Darin to complete task and remind him
of available reinforcement.
Staff will not discuss the inappropriateness of these behaviors.
1.
2.
3.
4.
5.
6.
7.
8.
1.
2.
3.
4.
5.
6.
7.
8.