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Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore 03/29/2012

Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

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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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Page 1: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

Positive BehavioralStrategies and Supports for Individuals with TBI

Presented by Mitzi Curtis

Co-created with Laura Moore

03/29/2012

Page 2: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

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

Page 3: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

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.

Page 4: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

Communication isThe act of exchanging

information

Page 5: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

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

Page 6: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

Communicative IntentThe message behind the words

Responding to Communicative Intent

•Teach•Help

•Support

Responding to the Words

•Lecture•Judge•Argue

Page 7: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

ReframingManaging Your Stress by Controlling Your

Thoughts

Upsetting Thoughts

become

Calming Thoughts

Page 8: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

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!

Page 9: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

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.

Page 10: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

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.

Page 11: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

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.

Page 12: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

Reframing Is not necessarily coming up with

solutions to a problem.

Reframing is restating a problem to make it more manageable.

Page 13: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

Now….Practical take Home Strategies

1. Basic Incredible 5 point scales

2. The Anxiety Curve Worksheet

3. Problem Solving Worksheets

Page 14: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

Examples of Rating Scales for Everybody

1. Voice Volume

2. Energy Level

3. My Verbal Responses to Requests

Page 15: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

Voice Volume Scale

Screaming

Loud

Talk/Conversation

Soft /Whisper

No sound

Okay Not Okay 5

4

3

2

1

Page 16: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

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?

Page 17: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

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?

Page 18: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

Understanding My Feelings

When the individual with TBI can be part of

problem solving and self-awareness

Page 19: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created
Page 20: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created
Page 21: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

Which Leads Us to:The Anxiety Curve Worksheet

Helping All of Us Know What to Do

Page 22: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

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

Page 23: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

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

Page 24: Positive Behavioral Strategies and Supports for Individuals with TBI Presented by Mitzi Curtis Co-created with Laura Moore Presented by Mitzi Curtis Co-created

Questions?