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That “B” Word… Biting
Handling Behavioral Issues in Child Care Settings
Janet BlairPerry County Health Department
Objectives Explore the relationship between child
develpoment, aggressive behavior and biting
List the “types” of biters Identify strategies used with each
type of biter Develop an action plan Identify strategies to effectively
communicate with parents
Introduction
Biting is not “abnormal” but can be upsetting for teachers and parents
When children age 3 and older bite, it may be reflective of some other type of behavioral problem
Principles of Child Growth and Development
Children explore their world by putting everything into their mouth
Young children learn best by using all five senses
Developmental theorists suggest that biting may be a form of exploration/communication
Very young children have not yet developed the concept of “sharing”
Behavior Issues
Toddlers are trying to figure out “who” they are
Aggressive behavior may be just a stage
From about 3-5 there should be a drop in aggressive beahvior
Strategies for Handling Biting Behavior
Help Children understand and express feelings
Encourage language and communication Provide toys that are cause and effect Use redirection Be proactive! Have information in your
parent handbook about the developmental aspects of aggressive behaviors and biting
Types of Biters
Experimental Biter Frustrated Biter Threatened Biter Power Biter Teething Biter Social Biter Imitative Biter
Experimental Biter May simply want to touch, smell, taste other
people in order to learn more about their world
Strategies:
Offer a variety of surfaces to play on and a colorful selection of toys to stimulate children during this stage of exploration
May be motivated by teething pain; Offer appropriate things to chew on for relief- frozen bagels, teething biscuits, safe teething ring, etc.
Frustrated Biter Some biters lack the skills to cope with situations such as
the desire for an adult’s attention or another child’s toy. The child may not have intended to hurt another child
Strategies:
Tend to the victim immediately Explain to the biter that biting hurts Have the biter help the victim (do not make a game of this) Help them develop language skills. Watch for signs of rising frustration
Threatened Biter Some children may feel they are in danger and bite in self-
defense. They may be overwhelmed by their surroundings and bite a
means of regaining control. The child may feel threatened by situations such as divorce,
death, mom returning to work
Strategies: Assure the child that he/she is safe Additional nurturing Inquire about stressful situations at home
The Power Biter Some children experience a strong need
for autonomy and control. As soon as they see the response they get from biting, the behavior becomes strongly reinforced.
Strategies: Give the child attention when they are not biting Give the biter choices throughout the day and
reinforce positive social behavior Child may need to be referred to counseling if
biting/aggressive behavior continues
The Teething Biter
Infants and toddlers may experience discomfort when teething. The natural response by the child is to apply pressure to the gums by biting on things
The Social Biter
Many times, an infant or toddler bites when trying to interact with another child. This age child has not yet developed the social skills to indicate “Hi, I want to play with you.”
The Imitative Biter
Imitation is one of the ways children learn. It is not uncommon for a child to bite after he/she has observed this behavior.
Developmental Scenarios that may contribute to biting
Teething Difficulty getting along with others
Social interactions
Imitation Attention seeking behavior
What to do When Biting Occurs
Infants do not understand the difference between biting a toy and biting a person
Never, ever, BITE BACK!!! It communicates to the child that biting
(violence) is acceptable
What to do When Biting Occurs
Have children age two and over assist the first aid process. Teacher needs to demonstrate “gentle touches”.
Stress Communication skills. Help children learn new words and learn to express their feelings
Say “No” in a firm voice
What to do When Biting Occurs
Analyze your environment: Is it crowded? Are there enough toys? Are the children receiving enough
attention? Are the children well supervised? Are children hungry or sleepy prior to
lunch or nap time?
What is Really Happening?Developing a Biting Log
Where did the incident happen?
1st incident 2nd incident 3rd incident
Who was involved? What triggered the behavior?
When did the incident happen?Time/activity
Action taken
Why do you think the biting may be happening?
Other: Does the child bite himself/others?
Develop an Action PlanSample
Date Strategies Who Budget Completed
3/12 1. Teacher will review current literature on biting.
Teacher(s)
2. A biting incident log must be kept in every classroom
Teachers
3. Review curriculum for sensory activities and materials available
Director
4. Review language activities
Interventions
“Shadow the Biter” Have duplicate materials Provide a variety of options and
sensory motor choices Adjust nap time if necessary Strengthen the sense of security and
stability in the environment Maintain a consistent routine
Interventions
Use redirection Analyze your environment – space,
toys, etc. “Catch” them being well behaved Use positive/negative reinforcement Behavior modification
For The Child Who Is Bitten
Comfort the child Cleanse the wound/provide ice pack if
necessary Use reassuring words
Provider Strategies
Create warm/cozy places Avoid unnecessary staffing changes Develop and maintain group rituals Have noise absorbing material in the
classroom Provide cause and effect toys and
open ended toys Teach appropriate ways of control
Communicating with the Parents
Notify Parents in writing (incident report) Classroom meetings Review biting log Ask information about the home
Is the child biting/being bitten at home? Determine which type of biter the child may be Develop/discuss action plan Stress confidentiality Notify parents about HIPPA
Communication with the Parents of a Bitten Child
Notify parent in writing (Incident report) NEVER release name of biter Notify parents about HIPPA BE sympathetic, not apologetic! Discuss general action plan with parents Stress confidentiality
In Summary
Explore relationships between child development and biting
Be familiar with the types of biters Use strategies for each type of biter Develop an action plan when needed Effectively communicate with parents Document!
Resources Healthy Kids, Healthy Care: Biting and Other Aggressive
Behaviors http://www.healthykids.us/chapters/biting_main.htm (Has even
MORE resources within this page. Great website for parents!) Dealing with Biting Behaviors in Young (Early Childhood and
Parenting ECAP-Collaborative) http://ceep.crc.uiuc.edu/poptopics/biting.html This report
discusses (1) why young children bite, (2) how common biting problems are, (3) what interventions might be considered, and (4) how teachers or caregivers can interact with and involve parents in dealing with biting behavior.
Fact Sheet for Families: Biting (California Childcare Health Program) http://www.ucsfchildcarehealth.org/pdfs/factsheets/bitingen011804.pdf
Resources AAP Fact Sheet – Biting http://www.ecels-healthychildcarepa.org/content/FS-
biting.pdf (American Academy of Pediatrics)
Biters: Why They Do It and What to Do About It http://www.kidsource.com/kidsource/content3/biters.p.t.4.html (National Association for the Education of Young Children)
A Bite in the Playroom: Managing Human Bites in Day Care Settings http://www.cps.ca/english/statements/ID/id98-01.htm (Canadian Paediatric Society)