Teaching Students with Oppositional Defiant Disorder (ODD)

1. Teaching Students with Oppositional Defiant Disorder (ODD) Building a fundamental knowledge base Bender vs. Principal Vernon

2. An Overview of ODD • Definition of ODD • DSM-IV (1994) • Characteristics • Prevalence about 6-10% • Comorbidity (handout) • 25-50% meet DSM diagnosis • ADHD 50-65% • Assessments (handout) • Non-clinical (ODD & ADHD) • Vanderbilt Assessment Scale

3. Ramifications of ODD • Risk factors • Nurture – • Changing Practice (Joe) • Nature – • Adopted children of anti-social fathers more likely than non-AS fathers • Twins studies support genetic components • Treatments: • Early interventions • Medication? • Family centered CBT • Dialectical behavior therapy (DBT) • Implications for the child's future? • Conduct Disorder 30% (separate disorder) • Academic Difficulties

4. Observing Models and Cases: Strategies for Teaching Students with O.D.D.

5. Setting up for success: Cassandra “Arrange the child's environment so the right response is the easiest response.” • Macro Environment • Room • Schedule • Desk Placement • Your Attitude • Clear and finite expectations • Micro Environment • Comfort of desk • Childs Daily Schedule • Organizational System Hall & Hall, 2003

6. Removal from the classroom: Billy “The child is removed only to protect people, property and to ensure a viable teaching and learning environment.” • Voluntary leaving the classroom • Child involved • Develop a relationship • Develop a plan • Your Attitude • Clear and finite expectations • When the plan fails • Use physical restraint as a last resort • Re-direct behavior • Do not threaten or get angry Hall & Hall, 2003

7. Oppositional Defiant DisorderReflection on Your Practice

8. The Perspectives of Donald& Mrs. Burke • Working Toward A Reward • Disruptive During Normal Tasks • Unaware of Impact • Not Seeking Attention • Fails to Exhibit Appropriate Behavior • Fails to Gain Reward • How would this student feel? • Offers Large Enticing Reward • Asks Simple Requests for Participation • Frustrated with Disruptions • Ignores “Attention Seeking” Behavior • What would you do?

9. Survey: What Are Your Experiences? • Environment • Removal/Time Out • Ignoring/Acknowledging • Reward Systems • Fears/Frustration • Successes • Proactive Approaches • Skill Building Opportunities

10. Oppositional Defiant DisorderChanging Practice

11. You Know This Student • Disrupted Home life • Co-morbidity with ADHD • Medicated • Non Compliant • Distracted or Disinterested • Verbally or physically abusive. • Lacks inhibition control

12. Turn the behavior upside downWhat is the behavior achieving for the student? • Autonomy. • Attention. • Definition of self. • Intentional?

13. That Won't Work! • Punish the Behavior withstanding punishment linked to self image • Ignore the Behavior no awareness of impact • Reward systems impulse behaviors are unresponsive

14. Teaching Students with Oppositional Defiant Disorder Gaining and Sharing Expertise

15. Classroom and School Strategies • Removing a Student from the Classroom • When should a student be removed? • Creating a plan with the student • Importance of building a strong relationship with the student • Students must feel physically and emotionally safe • Students must feel valued and accepted

16. Classroom and School Strategies Strategies for Building a Positive School Culture: • Ensuring Success • Independent Decision Making • Teaching for Behavior Change • No Punishment • Gentle Interventions • Logical Consequences • Developing a Mission Statement • Importance of Hiring Summary of Strategies from Survey • What’s working?