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Positive Behavioral Strategies and Supports for Individuals with TBI

Positive Behavioral Strategies and Supports for Individuals with TBI. Presented by Mitzi Curtis Co-created with Laura Moore. 03/29/2012. Perceptions. People Do Well If They Can People do the best job they can with the skills they have

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Positive Behavioral Strategies and Supports for Individuals with TBI

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

  2. Perceptions • 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

  3. 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.

  4. Communication is The act of exchanging information

  5. 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

  6. Communicative Intent • Responding to • the Words • Lecture • Judge • Argue • Responding to Communicative Intent • Teach • Help • Support The message behind the words

  7. Reframing Managing Your Stress by Controlling Your Thoughts Upsetting Thoughts become Calming Thoughts

  8. ReframingManaging Your StressControlling Your Thoughts Upsetting Thought Why does she always have to argue! 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.

  9. ReframingManaging Your StressControlling Your Thoughts Upsetting Thought He is so clingy with his mom. He doesn’t let anyone else get close to her. Calming Thought He has a difficult time warming up to people and feeling safe with them. He feels safe with his mom.

  10. ReframingManaging Your StressControlling Your Thoughts Upsetting Thought I have to watch her like a hawk or she will run out of the play area. Calming Thought She may not understand my expectations. She may need visuals to help her understand Boundaries.

  11. ReframingManaging Your StressControlling Your Thoughts Upsetting Thought He constantly gets into other people’s stuff and destroys their things. 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.

  12. Reframing • Is not necessarily coming up with solutions to a problem. • Reframing is restating a problem to make it more manageable.

  13. Now….Practical take Home Strategies • Basic Incredible 5 point scales • The Anxiety Curve Worksheet • Problem Solving Worksheets

  14. Examples of Rating Scales for Everybody • Voice Volume • Energy Level 3. My Verbal Responses to Requests

  15. Okay Not Okay 5 Voice Volume Scale Loud 4 3 Talk/Conversation Screaming 2 Soft /Whisper No sound 1

  16. 5 My Energy Level A lot of Energy -Excited 4 3 Average Energy - Awake Too Much Energy - Bonkers! 2 Calm Energy- Peaceful 1 No Energy - Drowsy WHEN, WHERE, with WHOM would these energy levels Be Okay and Not Okay?

  17. My Verbal Responses to Requests 5 - hurtful 4 - negative 3 - neutral 2 - constructive 1 - positive From Who’s Perspective? How does tone of voice, volume and facial expression impact opinion?

  18. Understanding My Feelings When the individual with TBI can be part of problem solving and self-awareness

  19. Which Leads Us to:The Anxiety Curve Worksheet Helping All of Us Know What to Do

  20. The Anxiety Curve Worksheet ‘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 5 4 4 3 3 2 2 1 1

  21. In Your Packet: Last but not LeastProblem Solving Worksheets • What People Need to Know • (form to make a visual/written plan) 2. Problem Solving Worksheet

  22. Questions?

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