Dealing with challenging behaviours of people with autism spectrum disorders (ASD) and intellectual and developmental disabilities (IDD) is a reality that educational staff face continually. Challenging behaviors pose a real threat to the learning, not only of individual students, but of classroom peers as well. A need therefore exists to inform teachers about how to effectively deal with such behaviors in a classroom setting. This is a story of the journey of a teacher working at a school serving students with ASD and IDD, who became involved in a research project aimed at translating relevant research about challenging behaviors into accessible resources for school staff. This is Joyce Douglas’ personal account of what she learned throughout the process and the impact of the knowledge gained. A Teacher’s Story For the past 12 years, I have taught at St.Amant School, which is part of St.Amant -- a community and residential facility serving persons with ASD and IDD and their families in Winnipeg, Manitoba. St.Amant School provides a daytime, year-round education program to students who live at the facility as well as students who live in the community who for a variety of reasons have not had their educational needs met in the regular school system. St.Amant School specializes in working with students with ASD and IDD and have many students who exhibit very challenging behaviors. This is a story of how I became involved in a research project and helped to make research findings more relevant and accessible to our school staff, what we learned during the process, and what it means to me. Background property damage, repetitive behaviors, and disruption of learning. These behaviors not only affect the student exhibiting these behaviors, they also affect other students, support staff, and teachers. Nobody learns when one student is throwing chairs while others are studying math. Despite prevailing philosophies of inclusion, it has been my experience that many students whose behavior is challenging to themselves or others are not actually included in regular classrooms. Each year, I receive many phone calls from parents and educators who share the reality of their situations. There are students who are attending regular school for a few hours a day, others who are at school but are working completely separated from others, and some who are at school doing meaningless work so as not to put demands on students that will lead to challenging behavior. I don’t blame the teachers or the schools; it is just a fact as I see it. Not all students’ needs can be met in the same environment. Teachers in the regular classroom are charged with educating students with diverse learning abilities and behaviors, and balancing each ones’ needs is daunting to say the least. As a teacher working at St.Amant School, I have learned Nine years ago, we started a classroom that was intended that challenging behavior and IDD and ASD often go hand to meet the needs of students whose behavior was in hand. There are many reasons for this. Students with these conditions may have poorly developed communication skills, increased likelihood of anxiety and sensory issues. Behaviors that are challenging may include physical or verbal aggression (to self or others), spitting, defining them and isolating them at school. Even in our specialized school we were keeping students away from others, limiting the amount of demands placed on them, and generally dealing with challenging behavior in a reactive manner. When the student’s name was mentioned it was often in a manner that defined him or her as behavior challenges first and person second. We have a strong support team at St.Amant School and many experienced colleagues to whom we can turn. Despite this fact, teachers at our school indicated that they are still at a loss for teaching strategies for students who exhibit challenging behavior. On top of managing these behaviors daily, teachers also have a duty to provide students with appropriate academic or life skills-based education programs. Many traditional behavior management tools are hard to implement when students have profound developmental disabilities. If teachers do not have some effective tools to manage the problematic behaviors, the result may be that the student cannot remain in the classroom, the teachers may feel inadequate or burnt out, and peers are distracted from learning or are frightened. Clearly, this combination of factors does not lead to an ideal learning or working environment. A Research Collaboration Over the last few years our school has partnered with St.Amant Research Centre to find ways to translate scientific research findings regarding challenging behaviours in children with IDD to user-friendly manner so that school staff and administrators understand the information and can use it in a timely fashion. We were thrilled when researchers asked teachers how they felt about applying research-based strategies in classrooms. Although the researchers were always around St.Amant School, often in pairs with clipboard in hand, we had never been formally asked to conduct research with them. A conversation emerged, where teachers indicated that while they aspired to implement strategies supported by research, many barriers to doing so existed. As teachers, we had limited access to the published scientific research, difficulty interpreting research findings, and limited information about internet-based resources that are indeed sound and reliable. The Needs of Teachers The partnership was developed and started by asking the teachers what kind of research-based information they would find useful. Not surprisingly, St.Amant School teachers wanted to better understand the challenging behaviors they encountered each day, and they wanted practical strategies that were based on sound research to improve student and staff experiences. Indeed, the most common questions concerned finding information about effective, research-based Although there are strategies that could be complicated definitions for used in the classroom to knowledge translation and deal with challenging exchange, at its core, it is behaviors. about putting knowledge into Our Goal action by making the knowledge gained through A knowledge translation research accessible to and exchange research committee was established address the needs of end users. to determine a process to answer the questions posed by teachers. The mandate of the committee was to interpret research in a way that end users, in this case teachers, would understand and would be able to put into practice. Like all translations, knowledge translation, is about interpretation. What We Did and What We Found One of the most affirming findings that came out of my readings of the research literature was the importance of consistency. The teaching program in my classroom, encompassing academics, social skill, vocational skill and behavior management, needs to be delivered consistently by all people across all situations. If a student knows that you will not follow through with requests, he/she is not going to trust you and will not respond to any interventions. When an activity is delivered to a student and it is delivered consistently, then the student has more opportunities to learn, has clear expectations, and staff are not scrambling for strategies in times of stress. We, at St.Amant School, have a committed group of staff who are diligent about ensuring that all instructions are given in the same way, and all behavior is responded to in the same way. Consistency is our mantra. We have found a consistent approach works well in our classroom, and the research agreed. Indeed, research demonstrates that various strategies can successfully Effective strategies included: Functional Communication Training (FCT) – Teach students to replace inappropriate ways of communicating (e.g., yelling or biting) with more appropriate and effective ways (e.g., pointing or asking) Differential Reinforcement of Other (DRO) Behaviors – Reinforce appropriate behaviors, so long as the problem behavior has not occurred Noncontingent Reinforcement – Deliver reinforcement regardless of the student’s behavior (e.g., time-based delivery of reinforcement) Response Interruption/Redirection (RIRD) – Interrupt problem behaviors (e.g., inappropriate vocalizations) by prompting appropriate behaviors (e.g., answering a question) Response Cost – Remove reinforcement (e.g., tokens) if the problem behavior occurs improve behavior, as long as they are used immediately and consistently. In other words, where there are several possible responses to behavior problems, you can choose one, and as long as you use it the same way each time, it will eventually lead to improvements in the situation. To ensure consistency in our classroom, our research team translated research findings into scripts for supporting staff to use when particular behaviors arise. St.Amant School teachers wanted to know the most effective methods for managing challenging behavior in students with IDD or ASD, but there is no single most effective strategy for all behaviors in all situations. Teachers need to be aware of the various evidencesupported approaches, apply them where appropriate, and then make sure they measure the effectiveness of that approach. They also need to give it time to work . It isn’t consistent if it is offered three or four times and then rejected as not being effective. Stamina and patience are also an important component. For example, if requesting a behavior, it is important for the teacher to wait and allow the student a chance to offer the correct behavior. A booklet of scripts that we developed describes a specific behavior and provides a solution, a specific method, for addressing that behavior. Having more knowledge and usable tools will help teachers keep more students in school and engaged in learning . Final Thoughts The harmful outcomes related to challenging behavior (e.g., self-harm, injury, loss of learning opportunities) demand that we find and use every possible resource to address it effectively. It is not acceptable to exclude a child from learning, socializing, and interacting because their behavior is too difficult to manage. It is not acceptable that students with significant and profound IDD who have a challenge communicating be isolated from opportunities where they can actually learn the appropriate communication skills. This knowledge exchange experience has been an excellent affirming journey. There is abundance of sound research and, as a teacher, the exposure to vast amounts of scientific research is valuable in understanding the range of potential strategies that are appropriate to use with students with IDD or ASD. But we aren’t talking about numbers when we are teaching students. We are talking about people; students who are marginalized by their actions and then further marginalized by our reactions. As teachers it is our duty to find a manner to meet the needs of all our students. We have learned that there is no one single strategy that’s a panacea; rather, we have learned a whole slew of research-based strategies that we can use to help students with IDD and/or ASD in various situations. Just as there are many ways of teaching reading and mathematics, there are also many effective and appropriate ways to teach positive behavior strategies. Each approach needs to be personalized to the particular learning styles of the individual student. Interestingly, one of the most powerful strategies to change student behavior is to change teacher behavior. Whether this occurs by using new strategies, implementing research-based strategies, or just being more clear and consistent with our ‘tried and true’ strategies, it is empowering to realize that teacher knowledge and skill can indeed bring about positive behavior change for students. Perhaps that lesson is the most important one that has emerged from the experience of working with researchers to inform classroom practices. Teacher Joyce Douglas, St.Amant School Acknowledgements This research was supported by a grant from the Canadian Institutes of Health Research, FRN: KAL-104248 St.Amant Research Centre is possible thanks to support from St.Amant Foundation, The Winnipeg Foundation, and the University of Manitoba. Additional Resources For more information about Knowledge Translation in Developmental Disabilities (KATYDID) visit: http://katydid.info/ For more information about St.Amant Research Centre visit: http://stamant.ca/research For more project summaries visit: http://stamant.ca/ research/projects/ Follow St.Amant Research Centre on Twitter @StAmantResearch
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