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Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska Medical Center
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Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Jan 13, 2016

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Page 1: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Behavioral Skills Development in Foster CareJodi Polaha, Ph.D.Assistant ProfessorLicensed PsychologistMunroe-Meyer InstituteUniversity of Nebraska Medical Center

Page 2: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Overview

8:30-8:45 Overview 8:45-9:45 What are behavioral skills?

Three essentials for teaching them. 9:45-10:00 *Break 10:00-10:45 Increasing skills. 10:45-10:55 *Break 10:55 – 12:00 Decreasing problem behaviors. 12:00 – 12:30 Conclusions/Questions

Page 3: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Why are we here?

Page 4: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Why are we here?

Why are you a foster parent?

Page 5: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Why are we here?

Why are you a foster parent? Why do we need to talk about

behavior management?

Page 6: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Why are we here?

Good behavior management program can: Improve self-esteemAllow for more time to learnAllow for more time to have fun Increase safetyDecrease caregiver burn-outTeach children behavioral skills

they’ll use their whole lives!

Page 7: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Developing Behavioral Skills

What are behavioral skills?

Page 8: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Developing Behavioral Skills

What are behavioral skills?Behaviors that society expects.

Page 9: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Developing Behavioral Skills

What are behavioral skills?Behaviors that society expects.Behaviors that we need to have

mastered in order to learn any other skill we pursue.

Page 10: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Developing Behavioral Skills

What are behavioral skills?Behaviors that society expects.Behaviors that we need to have

mastered in order to learn any other skill we pursue.

Behavioral skills are the key to success!

Page 11: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Developing Behavioral Skills

Birth to age 1: Independent sleepSelf-quieting

Page 12: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Developing Behavioral Skills

Toddler Years:Self-quieting Independent play

Page 13: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Developing Behavioral Skills

Preschool Years:Beginning anger managementFollowing one-step instructionsFollowing simple long-term and short-

term rulesWaiting one’s turnSharing and parallel play

Page 14: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Developing Behavioral Skills

Elementary Years:Advanced anger managementFollowing increasingly complex

instructionsFollowing multiple and complex long-

term and short-term rulesCooperation in group activities

Page 15: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Developing Behavioral Skills

Adolescent Years:Responsibility for long-term objectives.Problem-solving. Increased emotional management.Perspective taking.

Page 16: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

The Three Essentials

(for teaching behavioral skills)

Page 17: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Three Essentials

1. Predictability

Page 18: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Three Essentials

1. Predictability In your daily structure In the consequences you provide

Page 19: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Three Essentials

1. Predictability2. Practice

Page 20: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Three Essentials

1. Predictability2. Practice

Break the new skill down to make it easy at first

Give lots of opportunities to try it (over and over)

Provide predictable feedback for success vs. failure

Page 21: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Three Essentials

1. Predictability2. Practice3. “Big Difference”

Page 22: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Creating a “Big Difference”

Your consequence for demonstrating a skill appropriately should be

VERY DIFFERENT than your consequence for

demonstrating a problem behavior.

Page 23: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Creating a “Big Difference”

0

20

40

60

80

100

Quiet Gagging

Mom

’s R

eacti

on

none

BIG

BABY LEARNS TO GAG

Page 24: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Creating a “Big Difference”

0

0.2

0.4

0.6

0.8

1

Quiet Gagging

Mom

’s R

eacti

on

none

BIG

BABY LEARNS NOTHING

Page 25: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Creating a “Big Difference”

0

20

40

60

80

100

Quiet Gagging

Mom

’s R

eacti

on

none

BIG

BABY LEARNS TO STOP GAGGING

Page 26: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Encouraging Behavioral Skills

Page 27: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Encouraging Behavioral Skills Problem:

Not enough of a reaction for using the skill appropriately.

Page 28: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Creating a “Big Difference”

0

0.2

0.4

0.6

0.8

1

Quiet Gagging

Mom

’s R

eacti

on

none

BIG

BABY LEARNS NOTHING

Page 29: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

WHAT ARE YOU DOING WHEN YOU SEE THE SKILL?

0

20

40

60

80

100

SKILL! Problem Behavior

You

r R

eacti

on

none

BIG

Page 30: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Encouraging Behavioral Skills 1. Frequent, brief, “bursts” of

attention for AVERAGE behavior.

Page 31: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Encouraging Behavioral Skills 1. Frequent, brief, “bursts” of

attention for AVERAGE behavior.

2. BIG REACTION for demonstrating the skill.

Page 32: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Encouraging Behavioral Skills 1. Frequent, brief, “bursts” of

attention for AVERAGE behavior.

2. BIG REACTION for demonstrating the skill.

3. Play the Child’s Game

Page 33: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Encouraging Behavioral Skills The Child’s Game:

A relationship-building activity that makes children want to earn your POSITIVE attention.

Page 34: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Encouraging Behavioral Skills DO

Describe Praise Touch

Page 35: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Encouraging Behavioral Skills DO

Describe Praise Touch

DON’T Command/direct Reprimand Question

Page 36: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

DecreasingProblemBehavior

Page 37: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Problem: Too much reaction for

problem behaviors.

Page 38: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

NO BIG DIFFERENCE!

0

20

40

60

80

100

SKILL! Problem Behavior

You

r R

eacti

on

none

BIG

Page 39: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

BIG DIFFERENCE!

0

20

40

60

80

100

SKILL! Problem Behavior

You

r R

eacti

on

none

BIG

Page 40: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Use a consequence with less talk

Page 41: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Why not talk?

Child may not understand

Page 42: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Why not talk?

Child may not understandUnderstanding doesn’t mean the child

will change behavior, anyway.

Page 43: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Why not talk?

Child may not understandUnderstanding doesn’t mean the child

will change behavior, anyway.Experience is a better teacher.

Page 44: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Why not talk?

Child may not understandUnderstanding doesn’t mean the child

will change behavior, anyway.Experience is a better teacher.Child needs to learn to perform the skill

independently.

Page 45: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Why not talk?

Child may not understand Understanding doesn’t mean the child will

change behavior, anyway. Experience is a better teacher. Child needs to learn to perform the skill

independently. Talking creates too much reaction for the

problem behavior!

Page 46: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Types of Consequences

NaturalRelatedUnrelated

Page 47: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Types of Consequences

NaturalRelatedUnrelated

Time-Out (0-6) Job Card Grounding (10+)

Page 48: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Time Out: Advantages

Page 49: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Time Out: Advantages

Easy to doPortable

Page 50: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Time Out: Misconceptions

Time-out is a place for “cooling-off.”

Page 51: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Time Out: Misconceptions

Time-out is a place for “cooling-off.”Time-out is a place for the child to think

about what s/he did wrong.

Page 52: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Time Out: Misconceptions

Time-out is a place for “cooling-off.”Time-out is a place for the child to think

about what s/he did wrong.Children must sit still and be quiet in

time-out.

Page 53: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Time Out: Misconceptions

Time-out is a place for “cooling-off.”Time-out is a place for the child to think

about what s/he did wrong.Children must sit still and be quiet in

time-out.Children must look like they are sad for

time-out to be “working.”

Page 54: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Time Out: Misconceptions

Time-out is a place for “cooling-off.” Time-out is a place for the child to think about

what s/he did wrong. Children must sit still and be quiet in time-out. Children must look like they are sad for time-

out to be “working.” Time-out is a place or a chair.

Page 55: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Time Out: Misconceptions

Time-out is a place for “cooling-off.” Time-out is a place for the child to think about

what s/he did wrong. Children must sit still and be quiet in time-out. Children must look like they are sad for time-

out to be “working.” Time-out is a place or a chair. Time-out works all by itself.

Page 56: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior Time Out: A Procedure

Establish chair in boring cornerUse 1-2 minute time out regardless of

behavior.Target only 1-2 behaviors at a time. Ignore all behavior occurring in chair.Attend to the first occasion of

appropriate behavior after time-out is over.

Page 57: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem Behavior

Job Card Grounding: A Procedure Components List of rules List of odd jobs List of rewards

Page 58: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem BehaviorJob Card Grounding

Examples of Rules

1. Do your chores

2. Follow instructions

3. Tell us where you are going

Page 59: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem BehaviorJob Card Grounding

Odd Job Examples

1. Dust baseboards/ceilings

2. Sweep out garage

3. Wipe down inside refrigerator

Page 60: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem BehaviorJob Card Grounding

GROUNDING MEANS No television, telephone, stereo, video games No friends over/go to friends No snacks, naps No outside social activities No toys

Page 61: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Decreasing Problem BehaviorJob Card Grounding

GROUNDING DOES NOT MEAN Nagging Reminding Discussing Explaining

Page 62: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

Conclusion

Ask yourself: Is the structure/are the consequences

predictable?Am I providing plenty of practice at good

practice times? Is there a high contrast?

Page 63: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

An Example:The Stop Light Program

Page 64: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

The Stop Light Program

1. Establish classroom rules.

Page 65: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

The Stop Light Program

1. Establish classroom rules.1. Follow teacher’s instructions2. No physical or verbal aggression3. Use inside voice4. Stay in the designated area

Page 66: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

The Stop Light Program

1. Establish classroom rules2. Create list of daily rewards

Page 67: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

The Stop Light Program

1. Establish classroom rules2. Create list of daily rewards

1. Playing with special toys.2. Extra recess or snack.3. “Fun” chores (clapping erasers,

messenger)4. Line leader5. Stickers

Page 68: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

The Stop Light Program

1. Establish classroom rules2. Create list of daily rewards3. Make a “stop light” with a

clothespin marked with each child’s name.

Page 69: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

The Stop Light Program

1. Establish classroom rules.2. Create list of daily rewards.3. Make a “stop light” with a

clothespin marked with each child’s name.

4. Scan the room “every so often” at unannounced times.

Page 70: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

The Stop Light Program

1. Establish classroom rules.2. Create list of daily rewards.3. Make a “stop light” with a clothespin

marked with each child’s name.4. Scan the room “every so often” at

unannounced times. Praise children who are following the rules. Without comment, move pin toward yellow for

those children who are not following the rules.

Page 71: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

The Stop Light Program

1. Establish classroom rules.2. Create list of daily rewards.3. Make a “stop light” with a clothespin

marked with each child’s name.4. Scan the room “every so often” at

unannounced times.5. At the end of the day, put all pins on

yellow and green into a reward lottery.

Page 72: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

The Stop Light Program

To make it work: Predictable

Both structure and as consequence

Page 73: Behavioral Skills Development in Foster Care Jodi Polaha, Ph.D. Assistant Professor Licensed Psychologist Munroe-Meyer Institute University of Nebraska.

The Stop Light Program

To make it work: Predictable

Both structure and as consequence Provide practice

Especially first few days Use in context of “Big Difference”