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Teaching Students with Emotional & Behavioral Disorders Chapter 5 Presented by: Laurie Zinn What is ED/BD? • The label emotional or behavioral disorders is commonly used for students whose behavior falls considerably outside the norm (Forness, 2004) • Though the Council for Children with Behavior Disorders has recommended that the definition of ED not eliminate the socially maladjusted, this change has yet to be made (Coleman & Weber, 2002) The Federal Definition of Emotional Disturbance • The term “emotionally disturbed” means a condition exhibiting one or more of the following characteristics over a long period of time and to marked degree, which adversely affects educational performance including: – (A) An inability to learn that cannot be explained by intellectual, sensory, or health factors – (B) An inability to build or maintain satisfactory interpersonal relationships with peers and teachers – (C) Inappropriate types of behavior or feelings under normal circumstances – (D) A general pervasive mood of unhappiness or depression – (E) A tendency to develop physical symptoms or fears associated with personal or school problems • The term includes children who are schizophrenic. The term does not include children who are socially maladjusted, unless it is determined that they are emotionally disturbed Prevalence of Students with Emotional/Behavioral Disorders • Current reports of prevalence of emotional and behavioral disorders in the general population range from 10%-20% of the school-age population (Kauffman, 2005) • Fewer than 1% of students receive special education services for ED. Of those students, less than half are identified in elementary school (US Department of Education, 2001) • Students with emotional or behavioral disorders are regarded as underserved Reasons for Underidentification • Social stigma is associated with the label “seriously emotionally disturbed” • Eligibility for categorization as ED is not clearly defined • The identification process lacks uniformity • Co-morbidity, or the presence of multiple disabilities can make identification difficult More Reasons for Underidentification • A lack of funding may limit school districts’ willingness to identify and provide services for these students • There is often a lack of appropriate services when students are identified, and identification limits a school’s ability to take disciplinary action against behavior • Adequate assessment measures to facilitate identification are few Characteristics Of ED/BD • • • • • • • Conduct Disorders Aggression Hyperactivity Socialized Aggression Immaturity Depression Anxiety-Withdrawal Externalizing & Internalizing Behaviors • Externalizing behaviors: behaviors such as aggression, hitting, acting out, tantrums, and shouting that are readily observable & tend to affect others • Internalizing behaviors: behaviors such as shyness, withdrawal, worry, tenseness, or depression that tend to be readily less observable and negatively affect the individual exhibiting the behaviors Understanding Externalizing & Internalizing Behaviors • Will help you to more accurately describe your students’ behavior to professionals • Will help you to respond appropriately to your students • The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)- a classification system published by the American Psychiatric Association used to diagnose & treat mental disorders How does the Federal Definition of ED Corresponding with Mental Disorders in the DSM-IV Classification System • A. an inability to learn that cannot be explained by intellectual, sensory, or health factors • B. an inability to build or maintain satisfactory interpersonal relationships with • A. Learning Disorders, Communication Disorders, ADHD • B. Not Specifies in DSM-IV, but an element of other disorders ED Definition & DSM-IV continued • C. Inappropriate types • C. ADHD, Conduct of behavior or feelings Disorder, under normal Oppositional-Defiant circumstances Disorder, Bipolar, Adjustment disorder • D. Depressive • D. A general Disorders, Adjustment pervasive mood of disorders, other unhappiness or mental disorders w/ depression depression Continued . . . • E. a tendency to develop physical symptoms or fears associated with personal or school problems • Schizophrenia (specifically included) • Socially maladjusted (only qualifies in conjunction with other ED Characteristics) • E. Separation anxiety disorder, anxiety disorders, somatoform disorders (unsubstantiated feelings of pain in limbs, headaches, etc.) • Schizophrenia, psychotic disorders • Conduct Disorder, antisocial behavior What Should be Considered When Identifying Students with ED? • • • • • • • • Behavior-age Discrepancy Frequency of Occurrence of Behavior Number of Symptoms Inner Suffering Harm to Others Persistence of Behavior Lack of Self-Satisfaction Severity & Duration of Behavior Tips for Making Referrals for Students with ED/BD • Keep a journal that includes dates, times, and context of behavior you regard as deviant/bizarre • Be specific & use behavioral terms • As much as possible, avoid including value judgments • Keep parents informed and document parental contact & descriptions of behavior at home • Record relevant information from other teachers • Keep samples of students work & a record of skills the student can and cannot perform. Note if the students academic performance is in consistent Assessment • Behavioral Objective Sequence Reports (BOS) from Research Press (www.researchpress.com) – Helps educators assess behavior problems and social skills deficits and develop detailed interventions • Functional Behavior Assessments (FBA) – Identifies antecedents that cause behavior and is used to develop intervention plans STRATEGY #1 • DEVELOP A POSITIVE RELATIONSHIP WITH THE STUDENT ABOUT 1 TOPIC – gives you a personal connection with the student about something they are an “expert” at – you can tie in activities around the subject – helps you “win” the student over – Use humor to build relationships & decrease tension – This shows the student that you care about them – Trust is the foundation for success with students with ED/BD STRATEGY #2 • Maintain an Organized Physical Environment – post a schedule (agenda) that provides a predictable routine – post classroom rules & consequences where students can see them – keep the classroom uncluttered, clean, attractive, and uncrowded – establish a personal physical space, desk, and materials for each student – establish a “safe place” for students to retreat to so they may exercise self-control & walk away from bad situations STRATEGY #3 • USING A TIMER TO CHANGE BEHAVIOR – purpose is to increase appropriate behavior and reduce inappropriate behavior – show the students the timer & explain that you will be using it to look for on-task behavior – discuss specifically what behaviors you are looking for (ex: working, reading, etc.) – set the timer to ring at different intervals. When the timer goes off, on-task students get a point (or star, sticker, etc.) – gradually increase the intervals to longer periods of time Additional Tips For Teachers • Respond to students feelings and intentions rather than behavior • Listen • Catch the student being good • Notice & recognize improvement • Positive calls home • Create an emotionally safe classroom • Individualize supports & services and base them on student strengths • Involve family as active participants • Don’t punish yourself for mistakes; learn from them One Last Thought . . . • Approximately 50% of students with emotional & behavior disorders drop out of school and of those that remain, many have difficulty finding and maintaining jobs because of limited academic skills & undesirable behaviors. Thus, there is a great need for effective interventions to help these students stay in school & develop the academic & social skills needed for graduation. Helpful Websites/References • Functional Behavioral Assessment Info – www.pbis.org/english/Funtional_Assessment_of Behavior.htm – http://cecp.air.org/fba/default.htm • Behavior Management, Behavior-Intervention Plans, and Classroom Management Tips – – – – – www.behavioradvisor.com http://ss.uno.edu/ss/homepages/cmanage.html http://homepages.wmich.edu/~malott/rd/sm/layman1.html www.drwilliampmartin.tripod.com/classm.html http://specialed.about.com/cs/behaviordisorders/a/Behavior.htm