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Author: Hgrant

How To Prevent Or De-escalate Acting Out And Bad Behavior

Even when your child is acting out, behavior always serves a function. Understanding that function will help you better manage future situations and de-escalate bad behavior. By learning the antecedents that trigger your child’s misbehavior, you can proactively prevent these incidents from occurring. This article will teach you how to recognize behavioral patterns and outline intervention strategies to stop the acting-out cycle.

Key Behavioral Principles

Let’s begin by defining three key psychological terms we will discuss throughout this post. These fundamental behavioral principles apply to everyone, not just children with special needs.

An antecedent is something that cues a person to perform a behavior. When someone receives an antecedent, they behave in a way that maximizes reinforcements and minimizes punishments. If you check your email each morning after you pour yourself a cup of coffee, pouring coffee is an antecedent to checking your email.

Reinforcement refers to something that is done to increase the chance of the desired response. Positive reinforcement adds something to the situation, whereas negative reinforcement takes something away. Remember that negative doesn’t equate to bad. If you check your email each morning to avoid receiving urgent phone calls, that’s an example of negative reinforcement.

In contrast, punishment is a consequence that follows behavior in an attempt to decrease the likelihood of the person exhibiting that behavior in the future. Like reinforcement, punishment can also be classified as positive or negative based on whether it adds or subtracts a stimulus. Being given a written warning for not checking your work email would be a positive punishment, while being denied a merit raise would be a negative punishment.

Phases Of Escalating Behavior

When a child exhibits a challenging behavior, they will display seven stages of escalation. This is sometimes referred to as the acting-out cycle. Understanding each phase is essential to timing effective interventions.

  • Calm. In this phase, your child is responsive and cooperative.
  • Trigger. A stimulus sets off a pattern of behavior.
  • Agitation. Your child will begin displaying signs of anxiety or may withdraw from the situation.
  • Acceleration. Uncooperative, aggressive or provocative behaviors will escalate.
  • Peak. This is the climax of the incident. Your child’s behavior will feel out of control.
  • De-escalation. This phase is characterized by a reduction in the frequency or intensity of negative behaviors.
  • Recovery. Your child transitions back to a calm state.

Strategies For Prevention

The root cause of acting out is often a desire for attention. If a child misbehaves, adults typically notice and respond quickly. Acting out can make a child feel in control by commanding the attention of everyone around them.

To prevent acting out for attention, parents and other caregivers should regularly provide positive attention. Actively engage your child during calm periods, tell them what you expect and follow up with praise to validate good behavior. Remember that people who are more introverted or anxious tend to shy away from public praise. Specific, private praise often works better than more general public acknowledgment.

Many children also have predictable antecedents that precipitate misbehavior. While every child is different, these triggers may include transition times, unexpected changes, needing to wait, unfamiliar social situations or challenging schoolwork. Parents and other caregivers can intervene before these situations to disrupt the acting-out cycle.

If you know about an upcoming change in your child’s routine, give them as much notice as possible. Tell your child what’s going to happen and when. Some children also benefit from reminders and gradual transitions. To get your child to go to bed earlier during the school year, you might give a reminder that it’s 30 minutes until bedtime and suggest reading a favorite book before going to sleep.

Similarly, children can be taught how to wait. Suggest something that they can do during that downtime. If your child misbehaves while you’re waiting to check out at the grocery store, ask them to help you place items on the conveyor belt. You could also suggest a more passive strategy, like watching the register total the amount as the clerk scans each item.

Stay Safe While De-escalating

Sometimes children begin acting out despite our best efforts. When de-escalating an incident, ensuring the safety of your child, yourself and anyone else nearby should always be the top priority. Remember to remain calm. If there are multiple adults present, you should identify one person to lead the de-escalation. Any other adults should stay nearby in the event assistance is needed. Depending on the severity, you may need to isolate your child from other children or pets. Don’t be afraid to call for help if necessary. You should always have an exit strategy in case the situation becomes unmanageable.

Strategies For De-escalation

Intervening as soon as you notice your child becoming agitated can help diffuse the situation. Ask how you can help or suggest that they take a break. To de-escalate the incident, validate your child’s feelings and attempt to redirect their behavior.

If your child is already in the acceleration phase, move to their eye level and speak calmly and respectfully. Avoid using a tone or body language that could be perceived as threatening. Emphasize that you understand that your child upset but need them to cool down so you can work through the problem together.

When a child refuses to cooperate, the best course of action is to ensure they are in a safe place and allow them to cool off on their own. Provide your child with time and space to calm down in a quiet environment. Once your child is calm, you can decide whether it is appropriate for them to resume regular activities. Later, you should reflect on why your child’s behavior escalated and consider interventions that could interrupt the acting-out cycle in the future.

Lexington Services provides a variety of personalized programs for children with behavioral challenges. Click here to learn more about our behavioral support services.

To read more like this, check out our last post.

Autism Nutritional Therapy – Using Food To Feed Mind And Body

Nutritional therapy for autism is usually the purview of pseudoscience and inflammatory rhetoric. However, certain aspects of autistic disorder (AD) can keep someone with the disorder from receiving proper nutrition. Even if diet cannot be used as a panacea, at Lexington, we believe it is still necessary to ensure a proper, balanced diet for people with autism.

Diet As An Aggravant Of Autism

Many people believe certain foods or ingredients are aggravators of autism, but at this time the jury is still out. While many theories have arisen, but none have been scientifically proven. Some food ingredients, such as dyes, high-fructose corn syrup and artificial preservatives, are often linked to having a negative impact on children with (or without) autism. Cutting these, along with refined and overprocessed foods, likely won’t negatively impact your child’s health. It’s cutting out foods with nutritional value that may lead to unintended consequences. For instance, preventing your child from eating other foods, such as wheat and dairy, can potentially hurt them because they lose out on necessary nutrients.

Diets To Treat Autism

Some parents introduce restricted diets to their autistic children, including gluten (wheat) free, casein (dairy) free and low sugar. Experts worry because these parents self-treat their children based on personal research and by talking to other parents, despite the fact that none of these diets have been proven by documented research to be effective.

Additionally, children with autism have different sensory issues or may need to eat in a way where certain conditions/routines are met. Some may be sensitive to texture, color or smell or any combination of reactions. If you’re looking to try to restrict your child’s foods, you should consult with a registered dietician or another nutrition specialist to ensure that they eat a balanced and healthy diet.

Diets To Ameliorate The Effects Of Autism

Different diets designed to treat autism can be easily found on the web, but that doesn’t mean these are beneficial to your child. Diets some parents place their kids on include:

  • High calcium to protect thin bones.
  • Elimination diets to address digestive problems.
  • Substitute foods to accommodate children who have an aversion to texture.

It’s important to note that none of these diets have been deemed as cures by experts and that no studies support their effectiveness. There is some research to support that AD does create a disconnect between the gut and brain, which might be the root of some dietary problems. That being said, it’s important to work with a professional to ensure that your child is eating the right foods before starting any diet.

Unlike other conditions, autism encompasses a wide spectrum and is a complex group of disorders. While there are similarities among children with AD, no two have the exact same experience or symptoms. That being the case, while one diet may ameliorate the effects of autism for one child, it may do nothing for another.

Foods And Supplements As A Therapeutic Solution

Sometimes children with autism are given specific foods and/or supplements, such as multivitamins, omega-3, vitamin D and enzymes, to ensure proper nutrition. These can be helpful to some children; however, receiving too high of a supplement can have unintended effects. According to small-scale studies, certain supplements, such as omega-3 fatty acids, are considered safe and may reduce some autism-related symptoms such as repetitive behavior, hyperactivity and even improve socialization. Other nutritional supplements may also counteract some of the effects of autism nutritional therapy, but again, you want to be careful. It’s best to check with a professional to ensure that a properly balanced diet, along with the appropriate type and level of supplements, are given.

As you know, dealing with AD can have its rough days. Sometimes we want to believe in a cure so badly it’s easy to turn to something like diet in the hopes that it’ll work. However, while diet modifications may help some children, there is no one-size-fits-all solution. Diets should never be generically used as a treatment for autism. However, using it as a complement with more conventional treatments might help.

If you think your child might benefit from nutritional therapy, Lexington Services can refer you to a nutritional specialist to make sure your child is getting the necessary nutrients.

To read more like this, check out our last post.

Legal Guardianship Options And Alternatives For Parents

In the U.S., all children reach legal adulthood when they turn 18. Adults, including those with cognitive impairments, are presumed to be competent unless proven otherwise and have the right to make their own decisions. While a parent can petition the court to continue to make decisions on behalf of their adult child and keep their legal guardianship, they must proactively seek that legal authority.

If your child has a disability and is currently in their midteens, now is the time to begin considering what will happen when they turn 18. There are different legal options to explore depending on your child’s needs. The judicial process can be lengthy and arduous, so the sooner you get started, the better decision you will be able to make for your child.

Why consider legal action?

Unless you intervene, your child with autism, Down’s syndrome, developmental disabilities or other cognitive impairments will be responsible for making their own choices once they celebrate their 18th birthday. You may want to explore your legal options if your child relies on assistance to complete daily activities, struggles to understand complex situations or has difficulty communicating appropriately.

Taking legal action can ensure that you are able to continue to guide and protect your child after they reach adulthood. There are options that parents can pursue to continue to make their child’s health care decisions, help with their finances and guide their educational choices. If you seek guardianship or another legal role before your child turns 18, you can avoid the consequences of not having a plan in place and prevent the need to have your child declared incompetent later.

What options do parents have?

While the laws governing guardianship and other agent roles vary by state, there are a variety of arrangements that can be tailored to fit your child’s needs and abilities. Keep in mind that courts generally will prefer the least restrictive option that protects your child’s interests.

Limited Power Of Attorney (LPOA)

High-functioning individuals who only need or want assistance with specific tasks can grant someone the limited ability to act on their behalf with an LPOA. With an LPOA, your child would decide what specific matters that you could represent them in. For example, if your child needs your help managing paperwork to continue their education, they could establish an educational power of attorney. Executing an LPOA would not take away your child’s right to make their own decisions, including the right to terminate the LPOA.

Durable Power Of Attorney (DPOA)

Children with mild or moderate disabilities may be open to granting their parents a DPOA. Adults can choose to designate another person as their agent with the authority to make legal and financial decisions on their behalf. A DPOA would enable you to manage your child’s banking, handle any contracts such as rental agreements and buy or sell property for them. Unlike a general or limited power of attorney, a DPOA remains in effect if the individual becomes incapacitated. If your child chooses a DPOA, they would retain the right to make their own decisions and could change or revoke their DPOA at any time.

Health Care Surrogate Designation

To allow you to continue to make health care decisions on their behalf, your adult child can execute a health care surrogate designation, aka a health care proxy. This designation would enable you to continue to access your child’s health information, speak to practitioners on their behalf and make choices for them when necessary. Your child would retain their legal rights, including the power to change or revoke this document.

Guardian Advocate

If your child will not be able to live independently, you may want to consider petitioning the court to appoint you as a guardian advocate. Not all states have guardian advocate programs, but if yours does, pursuing this designation is less expensive and time-consuming than seeking legal guardianship. Your child would not need to be found legally incapacitated, and if they own no property other than funds from Social Security or other government programs, you would not be required to hire an attorney. A judge would review your child’s health and educational records to assess their abilities and determine which rights a guardian advocate would assume.

Legal Guardianship

If your child is unable to make decisions on their own and your state does not have a guardian advocate program, you will need to petition for guardianship. To have a guardian appointed, a person must be declared legally incompetent by a court. A legal guardian will then be granted the authority to make decisions on their behalf.

There are different types of legal guardianship. Guardianship of the person gives the designee the authority to make decisions regarding the ward’s residence, education and health care, while guardians of the estate aka. conservators are granted the power to manage the ward’s finances. The court may also appoint the same person to manage both the ward’s life and property in what is known as a full or plenary guardianship.

What is the process to seek guardianship?

Before beginning the process, collect your child’s health and education records. You will also need to identify references who can speak to your child’s history, abilities and challenges. To apply for a formal guardianship, you need to hire an attorney to represent you.

Your attorney will file an application with the court, and the court will then appoint an attorney to represent the interests of your child. A psychological evaluation of your child will be conducted to evaluate their competence to independently make decisions. If the court-appointed counsel reviews the findings and agrees to your petition for guardianship, no hearing is necessary. Otherwise, the court will hold a hearing where both sides will present their arguments, and a judge will decide whether a guardian should be appointed.

Each state has its own guardianship laws, so if you are interested in petitioning for legal guardianship, you should research the options and process in your state. However, the National Guardianship Association offers more information and resources for parents and caregivers.

Before your child celebrates their eighteenth birthday, prepare for what that transition into adulthood will mean for them. Consider your child’s abilities, needs and desires as you plan for the future. By exploring your options in advance, you can help ensure your child continues to receive the support that they need.