Frequently Asked Questions from Therapists: Severe Behavioral Challenges

     1. Where do I begin as a clinic therapist with a 2-year 11 month old who is frequently screaming and won’t participate at all in my treatment sessions? If I bring him to his parents in the waiting room he does it more next time, but the screaming bothers other therapist’s clients and […]

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FAB "Functionally Alert Behavior" Strategies Book is Coming Soon

After over 35 years of practice in pediatric occupational therapy, 15 years presenting to therapists and teachers, and over 10 years of writing my book is finally coming out within the next month! #FABStrategiesBook The interior designer completed the cover for my new book FAB “Functionally Alert Behavior” Strategies and the book is coming out in the

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Frequently Asked Questions from Teachers on Improving Behavior

For over 15 years I have been giving workshops nationally for teachers and teacher trainers on improving the behavior of students in the regular classroom. I’ve compiled my responses to the most frequently asked questions and hope they will be useful. While I have greatly enjoyed all my teacher presentations, I have to admit my

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New Visions for Occupational Therapy

My recent keynote presentation for the Quinnipiac University Student Conference “New Visions for Occupational Therapy” enabled me to reflect on the new directions I’ve taken in my occupational therapy practice. I’ve discovered that behavior is a major goal area for occupational therapy that dramatically effects our functioning. To successfully participate in learning and home life

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Combined Behavior & Sensory Evaluation

Adding a brief behavioral function assessment enables pediatric occupational therapists to better help youth with complex behavioral challenges. Integrating the QABF and Sensory Profile 2 (Dunn, 2014) assessment can improve pediatric occupational therapy behavioral outcomes (McCall et al., 2016; Lydon et al., 2017). Sensory Integration Intervention is helpful for children and adolescents with complex behavioral challenges

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FAB Trigger & Coping Forms

The FAB Trigger & Coping Forms are an assessment that can be included in occupational, physical, and speech/language therapy assessments to help students identify their most problematic triggers and most affective coping strategies. The FAB Trigger & Coping Forms are helpful in developing student’s awareness of their triggers for misbehavior, and used in developing affective

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Special Needs Behavior Plans

Students with complex behavioral problems including cognitive limitations need to be taught to behave appropriately so they can learn in school. An individualized understanding of the student’s developmental level, trauma history, sensory modulation, and effective coping strategies are helpful in developing a behavior plan. It is helpful to develop a trauma informed behavior plan that

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Sensory-Based Interventions in School Occupational Therapy

School occupational therapists apply sensory-based interventions (SBIs) providing specific sensory input for improved classroom behavior. SBIs can include school occupational therapy teacher consultation, environmental adaptations, adaptive equipment, and the use of specific sensory activities Basic SBI Efficacy Post. It is important to differentiate occupational therapy SBIs using individualized goal-directed SBIs to objectively improve behavior (FAB

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Enhancing the Behavior of Students with Autism & Sensory Over-responsivity

Over half of students with Autism Spectrum Disorders have sensory over-responsivity to tactile and auditory stimulation with reduced sensory limbic habituation (Green et al., 2015).  Their lack of habituation makes it physiologically more likely they will become distracted and have difficulty learning. Significant sensory modulation difficulties were related to attention and academic achievement challenges in

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