Teaching Students with Oppositional Defiant Disorder (ODD)
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Transcript of Teaching Students with Oppositional Defiant Disorder (ODD)
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Building a fundamental knowledge base
Bender vs. Principal Vernon
Teaching Students with Oppositional Defiant
Disorder (ODD)
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Definition of ODDDSM-IV (1994)CharacteristicsPrevalence about 6-10%
Comorbidity (handout)25-50% meet DSM diagnosisADHD 50-65%
Assessments (handout)Non-clinical (ODD & ADHD)
Vanderbilt Assessment Scale
An Overview of ODD
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Risk factors Nurture –
Changing Practice (Joe) Nature –
Adopted children of anti-social fathers more likely than non-AS fathers
Twins studies support genetic components
Treatments: Early interventions Medication? Family centered CBT Dialectical behavior therapy (DBT)
Implications for the child's future? Conduct Disorder 30% (separate disorder) Academic Difficulties
Ramifications of ODD
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Observing Models and Cases:
Strategies for Teaching Students with O.D.D.
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“Arrange the child's environment so the right response is the easiest response.”
Macro Environment Room Schedule Desk Placement Your Attitude Clear and finite expectations
Micro Environment Comfort of desk Childs Daily Schedule Organizational System
Setting up for success: Cassandra
Hall & Hall, 2003
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“The child is removed only to protect people, property and to ensure a viable teaching and learning
environment.”
Voluntary leaving the classroom
Child involved Develop a relationship Develop a plan Your Attitude Clear and finite expectations
When the plan fails
Use physical restraint as a last resort Re-direct behavior Do not threaten or get angry
Removal from the classroom: Billy
Hall & Hall, 2003
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Oppositional Defiant DisorderReflection on Your Practice
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The Perspectives of Donald & Mrs. Burke
• Offers Large Enticing Reward
• Asks Simple Requests for
Participation
• Frustrated with Disruptions
• Ignores “Attention Seeking” Behavior
• What would you do?
• Working Toward A Reward
• Disruptive During Normal Tasks
• Unaware of Impact
• Not Seeking Attention
• Fails to Exhibit Appropriate
Behavior
• Fails to Gain Reward
• How would this student feel?
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Survey: What Are Your Experiences?
Environment Removal/Time Out Ignoring/Acknowledging Reward Systems Fears/Frustration Successes Proactive Approaches Skill Building Opportunities
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Oppositional Defiant DisorderChanging Practice
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You Know This Student Disrupted Home life Co-morbidity with
ADHD
Medicated Non Compliant Distracted or
Disinterested Verbally or
physically abusive. Lacks inhibition
control
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Turn the behavior upside down What is the behavior achieving for the student?
Autonomy. Attention. Definition of self. Intentional?
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That Won't Work!
Punish the Behaviorwithstanding punishment linked to self image
Ignore the Behaviorno awareness of impact
Reward systems impulse behaviors are unresponsive
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Gaining and Sharing Expertise
Teaching Students with Oppositional Defiant
Disorder
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Removing a Student from the ClassroomWhen should a student be removed?Creating a plan with the student
Importance of building a strong relationship with the studentStudents must feel physically and
emotionally safeStudents must feel valued and
accepted
Classroom and School Strategies
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Strategies for Building a Positive School Culture: Ensuring SuccessIndependent Decision MakingTeaching for Behavior ChangeNo PunishmentGentle InterventionsLogical ConsequencesDeveloping a Mission StatementImportance of Hiring
Summary of Strategies from SurveyWhat’s working?
Classroom and School Strategies