Teaching Students with Oppositional Defiant Disorder ODD Building
Teaching Students with Oppositional Defiant Disorder (ODD) Building a fundamental knowledge base Bender vs. Principal Vernon
An Overview of ODD �Definition of ODD � DSM-IV (1994) � Characteristics � Prevalence about 6 -10% �Comorbidity (handout) � 25 -50% meet DSM diagnosis � ADHD 50 -65% �Assessments (handout) � Non-clinical (ODD & ADHD) � Vanderbilt Assessment Scale
Ramifications of ODD �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
Observing Models and Cases: Strategies for Teaching Students with O. D. D.
Setting up for success: Cassandra “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 Hall & Hall, 2003
Removal from the classroom: Billy “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 Hall & Hall, 2003
Oppositional Defiant Disorder Reflection on Your Practice
The Perspectives of Donald & Mrs. Burke • Working Toward A Reward • Offers Large Enticing Reward • Disruptive During Normal Tasks • Asks Simple Requests for Participation • Unaware of Impact • Frustrated with Disruptions • Not Seeking Attention • • Fails to Exhibit Appropriate Behavior Ignores “Attention Seeking” Behavior • What would you do? • Fails to Gain Reward • How would this student feel?
Survey: What Are Your Experiences? Environment Removal/Time Out Ignoring/Acknowledging Reward Systems Fears/Frustration Successes Proactive Approaches Skill Building Opportunities
Oppositional Defiant Disorder Changing Practice
You Know This Student Disrupted Home life Co-morbidity with ADHD Medicated Non Compliant Distracted or Disinterested Verbally or physically abusive. Lacks inhibition control
Turn the behavior upside down What is the behavior achieving for the student? Autonomy. Attention. Definition of self. Intentional?
That Won't Work! Punish the Behavior withstanding punishment linked to self image Ignore the Behavior no awareness of impact Reward systems impulse behaviors are unresponsive
Teaching Students with Oppositional Defiant Disorder Gaining and Sharing Expertise
Classroom and School Strategies � Removing a Student from the Classroom � When should a student be removed? � Creating a plan with the student � Importance of building a strong relationship with the student � Students must feel physically and emotionally safe � Students must feel valued and accepted
Classroom and School Strategies for Building a Positive School Culture: � Ensuring Success � Independent Decision Making � Teaching for Behavior Change � No Punishment � Gentle Interventions � Logical Consequences � Developing a Mission Statement � Importance of Hiring Summary of Strategies from Survey � What’s working?
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