Building a fundamental knowledge base

Bender vs. Principal Vernon

Teaching Students with Oppositional Defiant

Disorder (ODD)

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

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

Observing Models and Cases:

Strategies for Teaching Students with O.D.D.

“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

“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

Oppositional Defiant DisorderReflection on Your Practice

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?

Survey: What Are Your Experiences?

Environment Removal/Time Out Ignoring/Acknowledging Reward Systems Fears/Frustration Successes Proactive Approaches Skill Building Opportunities

Oppositional Defiant DisorderChanging 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 Behaviorwithstanding punishment linked to self image

Ignore the Behaviorno awareness of impact

Reward systems impulse behaviors are unresponsive

Gaining and Sharing Expertise

Teaching Students with Oppositional Defiant

Disorder

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

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