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The Behavior Code
Practical Strategies
for Working with
Challenging Students
Nancy Rappaport, M.D.
Toolkit
FAIR
plan

SOS
tips

Comfort
box

Toolkit
Nancy Rappaport M.D.
Ashley

Nancy Rappaport M.D.
Ashley

×
Traumatic

Nancy Rappaport M.D.
Ashley

+
Positive

×
Traumatic

Nancy Rappaport M.D.
SOS
tip 1

Misbehavior is
a symptom
Nancy Rappaport M.D.
SOS
tip 2

Behavior is
communication
Nancy Rappaport M.D.
SOS
tip 3

The only behavior
we control is our own
Nancy Rappaport M.D.
SOS
tip 4

Behavior can
be changed
Nancy Rappaport M.D.
Soda Cola

Soda Cola

Nancy Rappaport M.D.
Soda Cola

So

da

Col a

Nancy Rappaport M.D.
Soda Cola

Soda Cola

Nancy Rappaport M.D.
Soda Cola

Soda Cola

Soda Cola

Soda Cola

Soda Cola

Anxiety is a
hidden disability
Nancy Rappaport M.D.
How can we help?

Nancy Rappaport M.D.
Missing Skills
Self-regulation

Nancy Rappaport M.D.
Missing Skills
Self-regulation
Thought stopping/
Recognizing thinking traps

Nancy Rappaport M.D.
Missing Skills
Self-regulation
Thought stopping/
Recognizing thinking traps
Social skills

Nancy Rappaport M.D.
Missing Skills
Self-regulation
Thought stopping/
Recognizing thinking traps
Social skills
Executive Functioning
Nancy Rappaport M.D.
Missing Skills
Self-regulation
Thought stopping/
Recognizing thinking traps
Social skills
Executive Functioning
Flexible thinking
Nancy Rappaport M.D.
Missing Skills
×

METHOD 1
Changing
the channel

Challenging
behavior
Nancy Rappaport M.D.
Missing Skills
×

METHOD 1
Changing
the channel

Challenging
behavior
Nancy Rappaport M.D.
Missing Skills
METHOD 2

×

+

Challenging
behavior

Progressive
muscle
relaxation
Nancy Rappaport M.D.
Toolkit
FAIR
plan

SOS
tips

Comfort
box

Toolkit
Nancy Rappaport M.D.
FAIR
plan
Nancy Rappaport M.D.
FAIR
plan

Function
A
I
R
Nancy Rappaport M.D.
FAIR
plan

Functional Hypothesis

Behavior
=
Communication
Nancy Rappaport M.D.
FAIR
plan

Functional Hypothesis
Functions of

Behavior

Nancy Rappaport M.D.
FAIR
plan

Functional Hypothesis
Functions of

Behavior

!

attention

Nancy Rappaport M.D.
FAIR
plan

Functional Hypothesis
Functions of

Behavior

!

attention

EXIT

escape
Nancy Rappaport M.D.
FAIR
plan

Functional Hypothesis
Functions of

Behavior
NOW

tangible

!

attention

EXIT

escape
Nancy Rappaport M.D.
FAIR
plan

Functional Hypothesis
Functions of

sensory
NOW

tangible

Behavior

!

attention

EXIT

escape
Nancy Rappaport M.D.
FAIR
plan

Functional Hypothesis

Negative
Attention
Nancy Rappaport M.D.
FAIR
plan

Functional Hypothesis

Nancy Rappaport M.D.
FAIR
plan

Functional Hypothesis

Nancy Rappaport M.D.
FAIR
plan

Functional Hypothesis

Breaking the cycle

×
Nancy Rappaport M.D.
FAIR
plan

Functional Hypothesis

Breaking the cycle
+

×
Nancy Rappaport M.D.
FAIR
plan

Antecedent Analysis

ABC charts

date

time

setting event

antecedent

Feb 2
2013

9:15
am

Dad is on
a trip

Math Quiz

behavior

consequence

×

Nancy Rappaport M.D.
FAIR
plan

Typical Antecedent

Patterns

Unstructured times

Nancy Rappaport M.D.
FAIR
plan

Typical Antecedent

Patterns

Unstructured times
Transitions

Nancy Rappaport M.D.
FAIR
plan

Typical Antecedent

Patterns

Unstructured times
Transitions
Writing demands

Nancy Rappaport M.D.
FAIR
plan

Typical Antecedent

Patterns

Unstructured times
Transitions
Writing demands
Social demands
Nancy Rappaport M.D.
FAIR
plan

Typical Antecedent

Patterns

Unstructured times
FIRE ALARM
Transitions
Writing demands
Social demands
Novel events/unexpected change
PULL DOWN

Nancy Rappaport M.D.
FAIR
plan

F unction
A ccommodations
I
R
Nancy Rappaport M.D.
FAIR
plan

Accomodations and modifications

Emotional
Breakdown
Nancy Rappaport M.D.
FAIR
plan

Accomodations and modifications

R
Emotional
Breakdown
Nancy Rappaport M.D.
FAIR
plan

Accomodations and modifications

R
Emotional
Breakdown
Nancy Rappaport M.D.
FAIR
plan

Accomodations and modifications

Find activity
that builds
confidence
Nancy Rappaport M.D.
FAIR
plan

Accomodations and modifications

Read the room

Nancy Rappaport M.D.
FAIR
plan

Accomodations and modifications

Read the room
Time
			Narrate its passage
			Segmented Clock

5
10

0

55

15

50
45
40

20
25 30 35

Nancy Rappaport M.D.
FAIR
plan

Accomodations and modifications

Read the room
Time
			Narrate its passage
			Segmented Clock
Organization and integration of information
Nancy Rappaport M.D.
FAIR
plan

Transitions

Nancy Rappaport M.D.
FAIR
plan

Stopping
the activity
Components of

Transitions

Nancy Rappaport M.D.
FAIR
plan

Stopping
the activity
Components of

Transitions
Shift to the
next activity
Nancy Rappaport M.D.
FAIR
plan

Stopping
the activity
Components of

Transitions
Starting the
next activity

Shift to the
next activity
Nancy Rappaport M.D.
FAIR
plan

Stopping
the activity

Lack of
structure

Components of

Transitions
Starting the
next activity

Shift to the
next activity
Nancy Rappaport M.D.
FAIR
plan

Previewing Tasks

Nancy Rappaport M.D.
FAIR
plan

Emotional
Thermometer
Nancy Rappaport M.D.
FAIR
plan

Emotional Thermometer

Nancy Rappaport M.D.
FAIR
plan

Emotional Thermometer
STRATEGY
(1) Take a break
(2) Deep breaths
Angry
Nancy Rappaport M.D.
FAIR
plan

Emotional Thermometer

Nancy Rappaport M.D.
FAIR
plan

Emotional Thermometer
STRATEGY
Comfort
box
Anxious
Nancy Rappaport M.D.
Toolkit
FAIR
plan

SOS
tips

Comfort
box

Toolkit
Nancy Rappaport M.D.
FAIR
plan

Comfort
box
Nancy Rappaport M.D.
FAIR
plan

Comfort
box

Nancy Rappaport M.D.
FAIR
plan

Comfort
box

Nancy Rappaport M.D.
FAIR
plan

Comfort
box

Distraction

Nancy Rappaport M.D.
FAIR
plan

Comfort
box

Distraction

Touch

Nancy Rappaport M.D.
FAIR
plan

Self-regulation
Apps
Nancy Rappaport M.D.
FAIR
plan

Self-regulation Apps

Sosh

Nancy Rappaport M.D.
FAIR
plan

Self-regulation Apps

At Ease

Nancy Rappaport M.D.
FAIR
plan

Self-regulation Apps

Calm Counter

Nancy Rappaport M.D.
FAIR
plan

F unction
A ccommodations
I nteractions
R
Nancy Rappaport M.D.
FAIR
plan

Interaction Strategies

Relationship
Building
Nancy Rappaport M.D.
FAIR
plan

Interaction Strategies

Relationship
Building

Random acts of
kindness
Nancy Rappaport M.D.
FAIR
plan

Interaction Strategies
Empathetic

Playful/
Pause

PACE

Accepting

Curious
Nancy Rappaport M.D.
FAIR
plan

Interaction Strategies

Self-monitoring

a system to help students
notice and rate their own
behavior throughout an activity
Nancy Rappaport M.D.
FAIR
plan
Tips on

Giving Demands
to Oppositional Students

Nancy Rappaport M.D.
FAIR
plan

Tips on Giving Demands

Avoid yes or no questions
Nancy Rappaport M.D.
FAIR
plan

Tips on Giving Demands

Use choices when possible
Nancy Rappaport M.D.
FAIR
plan

Tips on Giving Demands

Extended time to comply
Nancy Rappaport M.D.
FAIR
plan

F unction
A ccommodations
I nteraction Strategies
R esponse
Nancy Rappaport M.D.
FAIR
plan

Response Strategies

90% of prevention
is antecedent
management
Nancy Rappaport M.D.
FAIR
plan

Responses to avoid:
×

Time-outs

×

Send to sit in hallway

×

Send to principal’s office

Nancy Rappaport M.D.
FAIR
plan

Positive Responses:
+

Incremental systems

+

Rewards for demonstrating
appropriate behavior

Nancy Rappaport M.D.
The Behavior Code
Jessica Minahan &
Nancy Rappaport
Harvard Education Press (2012)
Find it on:

or at the Harvard Ed Press

Nancy Rappaport M.D.
Contact
Nancy Rappaport, M.D.
website
www.NancyRappaport.com
twitter
@docrappaport
Nancy Rappaport M.D.

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The Behavior Code presentation | Nancy Rappaport, M.D.