Int. Strategies (II)	Lesson 3: Outline	-
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Physiological Influences

Introduction to physiological influences Most common functions of problem behavior Obtain attention Escape/avoid Obtain items or activities Many problem behaviors are not socially maintained Physiological factors can influence problem behavior Medical and behavioral collaboration is important Types of physiological factors influencing problem behavior Theories Setting events Respondent learning and arousal Sensory Homeostatic Organic Examples Illness Painful experiences Sleep disturbance Medication side effects Medication interactions Nutrition and hunger Addiction and drugs Identifying physiological influences from functional assessment data Identify the last time a routine medical exam occurred Behavior that occurs in absence of social interaction Behavior that continues for long periods Student learns that behavior affects environment Behavior maintained by multiple functions Collecting data to confirm setting events Intervention strategies Two types of intervention approaches Medical Behavioral Psychotropic medication Produces changes in emotions and behavior Acts on neurotransmitters Concerns of overuse exist Show mixed results in research studies Interventions related to medication Reschedule medication times Change dosage levels Alter food intake or nutrition Create a medical notebook to enhance communication Examples of setting event strategies Change school schedule Temporarily decrease amount of work expected Make changes in the environment Initiate relaxation routine Addressing behavior associated with sensory stimulation Create an enriched environment Provide opportunities to escape over stimulation Examples of environmental strategies Remove nonedible items Reduce tempting situations involving food Schedule a snack at key time periods Additional interventions Communication training Social skills Relaxation Exercise Interventions across home and school Strategies to encourage sleep through the night Communication log Letting student sleep at school Keeping the student awake at school Decrease the presentation of antecedents Starting instruction with preferred activities Summary Closer communication between medical and educational professionals is needed Attention to student's health can avoid problem behavior Environmental interventions are just as important as medical