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+ Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office of Education 84.325K H325K080308

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Page 1: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+Temper Tamer’s HandbookEBP Product Outline

Natalie WahmhoffUniversity of Utah

Department of Educational PsychologySchool Psychology Program

US Office of Education 84.325KH325K080308

Page 2: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office
Page 3: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookIntroduction

Definition: The Temper Tamer’s Handbook is an individualized intervention that aims to help children who are prone to outbursts and aggression. It helps to teach these children how to control, assess, and monitor their actions and feelings. Temper Tamer’s stems from a cognitive-behavioral perspective and combines several evidence based techniques.

Page 4: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookIntroduction

Why would it be used?

To reduce temper tantrums, anger outbursts, and aggression in the classroom

To improve students’ emotional regulation

To provide students with coping skills

To increase positive interactions between students and teachers

To decrease punitive consequences, class removals, and discipline referrals

To increase positive class climate

Page 5: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookIntroduction

Target Population

Designed for classroom setting (could be adapted for home use as well)

Targets children who are prone to aggression, tantrums, and outbursts in the classroom

Basic concepts are applicable to all ages, but the format presented is most appropriate for children in kindergarten to 4th grade

Page 6: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookWhy is this intervention evidence base practices?

This intervention combines several evidence based components Relaxation techniques Self monitoring Variable reinforcement

Page 7: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookWhy is this intervention evidence base practices? Relaxation Techniques

Teaches deep breathing and progressive muscle relaxation

Positive effects on physical measures (such as heart rate and body temperature) and on student self-report of mood (Lohaus et al., 2001)

Middle school children also benefited from relaxation and visualization techniques (Dacey et al., 1997)

Other studies have shown similar positive effects following relaxation training (Heibert, 1989; Parrott, 1990)

Page 8: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookWhy is this intervention evidence base practices?

Self-Monitoring This component was added to the intervention in order to

improve student accuracy when they reflect on their own behavior and help them to be more self-aware in general

One study that utilized the student/teacher matching techniques for self-monitoring showed increases in targeted social skills (Peterson et al., 1997)

Many other studies use student self-monitoring as a component of successful interventions. Overall, published studies that use self-monitoring as part of the intervention show positive results (Cooger, Kehle, Bray & Chalouleas, 2007; Clees, 1995; Davies & Witte, 2000).

Page 9: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookWhy is this intervention evidence base practices?

Variable Reinforcement Like many interventions, Temper Tamer’s includes a

reinforcement component. This reinforcement is given at variable intervals, meaning the student is not able to predict when a reward will be given. This increases motivation and anticipation

Studies have shown that variable reinforcement is a more powerful motivator than reinforcement that is given at fixed or ratio intervals (Davies & Witt, 2000; Robinson & Sheridan, 2000; Jenson et al., 1982; Stage & Quiroz, 1997)

Page 10: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookMaterials Needed

The student workbook includes: Worksheets Reflection sheets Reminder cards Break tickets Change charts

Other materials required Rewards Crayola Changeable Markers (optional, but recommended)

Page 11: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookStep to Implement

Step One: Read through student workbook so you know what to expect and what activities you will be doing.

Step Two: Find time to meet with target student. Try to make it a time that does not interfere with a desired activity (recess, gym class, lunch).

Step Three: Begin working through lessons with the student. Students may need help generating ideas and practicing techniques.

Recognizing Temper Triggers (page 1) If student does not mention a trigger that you see

regularly add it to the list.

Page 12: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookStep to Implement

Step three (working through the lessons) Take a Break (page 3)

Student may need help choosing appropriate ways to take a break, especially when in the classroom and school. Make special arrangements if needed (i.e. arrange to allow student to use Mp3 player during school hours)

Cool Thoughts (page 4) Recognizing the connection between thoughts, feelings,

and actions is difficult for some children. Help children see the connection by providing examples of different perspectives, emphasize positive perspectives over negative ones.

Page 13: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookStep to Implement

Step 3: Working through the lessons Speed it Up (page 6)

Again, students may need help decided what is helpful and appropriate for school use. Encourage actions that take the mind away from anger over ones that still have a violent or angry edge. For example, choose jumping jacks over punching a pillow or screaming silently.

Slow it Down (page 7) This method teaches relaxation techniques and does

require practice. Encourage the student do practice at home and during stressful and non-stressful times.

Page 14: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookStep to Implement

Step Four Place carrying card (page 10) in areas that will be most

helpful to the student. It can be place on a desk, or if the student has the most trouble in the lunch room, consider the inside of a lunch box. The student can also keep a card in her pocket as a reminder at times the student is away from the classroom.

Step Five: Discuss (or reiterate) strategies that can be used in the

classroom (cool thoughts, breathing). Encourage these techniques as they do not take the student away from instruction

Page 15: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookStep to Implement

Step Six Talk about times that the student may be too overwhelmed

and need to leave the classroom. This is the time to use the Break Tickets (page 11). Be clear about how long breaks should be and the appropriate activities for these breaks. Write these down as an agreement that you and student can refer back to.

Step Seven Introduce the reflection page (page 12). Make copies,

because the student will use it more than once. Work through filling out one reflection with the student as an example. They may require assistance the first few days. Students will earn points when they try a method, when it works, and if they match their teachers opinion of how well their method worked. If they had no outbursts or problems at all that day, they deserve all three points.

Page 16: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookStep to Implement

Step Nine Decide what reinforcers will be used. A variety of

reinforcers rather than the same one over and over is best. Make a copy of the change chart (page 13) or use your own. Place x’s in circles randomly and at unequal intervals. This creates variable reinforcement. Use an invisible ink marker to create suspense and anticipation. For each point the student earns, a student colors in a circle. When that circle is X’d, the student is rewarded.

This reflection sheet can also serve as a home note to notify parents of progress.

Page 17: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookTroubleshooting

Student takes breaks more than necessary Require the student to use an in-class method before

using the break method Give points only for methods he can use in class Make leaving the classroom one of the rewards

No reward seems motivating Get input from the student, what do they want? Examine the reinforcement schedule and the types of

reinforcement. If a student has to wait too long between rewards they may lose motivation.

Consult with parents about making home rewards contingent on points earn on reflection sheets

Consider unconventional rewards such as, skipping math problems on an assignment or sitting in the teacher’s desk for 20 minutes

Page 18: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ The Temper Tamer’s HandbookTroubleshooting

This student requires more guidance that I can provide. Consider asking another staff member to help on a

temporary basis. When the student takes a break, she can see that staff person until she masters the techniques.

Involve the parents. Work collaboratively with them to teach the methods and practice them at home and in school.

Page 19: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ReferencesClees, T.J. (1994). Self-recording of students’ daily schedules of

teacher’s expectantcies: Perspectives on reactivity, stimulus control, and generalization. Exceptionality, 5, 113-119.

Coogan, B.A., Kehle, T.J., Bray, M.A., & Chafouleas, S.M. (2007). Group contingencies randomization of reinforcers, and criteria for reinforcement, self-monitoring, and peer feedback on reducing inappropriate classroom behavior. School Psychology Quarterly, 22, 540-556.

Dacey, J. (1997). The results of teaching middle school students two relaxation techniques as part of a conflict prevention program. Research in Middle Level Education Quarterly, 20, 91-102.

Davies, S. & Witte, R. (2000). Self-management & peer monitoring within a group contingency to decrease uncontrolled verbalizations of children with attention deficit-hyperactivity disorder. Psychology in the Schools, 37, 137-147. 

Page 20: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

+ Freeland, J.T., & Noell, G.H (1999). Maintaining accurate math responses in elementary school students: The effects of delayed intermittent reinforcement and programming common stimuli, Journal of Applied Behavior Analysis, 32, 211-215.

Heibert, B., Kirby, B., & Jaknanorian, A. (1989). School based relaxation: Attempting primary prevention. Canadian Journal of Counseling, 23, 273-287.

Jenson, W.R., Neville, M; Sloane, H.N, & Morgan, D. (1982). Spinners and chart moves: A contingency management system for school and home. Child & Family Behavior Therapy,4, 81-85.

Lohaus, A. & Klein-Hessling, J. (2003). Relaxation in children: Effects of extended and intensified training. Psychology and Health, 18, 237-249.

Lohaus, A., Klein-Hessling, J., Voegelle, C., & Kuhn-Henninghausen, C. (2001). Relaxtion in children: Effects on physiological measures. British Journal of Health Psychology, 6, 197-206.

Parrott, L., (1990). Helping children manage stress: Some preliminary observations. Child and Family Behavior Therapy, 12, 69-73.

Page 21: + Temper Tamer’s Handbook EBP Product Outline Natalie Wahmhoff University of Utah Department of Educational Psychology School Psychology Program US Office

Peterson, L.D., Young, R.K., Salzberg, C.L., West, R.P., & Hill, M. (2006). Use of self- management procedures to improve classroom social skills in multiple

general education settings. Education and Treatment of Children, 29, 1-21. Scully, P. (2003). Time out from tension: Teaching young children how to relax. Journal of Early Education and Family Review, 10, 22-29. Stage, S.A. & Quiroz, D. R. (1997). A meta-analysis of interventions to decrease disruptive classroom behavior in public education settings. School Psychology Review, 26, 333-368.