Center for Evidence-Based Practice: Young Children with Challenging Behavior

Building a Behavior Support Team | Person-Centered Planning | Functional Behavioral Assessment | Hypothesis Development
Behavior Support Plan Development | Monitoring Outcomes | Synthesis of the Research | Case Studies

 

   Functional Behavioral Assessment
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Functional behavioral assessment (FBA) is a process used to develop an understanding of a child’s challenging behavior (Carr et al., 1994; O’Neill et al., 1997; Hieneman et al., 1999). The goal of functional behavioral assessment is to identify the function of the child’s behavior—the reason or purpose why a child behaves as he/she does in specific situations. The process involves collecting information through the use of direct observations, interviews, record reviews(e.g., school and/or medical records, lesson plans, individualized education plans), and behavior rating scales. This information is used to understand patterns of the child’s challenging behavior—the ecological events or conditions that increase the likelihood of challenging behavior (i.e., setting events), what happens before the behavior occurs (i.e., triggers or antecedents), what the behavior looks like (i.e., the behavior), and what happens after the challenging behavior occurs (i.e., consequences). Once collected, the information is analyzed to determine the specific function or purpose of the challenging behavior—whether it occurs in order for the child to obtain something (e.g., attention, object, activity) or to escape something (e.g., demands, activities, social interactions) (Carr et al., 1994; O’Neill et al., 1997). The process is complete when there is enough information that will lead to the development of hypotheses or summary statements (Hieneman et al., 1999) that represent the behavior support team’s best guess or prediction as to what conditions reliably predict the occurrence of the child’s challenging behavior.


Observations

Observation, whether anecdotal or systematic, is the foundation of the functional behavior assessment process. In its simplest form, observation is a means of describing a child’s behavior at any given moment—what the behavior looks like and how often it occurs, as well as its length and intensity. Behavior can be observed either anecdotally or systematically.

Anecdotal behavioral observations are informal in nature—they might include notes taken while observing a child’s performance during playtime, a parents’ recollection of his/her child’s behavior earlier in the day, scatter plots (i.e., charts used to record whether or not a child’s behavior occurred across activities, routines, or time periods), or antecedent-behavior-consequence analyses (Hieneman et al., 1999). In either case, there is no specific type of measurement procedure used to document the child’s behavior.

In contrast, systematic behavioral observations are more structured and controlled—a trained observer would either physically sit in the same room and watch the child or use a videotape recorder to tape the child’s behavior.

Regardless of which type of behavior observation technique is used, it is critically important to conduct as many observations as possible so that the child’s behavior support team can be reasonably confident that the data obtained is both accurate and reflective of the child’s typical behavior. The rule of thumb is that unless the child’s behavior is dangerous to him/herself or others, the more observation data the better.

Click here to learn more about direct measurement procedures

Antecedents

Antecedents are the conditions that immediately precede the occurrence of the child’s behavior (Cooper, Heron, & Heward, 1987; O’Neill et al., 1997; Hieneman et al., 1999). Antecedents include the specific times of day, settings, people, and activities that either occur or are present before the child exhibits challenging behavior. For example, if a 3-year-old child is found to have repeated tantrums whenever it is time to play at the water table, the direction to play at the water table might be an antecedent to the child’s challenging behavior.

Behavior

The term “behavior” refers to the child’s challenging behavior—what the child is doing (i.e., what it looks like), how often the behavior occurs, the length of the behavior’s occurrence, and the intensity of the behavior (e.g., the severity of a tantrum, the impact of the child’s striking hits another child) (O’Neill et al., 1997).

Consequences

Consequences refer to the events that immediately follow the occurrence of the child’s challenging behavior. Examples of consequences include the attention paid by an adult in response to the child’s behavior, as well as the activities and objects the child either escapes or has access to as the result of the behavior.

Setting Events

Setting events are ecological events or conditions (e.g. lack of sleep, change in routine, noisy environment, crowds, allergies, illness, etc.) that increase the likelihood that challenging behavior may occur (O’Neill et al., 1997). Setting events may continue to affect children's behavior even when an effective plan has been working for some time.

For example, Quan is a child who has asthma and a history of problem behavior. He has been learning how to wait his turn for the computer. The process for accessing the computer in his classroom is to put your name on the chart (by moving a laminated name to chart with Velcro) and wait until the child who is on the computer is finished (prompted by a timer). Once the child leaves, the next child moves their name to the computer space on the chart, sets the timer for 10 minutes, and begins working. Quan had a little difficulty with this process when first introduced to the class, but more recently has been able to follow those steps. On Monday morning, Quan comes to class with dark circles under his eyes. His mother tells the teacher that he was up most of the night with his asthma. When he decided he wanted a turn at the computer, he went over to the child who was sitting there and pushed him off of his chair. The child left and Quan sat down to use the computer. The setting event of being tired and not feeling well increased the likelihood that Quan would have problem behavior in this routine.

A team may decide to collect data on setting events and see if they have a relationship to the problem behavior. Those data collection forms are individually developed and tailored to the specific circumstance of the child and the team’s feeling about what distal factors may influence a child’s problem behavior. For examples, see the sample forms below.

Click to view sample setting events forms:
Setting Event Form (Carlos’ Chart)
Setting Event Form (Kyle’s Chart)


Antecedent-Behavior-Consequence Analyses

Antecedent-behavior-consequence (A-B-C) analyses are used to determine patterns in the occurrence of the antecedents, behaviors, and consequences that relate to the problem behavior. A-B-C analyses are often quite useful in developing initial hypotheses or summary statements of the child’s challenging behavior.

Click here for a sample antecedent-behavior-consequence analysis
Click here for a blank antecedent-behavior-consequence analysis form

In addition to A-B-C analyses, the team may use a data collection card to collect A-B-C information. Carr and his colleagues (1994) suggest using context cards - cards used to describe the general context, interpersonal context, behavior problem, and social reaction regarding the child's challenging behavior.

Context cards are helpful because they prompt the observer to consider the broader context that may relate to problem behavior. In addition, the collection of data on a car facilitates the easy analysis of the data. Once there are several completed cards, the observer or team member can sort the cards by perceived function of the behavior. This method of segmenting observations and collecting multiple observations is very easy for team members to use and understand.

Click here for a sample context card
Click here for a blank context card


Interviews

The functional assessment interview offers an efficient method for getting information on the circumstances that relate to the child’s problem behavior. An interview is used to ask a family member or caregiver specific questions about the child’s challenging behavior, such as what the behavior looks like, when it occurs, and what happens before and after the behavior occurs. As with behavioral observations, as much interview information should be collected as possible—with the child’s parents, siblings, teachers, etc. Once collected, interview data is a useful tool for a team when attempting to identify patterns that may predict the function of the child’s challenging behavior.

The most popular and well-developed interview tool is the Functional Assessment Interview (FAI; O’Neill et al., 1997). The FAI is a comprehensive, semi-structured interview tool used to help carefully define the many variables that could potentially predict a child’s challenging behavior. The FAI begins with descriptions of the child’s behavior; helps define antecedents, consequences, and other important information; and concludes with hypotheses or summary statements (O’Neill et al., 1997).

Click here to see an example of a completed FAI
Click here for a blank FAI form


Behavior Rating Scales and Other Tools

In addition to direct observations, interviews, and records reviews (e.g., school and/or medical records, lesson plans, individualized education plans), behavior rating scales and other types of checklists offer an additional means of obtaining information about the context in which a child engages in challenging behavior. Broad in variety, behavior rating scales are questionnaires typically used to describe a specific set of behaviors (e.g., inattention, hyperactivity, social skills). Other rating scales are used to measure a child’s preferences, developmental milestones, academic performance/benchmarks, or medication side effects.

Although behavior rating scales have many uses, they are most effective when used to compare the perceptions of people, such as parents, teachers, and other persons familiar with an individual child. Another effective use of behavior rating scales is to demonstrate progress toward goals (e.g., administering the same rating scale before and after an intervention is conducted). When used in either fashion, behavior rating scales provide a unique source of information that is potentially valuable to a team.

Click here to view a preference assessment form


Function

One of the most helpful things to keep in mind in working with young children is the realization that each and every behavior has a purpose—an underlying reason for why it occurs. Once the function or purpose of a behavior is identified, it is then possible to design interventions directly targeting the underlying reason for why it occurs.

Defined by context and pattern, functions of behavior are determined by understanding the events that occur before and after the behavior occurs—the patterns and chains of events that consistently occur when a child demonstrates challenging behavior. In most cases, the function of a child’s challenging behavior is either to obtain or get something or to escape or avoid something.

Types of Behavior Functions
To avoid…
  • Sensory Stimulation (pain and discomfort)
  • Attention (adults and peers)
  • Demands
  • Tasks or activities
  • People
  • Activities

To obtain…
  • Sensory stimulation (internal)
  • Attention (adults and peers)
  • Objects and materials
  • People
  • Activities
  • Help


Functional Behavioral Assessment Checklist

Begin your direct observations and filling out the observation cards in your first meeting with the child.
Complete the functional assessment interview form as one of the final assessment activities
Review the information from the interview and your observation cards and then complete th final section of the functional assessment interview.
Develop your hypotheses from the information that you have gathered. There may be some hypotheses that you are unsure about. Collect additional information if you feel that the function is not clear to you.

Click here to view the Do’s and Dont's of Functional Assessment

References

Carr, E.G., Levin, L., McConnachie, G., Carlson, J.I., Kemp, D.C., & Smith, C.E. (1994). Communication-based interventions for problem behavior: A user's guide for producing behavior change. Baltimore: Paul H. Brookes.

Cooper, J. O., Heron, T. E., & Heward, W. L. (1987). Applied Behavior Analysis.
Upper Saddle River, NJ: Prentice-Hall, Inc.

Hieneman, M., Nolan, M., Presley, J., De Turo, L., Roberson, W., & Dunlap, G. (1999). Facilitator’s guide: Positive behavioral support. Positive Behavioral Support Project, Florida Department of Education.

O’Neill, R. E., Horner, R. H., Albin, R. W., Sprague, J. R., Storey, K., & Newton, J. S. (1997). Functional assessment and program development for problem behavior: A practical handbook. Pacific Grove, CA: Brooks/Cole.

Websites
Center for Positive Behavioral Interventions and Supports (PBIS):http://www.pbis.org

Rehabilitation Research and Training Center on Positive Behavior Support: http://rrtcpbs.org

Tobin, T. J., & von Ravensberg, H. (2001). Parent’s guide to functional assessment and
support. Eugene, OR: Educational and Community Supports, University of Oregon. Available for free at: http://darkwing.uoregon.edu/~ttobin

Building a Behavior Support Team | Person-Centered Planning | Functional Behavioral Assessment | Hypothesis Development
Behavior Support Plan Development | Monitoring Outcomes | Synthesis of the Research | Case Studies

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