2-Day Advanced Training: Treating Complex Behavioral Challenges in Severely Dysregulated Children, Adolescents and Young Adults

Credit

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Speaker

John Pagano, PhD, OTR/L Related seminars and products

Pagano FAB Strategies, LLC

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John Pagano, PhD, OTR/L, has a PhD in marriage & family therapy, MS in special education and BS in occupational therapy. As an occupational therapist, he has over 40 years of experience in treating children, adolescents and young adults with complex developmental and behavioral challenges and sensory integration problems in NICU, birth-to-three, sensory integration clinic, pre-school, school, group home, and adolescent psychiatric hospital settings.

Dr. Pagano is the owner of Pagano FAB Strategies, LLC, which provides proven approaches that simultaneously address inappropriate behavior as a part of therapy, teaching and parenting. He is the occupational therapist at an adolescent psychiatric hospital and school and is part-time faculty in occupational therapy at Quinnipiac University. Dr. Pagano integrates sensory processing, mindfulness, positive behavioral support strategies, and massage strategies to help youngsters with complex behavioral, mental health, developmental, intellectual and sensory processing challenges. He has certifications in neuro-developmental treatment, movement-based learning, QST massage for Autism, as well as being an instructor in positive behavioral support.

Dr. Pagano presents workshops internationally to occupational, speech-language, physical, and mental health therapists as well as educators on improving self-regulation in youth with complex behavioral, developmental, cognitive, and sensory processing challenges. He is the author of FAB Functionally Alert Behavior Strategies: Integrated Behavioral, Developmental, Sensory, Mindfulness & Massage Treatment (Pagano FAB Strategies, LLC).

 

Speaker Disclosures:
Financial: John Pagano has an employment relationship with FAB Strategies, LLC. and Oak Hill Connecticut. He receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: John Pagano is a member of the American Occupational Therapy Association.

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Objectives

1. Identify how brain differences between children/adolescents with intellectual and developmental disabilities, Autism Spectrum Disorder, and PTSD impact treatment. 
2. Differentiate considerations for sensory integration in infants, children, adolescents and young adults. 
3. Utilize sensory, preference, and behavior function assessments to improve learning and behavior. 
4. Determine problematic environmental and body triggers for children. 
5. Identify coping strategies to promote self-regulation. 
6. Use positive behavior techniques and sensory modulation strategies to manage sensory overload. 
7. Use mindfulness interventions to improve relationships. 
8. Choose movement strategies and role-playing games to help children/adolescents manage feelings. 
9. Identify strategies to improve frustration tolerance and decrease physical and verbal aggression. 
10. Integrate pressure touch, environmental adaptation, and oral sensory strategies to promote self-control. 
11. Choose visual supports that orient children/adolescents to their daily schedules and classroom expectations. 
12. Utilize applied behavioral analysis strategies to decrease self-injurious behavior and suicidal ideation.

Outline

• Latest research on effective treatment strategies
• Intellectual and developmental disabilities, ASD, and PTSD
• Manage comorbid disorders and symptoms
• How to get children/adolescents to pay attention

• Identify the primary reason for a challenging behavior
• Assess sensory modulation and preferences
• Find youth’s major interests and reinforcers
• Write reports that parents and other professionals will read

• Effectively intervene when the youth first begin feeling upset
• Engaging activities to improve behavior
• Teach self-awareness of triggers and arousal level
• Manage the environment to limit and anticipate triggers
• Case Study: Adaptations to manage behavior in a Head Start Class

• Reduce visual, auditory, and tactile distractions
• Applied Behavioral Analysis using Pivotal Response Training
• Positive Behavioral Support and FAB Turtle
• Develop a sensory coping area
• Strategies for combined sensory sensitivity and trauma disorders
• Minimize self-injurious behavior
• Sensory emphasis of learning activities
• Case Study: Therapy ball activities to calm an 18-year old with ASD & Intellectual Disabilities

• Integrate trauma-informed care into all activities
• Match mindfulness strategies to attention and arousal levels
• Inclusion with integrated class, small group, and individual sessions
• Sensory strategies to improve learning and behavior
• Activities to match interest and developmental level

• Teach children with Autism Spectrum Disorder and other developmental disabilities
• Fun movement strategies to help children understand and manage feelings
• Movement breaks that improve behavior
• Role-playing games and anti-bullying techniques

• Improve relationships through positive interactions
• Decrease verbal and physical aggression
• Avoid or minimize conflicts
• Developmentally teach frustration tolerance and reinforce appropriate actions
• Case Study: Individualized activity programs for adolescents with anxiety, ODD, ASD, sensory over-sensitivity, and physical aggression

• Conditioning to calm children with intellectual disabilities
• Individualized activity program for a child you work with
• Fidgets, head phones, and adaptive equipment
• Visual supports to teach schedule, routines, and rules
• Touch for calming and improving relationships
• Case Study: Pressure touch for calming a 3 and 8-year old with ASD

• Activities to increase arousal level
• Help children recognize their need for help in avoiding aggression
• Reduce and challenge depressive thoughts using art
• Decrease self-injurious behavior and suicidal ideation
• Energy wheels of activities for improved mental health

Target Audience

• Occupational Therapists
• Occupational Therapy Assistants
• Speech-Language Pathologists
• Physical Therapists
• Physical Therapist Assistants
• Counselors
• Social Workers
• Psychologists
• Psychiatrists
• Marriage and Family Therapists
• Case Managers
• School Counselors
• School Social Workers
• School Psychologists
• Teachers
• Nurses
• School Administrators
• Educational Paraprofessionals
• Other Helping Professionals Who Work with Children 3-21 Years of Age