System | Understanding | 1 | Understand how to create an environment that prevents challenging behaviors | 8 | HH | Top |
2 | Understand the individual characteristics of adults with developmental disabilities | 15 | HH | Top |
Environment | 3 | Clearly separates rest areas from educational(activity) areas | 3 | LH | Secondary |
4 | Design spaces that ensure safety and comfort for activitie. | 4 | HH | Top |
5 | Minimize unnecessary noise in the environment | 2 | LH | Secondary |
6 | Ensure activity spaces have appropriate lighting (or natural light) | 21 | LH | Secondary |
7 | Maintain activity spaces at a temperature suitable for the weather | 38 | LL | |
Activity | 8 | Structure activities to allow all participants to be actively engaged | 24 | LL | |
9 | Prepare alternative activities for participants who cannot engage in the main activity | 10 | LH | Secondary |
10 | Inform participants of the start and end times of activities | 47 | HL | Secondary |
11 | Provide a schedule overview to participants in advance | 50 | HL | Secondary |
12 | Ensure consistency in activity schedules and daily routines | 44 | HL | Secondary |
13 | Appropriately allocate time between activities and breaks | 42 | HL | Secondary |
Habit | 14 | Apply the same behavioral rules to all participants | 12 | HH | Top |
15 | Interact with participants using consistent language and behavior (without being influenced by personal emotions) | 5 | HH | Top |
16 | Avoid using strongly scented cosmetics or perfumes | 49 | LL | |
17 | Avoid wearing clothing with distracting or overly complex patterns | 48 | LL | |
Collaboration | 18 | Establish a team dedicated to participant support | 22 | LL | |
19 | Define the roles and responsibilities of team members | 16 | HH | Top |
20 | Discuss team objectives and goals collectively | 18 | HL | Secondary |
21 | Establish guidelines for effective team collaboration | 11 | HH | Top |
22 | Determine meeting schedules and formats through a democratic process | 30 | HL | Secondary |
23 | Work to enhance the professional competencies of team members | 14 | HH | Top |
24 | Develop effective support plans for participants as a team | 26 | HL | Secondary |
25 | Provide necessary support to facilitate team collaboration | 6 | LH | Secondary |
26 | Determine modifications to behavior support plans through team discussions | 17 | LH | Secondary |
27 | Celebrate and acknowledge team successes in challenging behavior interventions | 31 | LL | |
Interaction | 28 | Create an atmosphere that encourage open and honest discussion among team members | 34 | LL | |
29 | Ensure meetings start and end at the designated times | 36 | LL | |
30 | Conduct meetings following established procedures | 35 | LL | |
31 | Allow team members to participate whenever necessary | 45 | LL | |
Positive Interdependence | 32 | Distribute leadership responsibilities across roles (e.g., recorder, encourager, agenda verifier) | 25 | LL | |
Relationships | 33 | Introduce new team members to team norms | 19 | LH | Secondary |
34 | Provide communication channels for absent team members | 20 | LH | Secondary |
Team | 35 | Use democratic decision-making methods | 40 | HL | Secondary |
36 | Encourage and develop interpersonal skills for effective team collaboration | 28 | LL | |
Implementation | Information Collection | 1 | Identify participants’ personal and background information (e.g., name, date of birth, gender, disability type and details, family information) | 43 | HL | Secondary |
2 | Collect interview and preliminary data for challenging behavior intervention | 27 | HL | Secondary |
3 | Identify the reinforcers preferred by participants | 32 | HL | Secondary |
Challenging Behavior | 4 | Prioritize intervention for challenging behaviors based on participant needs rather than staff preferences | 39 | HL | Secondary |
5 | Determine intervention priorities based on the severity of challenging behaviors (e.g., aggressive behavior, disruptive behavior, mild disturbances) | 23 | HL | Secondary |
6 | Conduct a Functional Behavior Assessment (FBA) to identify the function of the challenging behavior | 9 | LH | Secondary |
7 | Observe and record the antecedent conditions leading to challenging behavior | 29 | HL | Secondary |
8 | Observe and record the consequences following the challenging behavior | 41 | HL | Secondary |
9 | Measure challenging behaviors using systematic behavior units such as frequency and duration | 7 | LH | Secondary |
10 | Provide positive reinforcement to participants exhibiting appropriate behaviors | 33 | HL | Secondary |
Multi-Domain Approach | 11 | Conduct caregiver training on challenging behavior interventions | 1 | LH | Secondary |
12 | Identify available institutional support for participants | 13 | LH | Secondary |
13 | Monitor medications taken by participants | 46 | HL | Secondary |
14 | Identify support services participants receive from other institutions | 37 | HL | Secondary |