child’s behaviour
Information for families Incorporating The Lady Hoare Trust
1 Understanding your child’s behaviour
UK
Introduction
Fortunately, there are ways you can help your child and
a number of people and organisations who can help. In
this guide, we offer suggestions that may help, explain
who else can help and how, and where you and your
child can get support.
2 Understanding
Understandingyour
yourchild’s
child’sbehaviour
behaviour
For example, your child may be trying to
Contents express one or more of the following:
Getting support
It is important to tackle issues with your
child’s behaviour early. If you notice
certain behaviours getting more frequent,
occurring over longer periods of time
them to become upset or anxious. and becoming unmanageable, look at
They can also react strongly to their strategies to manage them (see page 7).
environment, for example they may
not like being in crowds If your child has a specific diagnosis, the
• some children who have sensory support group for their condition can
impairments may be over- or under- usually offer tips and strategies to prevent
stimulated by sounds, sights smells or manage behaviours that challenge.
and noise. This can affect the way Many parents say the best advice comes
they behave from other parents they meet at groups.
• some children have physical Our freephone helpline can put you
disabilities that mean they have in touch with a support group for your
no speech. These children need child’s condition. Call 0808 808 3555.
alternative ways to communicate their
needs. See ‘Setting the scene for You may also need to seek help from
good behaviour’ on page 5) professionals involved with your child,
• some behaviours happen because (see ‘Sources of outside help’ on page
of a genetic condition. For example, 23). You can speak to any professional
a child may have a tendency to be involved in your child’s care – like your
obsessive, anxious, over eat, sleep GP, health visitor or children’s centre or
badly or self harm. If your child has school staff. They should be able to refer
a genetic condition, you may want your child for more help if necessary.
to find out more about the condition
and whether there are strategies to Help at school or nursery
help with behaviours If you’re concerned about your child’s
• some behaviour is classified by behaviour, it’s helpful to know that schools
professionals as an ‘emotional and and early years’ settings have legal
behavioural’ difficulty. Signs of this obligations to support children who have
include low self-esteem, difficulty difficulty learning, and to treat disabled
Laws are in place to help protect All children will communicate their needs
disabled children from being seen as and respond to situations differently.
simply naughty or deliberately disruptive, But there some general rules that will
because behaviour that challenges help you manage your child’s day-to-day
may arise because of their disability, behaviour. These rules are particularly
or because of a lack of reasonable important for children with disabilities,
adjustments to accommodate their who may be struggling to make sense of
disability. School staff should receive a very confusing world.
adequate disability training so they can
recognise disabled children and respond Establishing daily routines
to their needs. Most children cope more easily if they
know in advance what is going to
Depending on the age of your child, happen. Carrying out tasks in the same
you should talk to your health visitor, way, or at the same time, every day helps
someone in their early years education children become familiar with what is
setting, their teacher or the special expected of them. Children with severe
educational needs coordinator (SENCO) learning and communication difficulties
or other member of staff in an early years can start to respond more positively
setting or a mainstream school who is and appropriately as they develop this
responsible for coordinating help for understanding.
children with special educational needs.
Tell them what your concerns are, giving Routines can also be used to set
examples to illustrate your concerns, and up clear boundaries and acceptable
ask what support can be put in place. behaviour, which can be reinforced
The school should work with you to with rewards (see ‘Rewards’ on page
ensure your child’s needs in early years 7). For example, if your child won’t sit
education and school are met. See page at the table and eat a meal, you can
21 for where to get help with school. try to establish firm meal-time routines
and reward them for cooperating. For
More information about where to get routines to work, it’s important that
help, including condition support groups, everyone involved with your child follows
can be found in ‘Useful organisations’ on the same routines, so let them know
page 25. what you are doing and why.
If your child has limited understanding, The charities Fledglings and the
or little or no speech, there are ways of Disabled Living Foundation can give
communicating you can try. This may be advice and information on what is
by using simple language; for example available and where to find aids,
one-step instructions, or key words. equipment and clothing to keep your
Giving children time to understand what child safe and comfortable. See page 26.
you’ve said or signed and repeating key
instructions is important. You may be entitled to certain equipment
from your local authority through the
Don’t forget the power of your own occupational therapy service. Call our
non-verbal language/behaviour. Your tone freephone helpline on 0808 808
of voice, warmth, posture, eye contact 3555 for information about this or for
and facial expression all speak volumes our free guide to Aids, equipment and
about your own feelings and will affect adaptations.
how your child responds to you.
Play and exercise
You can also learn to communicate by Research has shown exercise is very
using picture exchange communication effective in relieving stress and getting rid
systems (PECS) symbols, by signing, of frustrations. It can also have a positive
learning Makaton (a mixture of signing effect on behaviour generally.
and symbols), by showing photographs
or other familiar pictures or objects. For Trampolining in a safe garden or
example, show your child their coat to let swimming can work wonders in using
them know it’s time to go out. up a child’s excess energy. Exercise can
also be very helpful for children with
You can get help to find the best sensory processing difficulties. Most local
communication system for your child by authorities have sports, play classes and
speaking to professionals such as portage clubs for disabled children.
Strategy
You may find strategies such as stressing key words, using fewer words and more
visual cues, pictures or signs can also help.
Behaviour Strategy
My child won’t come to the table to Speak in simple and brief sentences, using
eat and tantrums when I pick him up. key words: ‘Dinner is on the table’, not,
He does not understand complicated ‘Come along and get your dinner – it’s your
verbal requests and I get cross when favourite, roast beef, come and sit down on
he does not respond. When he your chair at the table and enjoy it!’ Give your
senses I am cross, he lashes out child time to process the request, repeating
and cries. the command calmly if they do not respond
the first time.
10/6/14 My seven year old was She Brother told off It did not
3pm watching Teletubbies, screamed by me. She got feel fair or
which is her favourite and hit and her programme right on
Child is seven TV programme. Her kicked me. back. She either child.
years old and brother came in from Continued to stopped Her brother
has learning school and changed scream. screaming but is only five
difficulties. the TV channel. still lashed out years old.
at brother if he
came near her.
Strategy
Behaviour Strategy
My child loves Teletubbies and Set up a daily routine for when she can
screams and tantrums if she cannot watch Teletubbies without interruption and
watch the entire episode. an equal daily routine for her brother’s
favourite programme.
situations. It is likely that you will helpline on 0808 808 3555 or visiting
learn what works best. For example, our website at www.makingcontact.org
you may learn that telling a particular We also have a lively Facebook page
story, using a favourite toy, or singing www.facebook/contactafamily
a favourite song will help to calm
your child. Other help
You may find it useful to attend
Professionals and other parents may a parenting course on managing
be able to offer suggestions of ways difficult behaviour in children with
to remove triggers from your routine. additional needs. These courses can
Learning from other parents through give you lots of practical hints and
local support groups or linking services tips, increase your confidence and
can also be useful. allow you to meet other parents facing
similar challenges. Call our freephone
Contact a Family has a linking service helpline for information on local
you can access by calling our freephone courses.
Time out: This should only be used Build in positive experiences for your
as a last resort, after other strategies child: if you make a point of praising
to prevent misbehaviour have failed. and rewarding appropriate behaviours
It involves removing your child from whenever possible, you will reinforce and
whatever they are doing and insisting increase good behaviour. Remember
they stay in a safe place for a period of to get advice from a health professional
Medical professionals should consider Kicking, spitting, hair pulling, and other
your child’s initial medical diagnosis, physical outbursts
as some behaviours are associated Some children with learning difficulties
with particular medical conditions (for may display extreme behaviour like
example, hand biting is common in regular or lengthy tantrums. They may
children with Fragile X syndrome). kick, pull hair, self-harm or damage
clothes or property. This type of behaviour
Sleep problems, incontinence, problems can cause harm to your child or those
with feeding and eating, self-harming, around them.
emotional and behaviour problems
may be associated with your child’s It’s important to discuss these behaviours
diagnosed condition, but could be due with your child’s clinical coordinator and/
to another underlying medical or mental or the professional that knows your child
health issue.
This is why different health professionals Freephone helpline: 0808 808 3555
might need to be involved in carrying out www.cafamily.org.uk
an assessment of your child and their
Understanding your child’s behaviour 15
What are multi-disciplinary teams?
These are teams which include Child and adolescent mental
health professionals with specialist health services (CAMHS)
knowledge and expertise. Different CAMHS teams promote the mental
specialists might be needed health and psychological wellbeing
for an initial assessment to of children and young people. They
understand what is causing the include professionals that work in
child’s behaviour and agree the a number of different organisations
best way to help them. Examples such as health, education and social
of multi-disciplinary/multi-agency services. The professionals can
teams include child development include occupational therapists, clinical
teams/centres (CDCs), Child and psychologists, psychiatrists, and social
adolescent mental health services workers. You may have a CAMHS
(CAMHS) and community learning Learning Disability team in your area.
disabilities teams (CLDTs). These teams specialise in meeting the
psychological and emotional needs
Child Development Team/Centre of children and young people with a
(CDC) learning disability.
This is a healthcare team
specialising in working with Community Learning Disabilities
children with disabilities or where Team (CLDT)
there are concerns about a child’s Some CLDTs promote what is called a
development. A child development ‘lifespan service’. This means they can
team usually includes help plan and arrange care and support
paediatricians, physiotherapists, for people of any age with learning
occupational therapists and speech disabilities and their carers. CLDTs are
and language therapists. They also made up of staff from health and social
work with child and adolescent care. They might include social workers,
psychiatrists and psychologists. learning disability nurses, psychiatrists,
psychologists and a range of other
therapists.
well to seek further help. As children get Who can help: as well as local
older and stronger, unless they’re helped professionals and CAMHS, some
to bring their behaviour under control, groups have specialist knowledge, like
it will become more of a problem and the National Autistic Society (see page
may mean they are denied access to 27). For children and young people
community facilities like youth clubs and with severe learning difficulties, the
leisure centres. Challenging Behaviour Foundation can
help (see page 25).
The assessment may involve one or the Royal College of Psychiatrists (see
more members of the CAMHS team the ‘Useful Organisations’ section from
and will usually involve seeing you as page 25). For information about where
parents, your child and probably other to get help locally, speak to your GP,
members of the family. The CAMHS team health visitor, or your child’s consultant.
will usually ask for permission to request
reports from your child’s school and any If your son or daughter is
other professionals and services already
involved in supporting you and your child.
in trouble with the police
The assessment is likely to lead to an
intervention plan to help you and your Sometimes, a young person with
child manage their mental health and behaviour that challenges may come into
behaviour needs. contact with the police. If your child has
a particular learning disability or disorder,
Some mainstream secondary schools are sharing information with the police about
able to provide a school counsellor to their particular difficulties and needs
support emotionally troubled teenagers (communication especially) is important.
and some schools (including special The National Autistic Society produces
schools for children with significant information cards which can be carried
learning disabilities) have regular by a young person with communication
outreach clinics and links with community difficulties who may not be able to
specialist services. explain their situation.
Further information about mental health Some young disabled people don’t
issues is available from YoungMinds and realise it’s inappropriate to touch a
stranger or may take something from
If your child is experiencing difficulties with the circle and the ‘focus child’ to
because of their disability or their help them with choosing their circle of
behaviour towards others, it could friends and problem solving.
be helpful for them to have a ‘circle
of friends’. The circle should help to After the early stages, you and your
improve the inclusion of your child in child and/or their teacher will probably
their mainstream school. be able to review the amount of help
the circle needs on a regular basis.
The circle of friends idea works by
getting other children in the school to If your child is in mainstream school,
provide support and help the child in talk to a professional involved in their
difficulty to solve problems. care, like the SENCO or their form
teacher. For more information visit:
In the early stages, an adult teacher/ www.inclusive-solutions.com/circle-of-
facilitator will probably need to meet friends.
YoungMinds Equipment
Tel: 020 7089 5050
Helpline for parents: 0808 802 5544 Disabled Living Foundation (DLF)
www.youngminds.org.uk Tel: 020 7289 6111
YoungMinds is a UK charity that is Helpline: 0300 999 0004
committed to improving the emotional www.livingmadeeasy.org.uk/children
wellbeing and mental health of children DLF is a national charity that provides
and young people by empowering their impartial advice and information on daily
parents and carers. living aids. Its website has a section about
equipment for children, some of which
Carers’ organisations has been mentioned in this guide.
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