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Carlos is a two and a half year old little boy who lives with his mother, father, and 5-year-old sister. He attends a local community preschool. Carlos is able to communicate using 2-4 word combinations, is toilet trained, and enjoys eating and listening to stories. Carlos is on a special diet due to multiple food allergies and he is on medication for chronic asthma and allergies
Carlos’ parents report that they have had a very difficult time getting his allergies and asthma undercontrol and they think that when he has a flare up and is on multiple medications that he loses sleep and his challenging behaviors seem to increase. When his sister tries to use the same toys that Carlosis playing with, he will hit and pinch her until she returns the toys or plays with something else. He is constantly trying to get his parents to play with him and when they can’t he will hit them. Parents admit that they often “give in” to him because they don’t want him to continue hitting.
At preschool, his teachers report that Carlos is very aggressive towards the other children and attimes with the adults. He will hit, pinch, and sometimes bite. He is most likely to have challengingbehaviors during activities where he has to share or turn take or when a peer takes a toy that he wants.
Name: Carlos
Observer: Teacher
Date: 1/9
General Context: 1st Circle
Time: 9:05am
Trigger: Teacher comes around with the basket of instruments. Each child pulls a choice out of the bucket. The child next to Carlos makes a choice.
Challenging Behaviour: Carlos hits and then pinches the child next to him.
Maintaining Consequence: The child cries out and then puts the instrument back in the basket and gets another. Teacher tells Carlos, “No! Gentle touches.”
Possible Function:
Name: Carlos
Observer: Teacher
Date: 1/9
General Context: Centers
Time: 9:45am
Trigger: Children are playing in centers. Carlos is playing in blocks with the blocks and dump truck. Child reaches for a block.
Challenging Behaviour: Carlos goes to hit the child on the arm when he takes the block.
Maintaining Consequence: The child quickly drops the block and goes to the shelf to get another block.
Possible Function:
Name: Carlos
Observer: Teacher
Date: 1/9
General Context: Outside Play
Time: 4:35pm
Trigger: Teacher gets up from the sand box and begins to leave.
Challenging Behaviour: Carlos hits the teacher’s leg as she begins to leave.
Maintaining Consequence: The teacher sits back down and says, “ Oh you want me to play with you some more. Tell me, sit down.”.
Possible Function:
Name: Carlos
Observer: Mother
Date: 1/6
General Context: Visit Same Age Cousin
Time: 1:00pm
Trigger: Cousins are playing with cars and trucks.
Challenging Behaviour: Carlos hits, then pinches his cousin.
Maintaining Consequence: Aunt goes to help the cousin and Carlos plays with cars and trucks.
Possible Function:
Name: Carlos
Observer: Mother
Date: 1/8
General Context: Outside Play
Time: 6:00pm
Trigger: Daddy and Carlos are playing together with the “Bob-the-Builder Legos.” Mommy comes to the doorway to tell them it’s time to wash for dinner. Dad gets up.
Challenging Behaviour: Carlos hits Dad’s leg.
Maintaining Consequence: Dad sits back and says, “a few more minutes, then wash hands.”
Possible Function:
Name: Carlos
Observer: Mother
Date: 1/8
General Context: Nebulizer Treatment
Time: 8:00pm
Trigger: Sitting on the couch with mommy watching “Bob-the-Builder” while doing nebulizer treatment.
Challenging Behaviour: Begins to hit mommy.
Maintaining Consequence: Dad physically holds Carlos while mother finishes the treatment.
Possible Function:
Name: Carlos
Notes: N/A
Regular Medication
Prednisone and used nebulizer
Slept through night
Woke 2 or more times night prior
Has sinus ear
A few problems
Very aggressive
No problems
Name: Carlos
Notes: N/A
Regular Medication
Prednisone and used nebulizer
Slept through night
Woke 2 or more times night prior
Has sinus ear
A few problems
Very aggressive
No problems
Name: Carlos
Notes: N/A
Regular Medication
Prednisone and used nebulizer
Slept through night
Woke 2 or more times night prior
Has sinus ear
A few problems
Very aggressive
No problems
Name: Carlos
Notes: N/A
Regular Medication
Prednisone and used nebulizer
Slept through night
Woke 2 or more times night prior
Has sinus ear
A few problems
Very aggressive
No problems
Name: Carlos
Notes: N/A
Regular Medication
Prednisone and used nebulizer
Slept through night
Woke 2 or more times night prior
Has sinus ear
A few problems
Very aggressive
No problems