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Stephen Grcevich, MD!
Director of Strategic Initiatives, Key Ministry!
Awana 2014 Ministry Conference!
First Baptist Church, Oxford, MS!
August 23, 2014!
When Kids Become Aggressive at Church
Learning Objectives…
¨  Identify characteristics of kids predisposed to aggressive
behavior
¨  Explore how ministry environments increase or decrease risk
of aggressive behavior
¨  Review intervention strategies when kids are escalating
toward or exhibiting aggression
¨  Become familiar with techniques for communicating with
parents after aggressive behavior has occurred
¨  Discuss ministry approaches when the risk associated with a
child’s aggressive behavior prevents inclusion at church
Subtypes of aggressive behavior:
Reactive aggression:
¨  Affect: fear, anger
¨  Arousal level: high
¨  Outcome: negative
¨  Impulsive
¨  Reactive
¨  Defensive
¨  Overt
¨  Hostile
Predatory aggression
¨  Affect: self-confidence
¨  Arousal level: low
¨  Outcome: positive for self
¨  Controlled
¨  Predatory
¨  Offensive
¨  Covert
¨  Instrumental
Vitiello B, Stott DM. J Am Acad Child Adolesc Psychiatry 1997; 36(3) 307-315
Definition of maladaptive aggression:
¨  Aggressive behavior that occurs outside an
acceptable social context
Maladaptive behavior is characterized by:
¨  Intensity, frequency, duration and severity are disproportionate to
its causes
¨  May occur in absence of antecedent social cues
¨  Behavior not terminated in expected time frame, or in response
to feedback
Jensen P et al. J Am Acad Child Adolesc Psychiatry 2007; 46(3): 309-322
Traits associated with maladaptive
aggression:
¨  Kids struggle with inhibiting behavior, self-regulating
emotion
¨  Irritability/anxiety frequently predominant mood
¨  Misperception of social cues
¨  Misinterpretation of environmental risk
¨  Difficulty with communication
¨  Cognitive rigidity…propensity to get “stuck”
What situations may increase a child’s risk for
aggressive behavior at church?
¨  Initial visits to an unfamiliar church
¨  Transition times before/after children’s activities
¨  Chaotic, unstructured activities
¨  Kids transitioning from one area to another in building
¨  Excessive sensory stimulation
¨  Unfamiliar staff, volunteers
¨  Following high stimulation, high energy activities
¨  Evening activities (time course effects of medications,
fatigue)
Environment shapes behavior!
The more sensory input a child has to process, the
less mental capacity remains for self-control.
Consider…
¨  Visual input/clutter, lighting, use of color
¨  Use of pictures to assist in communication
¨  Effects of loud noise
¨  Touch…not everyone likes it
¨  Comfortable seating
¨  http://drgrcevich.files.wordpress.com/2011/11/inclusion-
fusion-2011-harmony-welcomingenvironments.pdf
Space Planning & Sensory Issues"
¨  Open check-in area with neutral tones and
plotter images to reduce visual clutter"
Space Planning & Sensory Issues"
¨  Vineyard Student Union (middle school and
senior high ministry)"
Communication aides:"
¨  Communication keys used to enhance volunteer name tags"
"http://www.keyministry.org/wp-content/uploads/2012/07/PM-
Appendix-3r-Sample-Communication-Key-and-Signage.pdf"
Keys to Behavior Management
¨ Before
¨ During
¨ After
Before…
¨  Pray
¨  Create your Awana/classroom/respite culture
¤  Encouragement
¤  Expectations
¨  Plan proactively
¤  Physical arrangement of the room
¤  Staffing
¤  Content of the lesson
¤  Pace of the lesson
¤  “In the event of an emergency…”
During: First line strategies
¨  Proximity Control
¨  Distraction
¨  Hurdle Help
¨  Antiseptic Bounce
During: Next steps
¨  “Grandma’s Law”
¨  Emotional Labeling
¨  Watch YOUR language
¨  Managing other students for safety
During: General Rule of Thumb
¨  When a child/youth is demonstrating aggressive
behavior that is predominantly impulsive in
nature, decreasing the sensory stimulation in
the environment is generally helpful
¨  When a child/youth is demonstrating aggressive
behavior that is predominantly perseverative
in nature, distracting the child as early as
possible before the pattern escalates is
generally helpful
After:
¨  Non-judgmental conversation
¨  Problem-solving
¨  Quiet
¨  Allow for “busy work”
¨  Re-join peers
¨  Communicate with parents
What is the parent’s responsibility?
¨  Do share information with ministry team about techniques
shown to help prevent/reduce aggression
¨  Do administer medication shown to help reduce frequency,
severity of aggressive behavior during church activities
(with approval of treating physician)
¨  Do be aware of the concern that aggressive behavior
presents with largely untrained volunteers
¨  Do consider keeping your child home when he/she exhibits
aggression that you can’t successfully manage at home
What if a child/youth presents too great a
risk of severe aggression to attend church?
¨  Support the rest of the family in attending church,
participating in discipleship activities
¨  Relational (home-based) respite
¨  Paid in-home child care/buddies with specialized training
¨  Scheduling church activities when child care available
¨  Whose responsibility is the child’s spiritual development?
¨  Church as resource provider to parent?
Conclusions:
¨  Kids with reactive aggression can generally be included
in existing church programming
¨  Churches may reduce risk of aggression behavior by
designing friendly ministry environments
¨  Providing teachers and group leaders adequate training
to identify and intervene in potentially risky situations
¨  Ensure sufficient staffing at times of enhanced risk
¨  Traditional church may not be the “least restrictive
environment” for some children/youth especially prone
to aggressive behavior
Provides FREE training,
consultation, resources and
support to help churches serve,
welcome and include families of
kids with hidden disabilities!
Stay in Touch!"
Key Ministry Website: http://www.keyministry.org"
Church4EveryChild…Key Ministry Blog: http://drgrcevich.wordpress.com"
Key Ministry Training Channel: http://go.mediasocial.tv/keyministry"
Front Door (Online Church Campus): http://go.mediasocial.tv/cbcfrontdoor"
"
"
"
"
"
www"
http://www.facebook.com/keyministry
http://www.pinterest.com/keyministry/
http://twitter.com/#!/drgrcevich
http://twitter.com/#!/KeyMinistry
Questions?"

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When kids become aggressive at church

  • 1. Stephen Grcevich, MD! Director of Strategic Initiatives, Key Ministry! Awana 2014 Ministry Conference! First Baptist Church, Oxford, MS! August 23, 2014! When Kids Become Aggressive at Church
  • 2. Learning Objectives… ¨  Identify characteristics of kids predisposed to aggressive behavior ¨  Explore how ministry environments increase or decrease risk of aggressive behavior ¨  Review intervention strategies when kids are escalating toward or exhibiting aggression ¨  Become familiar with techniques for communicating with parents after aggressive behavior has occurred ¨  Discuss ministry approaches when the risk associated with a child’s aggressive behavior prevents inclusion at church
  • 3. Subtypes of aggressive behavior: Reactive aggression: ¨  Affect: fear, anger ¨  Arousal level: high ¨  Outcome: negative ¨  Impulsive ¨  Reactive ¨  Defensive ¨  Overt ¨  Hostile Predatory aggression ¨  Affect: self-confidence ¨  Arousal level: low ¨  Outcome: positive for self ¨  Controlled ¨  Predatory ¨  Offensive ¨  Covert ¨  Instrumental Vitiello B, Stott DM. J Am Acad Child Adolesc Psychiatry 1997; 36(3) 307-315
  • 4. Definition of maladaptive aggression: ¨  Aggressive behavior that occurs outside an acceptable social context Maladaptive behavior is characterized by: ¨  Intensity, frequency, duration and severity are disproportionate to its causes ¨  May occur in absence of antecedent social cues ¨  Behavior not terminated in expected time frame, or in response to feedback Jensen P et al. J Am Acad Child Adolesc Psychiatry 2007; 46(3): 309-322
  • 5. Traits associated with maladaptive aggression: ¨  Kids struggle with inhibiting behavior, self-regulating emotion ¨  Irritability/anxiety frequently predominant mood ¨  Misperception of social cues ¨  Misinterpretation of environmental risk ¨  Difficulty with communication ¨  Cognitive rigidity…propensity to get “stuck”
  • 6. What situations may increase a child’s risk for aggressive behavior at church? ¨  Initial visits to an unfamiliar church ¨  Transition times before/after children’s activities ¨  Chaotic, unstructured activities ¨  Kids transitioning from one area to another in building ¨  Excessive sensory stimulation ¨  Unfamiliar staff, volunteers ¨  Following high stimulation, high energy activities ¨  Evening activities (time course effects of medications, fatigue)
  • 7. Environment shapes behavior! The more sensory input a child has to process, the less mental capacity remains for self-control. Consider… ¨  Visual input/clutter, lighting, use of color ¨  Use of pictures to assist in communication ¨  Effects of loud noise ¨  Touch…not everyone likes it ¨  Comfortable seating ¨  http://drgrcevich.files.wordpress.com/2011/11/inclusion- fusion-2011-harmony-welcomingenvironments.pdf
  • 8. Space Planning & Sensory Issues" ¨  Open check-in area with neutral tones and plotter images to reduce visual clutter"
  • 9. Space Planning & Sensory Issues" ¨  Vineyard Student Union (middle school and senior high ministry)"
  • 10. Communication aides:" ¨  Communication keys used to enhance volunteer name tags" "http://www.keyministry.org/wp-content/uploads/2012/07/PM- Appendix-3r-Sample-Communication-Key-and-Signage.pdf"
  • 11. Keys to Behavior Management ¨ Before ¨ During ¨ After
  • 12. Before… ¨  Pray ¨  Create your Awana/classroom/respite culture ¤  Encouragement ¤  Expectations ¨  Plan proactively ¤  Physical arrangement of the room ¤  Staffing ¤  Content of the lesson ¤  Pace of the lesson ¤  “In the event of an emergency…”
  • 13. During: First line strategies ¨  Proximity Control ¨  Distraction ¨  Hurdle Help ¨  Antiseptic Bounce
  • 14. During: Next steps ¨  “Grandma’s Law” ¨  Emotional Labeling ¨  Watch YOUR language ¨  Managing other students for safety
  • 15. During: General Rule of Thumb ¨  When a child/youth is demonstrating aggressive behavior that is predominantly impulsive in nature, decreasing the sensory stimulation in the environment is generally helpful ¨  When a child/youth is demonstrating aggressive behavior that is predominantly perseverative in nature, distracting the child as early as possible before the pattern escalates is generally helpful
  • 16. After: ¨  Non-judgmental conversation ¨  Problem-solving ¨  Quiet ¨  Allow for “busy work” ¨  Re-join peers ¨  Communicate with parents
  • 17. What is the parent’s responsibility? ¨  Do share information with ministry team about techniques shown to help prevent/reduce aggression ¨  Do administer medication shown to help reduce frequency, severity of aggressive behavior during church activities (with approval of treating physician) ¨  Do be aware of the concern that aggressive behavior presents with largely untrained volunteers ¨  Do consider keeping your child home when he/she exhibits aggression that you can’t successfully manage at home
  • 18. What if a child/youth presents too great a risk of severe aggression to attend church? ¨  Support the rest of the family in attending church, participating in discipleship activities ¨  Relational (home-based) respite ¨  Paid in-home child care/buddies with specialized training ¨  Scheduling church activities when child care available ¨  Whose responsibility is the child’s spiritual development? ¨  Church as resource provider to parent?
  • 19. Conclusions: ¨  Kids with reactive aggression can generally be included in existing church programming ¨  Churches may reduce risk of aggression behavior by designing friendly ministry environments ¨  Providing teachers and group leaders adequate training to identify and intervene in potentially risky situations ¨  Ensure sufficient staffing at times of enhanced risk ¨  Traditional church may not be the “least restrictive environment” for some children/youth especially prone to aggressive behavior
  • 20. Provides FREE training, consultation, resources and support to help churches serve, welcome and include families of kids with hidden disabilities!
  • 21. Stay in Touch!" Key Ministry Website: http://www.keyministry.org" Church4EveryChild…Key Ministry Blog: http://drgrcevich.wordpress.com" Key Ministry Training Channel: http://go.mediasocial.tv/keyministry" Front Door (Online Church Campus): http://go.mediasocial.tv/cbcfrontdoor" " " " " " www" http://www.facebook.com/keyministry http://www.pinterest.com/keyministry/ http://twitter.com/#!/drgrcevich http://twitter.com/#!/KeyMinistry