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Externalizing Behavior Disorders
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Externalizing Behavior Disorders
supporting students with aggression and violent tendencies
Characteristics
Characteristics
Externalizing behaviors reflect a child's negative behavior
on the external environment.
Students convert normally acceptable emotions like anger, frustration or anxiety into aggressive or delinquent behavior.
These behaviors, often described as acting out, include cheating in school, setting fires, swearing, stealing, truancy, lying, vandalism and behavioral problems in the classroom. Hyperactivity and impulsivity are also types of externalizing behavior.
Mild Behaviors: teasing, name-calling, bullying,
other forms of intimidation and harassment
Severe Behaviors: physical fights, assault, homicide,
shootings
DSM
Hyperactivity, aggression, and delinquency are the three primary constructs of externalizing behavior disorders.
Externalizing behavior disorders fall under the category of Attention-Deficit and Disruptive Behavior Disorders which include ADHD, ODD, and CD. Students with CD often present with the most severe externalizing behaviors.
Externalizing disorders occur fairly commonly among
children and adolescents. It is estimated that externalizing disorders occur in 5 to 20% of youth in the United States.
Children and youth who engage in a number of externalizing behaviors with increasing severity, frequency, and intensity over time may demonstrate an increased risk for violence.
Untreated students with externalized behavior disorders are at greater risk for negative long-term behavior problems including poor academic achievement and failure at school, low
socio-economic level, chronic or extended unemployment, criminal behavior leading to incarceration, more suicide attempts, numerous negative physical health outcomes, and earlier initiation of sexual activity along with more sexually
transmitted diseases and pregnancies .
Future Implications
Interventions
Positive outcomes for students, schools, and
communities are associated with a wide range of
mental health preventions and interventions. School counselors focus on the circumstances, cultures,
environments, needs, strengths, and behavioral
manifestations of individual students in designing programming and responsive services.
Build relationships with students by
- Staying calm
- Understanding how they view the world
- Being nonjudgmental to build trust
- Showing genuine interest and care
- Not engaging in power struggles (give choices within parameters, state consequences, communicate care)
- Avoiding lecturing
- Using positive reinforcements
Train students in problem-solving steps, explore perceptions of others feelings, generate alternative options for responding to social problems, and identify consequences of each choice. Choose a response and evaluate the choice.
Implement comprehensive prevention and intervention efforts, such as Positive Behavioral Interventional Supports, involving family.
Work to improve school climate to enhance students sense of belonging, safety, and support.
Utilize mindfulness training.
Create positive peer group experiences.
Use strengths-based approaches by determining students interests and strengths and linking those to school success.
Work with teachers to present behavioral issues through effective, engaging, culturally responsive instruction.
Consult and collaborate with a team of interested stakeholders such as parents, special education teachers, administrators, social workers, school and agency counselors and psychologists, physicians, law enforcement officials, mentors, and local recreation center personnel for more efficient and effective intervention strategies.
Advocate for school, community, and mental health resources.
Interventions
Workshops
Managing Your Child's Behavior (NJ) through Children's Specialized Hospital
- Causes of misbehavior.
- Setting limits. Dealing with tantrums.
- Managing sibling conflicts.
- Developing and implement behavioral systems.
- Parent stress management, self-care and support system.
First Step to Success: Early Intervention for Children with Challenging Behavior (online) through Society of Clinical Child and Adolescent Psychology
- Background and rationale for First Step to Success, an early home and school intervention for children with challenging behavior.
- Five universal principles for effective classroom management.
- Learn to implement specific First Step strategies with parents and teachers.
Externalizing and Disruptive Behaviors in Children and Adolescents (online) through Relias Academy
- Review the main features and symptoms of externalizing disorders.
- Describes several evidence-based interventions that may be useful in developing trusting relationships and a working alliance with youth with externalizing disorders and their families.
- Increase understanding of these disorders.
- Improve skills in implementing best practices to serve to youth with externalizing disorders.
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https://www.childrens-specialized.org/programs-and-services/specialty-programs/classes-and-workshops/?
https://effectivechildtherapy.fiu.edu/professionals/workshops#Aggression
https://reliasacademy.com/rls/store/browse/productDetailSingleSku.jsp?productId=c529502
https://www.schoolcounselor.org/asca/media/asca/ASCAU/Mental-Health-Specialist/Grothaus.pdf