Bmod Case Studies

Behavior Modification Worker, BMOD, arrived to Client, Quinton Garrett’s, school to observe and improve client’s behavior. The day began with a call from client’s school nurse with some concerns and issues she’s had with client. Upon arrival BMOD met with the school nurse to discuss her concerns. The nurse then states that for the past few Fridays client says that he has taken his medicine before he arrives to school. The nurse could not reach Mom by telephone for confirmation. BMOD informs nurse that client is a habitual liar and to question everything especially when medicine is concerned, but would confirm the validity of client’s compliance with Mom. The school nurse also says client has a bad habit of hiding when she is interacting with

client; this morning in particular was one of the worst experiences she’s had with client explaining how it took her almost ten minutes to find client.

It is now mid-morning and school nurse still had not administered client’s medicine because nurse says she feels uncomfortable interacting with client. BMOD assured school nurse client’s inetreactions with her would be different going forward. After debriefing with the school nurse BMOD telephoned Mom during transit to Client’s class who comfirmed she had not given Client his medicine before school. Once BMOD arrived to Client’s classroom, BMOD observed client, who was unaware of BMOD’s presence, misbehaving. Once BMOD unlocked the classroom door, Client’s teacher said, “get em!” She then explained client was on his worst behavior today and had to be disciplined several times prior to class because client was hiding and playing in the hallway. She also stated that client would continue to disturb his peers as they tested and she would have to holler several times to to get client’s attention. BMOD observed client sitting at his desk with a smug look and an incomplete assignment as the teacher briefed BMOD on client’s behavior. BMOD requested for client to meet BMOD in the hallway to discuss his major inappropriate behavior. Clients’s unacceptable school behavior was a huge contrast to his progression in the

recent weeks. Before disciplining client on his behavior, BMOD asked client were there any changes within the home recently? Client who’s head was down the majority of the conversation simply shrugged his shoulders. BMOD praised client for not having an attitude while interacting with BMOD. After determing there was no changes within home circumstances, BMOD reminded client that he should be honest when questioned about his medicine and health by adults. BMOD also reminded client of the promise he made to stop hiding the day prior with both parents present. BMOD asked client how would he feel if BMOD broke a promise to client, client replied “Not Good.” BMOD informed client that he was very disappointed in client’s behavior today. BMOD pointed out to Client how proud and happy he and all the faculty was of him when he is acting his best. Bmod pointed out recent milestones and awards client recieved recently for most improved behavior and grades within recent weeks. Client volountarily apologized to BMOD and promised to make better decsions in BMOD’s absence. BMOD observed Client's attitude appeared more positive by the end of the conversation, versus client biting his nails with his head down, and his nose sneered, as BMOD talked. Client is now giving BMOD who is kneeled at Client’s level, eye contact.

BMOD walked client to the nurse’s office, to have his medicine administered. BMOD asked client in the nure’s presence had he had his medicince this moring. Client replied “no sir.” BMOD asked client why does he continually lie and hide with the nurse. BMOD and the nurse reviewed with client the effects of not taking his medicince. BMOD prompted the nurse to refer to the medicnce as smarties, because client is convinced the medicine makes him smarter. Client accepted the coaching in a positive manner, and apologized to the nurse afterwards. BMOD praised client for handling the coaching in a positive manner while returning client to class. After arrival client was informed that he would be sitting with BMOD the remainder of the school day, since he did not want to act responsibly on his own. Amazingly, client did not throw a tantrum, or show any disrespect to BMOD, by snatching, slamming or throwing stuff as he has done in the past. BMOD praised client for not having an attitude. For the remainder of the day Client’s behavior improved drastically. Client asked his teacher for help with a test, which was very uncommon for client. In the past client would simply jot down an answer or skip the test completely. BMOD praised client for his efforts. As a part of client’s discipline for his inappropriate actions earlier that day, BMOD instructed client to join BMOD for lunch, and recess. BMOD said, “Since it seems you missed me so much you acted out in order for me to come rejoin you on my day off.” Client who normally gets an attitude with BMOD, even when BMOD’s nice, seems to be coping with BMOD’s authority well, responded by nodding his head. Client continued his day, no longer needing to be disciplined, and interacting well with his peers. BMOD left Client with teacher, no further contact made.