|        A Resource for Teachers, Clinicians, Parents, and Students by the Brain Injury Association of New York State.|
Step 1: Organize observations relevant to the problematic behavior/issue
In many cases, there are several contributors to the student’s identified problem. These contributors may interact with each other, therefore, it may be necessary to combine tests from different categories of possibilities. The existence of several interacting contributors may become obvious as you proceed through individual intervention experiments.
Chronic pain. Some students may have a problem with difficult academic tasks as a result of being in chronic pain.
Relevant observations: The student may appear agitated or frequently complain of aches and pains. He may also appear fatigued, tired, and/or restless.
Useful experiments for assessment and intervention:
1. Compare the frequency and/or intensity of the targeted behavior under the following conditions.
2. Compare the student’s behavioral differences when receiving pain management versus when not. Specifically look to see if the target behaviors (e.g., reading difficulties) have decreased under pain management conditions.
3. If reading comprehension improves under pain management conditions, then chronic pain may be one of the contributors to the problem behavior.
Possible Referral: The physician who prescribed the medication or other clinician responsible for pain management.
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