Blog Therapy

Jody Dwyer

Jody Dwyer

Senior Occupational Therapist

Enhancing Positive Behaviour in Therapy

two children boys playing positively together

Positive behaviour is a crucial aspect of therapy success across various disciplines, including occupational therapy, speech pathology, and behavioural support. It involves adopting actions, attitudes, and reactions that contribute to personal growth, effective communication, and overall well-being. In behavioural support therapy, positive behaviour plays a significant role in fostering an environment that is conducive to learning and personal development. Through a series of targeted strategies, therapists aim to encourage positive behaviour to enhance engagement, improve outcomes, and facilitate a smoother therapy journey.

Parenting a child who is navigating the challenges of developmental hurdles or behavioural issues can often feel overwhelming. Recognising and reinforcing positive behaviour at home is not only beneficial for therapy sessions, but is crucial for everyday interactions and a child’s long-term development. In this post, we will explore some of the practical strategies that behavioural support practitioners commonly use to encourage positive behaviour in therapy settings. Some of the strategies we discussed here can also be used at home or ahead of an upcoming session, equipping you with the tools to consistently and effectively reinforce positive behavioural changes.

Positive Behaviour – Core Concepts

Positive behaviour encompasses more than just the absence of negative actions; it is about actively fostering habits that lead to better health, emotional well-being, and interpersonal relationships. In the context of therapy, positive behaviour refers to actions and attitudes that clients exhibit which are constructive, cooperative, and adaptive to their therapeutic goals. This could include demonstrating openness to participating in sessions, engaging in exercises as directed by the therapist, and applying learned skills outside of therapy.

In a therapy session, positive behaviour is pivotal in fostering a conducive environment for change and growth. It aids in the development of coping skills, improved focus, and enhanced self-esteem; significantly impacting therapy outcomes and the effectiveness of the treatment plan. For parents, understanding these concepts is crucial in supporting a child’s progress. By encouraging behaviours like: patience, persistence, and positivity; parents can reinforce the skills learnt during sessions and help to generalise these behaviours into regular, daily life. Further, when children experience consistency between therapy and home environments, they are more likely to adopt these behaviours as natural components of their daily interactions and challenges (leading to better outcomes and behaviour adoptions).

child learning to ride a bike with his dad

Strategies for Enhancing Positive Behaviour in Therapy

Various behaviour strategies are used during therapy sessions to encourage positive behaviour. These strategies are designed to help participants engage more fully in the process and achieve better outcomes. Some of these include:

  • Positive Reinforcement: Involves the use of rewards or incentives to encourage the repetition of desirable behaviour. For instance, a therapist might praise a participant for opening up about their feelings. This not only validates their emotions, but also encourages them to continue expressing themselves (thereby promoting positive behaviour)
  • Cognitive-behavioural Techniques: Helps participants understand and change their thought patterns, leading to a change in behaviour. For example, cognitive restructuring, a popular cognitive-behavioural technique, helps clients identify and challenge irrational or negative thoughts (promoting positive behaviour)
  • Mindfulness & Relaxation Techniques: Helps participants focus on the present moment and relax, reducing stress and anxiety. This can foster positive behaviour by helping clients develop a more balanced perspective and respond to situations more calmly and rationally
  • Motivational Interviewing: A client-centred counselling style that enhances motivation to change by helping clients explore and resolve ambivalence. It’s effective in promoting positive behaviour as it encourages clients to take responsibility for their actions and make positive changes

These strategies not only facilitate positive behaviour during therapy sessions but also empower clients to carry these behaviours into their daily lives, reinforcing their therapy goals. For parents, understanding and implementing similar strategies at home can help create a supportive environment that aligns with the therapy’s objectives.

Strategies for Enhancing Positive Behaviour Outside Therapy

While therapy sessions provide a structured environment for cultivating positive behaviour, it’s crucial to extend these practices into everyday settings to maximise their effectiveness. Here are practical and actionable strategies that parents can use to support their children’s positive behaviour development outside therapy sessions:

At Home

  • Establish Routine Praise: Similar to positive reinforcement in therapy, consistently acknowledge and praise positive behaviours at home. Celebrate achievements, no matter how small, to motivate your child to maintain good behaviour
  • Create a Calm Zone: Set up a specific area at home where your child can engage in mindfulness or relaxation activities. This can be a quiet corner with cushions, blankets, and perhaps some books or soft music, helping them manage emotions and stress
  • Model Positive Behaviour: Children learn a great deal from observing their parents. Demonstrate positive communication and problem-solving skills in your daily interactions

At School

  • Encourage Positive Social Interactions: Encourage or teach your child how to engage positively with peers. Role-playing different social scenarios at home can prepare them for interactions at school
  • Collaborate with Educators: Maintain open communication with your child’s teachers to ensure that positive behaviour strategies are consistent between home and school. Share insights and strategies that have been effective for your child
  • Reward Systems: Coordinate with teachers to implement a reward system that recognises and reinforces your child’s positive behaviours in the classroom. A similar system could be implemented at home, too

In the Community

  • Volunteer Together: Engaging in community service can reinforce the importance of positive behaviour. Choose activities that align with your child’s interests and abilities to ensure a fulfilling experience.
  • Practise Public Composure: Regularly discuss and practise how to handle various social situations calmly, using techniques learned in therapy sessions like deep breathing or counting to ten before reacting

To truly foster and reinforce the positive behaviours initiated in therapy, it is essential for these strategies to be applied consistently across all environments your child encounters. By integrating these practices into daily life and maintaining a unified approach with educators and therapists, parents can create a supportive and cohesive growth environment for their children. These efforts not only complement the therapeutic work done in sessions but are crucial in helping children generalise these positive behaviours into lifelong habits.

Challenges in Enhancing Positive Behaviour

Despite its benefits, enhancing positive behaviour can be challenging, particularly when faced with the complex and varied nature of individual behaviour patterns. Understanding these challenges is crucial for setting realistic expectations and developing effective strategies. Here are some common obstacles that parents, educators, and therapists might encounter:

  • Consistency Across Environments: One of the biggest challenges is maintaining consistency in positive behaviour reinforcement across different settings such as home, school, and community. Each environment has its own set of influences and interactions, which can disrupt established behaviour patterns
  • Resistance to Change: Children, especially those dealing with behavioural issues, may resist changes in their routine or behavioural expectations. This resistance can be due to discomfort, fear of the unknown, or simply a preference for established habits
  • Misalignment of Strategies: Sometimes, what works in a therapy setting may not translate perfectly to other environments. Parents and teachers may struggle to adapt therapeutic strategies to everyday situations, leading to less effective implementation
  • Emotional & Physical Fatigue: Both children and their caregivers can experience fatigue, which makes it difficult to consistently engage in positive behaviour practices. Emotional burnout from ongoing challenges can reduce a caregiver’s ability to reinforce positive behaviour effectively
  • Lack of Immediate Results: Enhancing positive behaviour is often a gradual process. The slow pace of visible improvement can be discouraging for parents and children, leading to decreased motivation and engagement

Navigating these hurdles effectively requires resilience, flexibility, and a proactive approach. For parents, we recommend maintaining open lines of communication with all individuals involved in your child’s care (including educators, therapists, sport’s coaches, etc) to ensure strategies that are effective in each setting (or need to be adapted). Setting realistic goals that align with your child’s current abilities and recognising small victories are also crucial in maintaining high motivation levels for both children and parents. Additionally, being willing to adjust approaches when necessary is essential; if a particular strategy does not translate as well outside of therapy, consulting with your therapist for modifications or alternatives can lead to much more effective outcomes. This collaborative and adaptive approach can significantly alleviate the challenges associated with enhancing positive behaviour across different environments.

mother and daughter having a reflective conversation

Enhancing positive behaviour in and outside of therapy sessions is crucial for successful therapy outcomes. Through positive reinforcement, cognitive-behavioural techniques, mindfulness, and motivational interviewing, therapists aim to promote positive behaviour in participants. By reinforcing similar strategies at home, at school or in the community, parents can support and contribute to the therapy process. Integrating these practices into daily routines not only supports the goals set within therapy sessions, but helps children learn to apply positive behaviours consistently across various aspects of their lives. This collaborative effort between therapists, parents, and others involved in the child’s development journey is key to fostering an environment where children can thrive and feel accepted.

Jody Dwyer

Jody Dwyer

Senior Occupational Therapist

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