It is an important modification for children with Fragile X syndrome for many reasons, several of which will be addressed in the following recommendations. This differs from the information that is available in many parenting books and on the web. Make sure that you position yourself so that they cannot leave or pull stuff down from the shelves. You can sit them down right in the aisle. If you are in the grocery store, I recommend sitting the child down right where the infraction takes place. My recommendation is to sit the child down right where the infraction takes place, or if they are already sitting, simply turn them around so that they are not facing you or the group. If you place your child on a kitchen chair or in his room as a consequence for hitting, what are you going to do if he hits in the grocery store? If time-out is linked only to a specific place in the home or classroom, you are limited in both how and where you can use it. These strategies are based on the fundamental principles of time-out, while incorporating adaptations that address the fact that children with Fragile X syndrome have language and attention difficulties that are best accommodated through additional considerations for repetition, consistency, and predictability. I have found the following 10 time-out “rules” to be the keys to its success. Time-out is typically used for young children, but I have found it can be effective for children with Fragile X syndrome who range from preschoolers up through “tweens.” I hesitate to place a firm age limit on this technique, as children are so different and individual strengths and challenges must be considered. A notable exception would be if the original purpose of the behavior was to avoid the group activity. This is a natural consequence for that particular behavior, and can be used effectively in many situations. Or a child who acts out in circle time may be asked to leave the group. For instance, a child who spits their food during dinner loses the privilege of sitting with the family to eat. This differs slightly from removal from a situation as a natural consequence. Many counselors, researchers, and therapists use variants of this theme to define the technique. It is defined as time away from positive reinforcement. In order to understand the adaptations, one must first understand the original construct.Ĭlinically, time-out is considered a punishment for inappropriate behavior. This accords with our knowledge that behavioral strategies designed and implemented with children who are typically developing frequently prove ineffective for those with special needs unless adaptations are employed to address their specific profiles. Clearly, adaptations were needed for this to be a useful tool for them. As I worked more extensively with these families, I found time-out could be an effective part of a comprehensive behavior plan, but only when I modified the process to fit the physical and developmental profile of the particular children. These conversations and observations revealed that it was not time-out itself that was ineffective, but its application to children with Fragile X syndrome. I had them demonstrate their techniques for me. This was often puzzling to me, so in an attempt to find effective intervention strategies I probed into how the families were using time-out and where the problems were occurring. ![]() Most parents whom I have consulted for say they have tried time-out at one time or another, and frequently state that it did not work for them. Research has supported its usefulness with typically developing children as well as those with delays such as ADHD. Parents and professionals alike have used time-out as an effective tool for many years - even before it was called time-out. ![]() When consulting with parents regarding behavior issues, the topic of time-out comes up during the majority of my conversations. NFXF-Led Patient-Focused Drug Development Meeting.NFXF-Led PFDD Meeting for Fragile X Syndrome Patient-focused drug development.International Fragile X Premutation Registry.Research Readiness Program Research facilitation for researchers.Participate in Research MyFXResearch Portal.International Fragile X Premutation Registry Enroll now.Knowledge Center Frequently asked questions.Fragile X Info Series Fact sheets by topic.
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