FAB

An occupational therapist offers a series of strategies for improving students’ functional behaviors.

“It’s impossible to effectively provide therapy, teach, or parent a student who is kicking you,” writes Pagano in his slim, interactive nonfiction debut. In the pages of his book, he looks at the challenges facing teachers, therapists, and parents who are dealing with children who throw tantrums, hit, bite, or simply refuse to pay attention. The author provides practical methods grouped under the structure of FAB: Functionally Alert Behavior strategies, designed to center children and ground them in their surroundings and in immediate, achievable tasks. “Predictable rules and procedures set a safe, reliable structure that enhances self-control,” Pagano notes.  Drawing on his decades of experience working with kids, the author lays out a series of approaches based on things like sensory modulation or “pressure touch” strategies. These strategies emphasize building strong kinesthetic skills to boost visual perception and common abilities. The book includes interactive forms for use by both kids and their therapists as well as ample illustrations, from children’s drawings to uncredited photographs of the author interacting with students. The key innovation here is the implementation of what Pagano refers to as “physical self-regulation strategies,” which provide “active sensory-motor” tactics that can be fitted into the students’ daily routines in order to improve their day-to-day functional behaviors.  Throughout the book, the specific procedural advice being offered is clearly stated, deftly detailed, and uniformly optimistic in tone. Parents, teachers, and caregivers will find a great deal of food for thought in these pages when it comes to positive reinforcement, mindfulness, and physical massaging as a way to focus children and help them gain the self-control that will avoid or restrain the acting-out behaviors that can make teaching them so challenging. The volume’s combination of practical and interactive material will make it exceptionally useful to any adults facing the problems that unruly kids can present. 

A worthy program for solving children’s complex behavioral problems.