Skip to main content
 This program is not active.
Not Found
In-Person Seminar

2-Day Advanced Training: Treating Complex Behavioral Challenges in Severely Dysregulated Children, Adolescents and Young Adults

John Pagano, PhD, OTR/L
32 Hours
Product Code:
Brochure Code:
Media Type:
In-Person Seminar
Women and Children's Center - Great Falls, Montana



Children, adolescents and young adults who are verbally and physically aggressive, tantrum, or don’t pay attention are impossible to effectively treat or teach. The severe behavioral challenges they exhibit sabotage our ability to help improve development, learning, and family life. But how do we help a child break through the self-regulation issues that limit their progress?

Join expert and author John Pagano, PhD, OTR/L, for this live webcast in which he guides you through the latest research on brain development and how to successfully integrate environmental adaptation, sensory modulation, positive behavior, and physical self-regulation activities to help young clients manage their intense feelings without inappropriate verbal, physical, or self-injurious behaviors. Drawing on extensive research and 31 year of clinical trial with children with complex behavioral challenges, Dr. Pagano will teach you:

  • Tools to differentiate sensory integration and behavioral challenges
  • Step-by-step developmentally sequenced activities for diverse levels (from severely developmentally disabled to highly capable) and across age levels
  • Interventions for the most problematic environmental and body triggers
  • Techniques to manage sensory overload and self-injurious behaviors
  • Strategies to teach frustration tolerance and reinforce appropriate actions
  • Sensory, mindfulness, and trauma-informed care to improve relationships and social skills
  • Movement strategies and role-playing games to manage intense feelings
  • Strategies to modulate arousal levels to decrease self-injurious behavior and suicidal ideation
  • Activities to be used in a variety of settings, including individualized, small group, and class-wide

Through engaging case studies with treatment videos, demonstrations, and hands-on activities you will leave this webcast with the essential skills and confidence to integrate individualized activity programs that are not only fun, but will significantly decrease disruption and improve learning! Sign up today!


Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

* Credit Note - *

NOTE: Tuition includes one free CE Certificate (For the in-person event, after attendance has been verified, pre-registered attendees will need to log into their online account to complete the online evaluation. Instructional methods will include PowerPoint, didactic lecture, Q&A, and others. After completion of the evaluation participants can download/print their certificate of completion. For those in partial attendance (arrived late or left early), a letter of attendance will be available in the attendee online account after completion of the evaluation. An adjusted certificate of completion reflecting partial credit will be sent within 30 days (if your board allows)).

Continuing Education Information: Credits listed below are for full attendance at the live, in-person event only. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.

For Planning Committee disclosures, please see below.  For speaker disclosures, please see the faculty biography.

Occupational Therapists & Occupational Therapy Assistants


PESI, Inc.  is an AOTA Approved Provider of professional development. Approved provider # 3322. This Live activity is offered at 1.25  CEUs Intermediate, OT Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. 


Physical Therapists & Physical Therapist Assistants

This activity consists of 12.5 clock hours of instruction that is applicable for physical therapists. This certificate is proof of your attendance. Please retain it in your records or use for submission as proof of completion when required.


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

PESI, Inc. designates this live activity for a maximum of 12.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Speech-Language Pathologists & Audiologists

This course contains 12.5 hours of live continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.

Other Professions

This activity qualifies for 760 continuing education minutes as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements. 



John Pagano, PhD, OTR/L's Profile

John Pagano, PhD, OTR/L Related seminars and products

Pagano FAB Strategies, LLC

John Pagano, Ph.D., OTR/L, is an occupational therapist with over 30 years of experience in treating children, adolescents, and young adults with developmental, severe behavioral, and sensory integration problems in NICU, birth-to-three, sensory integration clinic, pre-school, school, group home, and adolescent psychiatric hospital settings. He is the owner of Pagano FAB Strategies, LLC, which provides proven approaches that simultaneously address inappropriate behavior as part of therapy, teaching, and parenting. Dr. Pagano currently is the occupational therapist at an adolescent psychiatric hospital and school and is part-time faculty in Occupational Therapy at Quinnipiac University. He integrates sensory processing, mindfulness, positive behavioral support strategies, and massage strategies to help youngsters with complex behavioral, mental health, developmental, intellectual, and sensory processing challenges.

Dr. Pagano has a Ph.D. in Marriage & Family Therapy, M.S. in Special Education and B.S. in Occupational Therapy. He has certifications in Neuro-Developmental Treatment, Movement-Based Learning, QST Massage for Autism, as well as being an instructor in Positive Behavioral Support.

Dr. Pagano presents workshops internationally to occupational, speech-language, physical, and mental health therapists as well as educators on improving self-regulation in youth with complex, behavioral, developmental, cognitive, and sensory processing challenges. He is the author of FAB Functionally Alert Behavior Strategies: Integrated Behavioral, Developmental, Sensory, Mindfulness & Massage Treatment (Pagano FAB Strategies, LLC).


Speaker Disclosures:
Financial: John Pagano has an employment relationship with FAB Strategies, LLC. He receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: John Pagano is a member of the American Occupational Therapy Association.


  1. Apply the latest research on effective strategies for the treatment of children/adolescents with intellectual and developmental disabilities, Autism Spectrum Disorders, and PTSD.
  2. Assess and differentiate sensory integration and behavioral challenges in infants, children, adolescents, and young adults.
  3. Apply the assessment of sensory integration and behavioral problems to develop objective goals and apply appropriate intervention strategies addressing individual behavioral and/or sensory integration challenges.
  4. Interpret and integrate sensory, preference, and behavior function assessments to improve learning and behavior.
  5. Determine the most problematic environmental and body triggers for each child and the most effective coping strategies to promote self-regulation.
  6. Manage sensory overload and self-injurious behaviors through a multi-disciplinary approach of positive behavior techniques and sensory modulation strategies.
  7. Use sensory, mindfulness, and trauma-informed care to improve relationships and social skills.
  8. Employ fun movement strategies and role-playing games to help children/adolescents understand and manage feelings and develop social skills.
  9. Implement strategies to improve frustration tolerance and decrease physical and verbal aggression during individual and group treatment sessions.
  10. Integrate pressure touch, environmental adaptation, and oral sensory strategies to promote self-control and calm that are effective in the clinic, classroom, or at home.
  11. Develop individualized visual supports that orient children/adolescents to their daily schedules and classroom expectations.
  12. Implement strategies to help children/adolescents modulate their arousal levels to decrease self-injurious behavior and suicidal ideation.


Neuropsychology: How Unique Brain Differences Guide Treatment
  • Latest research on effective treatment strategies
  • Intellectual and developmental disabilities, ASD, and PTSD
  • Manage comorbid disorders and symptoms
  • How to get children/adolescents to pay attention
Assessment: Combine Observation with Standardized Tools
  • Identify the primary reason for a challenging behavior
  • Assess sensory modulation and preferences
  • Find youth’s major interests and reinforcers
  • Write reports that parents and other professionals will read
Take Your Intervention to The Next Level!!!
  • Effectively intervene when the youth first begin feeling upset
  • Engaging activities to improve behavior
  • Teach self-awareness of triggers and arousal level
  • Manage the environment to limit and anticipate triggers
  • Case Study: Adaptations to manage behavior in a Head Start Class
Manage Sensory Overload and Self-Injurious Behaviors
  • Reduce visual, auditory, and tactile distractions
  • Applied Behavioral Analysis using Pivotal Response Training
  • Positive Behavioral Support and FAB Turtle
  • Develop a sensory coping area
  • Strategies for combined sensory sensitivity and trauma disorders
  • Minimize self-injurious behavior
  • Sensory emphasis of learning activities
  • Case Study: Therapy ball activities to calm an 18-year old with ASD & Intellectual Disabilities
Improve Relationships with Sensory, Mindfulness, & Trauma-Informed Care
  • Integrate trauma-informed care into all activities
  • Match mindfulness strategies to attention and arousal levels
  • Inclusion with integrated class, small group, and individual sessions
  • Sensory strategies to improve learning and behavior
  • Activities to match interest and developmental level
Improve Social Skills
  • Teach children with Autism Spectrum Disorder and other developmental disabilities
  • Fun movement strategies to help children understand and manage feelings
  • Movement breaks that improve behavior
  • Role-playing games and anti-bullying techniques
Decrease Physical, Verbal, and Other Misbehaviors
  • Improve relationships through positive interactions
  • Decrease verbal and physical aggression
  • Avoid or minimize conflicts
  • Developmentally teach frustration tolerance and reinforce appropriate actions
  • Case Study: Individualized activity programs for adolescents with anxiety, ODD, ASD, sensory over-sensitivity, and physical aggression
Reduce Stress, Anxiety, and Obsessive Compulsive Disorder
  • Conditioning to calm children with intellectual disabilities
  • Individualized activity program for a child you work with
  • Fidgets, head phones, and adaptive equipment
  • Visual supports to teach schedule, routines, and rules
  • Touch for calming and improving relationships
  • Case Study: Pressure touch for calming a 3 and 8-year old with ASD
Reduce Depressive Symptoms
  • Activities to increase arousal level
  • Help children recognize their need for help in avoiding aggression
  • Reduce and challenge depressive thoughts using art
  • Decrease self-injurious behavior and suicidal ideation
  • Energy wheels of activities for improved mental health

Target Audience

  • Occupational Therapists
  • Occupational Therapy Assistants
  • Speech-Language Pathologists
  • Physical Therapists
  • Physical Therapist Assistants
  • Counselors
  • Social Workers
  • Psychologists
  • Psychiatrists
  • Marriage and Family Therapists
  • Case Managers
  • School Counselors
  • School Social Workers
  • School Psychologists
  • Teachers
  • Nurses
  • School Administrators
  • Educational Paraprofessionals
  • Other Helping Professionals Who Work with Children 3-21 Years of Age



Women and Children's Center

2720 10th Ave S, Education Center 1st Floor, Great Falls, Montana 59405, United States

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

PESI Mobile App

Access CE trainings on your phone or tablet through our free mobile app. Choose video or audio-only versions of live webcasts and online courses from the world’s best instructors, and complete your CE requirements anywhere, anytime, at your own pace.

Please wait ...

Back to Top