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Digital Seminar

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

John Pagano, PhD, OTR/L
Approx. 12 Hours
Jun 20, 2024
Product Code:
Media Type:
Digital Seminar - Also available: Live Webinar

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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?

Watch expert and author John Pagano, PhD, OTR/L, as 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 finish this training with the essential skills and confidence to integrate individualized activity programs that are not only fun, but will significantly decrease disruption and improve learning! Purchase 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 - CE Information Coming Soon

Continuing education credit information is coming soon for this non-interactive self-study package.

CEs may be available for select professions, as listed in the target audience. Hours will be dependent on the actual recording time. Please check with your state licensing board or organization for specific requirements. 

There may be an additional fee for CE certificates. Please contact our Customer Service at 1-800-844-8260 for more details. 

**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 professions standards.


John Pagano, PhD, OTR/L's Profile

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

Pagano FAB Strategies, LLC

John Pagano, PhD, OTR/L, has a PhD in marriage & family therapy, MS in special education and BS in occupational therapy. As an occupational therapist, he has over 40 years of experience in treating children, adolescents and young adults with complex developmental and behavioral challenges and sensory integration problems in NICU, birth-to-three, sensory integration clinic, pre-school, school, group home, and adolescent psychiatric hospital settings.

Dr. Pagano is the owner of Pagano FAB Strategies, LLC, which provides proven approaches that simultaneously address inappropriate behavior as a part of therapy, teaching and parenting. He is the occupational therapist at an adolescent psychiatric hospital and school and is part-time faculty in occupational therapy at Quinnipiac University. Dr. Pagano 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. 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. and Oak Hill Connecticut. 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.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  1. Identify how brain differences between children/adolescents with intellectual and developmental disabilities, Autism Spectrum Disorder, and PTSD impact treatment. 
  2. Differentiate considerations for sensory integration in infants, children, adolescents and young adults. 
  3. Utilize sensory, preference, and behavior function assessments to improve learning and behavior. 
  4. Determine problematic environmental and body triggers for children. 
  5. Identify coping strategies to promote self-regulation. 
  6. Use positive behavior techniques and sensory modulation strategies to manage sensory overload. 
  7. Use mindfulness interventions to improve relationships. 
  8. Choose movement strategies and role-playing games to help children/adolescents manage feelings. 
  9. Identify strategies to improve frustration tolerance and decrease physical and verbal aggression. 
  10. Integrate pressure touch, environmental adaptation, and oral sensory strategies to promote self-control. 
  11. Choose visual supports that orient children/adolescents to their daily schedules and classroom expectations. 
  12. Utilize applied behavioral analysis strategies 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


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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.

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