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Challenging Behaviors, Down Syndrome, Strategies, Phenotype, ADHD, ABA, PTR, School, Parents, Speech


As a future speech-language pathologist, it is imperative to develop knowledge and skills regarding how to provide therapy while managing challenging behaviors. Challenging behaviors could have long and short-term effects on the individual themselves and multiple entities in the child’s environment including caregivers, teachers, peers and other professionals. The presence of challenging behaviors can significantly impact learning as well as impede social interaction with peers. The purpose of this literature review is to inform speech-language pathologists about behavioral aspects of individuals with Down syndrome, with a focus on challenging behavior, and the best application of strategies and interventions for success. There are many factors that contribute to challenging behaviors in children with DS. These may include such as sleep disturbances, phenotypes and attention deficit hyperactive disorder (ADHD). In this review, challenging behaviors will be defined, and strategies and interventions will be outlined to decrease challenging behaviors will be discussed. Finally, potential recommendations will be considered that speech-language pathologists could suggest for parents to implement at home.