Observe the routine
Define what is happening and examine the setting, timing, people, demands, choices, and staff responses surrounding it.
← Back to OTB Learning GroupThe behavior is communicating.
BEHAVIOR SCIENCE · REAL CARE ENVIRONMENTS
The behavior is communicating.
The care plan should listen.
OTB Learning Group helps senior and dementia-care teams move beyond labels such as “combative,” “refusing,” or “difficult.” We teach staff to observe what is happening, understand the context, and build practical supports around the person—not just the behavior.
See the OTB care model ↓FROM ASSUMPTION TO UNDERSTANDING
What are we actually looking at?
Dementia changes communication, memory, sensory processing, and daily routines. Behavior may also shift around pain, illness, fatigue, unfamiliar staff, loss of control, confusing instructions, or a task that no longer makes sense to the person.
Listen for the function
A function-based assessment asks what the behavior may be communicating or accomplishing. Medical concerns must be reviewed with the healthcare team.
Change the support
Adjust the environment, strengthen communication and choice, teach consistent staff responses, and measure whether daily life is actually getting better.
FBA + RBT SUPPORT IN DEMENTIA CARE
Everybody has a role.
Nobody freelances.
A qualified behavior analyst may conduct a function-based assessment, develop individualized recommendations, train the team, and monitor outcomes. A supervised RBT or behavior technician may collect objective data and implement assigned parts of the plan under close, ongoing supervision.
Behavior services do not diagnose or cure dementia and do not replace medical, nursing, occupational-therapy, or mental-health care.Assesses patterns, designs supports, coordinates with the care team, trains implementers, and reviews progress.
Collects data, implements the plan as written, supports communication and routines, and reports changes.
Uses practical strategies consistently during bathing, dressing, meals, transitions, activities, and other real routines.
HOW WE TRAIN
Meet the workforce where the work happens.
Self-paced 40-hour training
A full behavior-technician foundation for individual staff members or organizational teams.
Dementia-specific PDUs
Focused learning built around communication, distress, daily-care routines, dignity, and staff implementation.
Virtual cohort delivery
A supported group pathway with live instruction, discussion, accountability, and applied practice.
In-person training + consultation
Available for home health companies, memory-care programs, long-term care facilities, CNAs, caregivers, and interdisciplinary teams.
THIS IS CARE WORK. MAKE THE TRAINING MATCH.