Severe & Complex behavior

Severe & complex behavior refers to high-risk behavioral patterns that may include Physical Aggression, Self-Injury, Property Destruction, Elopement, or behavior that significantly disrupts daily life and places the child and others at risk of harm. These situations often involve multiple contributing factors — medical, psychiatric, environmental, and historical — and require a structured, coordinated approach.

O’ Kane Enterprises provides detailed assessment, crisis-informed planning, and targeted consultation designed to stabilize risk, improve safety, and help teams respond confidently across home, school, day programs, and residential environments.

Organizational consulting and service design

Areas of focus

Every Organization starts from a different place. We work with you to identify priorities and pace.

behavior poses a safety risk to the individual or others
Crisis patterns are frequent, escalating, or unpredictable
Families or teams feel overwhelmed or unsure how to respond
Medical or psychiatric factors may be influencing behavior
Residential or school settings require structured planning
Multiple services are involved but not well coordinated
Standard behavior plans / recommendations have not been effective

How we work with Organizations

Consulting is collaborative and staged. We start with listening, then co-design realistic steps that fit your context, resources, and regulatory environment.

Intensive functional assessment designed for high-risk situations
Crisis-informed behavior planning and safety recommendations
Collaboration with medical, psychiatric, and interdisciplinary teams
Environmental and staffing assessments across settings
Coaching and modeling during real routines when appropriate
Data tools for tracking early warning signs and crisis patterns
Support during transitions between programs, placements, or services

What makes this service different from typical behavioral consultation?

Severe & complex behavior requires a higher level of structure, coordination, and safety planning. We focus on crisis-informed assessment, clear risk-reduction strategies, and collaboration with all providers involved in the person’s care.

Do you collaborate with crisis teams or emergency services?

Yes. When appropriate and with permission, we coordinate with crisis teams, emergency responders, psychiatry, and other clinical partners to ensure safety planning is consistent and actionable across systems.

Can you work across multiple settings (home, school, community, residential)?

Absolutely. Severe and complex behavior often occurs across different environments, so we gather information from all relevant settings and help teams create consistent responses that reduce risk and build long-term stability.

Is this service appropriate during or after hospitalization?

Yes. Consultation can support transitions following hospitalization or help teams understand whether clinical factors may be affecting behavior. Coordination with medical and psychiatric partners is common within this service.

Going the Extra Mile

Supporting Complex Needs

Brief case illustrations highlight collaboration with families, schools, and interdisciplinary teams to address high-risk behavior.

Through assessment, data-driven planning, and ongoing coaching, teams build confidence, improve safety, and increase meaningful participation in home, school, and community life.

Making Connections

Partnering With Schools

Examples include long-term collaboration with districts to support students with significant behavior challenges.

Consultation emphasizes teachable skills, positive supports, and sustainable practices that fit within real-world school environments.

Funding Resolutions

Interdisciplinary Work

Collaborative projects with medical and psychiatric providers help align behavioral data with treatment decisions.

Shared understanding of behavior patterns, medication effects, and environmental factors supports safer, more effective care.

Supporting an individual with severe or high-risk behavior? Let’s talk about the structured support your team may need.

CONTACT O’ KANE ENTERPRISES