Using Time Out Effectively               
Joel Farb, M.A.,
The Center for Behavior Therapy

Time out has been used as a practical and effective behavior management technique for more than 30 years.  When used correctly, it can be a powerful tool for reducing problem behaviors with children ages 2 ½ through 12.

There are many misconceptions about time out.  First, time out is not “cool-down,” or “think-time.”  Instead, it is the removal of the opportunity to obtain positive reinforcement for a specific behavior.  This article summarizes the key rules for using time out effectively.  Many of these procedures are described in detail in a well-written, parent-friendly volume by Lynne Clark, Ph.D., called SOS: Help for Parents.

The length of time out is one minute for each year of developmental age. 
For example, time out would last 6 minutes for a 6-year old child.  Please note that this period of time is the amount of time spent in the time out area; not the amount of time that the child must be quiet while in time out.  This is a common misuse of time out.

Time out should be done in a boring place such as the bathroom, the hall, a stairwell, or other area where there is likely to be little entertainment.  A tall, straight-backed chair in a boring place can be used for children through age 5.  For children 6 through 12, the bathroom is preferable (of course, with dangerous objects removed).

Use a kitchen timer to monitor the length of time out.  Using a timer frees the parent from the monitoring role and eliminates calls from the child such as, “Is time out done yet?”  Set the timer when the child sits in the time out chair or enters the time out place.  Time out begins when the child enters the time out area; not when the child becomes quiet.  

When sending a child to time out, use a simple instruction with fewer than ten words such as, “No fighting, go to time out.”  Resist the urge to lecture or scold.  

The child should be instructed to go to time out within 10-15 seconds of the problem behavior.  As with all consequences of behavior, time out is most effective when it occurs immediately.  

For every 10 seconds of delay or arguing after the instruction to go to time out, add one additional minute up to a maximum of five additional minutes.  For example, the child argues for 10 seconds, say, “That’s one more minute.”  If the arguing or negotiating continues for another 10 seconds, say, “That’s two more minutes,” etc.  

Do not speak or attend to the child during time out.  Do not even make eye contact.

If a young child (under age 6) leaves time out before the time is up, simply place the child back in the time out chair without speaking or making eye contact.

 If an older (i.e. ages 6-12) child refuses to go to time out or leaves time out early, withhold a preferred activity or other reinforcer until the child completes the time out.  For example, “You have no TV until you do your time out.”  If the child continues to refuse to go to time out, withdraw another preferred activity.  Do not withdraw more than two activities.  These activities must be withheld until the time out is completed or until the next day.  Do not carry a consequence into the next day, as such a consequence is far too delayed to be effective.

When time out is over, you may say, “Time out is over.”  Do not counsel or discuss the behavior that resulted in time out.  There is no evidence that discussing the infraction adds any positive effect to time out, and it may even reduce the effectiveness of time out by providing attention at the end of the process.

If the child is still crying or shouting at the end of the time out period, set the timer for one additional minute (or two additional minutes for a child over 6).  Repeat this procedure, as needed, up to three times.  Say only, “That’s x more minute/s for you to get quiet,” and do not make eye contact.  If crying or shouting persists beyond this point, just ignore.  Note: In no case should the child be permitted to leave time out without loss of a preferred activity unless he/she has been quiet for a minimum of 30 seconds.  

Start by using time out for only one behavior    (e.g., hitting, profanity, etc.), and plan to continue using time out consistently for at least four weeks.  In the beginning, the child will likely test your persistence.  Measure your progress by tracking the daily frequency of the selected behavior.  For children ages 4-12, describe the time out procedure with them before you start.  Expect objections.  Ignore these and do not negotiate.  If you must speak, say only, “We’re going to do is.”  If objections persist, walk away.  Do not engage in debate.  The book by Lynn Clark (see below) will provide a good reference for using time out effectively.  The article by Jeffrey Danforth provides a more in-depth, detailed study.

References:  
Clark, Lynn, SOS: Help for Parents (1987).  Bowling Green, KY: Parents Press.  
Danforth, Jeffrey S.  The outcome of parent training using the Behavior Management Flow Chart with mothers and their children with oppositional defiant disorder and attention deficit hyperactivity disorder.  Behavior modification, (1998) 22(4), 443-473.
 

Questions and Answers about Time Out 

·         Where is the best place to do time out?

 Generally, the child's room is not a good place to do time out unless the sources of entertainment have been removed.  Time out, by definition, means time out from access to positive reinforcement.  Time out must be done in a boring place, and the child's room is often anything but boring.  For children ages 5 and under, time out should be done in an adult-sized chair in a boring place such as a hall, the dining room, or other low-interest area.  For children 6-12, the bathroom can be a very effective place for time out (see the book by Lynn Clark noted at the end of the article in the last newsletter). 

Overall, time out can be done anywhere,  provided there is limited access to sources of positive reinforcement. 

·        But what if my child makes a mess in the bathroom during time out?

 Have the child thoroughly clean up the mess before leaving the bathroom at the end of time out.  If your child has a history of breaking objects, obviously, you should remove high-risk objects from the time out place before you begin using it.  Making a mess in the bathroom has been reported on occasion, but this typically responds well to the consistent requirement that the child must clean up the results. 

·         What do I do if my young child (2 1/2 - 5) keeps getting out of the time out chair? 

You gently pick the child up from behind, and replace him/her in the chair without speaking or making eye contact.  Then, immediately step about 2 1/2 to 3 feet away from the chair and wait.  Repeat this process as necessary.   Some children may attempt to escape time out a number of times when the procedure is first started; however, most children learn to sit through a developmentally appropriate time out (i.e., one minute for each year of developmental age) after the first day or two.

·         When does the time out period start?  Isn't time out a certain required period of quiet? 

The second question is a common misconception with no clear origin.  It certainly does not come from the research in applied behavior analysis.  The time out period starts when the child enters the time out place.  The time out period should be monitored using a kitchen timer and  is one minute for each year of developmental age (i.e., 5 minutes for a five- year old child who is not developmentally delayed).  The only time period of quiet that is required is 15-30 seconds of quiet when the time out is completed.  This short period of quiet pairs leaving time out with quiet.  Most importantly, time out begins when the child enters the time out place; not when the child is quiet.  This is a very common misuse of time out. 

·         What do I do if my older child (6-12) refuses to go to time out? 

Add one minute of time out, up to a maximum of 5 minutes, for every ten seconds of delay in going to time out.  For example, if after instructing your child to go to time out, the child begins to argue, you should ignore the arguing, silently count ten seconds, and then say, "That's one more minute of time out."  Then, be quiet.  If the arguing or delay continues, repeat the procedure, and extend the number of minutes by one each time as needed (e.g., "That's two more minutes of time out.").  Remember, the maximum additional time out is 5 minutes.

·         What do I do if my older child still refuses to go to time out or leaves time out? 

Withhold a preferred activity or reward until the time out is completed.  For example, "You have no computer until you do your time out."  If the child continues to refuse to go to time out, you may withdraw another preferred activity, (e.g., music, TV, telephone, etc.).  Do not withhold more than two activities, and this is only for the current day. 

·         Will time out damage my child's self-esteem? 

To my knowledge, there is no evidence of this in the clinical literature.  I include this question because it came up during some recent presentations.  While there may be some professionals who "say" this, until they can produce some experimental evidence, it's just an unsupported opinion.  A key question to ask any professional who makes this statement is, "Compared to what, and what is the evidence?"

·        How do I use time out in a public place?

In some places, this can be difficult.  However, in many public places, there are restrooms, dressing rooms, and other areas where time out can be done.  With some children, time out can be done on a bench in the shopping mall.  For some children, time out can be done in the car.  In this case, you would take the child (or children) out of the restaurant (for example) and do a time out in the car.  You sit quietly in the front seat or remain outside of the car.

·         Is time out effective with adolescents?

Time out, as described in this series of articles, has limited effectiveness with adolescents, but there are variations of time out which are more effective with older children and teenagers.  Some of these will be described in future articles.

Reprinted with permission from Fall 2000 and Winter 2001 Newsletter

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