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Public Health
Seattle & King County
401 5th Ave., Suite 1300
Seattle, WA 98104

Phone: 206-296-4600
TTY Relay: 711

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Home » Child Care Health Program » Ask the Child Care Health Team » Biting

Child Care Health Program
Ask the Child Care Health Team

Biting

Dear Child Care Team,

For the past 2 months the toddler room at my center has felt like a disaster. Things seemed to fall apart when one of the toddlers, new to the room, began biting his peers. Two more children started biting and now parents are threatening to withdraw their children. We've tried everything.

- Distressed Director

Dear Distressed,

Biting can be a serious and upsetting problem when it happens frequently and over long periods of time. Parents get especially upset when they see those teeth marks on their child's body! It is important to provide first aid immediately after a bite occurs (See page 89 of the Child Care Health Handbook or contact your public health nurse), and then identify ways to prevent the behavior from happening again.

You say you've tried everything. This means that you have checked the classroom environment to see that the curriculum is developmentally appropriate, varied and interesting to the children. The noise level is not overwhelming; there is quiet space, room to move and a minimal number of transitions. The teachers understand the special needs of the toddler age group and are able to address those needs.

Toddlers who are frequent biters need special attention that begins with close observation. Are the "biters" less talkative, less able to use language? Do they walk around with little focus, have trouble concentrating even for brief time periods? Do they play best with sensory material and still put non-food items in their mouths? Noticing these things can help teachers make the best plan for biting prevention.

Children who have little language can practice alternative ways of communicating. Help them to take another child's hand or pull on a shirtsleeve to replace the biting behavior. Practice with situations that might cause biting. For example when there is a toy they want or others move into their space.

Providers often end up "shadowing" a biter in the hopes of preventing bites. As you shadow, talk to the child about their friend's activities and how they might participate. When they make a move to bite, rather than calling attention to the biting behavior, show them alternative behavior for reaching their goal. Praise them for following through.

Help children with especially short attention spans spend more time in play by joining the play and adding new ideas and observations. Add more sensory activity to the class including material that can be "bitten" like infant teethers.

If the behavior does not improve after all these efforts, then it's time to give us a call!

-- Lenore Rubin, Ph.D., Child Psychologist
Public Health - Seattle & King County

For help with biting issues, call 206-296-2770 and ask to speak with your public health nurse.

References:

Greenspan, Stanley I., M.D. and Serena Wieder, Ph.D. (1977). The Child with Special Needs. Boulder CO: Perseus Books.

related sites:

Children with Special Health Care Needs
CSHCN is Public Health program that provides linkages to King County children with special health care needs or whose families have limited direct medical care and meet financial requirements.

Plain Talk About Child Immunizations
Facts about Plain Talk About Child Immunizationschildhood immunization; vaccine preventable disease, vaccine safety, the immune system and how vaccines work, legal requirements, and more.

Updated: Friday, April 06, 2007 at 04:17 PM

All information is general in nature and is not intended to be used as a substitute for appropriate professional advice. For more information please call 206-296-4600 (voice) or TTY Relay: 711. Mailing address: ATTN: Communications Team, Public Health - Seattle & King County, 401 5th Ave., Suite 1300, Seattle, WA 98104 or click here to email us. Because of confidentiality concerns, questions regarding client health issues cannot be responded to by e-mail. Click here for the Notice of Privacy Practices. For more information, contact the Public Health Privacy Office at 206-205-5975.

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