Presentation on theme: "Dr. Caren Baruch-Feldman Westchester Day School"— Presentation transcript:
1Dr. Caren Baruch-Feldman Westchester Day School Parents and Professionals Advocating for Students (PAPAS) Presents: The Disorganized Student: Strategies for Parents and TeachersPresented by:Dr. Caren Baruch-FeldmanDr. Helene WaliseverWestchester Day SchoolJanuary 26, 2009
2What Are Executive Functions and How is it Related to Disorganization? A student’s ability to manage their time, organize their paperwork, and numerous other day to day classroom activities are impacted by their executive functions.This presentation will explain the role of executive functions and offer practical strategies for parents and teachers to help the disorganized student.
3What Is Executive Functioning? Executive Functioning refers to our ability to be able to make and carry out plans, direct our attention, focus and also control our internal states: our impulses and emotions and to be able to switch from one task to another.It is involved in processes such as planning, cognitive flexibility, abstract thinking, rule acquisition, initiating appropriate actions and inhibiting actions, and selecting relevant information.
4People with Executive Functioning Problems have Difficulties in 6 Major Domains: Activation, Focus, Effort, Emotions, Memory, and Action
5Children with ADHD Have the Following Executive Functioning Impairment
6On Demand Deficiencies Because internally driven production is much easier to accomplish than externally demanded production for children who have these difficulties their lack of production on demand often stands in stark contrast to their seemingly effortless production “when the spirit moves them”.The on-demand deficiencies observed by others are often attributed to negative personal characteristics such as being UNMOTIVATED, WILLFULLY LAZY and DISORGANIZED, POSSESSING A BAD ATTITUDE, DOING THIS ON PURPOSE.More and more however, neuroscientists are saying that these underachievers may suffer from neurological abnormalities, particularly in the FRONTAL LOBE.
8Can’t Versus Won’t“We are encouraging people to become involved in their own rescue.”Remember rewards will not work if the child does not have the skill. Reward programs imply thata child can do it if he/she wants to or is motivated enough to. This often leads away fromthe realization that many children who do want to change their behavior don’t know what to doto change it.
9Kids Do Well If They Can… Behind every challenging behavior is an unsolved problem or lagging skill.Challenging behavior often occurs when the demands being placed on a kid exceed his capacity to respond adaptively.One needs to determine what thinking skill the child is lacking so that the thinking skill can be taught.One needs to determine the triggers/antecedents: the what, who, when, and where.The goal is to develop a plan with the child that resolves the problem in a realistic and mutually satisfactory manner.
10Executive Function and Development Because EFs are developmentalin nature, natural maturationaldelays and lags are observed.Inter-individually, there is alsogreat variation relative to chronological age.The developmental progressionis from external to internal.
11A Developmental Perspective for Interventions for Children with Executive Skills Deficits Children with developmental executive skill deficits also fit this developmental progression from external to internal.Children with underdeveloped executive skills can be supported in one of two ways:1. By Intervening at the Level of the Environment.2. By Intervening at the Level of the Person.
12Intervening at the Level of the Environment Changing the Physical or Social Environment to Reduce ProblemsChanging the Way Cues are Provided To Prompt the Child to Perform Tasks or Behave in Certain WaysChanging the Nature of the Task
13Intervening at the Level of the Environment: Changing the Physical or Social Environment to Reduce ProblemsAre there impediments to smooth executive functioning that can be removed or added to the environment?Front versus back of the class.Moving them away from a window or near their friends or talkative students.Placing a student with weak skills with a very structured teacher.For impulsive children, placing them in smaller settings or under more adult supervision.
14Intervening at the Level of the Environment: Changing the Way Cues are Provided To Prompt the Child to Perform Tasks or Behave in Certain WaysVerbal prompts or reminders, Visual CuesSchedules, Lists, Pager Systems or AlarmsProvide time management aids such as calendars, clocks, timers, schedulesAudio-taped cues that increase self monitoring. When the tape sounds the child is instructed to answer the question, “Was I paying attention?”
15Intervening at the Level of the Environment: Changing the Nature of the Task Make the task shorterMake the steps explicitMake the task close ended instead of open ended (e.g., fill in the blanks, T/F, rather than essays, providing word banks)Build in variety or choice with respect to the tasks to be done or the order in which the tasks are to be doneOffer bonus points for handing in homework and assignments on time instead of taking points awayOffer feedback and opportunities to revise writing assignments before grading themOffer students choices for ways to demonstrate content knowledgeOffer credit for all efforts to correct workOffer opportunities to retake failed testsDeduct no more than 5-10% of total points for minor detail errorsTeach note-taking, memory strategies, and study skills when necessary
16Changing the Way Teachers Interact with Children With Executive Skill Deficits Changing the way adults interact with them can often ameliorate the negative impact of weak skills.Remembering that you are the biggest vehicle of change and a model of good executive functioning.Increasing the level of supervision, support, and cueing are the easiest way to impact executive functioning.Increasing children’s involvement in the decision making process.Creating a balance between support and acting as the child’s frontal lobe with the ultimate goal of having the child develop their own executive skills sufficiently so they can function independently.
17Intervening at the Level of the Person The goal of this strategy is to change the child’s capacity for using his/her own executive skills.1. Teaching him/her ways to develop or fine tune executive skills that he/she needs.2. Motivating him/her to use the executive skills that he/she has but is reluctant to employ.
18Teaching Children Executive Skills: Teaching Thinking and Organizational Skills in Addition to Content KnowledgeInitially teachers become the frontal lobes for the child.After having walked the child through the process many times the teacher can then begin to reduce the level of supervision and support.The next step might be to begin to transfer the responsibility to the child by asking a more general question (e.g. “What do you need to do?”)The transfer is complete when the child reaches the point when he/she asks himself/herself “What do I need to do”? and either refers to the list independently without prompting from the parent or remembers the steps on the list and can perform the task without referring to the list itself.
19Motivating Children to Use Executive Skills Aligning External Demands with Internal Commands. Using natural self-generated sources of motivation whenever possible.Motivating May Include: Praise and Recognition or Incentive Systems
20Last Thoughts Your child is not lazy. You need to teach students the importance of responsibility, time management, attention to detail and other important qualities.State the problem in behavioral terms that indicate a behavior that can then be changed.Learning is a process.As much as possible try to align external demands with internal desires to maximize motivation.Think Win-Win:
21Tips for Organizing Paper and Time A coach teaches skills, keeps the child focused, offers encouragementForm the team: your spouse; your childWho should coach? You, spouse, or professional organizer
22Help Your Child Accept Help Middle-schoolers want more independence but need more supervision.Don’t fall for “I don’t care” attitude.Motivate your child to be open to help: Use mild natural consequencesUse small incentives
23Collaborate With Your Child Child should help choose the goal.Goal should be small, short-term, likely to yield success.Goal should improve child’s quality of lifePrioritize, choose top 3 goals.Do something fun with your child.
24Develop A Plan The devil is in the details Review the plan nightly for a few minutesIf the daily goal was not met, ask what got in the way. What helped it work on successful days?Don’t give up too soon, but revise plan if needed. It takes 3 weeks for new habits to form.Your child didn’t fail, the strategy failed.