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Myths and Realities. Children’s mental health and special education November 13, 2009. Myths and Reality Diagnoses. Myths and Reality Diagnoses. Successful interventions will take time and need to be individualized.
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Myths and Realities Children’s mental health and special education November 13, 2009
Myths and RealityDiagnoses • Successful interventions will take time and need to be individualized. • Treatment requires a three prong approach - understanding the diagnoses, learning skills (counseling) and possibly medication. • Good parenting is being responsive to the hand you were dealt. • Diagnoses is just one part of puzzle, it is a label for signs and symptoms that characterize a particular psychiatric disorder.
Myths and RealityDiagnoses • When frustrated children can lose as much as 30 points on IQ. • Study by Barkley of 1000 children with ADHD/ADD: 30% retained at least once some more often, 46% suspended, 11% expelled and 10% dropped out of school. Longevity study:35% of adults had no HS education and only 5% went to college. • Children with ADHD/ADD are very good at video games because of the multi-stimuli.They also will do well on those things they enjoy because they become repetitive.
Myths and RealityDiagnoses • Post- Traumatic Stress Disorder results from a traumic event that reoccurring frightening thoughts and feelings. • Anxiety Disorders can cause such worry about performance that children may become perfectionist. They tend to redo their work and not except anything less-than-perfect. • CHILDREN WILL DO WELL WHEN THEY CAN.
Myths and RealityInterventions • It takes two to tango. The environment and the child. The environment may throw things at children they have no skills for. • Executive Skills consist of Language processing skills, Emotion regulation skills, Cognitive flexibility skills and Social skills. • Language Processing skills include labeling and categorizing emotions, identifying and articulating problems and problem solving.
Myths and RealityInterventions • Separation of affect is the ability to separate one’s emotional response to a problem from the thinking one must perform to resolve the problem. • Cognitive distortions (e.g. overgeneralization, catastrophizing, personalization) happens with lack of cognitive flexibility skills. • Lack of social skills could mean poor perspective-taking and appreciation of how one’s behavior is affecting other people. As well as poor appreciation of social nuances and social repertoire.
Myths and RealityInterventions Explosive Outbursts are Highly Predictable and provide rich information in two areas: Triggers - e.g. homework, reading, recess, waking up in morning, sensory, sibling interactions, etc. - These are problems that have yet to be solved. Pathways -These are “skills that need to be trained”.
Myths and RealitySchool Individual Education Plans • Emotional Disturbance as a special education classification which is characterized by one or more of the following over a long period of time and to a marked degree that adversely affects a student’s educational performance. • ADD/ADHD is not a problem of knowing what to do. It’s a problem of doing what you know. • Parent training is a related service on child’s IEP and is a behavioral management technique.
Myths and RealitySchool Individual Education Plans • ADD/ADHD is not a problem of knowing what to do. It’s a problem of doing what you know. • In order to stay focused a student must select what to focus on, be persistence with effort, resist distraction, and shift from one task to another. • Individual Education Plan is students treatment plan while in school.
Myths and RealitySchool Individual Education Plans • CHILDREN WILL DO WELL WHEN THEY CAN. • Behaviors should be listed in current levels of achievement, BIP should have goals in IEP and measures of improvement should be reported regularly.
Myths and Realities Resources for presentation: DSM-IV-TR Anxiety Disorders and Attention Deficit Hyperactivity Disorder booklets from Office of Mental Health CH.A.D.D. Educators Manual Explosive/Noncompliant Children and Adolescents: Implementing Collaborative Problem-Solving Special Education in Plain Language & Part 200 Rules and Regs.