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Working with Individuals with AD/HD

Working with Individuals with AD/HD. Illinois Service Resource Center. Legal Basis For Training. P.A. 92-0663 Legislation passed in 2002 At least once every two years Common Core Standards for Special Education. DSM IV Criteria. AD/HD Hyperactive-Impulsive AD/HD Inattentive AD/HD Combined

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Working with Individuals with AD/HD

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  1. Working with Individuals with AD/HD Illinois Service Resource Center

  2. Legal Basis For Training • P.A. 92-0663 Legislation passed in 2002 • At least once every two years • Common Core Standards for Special Education

  3. DSM IV Criteria • AD/HD Hyperactive-Impulsive • AD/HD Inattentive • AD/HD Combined • AD/HD NOS

  4. Hyperactivity • Fidgets • Difficulty controlling body movements • Quick to become aroused • Frequently break things • Girls: • Hyper-talkative • Hyper-social

  5. Impulsivity • Can’t delay gratification • Shouting out/Interrupting • Impatient • Bossy • Aggressive • Reckless

  6. Inattentiveness • Focused Attention • Sustained Attention • Easily Distracted • Unmotivated • Executive Functions • Organizational Skills • Lack of follow-through • Cue-less

  7. ADHD Is a Difficulty With Self-control • Self-Regulation affects the ability to: • inhibit • delay • separate thought from feeling • consider an experience and change response • choose a response and act toward a goal • track cues

  8. Poor Self-Regulation • impulsive behavior • unpredictable behavior • inconsistent behavior • illusion of competence

  9. Language Impairment • Recent research suggests that we develop self-control through language • Study by Michel found that kids with language impairment have a higher rate of ADHD • Lack of internal language • Need modeling and practice

  10. Programming vs. Punishment • Rewards & punishment approach • Negative interactions • Satiate more quickly • Provide accommodation for the disability -- not punishment for its symptoms

  11. Accommodations • Brevity • Variety • Structure

  12. Accommodations - Hyperactivity • Active responses • Controlled physical activity • Hold something • Stand in back of room • Non-stressful environment • Change expectations

  13. Impulsivity • Keep the rules in view • Reward waiting behavior • Social skills training and practice • Use tables instead of desks • Change expectations

  14. Inattentiveness • Shorter tasks • Alternate preferred/non-preferred • Offer physical activity • Encourage notetaking • Global information • Summarize first, then details

  15. Executive Functions • Teach organizational skills • color code materials • lists • assignment books • number everything • use clues • routines • practice planning • Change expectations

  16. Medical Supports • Your responsibilities • Your limitations

  17. Stimulants • Methylphenidate • Ritalin (SR, LA) • Concerta • Dexedrine • Adderall • Cylert

  18. Stimulant Side Effects • Loss of appetite, weight loss • Difficulty falling asleep • Dizziness • Rebound • Irritability • Sadness, moodiness, agitation

  19. Other Medications • Clonidine • Tenex • Wellbutrin

  20. 5 Keys to Successful Management of AD/HD • Make tasks interesting • Make payoffs valuable • Adjust expectations for change • Allow more trials to mastery • Allow more time for change

  21. The ISRC Library includes books and videos about AD/HD.For more information visit www.isrc.us

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