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Social Skills Group 9 th Grade Boys with Attention Disorders. Ann Vrabel, RN, BSN Multnomah Education Service District. Project Implementation: School Characteristics. Suburban Public High School, Grades 9-12 2500 Students 80% Caucasian, 12% Latino, 8% Other Minorities
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Social Skills Group 9th Grade Boyswith Attention Disorders Ann Vrabel, RN, BSN Multnomah Education Service District
Project Implementation:School Characteristics • Suburban Public High School, Grades 9-12 • 2500 Students • 80% Caucasian, 12% Latino, 8% Other Minorities • 30% Free Lunch Eligible
Need Determination • Large number of 8th graders in feeder schools on daily medications • Few requests for high school medication administration or follow up • Where are these missing kids? How well do they transition and self manage? • Curiosity and personal interest
School Receptiveness • “Medical” Arena • School Counselors • School Administrators • Teachers • Students and Parents Response
Recruitment of Members • Search of school records • Feedback from middle school teachers, counselors, nurses • Student questionnaire • Individual interviews
Findings • 15 of 21 students interviewed currently on medication • School numbers similar to literature reports: 9:1 male to female ratio • Strong level of interest in participation • Limited understanding of diagnosis and implications
Parent Consent Mailing: • Parent Survey • Student Progress Report • Permission Form Telephone Follow Up
Plan for Measurement of Outcomes • Pre & Post Conners-Wells Self Report (1997) (ADHD, Hyperactivity, Inattention, Conduct) • Statistical analysis • School Progress Reports, Report Cards • Teacher & parent input • Behavioral/ Discipline Referrals
Group Format • 8 boys, all 9th graders • 1 hour per week for 10 weeks • Rotating group times • Started after 1st Report Cards
Group Activities • Snacks • Manipulatives: e.g. Stressballs, Koosh* Balls, Silly Putty* • Problem Solver Game • Communicator Game • Skill Streaming Activities
Student Evaluation • Fun and Supportive • Break in Routine • Camaraderie • Increased understanding
Staff and Parent Evaluations • Increased social maturity • Improved self-responsibility • Improved coping abilities • Positive impact on school success
Lessons Learned • Personal & professional satisfaction • Value of co-facilitation • Need for structure & flexibility • Need for school & professional consultation & collaboration
Positive Outcomes • Medication compliance • Connectedness, normalcy • New skills- coping, strategies • Improved understanding: ongoing implications
Recommendations • Tap into the School Nurse • Energizing, Fun Group of Kids • Go For It!