Tuesday, March 31, 2015

Higher, Wider, Deeper

In my SPED 310 class, I was given the opportunity to expand my knowledge on a topic of my choosing. We were asked in class to go higher, wider, and deeper into something that we would like to know more about and apply it to ourselves. As I thought about this topic, I had many different ideas come to my mind, but only one lingered. ADHD. I have heard about it and was taught about it in class, but I wanted to know more about ADHD and how I would tackle it head on in my own classroom. I wanted to be able to understand what ADHD is and the different varieties ADHD has. My higher, wider, deeper was to go and ask some people who have had experience with a child or student who has ADHD and know how they dealt with it personally. As I began asking questions, I wanted to find out for myself what it was like. I have decided to create this blog and combine a little bit about what ADHD is, as well as some ways for us to help handle it in the classroom. Lastly, I will talk about my personal experience along with the interview papers and some videos to help tie it all together.

What is ADHD?

Attention Deficit Hyperactivity Disorder is a very common childhood disorder. Many children who struggle with it may have a hard time focusing in the classroom, they may not be able to control the way they are behaving, they become extremely hyper as well as not paying attention. “ADHD is one of the most studied of all psychological disorders in children, but our knowledge is incomplete and the diagnosis remains a controversy in many public and private sectors.” (Lougy and David, 9-10) Many doctors and scientists have been involved with ADHD and each have their own opinion on the matter, which in return ends up adding to the confusion of what is right and wrong for analysis. Many people have written papers and books to help parents, teachers and students understand what ADHD is and how to handle it the best way they can. It is amazing to see how the patterns of a child with ADHD increases as they become older. “Recent studies suggest 4% - 12% as the range of unscreened school-age population. (six-twelve years old)” (Lougy and David, 10) This is fascinating because there are children in schools all over the United States who may be struggling with some type of ADHD but the teacher, and other staff may not be aware of it.



There are three different types of ADHD. There is inattention, hyperactivity and impulsivity. Although, these three may be part of ADHD, each have a unique way of pointing out what child is struggling with a certain area.

Inattention:

There are many times that a teacher may ask a particular student a question, but then the students responds back that they weren’t listening or forgot. This is important because the child was not ignoring the teacher on purpose, they were just easily distracted. A student with inattentive ADHD struggles with paying attention, they are easily distracted by anything that is going on around them. The student also struggles with processing information and instructions. They can’t focus on one thing, are easily confused and forgetful. The student is constantly scanning the classroom or looking outside the classroom window. The smallest things will catch the student’s eye. Example: If a student dropped a pencil, the student with focus on that pencil rolling across the floor until it is picked up. By then, the teacher will have moved on to another topic leaving that student behind.

Hyperactivity:

With a student who is struggling with hyperactivity they tend to be very squirmy. They are constantly in motion at their desk or walking around the classroom. A student will begin to touch everything or play with something they find inside their desk or on the floor. The student may be disruptive, talking to other students. Lastly, the student has trouble completing quiet tasks or activities given to them. A child who is struggling with hyperactivity is a little more easily visible in the classroom. It is the student who is constantly moving around, distracting the other students. With a student who is constantly moving around, will sometimes influence the rest of the class to be rowdy, which ends up being hard for a teacher to keep all of their attention.

Impulsivity:

A student who is struggling with impulsivity becomes very impatient with waiting their turn. They want to go first and not have to be patient. They love blurting out when it isn’t their turn to talk, which leads to interrupting other students. They do not care about the consequences that come when they decide to lash out or act a certain way. A student may be given a worksheet from the teacher and asked to not begin it. Instead of waiting for the teacher to give them all their directions, the student will begin the assignment. They may be doing it completely wrong but do not care because they cannot wait.

With a better understanding of the three types of ADHD, a teacher may have a better idea of how to help a student who is struggling with ADHD in the classroom.

Types of strategies to help a child with ADHD in the classroom:

            For many years scientists have been trying to understand the best ways to help a child who is dealing with ADHD in the classroom. As years continue to pass, many people used to call on a child if they were acting out or not paying attention. “Other suggestions are simply bland or obvious: Display classroom rules, Allow more time to complete assignments or tests, make eye contact with the student before calling on him or her giving instructions.” (Armstrong, 58) There are many different types of strategies that can be used to help a student with ADHD, some of which include:

Direct Instruction: By the teacher giving detailed instructions for the student they are able to complete their in class tasks much easier and independently.

Scheduling: Giving the student a detailed schedule of their day to help them know what they are supposed to be doing during a certain time. “Based on evidence that the on-task behavior of students with ADHD progressively worsens over the course of the day, it is suggested that academic instruction be provided in the morning. During the afternoon, when problem solving skills are especially poor, more active, nonacademic activities should be scheduled.” (Brock, 2)



Rules and Visuals: Giving rules and visuals to a student with ADHD need to be right to the point. They need to be detailed and help enforce what the teacher expects of them and the rest of the class. Giving consequences for disobeying the rules is key to helping the students pay attention and on task.

Pacing: Allowing a student to pace themselves is another way. A student with ADHD may need more time than the rest of the class. Giving them a certain amount of time to pace themselves can give them an idea of how fast or slow they need to be going.

Movement: The student needs to be able to get up and move. Setting time aside to allow them to get up and move around will help get out the anxiousness they have inside. “Examples might include a trip to the office, a chance to sharpen a pencil, taking a note to another teacher, watering the plants, feeding classroom pets, or simply standing at a desk while completing classwork. Alternating seatwork activities with other activities that allow for movement is essential. It is also important to keep in mind that on some days it will be more difficult for the student to sit still than on others. Thus, teachers need to be flexible and modify instructional demands accordingly.” (Brock, 3)

 Some other ways to help be aware of a student who has ADHD are dealing with personal scenarios. I have been able to visit some schools and witness students who have trouble with ADHD as well as look up some scenarios as well.

Scenarios:
One scenario that I have dealt with personally was with a little boy. For his safety I will call him Peter. Peter was a very hyper little boy who was always fidgety. When I first took on this project I had no idea there were different types of ADHD. I began to focus my attention on him. I was able to notice that he was always looking off in different directions and playing with things at his desk. He was always getting up to get a drink in the back of the classroom and forgetting questions that were asked to him. I was glad to figure out that he may have Hyperactive ADHD. I talked with the teacher about it and how I didn’t want her to tell me what type he had. I wanted to figure it out, and I did. The next step was to see how the teacher kept his attention. I noticed she had reminders all over the classroom to help him remember what he was supposed to be doing. She’d write on the board their next assignment and how long they would have to accomplish it. Sometimes if he was super squirmy, she would have him come with me out in the hall. Peter would look at everything on the walls and want to touch them. It took me a few minutes to get him to sit down and focus on the assignment. I then gave him a goal, that if he was able to finish the assignment I wouldn’t need to keep him for recess. I was amazed by how it worked. He sat right next to me and went through the assignment. As the semester is coming to a close, I was able to bond with Peter and know how to better help him as he is struggling with ADHD.
 
 


 

From researching this topic, I have been able to understand ADHD a little better and how it affects young children in the schools today. It is nothing something that can be pushed aside, but needs to be faced head on. By taking a closer look to ADHD I will better understand how to deal with it in the classroom when I become a teacher myself. I will be able to take all this advice and apply it to my own life and see how it helps a child who is struggling to grown and push forward to bigger and better things. By tackling what ADHD is and how there are three types of it. I can look out for a student who may be struggling with a specific kind and know what way could help them to focus more in the classroom.

Interviews:

ADHD Interview with Tammy Cesena
1.      Have you encountered a student who has dealt with ADHD? Yes
If so, what steps did you take to make their environment comfortable?
Once I understand the issues the child is struggling with, such as forgetfulness or difficulty paying attention in school.  I work with the child to find creative solutions and capitalize their strengths. 
2.      What kind of plans do the teachers and staff take for a child who has ADHD?
Think of what the class room setting requires child to do: Sit still. Listen quietly. Pay attention. Follow instructions. Concentrate. These are the very things kids with ADD/ADHD have a hard time doing—not because they aren’t willing, but because their brains won’t let them.
But that doesn’t mean kids with ADD/ADHD can’t succeed at school. There are many things teachers and staff can do to help children with ADD/ADHD thrive in the classroom. It starts with evaluating each child’s individual weaknesses and strengths, then coming up with creative strategies for helping the child focus, stay on task, and learn to his or her full capability.
3.      Who does the student with ADHD work with when coming to school?
All Staff who are trained and know of child's IEP
4.      What does the staff do to make sure the student with ADHD is included and following along?
Sometimes there are a number of ways you to keep the child on track at school. Together you can help the child with ADD/ADHD learn to find his or her feet in the classroom and work effectively through the challenges of the school day.  Communication is a must.
5.      Where does the teacher put a student with ADHD in the classroom? (If any)
Children with ADD/ADHD are capable of appropriate classroom behavior, but they need structure and clear expectations in order to keep their symptoms in check. It helps by developing a behavior plan for the child—and sticking to it. Whatever type of behavior plan you put in place, create it in close collaboration with the child. 
6.      When is the most difficult part of the day to deal with an ADHD Student?
Transition.  Going from one activity to another. 
7.      How does having a student with ADHD student alter the classroom environment?  
I have the student sit close proximity to my desk "teacher" so that visual and physical monitoring of student behavior can be done by me "teacher". Monitor their behavior. 
8.      How can a student with ADHD help others at school and in the classroom?
Teaches all students that not all students learn the same way.  Patience, share, kind words, and help each other.
9.      What can a teacher do to understand what a student with ADHD is going through?
Trainings on lesson planning, instructional techniques, behavioral strategies, and communication of ADHD.
10.  Do you have any other thoughts you would like to share about ADHD that you have noticed inside your school?  
Patience, always learning, reading, training, one step at a time, one thing might work for one student but not the other, work close with the parents, and all others that are on IEP.  Stick to goals.
 
ADHD interview with Dr. Doug Tedford
 
1.      Have you encountered a student who has dealt with ADHD? If so, what steps did you take to make their environment comfortable?
I had clear plans and definite limits, because this student said and did aggressive things when agitated.  The student was assigned as the leader of a cooperative desk group in a grade 3 setting.
2.      What kind of plans do the teachers and staff take for a child who has ADHD?
To make sure the student has appropriate supports in the form of extra scaffolding (explicit rules, personal feedback, and cooperative group participation).
3.      Who does the student with ADHD work with when coming to school?
In the 1990s in California, the teacher was left to his or her own to independently select appropriate measures. The teaching assistant was assigned to monitor and support.
4.      What does the staff do to make sure the student with ADHD is included and following along?
Assign for specific cooperative group role, expect student (as all students) to actively contribute to discussions, immediate praise and rewards for participation, not just for right answers.
5.      Where does the teacher put a student with ADHD in the classroom? (If any)
Student is randomly assigned to cooperative desk group, which typically shifted each two to three weeks, and resulted in a mix of locations and student interactions on regular basis.
6.      When is the most difficult part of the day to deal with an ADHD Student?
Following recess, the particular student would come to class exhibiting many attention-getting behaviors.  All students had access to report books to mention any negative playground conduct.
7.      How does having a student with ADHD student alter the classroom environment?
It can be a positive experience at grade 3 level, because the student’s behaviors are compulsive and unintentional. Stray comments/distracting behaviors show the teacher needs to alter lessons.
8.      How can a student with ADHD help others at school and in the classroom?
Sometimes (not always) these students can be reoriented to lead or guide others. It is important that neither the student nor other students recognize that the student is ADHD-labeled.
9.      What can a teacher do to understand what a student with ADHD is going through?
Well, although reading literature can help, there is no better experience than multiple contacts with ADHD-labeled students and finding effective ways to alter and improve instruction.
10.  Do you have any other thoughts you would like to share about ADHD that you have noticed inside your school?
Too often, both in California (and later as administrator in Texas) it was observed that too many students are misapplied the ADHD or ADD label, as a way to assign other staff to remediate with students who just need assistance. The label should not be casually used, as the effects last long-term. The student may be incorrectly prescribed medication (for example, Ritalin) that can have long-term outcomes on health and self-esteem. The misapplication of the ADHD/ADD label or rush to diagnosis is a topic of much debate.
 
Doug Tedford, Ed.D. Taught third-grade bilingual primary 1987-1992 and 1997-1999 – LA Unified School District and was at that time a trainer for LAUSD Franklin-M
 
Work Cited
Armstrong, Thomas. "Educational Strategies." ADD/ADHD Alternatives in the Classroom. Alexandria, VA: Association for Supervision and Curriculum Development, 1999. 57-59. Print.
Brock, Stephen E. "Strategies for Teachers." Special Needs: Helping the Student with ADHD in the Classroom (June 2002): 1-4. Nasponline. June 2002. Web. 30 Mar. 2015.
Lougy, Richard A., and David K. Rosenthal. "I Am Confused - So What Is ADHD?" ADHD: A Survival Guide for Parents and Teachers. Duarte, CA: Hope, 2002. 9-18. Print.
Segal, Jeanne, Ph.D., and Melinda Smith, M.A. "ADD / ADHD and School." : Helping Children and Teens with ADHD Succeed at School. N.p., Feb. 2015. Web. 31 Mar. 2015.

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