adhd and challenging behaviour
TRANSCRIPT
ADHD and Challenging Behaviour
10th of November 2017
Fintan O’Regan 07734 715 378
www.fintanoregan.com [email protected]
Publications • Cooper P and O’Regan F (2001) EDUCATING children with ADHD: Routledge
Falmer Press
• O’Regan F (2002) How to teach and manage children with ADHD: LDA a division of McGraw- Hill
• O’Regan F (2005) ADHD : Continuum International
• O’Regan F (2005) Surviving and Succeeding in SEN Continuum International
• O’Regan F (2006) Challenging Behaviours Teachers Pocketbooks
• O’Regan F (2006) Troubleshooting Challenging Behaviours Continuum International
• O’Regan F (2008) The Small Change 2 BIG DIFFERENCE series Hyperactive, Inattentive and Disorganised, Special Direct
• O’Regan F (2014) Successfully Managing ADHD Routledge Falmer Press
Learning Socialisation
Core issues
3
Behaviour
Risk factors in the child
Specific learning difficulties/neurological difficulties
Difficult temperament
Levels of intelligence, IQ and EI
Socialisation difficulties
Physiological issues of levels of self esteem, depression, stress
Other health factors
MH and Behaviour in Schools March 2015
Risk factors in the family Overt parental conflict
Family breakdown
Sibling rivalry
Inconsistent or unclear discipline
Hostile or rejecting relationships
Health of parents
Failure to adapt to a child’s changing needs
Physical, sexual or emotional abuse
Parental criminality, alcoholism or personality disorder
Death and loss-including loss of friendship
Risk factors in the community
• Socio economic disadvantage
• Homelessness
• Disaster, accidents, war or other overwhelming events
• Discrimination
• Other significant life events
MH and Behaviour in Schools March 2015
Risk factors in the school
• Bullying
• Discrimination
• Breakdown in or lack of positive friendships
• Deviant peer influences
• Peer Pressure
• Poor pupil to teacher relationship
MH and Behaviour in Schools March 2015
A management framework to deal with ADHD and challenging behaviour
SF3R
Structure
• Acceptance and understanding of ADHD by the leadership of the staff in the institution
• Identification of key areas of strength and weaknesses of specific students
• Rituals and Routines for general management of students with ADHD
Flexibility
• Alternative ways of supporting skills in learning, behaviour and socialisation
• Mood and Motivation Management
• Working with other agencies
Rapport
• Effective communication with students with ADHD
• Practical strategies for dealing with disruption
and defiance • Feedback for students including rewards and
consequences
Relationships
• Advocating the needs of children with ADHD with other staff members
• Peer to peer relationships including how to deal with all forms of bullying
• Effective communication with Parents and Carers
Resilience
• To support students with ADHD to deal with anger and frustration
• To develop confidence in students with ADHD
• To provide pathways for transition
SF3R
Fintan O’Regan 2006 Troubleshooting Challenging Behaviour Continuum publications
• Reduce anxiety
• Enhance motivation, confidence and self esteem
• Enhance concentration and reduce distractions
• Facilitate independence
Structure in terms of rules
Rules and Responsibilities
Band 1 Band 2
Physical /Verbal abuse Distractibility
Bullying Disorganisation
Timekeeping Calling out
Use of Phones Fidgeting
Dress Code/Chewing Engaging others
10
10 1
1
Negative Positive
High energy
Low energy
Action Anxiety
Calm Depressed
Rapport: Communication
7% words
38% Tonality, Volume and Tempo
55% non verbal signals
Assertive Body language
Eye contact or not……be flexible
Height/level positioning
Relaxed
Nodding
Personal space –balance
Facial expressions
Not fidgeting yourself….or
Focused, active listening
Active Listening
• To give your complete focus to what the other person is saying
• Let the other person finish before you start talking
• Maintain eye contact (or not)
• Keep your emotions in check
• Don’t interrupt or jump to conclusions
• Look for feelings or intent behind the words
Assertive Sentence starters
Let’s………..
I need you to........
In five minutes you will have……….
When I return I will see……………..
Today we are going to……………..
You will be…………………..
I expect you to……………..
I know that you will………………
Thank you for……………………
Do it with flowers…..
Instead of saying Maybe try saying
Be quiet! Can’t you see I’m talking? Please don’t interrupt
How many times do I have to tell you? Please listen carefully
You’re always getting into trouble Do you need me to help you with this?
David get back in your seat David you should be sitting down
I’m warning you…! Please listen to me.
(((Angrily…. Stop it III need you to get back on task/line/learning
Refocusing the conversation
Young person Adult • ‘It wasn’t me’ ‘I hear what you are saying….’
• ‘But they were doing the same thing I understand…..’
• ‘I’m going to report /sue you” Be that as it may….’
• ‘I was only…..’ ‘Maybe you were….and yet….’
• ‘You are not being fair’ ‘Yes I may appear unfair…’
• ‘It’s boring’ ‘Yes you may think it boring… yet
• ‘You are annoying’ ‘That could be true however what I need to
If not working try…..
“I am stopping this conversation now and I am going to walk away and give you a chance to think about the choices that you want to make……. I know that when I come back we will have a productive conversation”
Working with emotions
Mentoring
Coaching
Counselling
Dealing with issues such as YOU, self
esteem, anger management, appropriate interaction with others, lying, academic expectations, future options etc…
Resilience factors
Resilience seems to involve several related elements.
• Firstly, a sense of self esteem and confidence; • Secondly, a belief in one's own self-efficacy and
ability to deal with change and adaptation;
• Thirdly, a repertoire of social problem solving approaches”
The 7Cs of Emotional Resilience
•Competence •Confidence •Connection •Character •Contribution •Coping •Control
Kenneth Ginsburg, M.D., MS Ed, FAAP A Parent’s Guide to Building Resilience in Children and Teens: Giving Your Child Roots and Wings
Communication: Empathy
• We listen to those:
• We like and respect • We like and respect those with whom we can
identify or identify with us • We pay attention to those whom we believe
mean what they say • •
Sean Misteil 1997