Week 1: There is only one IPP in my classroom, and it is not a behavioral one but rather a physical one. It is for a girl who has spina bifida, and details the extra help that she may require.
Week 2: Spina bifida is from the Latin for “split spine,” and is a developmental birth defect involving the neural tube. An incomplete closure of the embryonic neural tube results in an incompletely formed spinal cord. Additionally, the vertebrae overlying the open portion of the spinal cord do not fully form and remain unfused and open, which allows the abnormal portion of the spinal cord to stick out through the opening in the bones. My student is very mobile, and only uses arm crutches once in a while. She wears braces on both of her legs and walks with a prominent limp. This student also has a severe (and completely unrelated) allergy to latex, so she has to make sure that she doesn’t touch any rubber erasers or things like balloons and band-aids.
Week 3: Since I didn’t have any behavioral IPP’s, I decided to choose one behavior problem to deal with hypothetically. I chose Attention- Deficit Hyperactivity Disorder, or ADHD, because I always hear the abbreviation for it but don’t know much about it. It also seems to be more commonly diagnosed in recent years than from when I was young, so I’m interested in learning why that may be.
ADHD is a neurobehavioral developmental disorder that typically presents itself during childhood. It is characterized by a persistent pattern of impulsiveness and inattention, plus a hyperactivity component. In layman terms, kids with it act without thinking, are hyperactive, and have trouble focusing. They may understand what’s expected of them but have trouble following through because they can’t sit still, pay attention, or attend to details. These symptoms are present over a longer period of time and occur in different setting, impairing a child’s ability to function socially, academically, and at home. ADHD tends to be a chronic disorder and can continue throughout adulthood, but with proper treatment people can successfully develop coping mechanisms and learn to manage their symptoms.
Week 4: For week four I looked at different methods of treating ADHD. Of course there are medications available to help treat ADHD, but there are also non-medical treatment plans such as behavioral therapy. This approach requires an experienced therapist or educator to teach specific techniques geared toward the child and their parents, as well as the child’s teachers and extended family. Unlike medication, this method takes more time, needs to have goals where achievements are measured in small steps, and requires consistency throughout the day.
There are several types of medications used to treat ADHD. First of all there are stimulants, which are the most common and include drugs such as Ritalin, Adderall, and Dexedrine. They work by increasing dopamine levels in the brain, which is the neurotransmitter associated with motivation, pleasure, attention, and movement. This increase in dopamine helps to boost concentration and focus while reducing hyperactive and impulsive behaviors. A major concern with this type of drug is that the long-term impact on young, developing brains isn’t known yet. If stimulants don’t work, then non-stimulant medications such as antidepressants and blood pressure medications are tried. A common one is Strattera; it boosts the levels of norepinephrine, which affects parts of the brain where attention and responding actions are controlled.
Week 5: This week I researched the various way of working with children who suffer from ADHD without using medication. Parents, teachers, and the children will need help in developing techniques for managing the patterns of behavior. In these cases, a mental health professional will counsel the child and the family to help them develop new skills, attitudes and ways of relating to others.
I don’t know how inclusive my practicum school is because they have a separate behavioral problem class in division one that runs on its own time table and thus is quite detached from the regular goings-on of the school. There are only eight students in this class, yet there are two full-time teachers in case one or both of them have to deal with a situation. There is a padded room where they sometimes have to restrain a student. Not surprisingly, all of the students in this class are boys. The following are some techniques that one of the teachers of this class told me about:
· Instead of punishing wrong behavior, set a reward for the correct behavior you would like to see. Rewards should be immediate, as frequent as possible, powerful (something that they care about), and consistent.
· Plan ahead. Give warning before transition, discuss in advance what you expect, and have the child repeat the terms he agreed to out loud.
· If a child’s temper flares, allow time for everyone to cool off before trying to discuss what happened.
· You need to be willing to negotiate on some things and not be inflexible; compromise.
· Divide large tasks into small steps, and praise the child as each step is completed.
· Routines are very important, so make them and stick to them.
· Choose your battles!