For posts on bullying, visit The Learn to be Buddies Series Blog.
All images and posts written by and copyright to Amanda Clements (nee Gray) 2009-2012 unless otherwise indicated.

Monday, July 5, 2010

Helping children adapt to change

Self-Correction:
"The ability to monitor and accurately evaluate performance and to make changes. Ability to learn from experience and feedback." (Queensland Health, 2007)
Problem-solving:
"The ability to recognise when the actions you are taking are ineffective, to stop, re-evaluate, and to formulate a plan." (Queensland Health, 2007)

Struggling with change

It would be simplifying things far too much to draw a direct link between executive functioning issues and children's difficulties adapting to change in their environment. However, it can play a significant part in this. But before I discuss the problem-solving and self-correction element of executive functioning, I want to look quickly at changes that children may find difficult to deal with, what behaviour they may display, and some other key factors that can contribute to difficulties adjusting to change.


What changes can cause difficulties?

There are many changes that can cause children with Autism Spectrum Disorders, anxiety disorders, depression, ADHD and even children who are chronically tired to feel threatened or anxious. These can include:
  • New people
  • Familiar people behaving differently
  • Interrupted routines
  • A favourite toy missing
  • New sounds
  • Moved furniture
  • Complex, unpredictable interactions
    (Dodd, 2005; Oates and Grayson, 2004)

In fact, almost any change that a child with these difficulties is not prepared for will cause them distress.


What might you see?

Every child will have their own individual way of demonstrating that they aren't coping, or don't know what to do, when dealing with a change. Some examples:

Executive functioning, self-correction and problem-solving

These elements of executive functioning, alongside the ability to plan and self-evaluate, help us adapt to the changes and complexities of life. As Oates and Grayson (2004) discuss, "the ability to switch flexibly between planned actions and different approaches to a task, without losing sight of the goals that are being aimed for, is a high-level cognitive function that is critically important in everyday life." (p214) That is, in order to cope with the many complexities of life - social, academic and physical - we need to be able to constantly evaluate, identify what is/is not working and adjust our behaviour accordingly.

When the executive functions aren't developed appropriately, then children will have difficulties adapting to change unexpected behaviour.

For example, imagine you are a child who loves playing in the sandpit with your two close friends. Ever since you have been at school the three of you have gone directly to the sandpit as soon as the recess bell has rung. Then one day you are heading out to the sandpit and one of your friends decides they want to join the hand-ball games instead.

You want your friend keep to your routine, so you say, "Come on! Aren't you coming to the sandpit?"

Your friend replies, "Nah. Today I feel like playing in the sandpit."

You say, "Aww. Come on! Let's play in the sand pit. We always do!"

Now, if you have a well-developed ability to self-analyse, self-correct and problem-solve, once you start noticing that your friend is becoming annoyed, you think about previous experiences, what you have been taught, how your behaviour is effecting them. You then correct your behaviour and problem-solve based on your goal of maintaining friendships ... which could mean you join the hand-ball game or go to the sandpit with your other friend.

If you have executive functioning difficulties, you would probably keep insisting that your friend maintain the routine. You may become aggressive in your attempts to maintain the routine (eg. pulling the child towards the sandpit) or have a meltdown as you are unable to work out what to do next since your routine has been broken.


Other reasons why children may struggle with change

  • Theory of mind or social imagination (as discussed in a previous post) ... Not being able to interpret and respond appropriately to your social context will lead to difficulties with problem-solving and self-correction, or the ability to be flexible and adapt to your environment.
  • Intellectual Disability ... a person's IQ is only one element of diagnosing an intellectual or developmental disability. The other element is an assessment of adaptive behaviour. As the American Association of Intellectual and Developmental Disabilities states, adaptive behaviour is about the ability to use language, social, conceptual and practical skills to live independently and according to the social expectations of our culture. It is therefore recognised that a person's cognitive development influences their ability to problem-solve and self-correct.


Next time....

Next time I will talk about ways to help children self-correct and problem-solve.



References:

Dodd, S. (2005). Understanding Autism. Sydney: Elsevier.

Oates, J. & Grayson, A. (2004). Cognitive and Language Development in Children. Blackwell Publishing: Oxford.

Queensland Health. (2007). Executive Function and Capacity. Retrieved 8th May, 2010 from http://www.health.qld.gov.au/abios/documents/behaviour_mgt/exec_functn_capacity.pdf
.




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Friday, July 2, 2010

A-way with visuals

The heading is a slight (perhaps a poor) play on words... I am painfully aware that I have been neglecting this blog (ie. "away") for the last month. Here are my excuses (plus a few resources and a bit of useful information for you).


Playgroups for children with Autism


In Australia, the government and Playgroup Australia have teamed up to fund playgroups for families of children with Autism Spectrum Disorders or Autism-like symptoms. These are called PlayConnect Playgroups.


So while I have been neglecting you, I have been investing time in connecting with some special people helping children with Autism in my area, and with a few families whose children have Autism Spectrum Disorders or language delays.



Medowie PlayConnect

Medowie PlayConnect started on the 18th of June. We run on Fridays from 10am until 12noon. I am the facilitator of the group and have really enjoyed getting to know the parents and children who have come along for the last few weeks.



Our Schedule

While we are pretty flexible because we are all just getting used to each other, this is our little schedule which helps us keep track of what is going on. If you want to use these pictures, you can access it here...

This website has a whole variety of visuals that can be used for both pre-school and school aged children, at home and at school.



Our Hello and Good-bye Song

At Medowie PlayConnect we also have a "hello" and "good-bye" song. You can find it here (in pdf format) ...

We are using a little AUSLAN sign language with the song, and you can click on the links in the document above to watch short clips of the key signs for our song. Feel free to use it if you need a short greeting and farewell song.



And another thing....


I have also been busy marking assignments, all of which were about finding ways a child with ADHD can be included in a wide range of different lessons and classrooms... there are some great ideas and great teachers coming your way :)

I am also preparing for my presentation at the Autism and Aspergers Support Group in Richmond on the 12th of July. We will be having some discussions about bullying and inclusion. To find out more, visit http://www.autismsupport.org.au/

Hopefully I will see you there.

And I promise more posts this month - to finish off the series on executive functioning.

Read more...

Wednesday, June 23, 2010

Routines to help children get started

Q: What do you do with the child who can't seem to get organised in the morning?

A1: Have a set routine - repetition and rehearsal replaces the difficulties caused by executive functioning issues. It means that the routine becomes automatic - you don't have to think, analyse, prioritise or plan. So do the same things, in the same order to start the day.

A2: Use visuals - especially for young children or children with language and/or literacy difficulties.
A3: Use checklists - especially for older children or children who have good literacy skills. You can do this on little whiteboards, or you can use a table like the one at www.do2learn.com.

A4: Have a time frame - leaving time open can increase the chances that the child will daydream, or spend too much time focusing on details rather than the sequence of things they need to get done.

I recently went to a workshop by Dr Lee Sturgeon where he talked about the use of a Time Timer. This is a great tool that will help children keep track of how time is passing. You can find information on the different formats on the following links:



Q: What do you do with the child who takes ages to get settled in class?

A1: The same as might be done at home: have a set routine. This might involve a simple routine that determines the sequence in which the necessary equipment for the day is unpacked. Or it may simply be a routine such as:
  • Line up
  • Walk in quietly
  • Sit down
  • Get out your pens and books
  • Look at the teacher
A2: Again, as with home, use visuals to represent your routine.

A3:
Use checklists and advanced organisers. For example, this chain of events graphic organiser from educationoasis.com. You can find more here and here.

A4: Have a time frame - this is very important in classrooms as children with executive functioning issues often get "left-behind" at the beginning of lessons as they struggle to get organised and started. This can then have a significant impact on the rest of the lesson - or the rest of the day.

Read more...

Monday, June 14, 2010

Getting Started takes initiative

Children with executive functioning issues can find it very hard to get started and persist with a task (Kidsmatter, 2009; Queensland Health, 2007). This is due to the "initiation" element of executive functioning.

One of the reasons why children with executive functioning issues have this difficulty is because they find it hard to filter, or prioritise, activities and information (Dodd, 2005).


An Example

Have you ever woken up on a day when there are a hundred different things you need to do? How do you decide on what to start with?

One way we make decisions on where to get started is by identifying what is most urgent or important. But this requires the ability to identify what our goals are (planning) and what we are able to do in the time we have with the skills we have (self-evaluation). So if you have trouble with all these things, you could:
  • Spend all day lying in bed stressing about where/when/how to start
  • Start a range of tasks and never get them finished as you get distracted by the possibility that you are not focusing on the most important task.
  • Choose something randomly, with a high chance that the task turns out to be one that you could have done another time, while a more urgent task goes untouched.
As you can imagine, this can have a significant impact socially, academically and in every day tasks for children with executive functioning issues.


At home

Due to this struggle with initiation, children will find it difficult to:
  • get ready for school on time
  • follow every-day routines without verbal, written or visual reminders
  • clean their room without being distracted by a favourite book, toy or TV show

At school

Due to the struggle with initiation, children will find it difficult to:
  • Concentrate on the task at hand without being distracted by what is going on around them
  • Get organised and ready to start at the beginning of a lesson
  • Finishing what they have started

In the next few posts we will explore how we can help children prioritise, organise and stay on track even if they do have executive functioning issues.


References

Dodd, S. (2005). Understanding Autism. Sydney: Elsevier.

Kidsmatter (2009). How Attention Deficit Hyperactivity Disorder (ADHD) affects children. Retrieved 8th May 2010 from http://www.kidsmatter.edu.au/wp/wp-content/uploads/2009/09/adhd-overview.pdf

Queensland Health. (2007). Executive Function and Capacity. Retrieved 8th May, 2010 from http://www.health.qld.gov.au/abios/documents/behaviour_mgt/exec_functn_capacity.pdf.

Read more...

Saturday, June 12, 2010

Introducing Rainbowland Autism Services...

Guest post by Allison Dix from Rainbowland Autism Services....

Our Family...
Our three children were all diagnosed as having an autism spectrum disorder in July 2007. Kristie, who was 8 at the time, was diagnosed with a Asperger’s Syndrome. Our twin sons, Jacob and Aaron, were diagnosed with autism one week shy of their 3rd birthday.


Rainbow Play TimeShortly following the diagnosis, Shane and I vowed to help support families through the whole process as we intently believed that it didn’t have to be as difficult for others as it was for us. This vow lead to the inception of our family support group, Rainbowland Play Time in March 2009. With a focus on family inclusion and support, this group runs once a month on a Sunday, has no age limits and welcomes the entire family and their support networks to attend for a gold coin donation.

Rainbowland Play Time has been a gift not just to the families who attend, but to our family. We have made some wonderful friends and been witness to some fabulous milestones experienced by the children and their families. My favourite moments have been when children ride a bike for the first time at Play Time. The delight on the face of the child and their parents is so precious and makes it all so worthwhile.


Into the political arena...
Shane & I were fortunate enough to be selected for a meeting with the Prime Minister, Kevin Rudd, at the Federal Cabinet Meeting & Public Forum held on 28th July 2009. We raised issues pertaining to the inaccessibility of the newly implemented early intervention funding from the Helping Children with Autism initiative, the crisis and inequities for children with autism within the education systems around the country and the struggles faced by families. To our surprise, we were also granted an impromptu meeting with the Parliamentary Secretary for Disabilities and Children Services, Bill Shorten.


Rainbowland Autism Services...

Rainbowland Autism Services Inc. was incorporated in November 2009 and granted charity status. A board, comprising of 6 members was established. The incorporation of the organisation will ensure much greater opportunities for the families it supports.


Autism Rainbow Day...

After a family discussion in the kitchen regarding the lack of autism awareness within the community and how more awareness would greatly benefit families and society at large, Autism Rainbow Day was born. On 30th April this year, the inaugural Autism Rainbow Day was held, with 15,000 international members on the dedicated Facebook cause. The day was very uplifting and positive for those who participated and it was wonderful to see people greeting others with a “Happy Autism Rainbow Day”.

I have received some wonderful feedback from educators about how they now have a much greater appreciation of what autism is and how inspired they are when learning about the obstacles that need to be overcome for people on the spectrum to become functioning members of society. Our daughter’s Year 6 class teacher initiated meaningful discussions about autism throughout the week in the lead-up up to Autism Rainbow Day and Kristie’s life and achievements were celebrated by her peers. What has been really touching is how some young students from the school have since approached me in the court yard to talk about Autism Rainbow Day. I also got quite emotional when I saw pictures of the children wearing their special masks on the big screen at the school assembly. Autism Rainbow Day will be held on Friday 29th April in 2011.


A Tribute...

On 13th May this year, Tony Zappia – Federal Member for Makin paid tribute to the work we are doing through Rainbowland Play Time and Autism Rainbow Day. It was such an honour for us that he dedicated his entire Parliamentary Speech to our work.

In his speech, Tony says:
“In Australia autism is estimated to affect one in every 160 Australian children and around 30,000 Australian families. The estimated cost of autism to the Australian community is around $7 billion per annum. The social impacts on and costs to the children and those 30,000 families in the form of learning difficulties, limited social opportunities for the children and very high rates of parental depression and separation are immeasurable. There is no cure for autism but providing the right kind of early intervention can be very beneficial for children and, in turn, ultimately saves millions of dollars in costs later on.”
He then went on to say:
“Speech therapy, early intervention, occupational therapy and home modifications all help, but for the families they come at a cost, as does the destruction to the school life of the children, which raises an additional concern. Many schools are simply unprepared; they do not have the resources or the expertise to deal with children with autism. In that respect, autism-specific preschools such as that in Brisbane are a terrific start.”

To read the speech in full, visit our Facebook note or at: www.openaustralia.org

Tony has been such a wonderful support to our organisation and is the Patron of Rainbowland Play Time. Through his work, he is also advocating for all families living with autism in Australia.


Our goal...

Rainbowland Autism Services strives to provide support services for the entire family. When you support the network of people who are the main influence in a child’s life, you are directly supporting the child. We also provide support to families of children with developmental delay. Too often these families don’t have access to support services in the absence of an ASD diagnosis. We continue to work assiduously in expanding our support services and generating awareness about autism at a global level through Autism Rainbow Day.


For more information, you can visit our website at www.rainbowlandautismservices.com, or email us at rainbowlandautismservices @ gmail.com


...

To find out more about having your charity, service or business spotlighted here, contact us or visit www.learn2bebuddies.com.au

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Friday, June 11, 2010

Ask Amanda: An update and a review

As usual, with the mad rush to get the Learn to be Buddies newsletter out, I have neglected my blog for a little while. Now the rush is over, it is time to get back to it ....

About our theme

Because executive functioning is such a complex and important topic, and I didn't get very far with it last month, I will continue writing on this topic this month. But before I start writing on this theme, I thought I would mention two things...


A Spotlight...

As part of the Learn to be Buddies sponsorship scheme, we are beginning a monthly spotlight on charities or businesses that a particularly relevant to the Learn to be Buddies mission. This month we are spotlighting Rainbowland Autism Services. Make sure you check out their services and support their cause. Shortly Allison will be writing a post for us to tell us all about what these are.


A review...

I also wanted to share a little from the workshop by Dr. Lee Sturgeon that I attended recently. I shared some information that related to bullying on my Learning to be Buddies Series blog. But here I just wanted to share some of the answers Lee gave to questions asked by parents in the audience.

Toilet Training Tips

Lee was asked about any tips he could give for a situation where a child was fully toilet-trained at home, but was struggling to use the toilets at preschool. His suggestions included:
  • Try giving the child access to a private toilet, such as the staff bathroom. It may be the fact that they have to use a public toilet ("in a fishbowl" was Lee's analogy) that is putting the child off using the toilet at preschool.
  • Video the child if/when they do use the toilet, then watch it and praise the child for that behaviour at home (applied behaviour analysis). My note: You as a parent may need to do this as many preschools would be reluctant to tape so intrusive a video. Lee's tip about using video as a teaching tool: Make sure you focus on the positive rather than video-ing something you don't want them to do, watching it and saying "Don't do this."
  • When toilet training a child with ASD, make sure you do so with a range of different toilets - not just stick to one. This helps them generalise the skill, or use the skill in a wide range of settings not, as Lee said, "just in the ensuite at home."

Service accessibility


There were a number of parents who were asking about how/where they could access services for their children due to the limited availability and long waiting lists for Medicare and FAHCSIA funded services. Lee talked about asking your GP to establish an Enhanced Primary Care Plan or a Mental Health Plan, both options allowing parents to access Medicare refunds for private consultants and therapists.


Medication

Another question that came up was the issue of medicating children with Autism Spectrum Disorders. Lee talked about the fact that many children with Autism Spectrum Disorders have a secondary diagnosis. For example, they may also be diagnosed with anxiety disorders or ADHD.

He suggested that it is usually these secondary diagnoses that lead to medication. He stated that he used medication for his clients especially for anxiety in the middle school or adolescent years. His statistic was that 40% of children in transition to high school were on medication to help them deal with anxiety.

However, he had one emphatic warning: Make sure you see a specialist in the field of Autism/Aspergers for the prescribing of medication. The main reason is that children with Autism Spectrum disorders often respond differently to medication than do their peers without these disorders.


As you can tell, this workshop was great. It was also free, thanks to a government initiative. I will keep my eye out and let you all know if there is another on coming up in the future.


*

Read more...

Monday, May 31, 2010

The importance of routine...

We can help children with executive functioning issues using routines.

For example, a child with ADHD may lose track of time, not remember where they are up to or what they are meant to be doing. They may hear a school bell, and not know what it means. as bells at different times mean different things.

Routines can be used at home as well as at school. But there are some key elements to making them work.


Be Clear

The best way to make sure the routines are clear to a child is to provide them with a written or visual schedule. First thing of the day, either in class or at home, go over the schedule so the child knows the goals for the day. This will help them follow a pattern or plan to achieve the desired goals.

Goals such as getting ready for school, listening to the teacher, playing with friends, catching the bus... all these have associated behaviour and social skills. If there is a familiar routine, the child is more likely to have success with these goals.


Stick to the Plan


It is important that once you establish a routine that you stick to it. Variation can cause behaviour difficulties such as meltdowns that come out of the child's difficulty in adjusting to changes ... which is about the difficulty with flexible thinking, a topic I will discuss when I come to the self-correction element of executive functioning.


If you can't, give warning

There will be times when unforeseen circumstances may interrupt the routine. As far as you are able, make sure that you talk to the child about this. Use visuals to prepare them for the change. This could be about getting them involved in taking one thing off their timetable and replacing it with the new event. This will help them process the information.


Rehearsal

However, as discussed in the previous post, repetition is the key. The more you repeat a process, the more automatic it will become. This way it will be easier for a child to keep track of what is going on and what they should be doing in different settings at different times.

It will help them plan, or act with purpose as they work to achieve a goal either socially or academically (Oates & Grayson, 2004).



Read more...

About This Blog

You are welcome to browse as you like... but please remember that everything here is copyrighted. To receive printable copies of articles that you can hand out to others, subscribe to the Learn to be Buddies newsletter at www.learn2bebuddies.com.au

Copyright Amanda Gray 2009-11


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