ADHD and Early childhood

1. ADHD and Early childhood Incidence and Interventions

2. Interventions that Work for ADHD

3. ADHD Statistics • 4.5 million children have been identified as ADHD (2006 data from CDC) • 3%-7% of the school population • boys (9.5%) are more likely than girls (5.9%) to have been diagnosed with ADHD.

4. Birthday There is a huge difference between a 5 year old and a 6 year old in ability to attend to task. At the beginning of a first grade year- there are children who are almost 7 and children who are almost 6 depending on the cut-off for Kindergarten in your state. Research indicates grouping children by birthdays in classes would be best. August-October November-January February-April May-July

5. Consider This • Kindergarten cut-off date in Pittsburgh is September 1. • Johnny’s birthday is September 24 • Kindergarten cut-off date in St. Louis is July 1. • Kallie’s birthday is June 30 • They both start first grade at the same school in Bethel, PA after being in their previous cities. Just turned six years old 3 weeks before school started. 3 weeks from being 7

6. AD/HD 1 in 16

7. State Prevalence Center for Disease Control-2003

8. I don’t have time to do all this… Which fits your busy schedule better, exercising one hour a day or being dead 24 hours a day?

9. What would you do with this kid?

10. What would you do with this kid?

11. …or these kids?

14. The Gift of ADHD by Lara Honos-Webb, Ph.D.

15. Functional Differences • Power performance on timed tasks • Slower reaction time • Slower processing time • Lower problem solving abilities • Less fine motor control • Less gross motor control • Problems with inhibitions

16. Brain Structural Differences • Smaller frontal lobe and right hemisphere is about 5% smaller than students who do not demonstrate ADHD symptoms.

17. Living with ADHD:A Demonstration • Follow along as a volunteer reads from the • following screens and reports any challenges. • The text is from a 6th grade-level source, with • no foreign words. • Credit: Emily Chase, Do you use hand sanitizer?, Academic • Advocate, Sun Journal, Lewiston, Maine, January 9, 2008

18. Part 1: Read the text • Use of hand sanitizers has become • increasingly popular in hospitals, • schools, day care centers, and even on • the gangways of ships. They work well • when soap and water are not available, • and are a quick way to disinfect one’s • hands.

19. Let’s use a Likert Scale to rate of the difficulty reading the previous passage. Now….Part 2: Read the text and do NOT include italicized words

20. Part 2: Read the text and do NOT include italicized words Hand sanitizers often stop it you are bugging me include among their ingredients 60% or more what he she doing there of ethyl alcohol, isopropanol, look at that, or ethanol, or other similar compound If a hand where’s my pencil sanitizer contains less shoot – I dropped it - than 60% of one of these ingredients, it this is stupid, I quit will not be effective in killing germs.

21. Let’s use a Likert Scale to rate of the difficulty reading the previous passage. Now….Part 3: Read the text and do NOT include italicized words

22. Part 3: Read the text and do NOT include italicized words A study conducted conducted recently demonstrated the effect of of using hand sanitizers with less than 60% alcohol content. Students had one hand hand covered in sanitizer with 60+% alcohol 50%? and the other hand with less than 60% alcohol. Then each each hand was placed in a culture plate with germs.

23. Let’s use a Likert Scale to rate of the difficulty reading the previous passage. Thanks go to our demonstrator!

24. Living with ADHD: Discussion of the Demonstration.

25. http://www.freegames.ws/games/kidsgames/simon/simon.htm

26. 101 Strategies for Classroom Management of ADHD (or maybe 30ish) • Display classroom rules

27. Concise instructions for Academic assignments

28. Break up activities • Complex assignments into smaller parts.

29. 3 Stars and Wish

30. Post a Daily Schedule and Stick to It • Tape it on the child's desk. • Have them mark of activities as they complete them.

31. Kinesthetic Activities Connect visual and auditory • Take an ordinary rubber ball and a permanent marking pen. • Divide the ball into sections. • Write questions all over the ball. • The students toss the ball and where their right thumb lands- that is the question they must answer. • The child can “phone” a friend if needed. • The student then chooses to toss the ball to someone else.

32. Plan Academic Subjects for the Morning

33. Watch for fatigue • Send on an errand if they look like they are straining. • It is very hard work to read something three times and still not know what you read. • Be there figit monitor

34. Preferred Seating

35. Sit N Fit Disc or Disc’o sit http://www.benchmonster.com/yoga.htm $16.00

36. Stadium Seat Cushions

37. Small Group Setting

38. Two Desks Permission to move with parameters

39. The Hula Hoop Strategy for Circle Time

40. Standing work Station

41. Quiet Work Area

42. Sending on an Errand

43. Begin Work Cues

44. Secret Off Task Signal

45. Student Reward System

46. Teacher chair earned with tokens

47. Teacher chair and desk earned with tokens

48. Earn reading table as a work space with tokens

49. Provide an appropriate foot rest

50. Provide an appropriate foot rest $30.00 Make sure the custodian clamps the ends so they can not come loose. $1.00 for three