Executive Functioning Mill Valley Middle School September 27, 2011

1. Barbara Easterlin, Ph.D. Assistant Clinical Professor, UCSF Hyperactivity, Attention, and Learning Problems (HALP) Clinic and UC Berkeley Clinical Psychology Department Licensed Clinical Psychologist 415-847-2540 21 Tamal Vista Blvd., Suite 101 Corte Madera, California 94925 Executive FunctioningMill Valley Middle School September 27, 2011

2. The “CEO” of the Brain • The parts of the brain that • takes in information, • decides on a course of action, • issues commands via rank in a hierarchy, and • ensures that commands are implemented

3. What is Executive Functioning • Generally conceptualized as the brain’s ability to • absorb or conceptualize information, • interpret this information, and • make decisions and carries through actions based on this information.

4. Early Development of EF • New research suggests that imaginal play behavior is integral to the development of the neural pathways that strengthen executive functioning: making things from scratch, planning out made-up games, role playing • These skills are diminished by playing videogames, using toys that are already constructed, sedentary viewing of screens

5. Early Development of Executive Functions

6. EXECUTIVE FUNCTIONS IN MIDDLE SCHOOL (starting to develop) • Regulating (sustaining) attention & effort • Task Initiation & persistence • Planning, time management & organization • Good Decision making/judgment • Understanding impact on others -- “self monitoring” • Development of idealism & dreams

7. EXECUTIVE FUNCTIONS IN MIDDLE SCHOOL, cont. • Dealing with Novelty • Holding information in “working memory” • Impulse control; “parking” irrelevant information, block out distractions • Mental Flexibility • Frustration tolerance & emotional control • Social awareness • Seeing the big picture

8. PRE-TEEN/TEEN EXECUTIVE FUNCTIONSorganization, concentration, time management & task prioritization, impulse inhibition/emotional control & motivation

9. PRE-TEEN/TEEN EXECUTIVE FUNCTIONS (without adult supervision)

10. What happens when EF is not working correctly? • Impulsivity • Disinhibition (behavioral or verbal) • Emotional Reactivity • Social inappropriateness • Distractibility • Making bad decisions • Difficulty starting tasks; lateness • Poor organization • Lateness

11. Lazy Kid or Executive Dysfunction? • Does your child seem lazy, intentionally forgetful, unmotivated, deliberately late? • Does your child know information but can’t communicate it in a logical sequence? • Do you have a child who is constantly distracted? • Does your child seem impatient, disorganized, and constantly losing things?

12. Executive Dysfunction • Students with executive dysfunction have problems of a neurobiological nature that particularly affect planning, flexibility, organization, and self monitoring (Ozonoff, 1998). • These individuals may have difficulty picking a topic, planning the project, sequencing the materials for a paper, breaking the project down into manageable units with intermediate deadlines, getting started, and completing the activity

13. 5 most important middle school skills for success • Organization • Time management & Prioritization • Concentration • Flexibility & Emotional control • Motivation

14. 1. Organization Whether it's keeping track of research materials or remembering to bring home a lunch box, children need to be organized to succeed in school. For many students, academic challenges are related more to a lack of organization than to a lack of intellectual ability.

15. ORGANIZATION – SUCCESS! • Make a checklist of things your child needs to bring to and from school every day. Put a copy by the door at home and one in his backpack. Try to check with him each day to see if he remembers the items on the list. • Find out how your child keeps track of his homework and how he organizes his notebooks. Then work together to develop a system he will want to use. • Shop with your child for tools that will help him stay organized, such as binders, folders or an assignment book. • Use colored folders and in/out baskets for organizing homework • Clean out desk, backpack and notebook once a week

16. 2a. Time Management • Learning to schedule enough time to complete an assignment may be difficult for your student. Even when students have a week to do a project, many won't start until the night before it's due. Learning to organize time into productive blocks takes practice and experience.

17. TIME MANAGEMENT TIPS • Use a visual calendar – with overall plan for the day, week, month for activities and assignments • Track assignments on the calendar. Work backward from the due date of larger assignments and break them into nightly tasks • Add in intermediate deadlines to show work to teacher at intervals rather than at end • Highlight due dates or test dates

18. TIME MANAGEMENT TIPS • Help your child record how much time she spends on homework each week so she can figure out how to divide this time into manageable chunks. • Break down assignments into steps • Plan for twice as much time as you think you need • Use a timer and reward for “chunks” of work completed • Together, designate a time for nightly homework and help your child stick to this schedule. DEVELOP A ROUTINE • If evenings aren't enough, help your child find other times for schoolwork, such as early mornings, study halls or weekends. Use weekends to track upcoming assignments

19. 2b. Prioritization • Sometimes children fall behind in school and fail to hand in assignments because they simply don't know where to begin. • Prioritizing tasks is a skill your child will need throughout life, so it's never too soon to get started. The ability to create a roadmap to reach a goal or to complete a task. • Especially important for Long Term Projects and Written Expression

20. PRIORITIZATION – SUCCESS! • Ask your child to write down all the things he needs to do, including non-school-related activities. • Ask him to label each task from 1 to 3, with 1 being most important. • Ask about each task, so that you understand your child's priorities. If he labels all his social activities as 1, then you know where his attention is focused. • Help your child change some of the labels to better prioritize for academic success. Then suggest he rewrite the list so all the 1s are at the top. • Make checklists for getting through assignments

21. 3. Concentration • Whether your child is practicing his sixth grade spelling words or studying for an advanced algebra test, it's important that she works on schoolwork in an area with limited distractions and interruptions.

22. TIPS FOR IMPROVED CONCENTRATION • Turn off access to email and games when your child works on the computer. • Declare the phone and TV off-limits during homework time. • Find space that fits the assignment. If your child is working on a science project, she may need lots of space; if she's studying for a Spanish test, she will need a well-lit desk. • Help your child concentrate during homework time by separating her from her siblings. • DO WHATEVER WORKS FOR YOUR CHILD

23. Flexibility & Emotional Control • Ability to revise plans in the face of obstacles, setbacks, new information or mistakes. • Shift directions in the course of a thought or action • The capacity to think before you act • The ability to keep your cool in the face of provocation, fear, & worry

24. Flexibility & Emotion Strategies • Teach and model coping strategies • Relaxation strategies, thought stopping, or attention diversion strategies • It’s ok to make mistakes (self and others) • Practice Multi-tasking – work with 2 or 3 familiar tasks and rotate them at regular intervals • 2 minute warnings to alert student that an activity is ending or beginning • Notify student of changes in routines ahead of time. • Coach student to make mid-course corrections while thinking, reading, and writing • Martial arts – or other disciplines which emphasize self control

25. 5. Motivation • Most children say they want to do well in school, yet many still fail to complete the level of work necessary to succeed academically. The reason is often motivation. Tapping into your child's interests is a great way to get him geared to do well in school.

26. TIPS TO HELP MOTIVATE YOUR MIDDLE SCHOOLER • Ask your child what his/her goals are and link everything else to their personal goals. • Link school lessons to your child's life. If he's learning percentages, ask him to figure out the price of a discounted item next time you shop. • Link your child's interests to academics. If he's passionate about music, give him books about musicians and show how music and foreign languages are connected.

27. TIPS TO HELP MOTIVATE YOUR MIDDLE SCHOOLER • Give your child control and choices. With guidance, let him determine his study hours, organizing system or school project topics. • Encourage your child to share his expertise. Regularly ask him about what he's learning in school. • Congratulate your child, encourage him and celebrate all his successes. • Give student something they can look forward to as soon as the task is over (i.m.’ing, Facebook, screens, etc.)

28. PARENTING TIPS

29. PARENTING TIPS • Teaching skills is a long term project. BE PATIENT – keep your cool • Try not to make your child be like you – respect your differences • Be available to help your child solve problems • Communicate optimism “We can solve this problem” • Praise your child for getting started and working on homework

30. MORE PARENTING TIPS • Don’t do the homework, write the essay, draw the picture, etc. for them • Check on student occasionally, but not constantly • Do a complementary activity in the same room while they are studying • Assist them in understanding directions • Communicate discreetly with teachers

31. WHEN TO HAVE YOUR CHILD EVALUATED: • Inconsistent performance • Overly “stubborn” or rigid stance • Difficulties switching between activities & thoughts • Problems with sustaining attention • Problems with task initiation

32. WHEN TO HAVE YOUR CHILD EVALUATED: • Excessively impulsive; not thinking ahead or thinking about consequences • Social skill problems (appear “delayed” or out of step) • Homework grades significantly lower than test grades • Exhibits difficulty with each new grade and struggles to make transition each year to next grade level • Doesn’t seem to “learn from mistakes” or generalize from one task or situation to another • Written work is of poor quality, incomplete or disorganized (because it involves keeping track of directions, the physical act of writing, using correct mechanics, creating complete sentences, transferring ideas into written form, deciding on main ideas, details, flow, etc.)

33. How are EF’s measured • In addition to psychometric tests: • Clinical interview • Behavioral observations • Rule out problems in basic sensory, motor, and cognitive functioning are ruled out (e.g. vision, hearing, memory & learning, basic attention, & visual spatial skills)

34. Resources & Strategies • Agenda books, electronic PDA’s, calendars for writing down assignments or appointments • Work with an Educational Therapist • Other alerting/alarm devices – adhdwarehouse.com • Checklists for routines (i.e. what to do before leaving the house, leaving school, etc.) • Develop routines (put away wallet, keys, c-phone in same place EVERY day)