Category Archives: ADHD

Twice Exceptional and Neurodiversity

In his 1992 trip to Australia, President HW Bush gave the backwards V for victory sign. That happens to be the middle finger in Australia.

hw and v for victory

This story parallels what we encounter in special education. Several people may encounter the same idea, image, curriculum objective, lesson etc. but have a totally different perspective (see photo below).

blind men and elephant

This is certainly true for individuals with autism and is true for students who are twice exceptional.

To meet the needs of such students we must work from their perspective and not ours. We must meet their needs. We must first take inventory of our bias and our subjectivity in how we perceive students, learning, doing math work etc. Here is a site, Different Brains, that I have not fully investigated but that looks interesting and important.

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Performance vs Ability

In the effort to assess student ability performance factors are likely present. It is incumbent upon the educators to mitigate the performance issues to assess true ability.

For example, I conducted an evaluation on a student in middle school who has ADHD. All of her testing records indicated that she would lose focus during the assessment and that the focus was problematic for testing. Before we met I surveyed her on her favorite snack (didn’t know Sour Skittles is a thing), brought this reinforcer along with a bottle of water. She sat through an entire 1 1/2 hour KeyMath Assessment without incident.

performance vs ability

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List of Performance Points

 

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Painting the letters on the ground is a performance point for the person responsible for this task. The task was discussed at some other time and location. Performance points, as explained in another post, are the situations or locations or times that a person has to perform a task. For students with special needs this is where special education gets real. It is where the supports play out. For students with more severe disabilities, e.g. ADHD, Autism or Down Syndrome, most if not all performance points require some support so identifying these points is important and often overlooked.

Below are a list of performance points students encounter in k-12 education.

  • transition between classes
  • using a hall pass
  • arriving or leaving school
  • riding a school bus
  • transition to and from lunch
  • transition to and from specials
  • gym
  • playground/recess
  • entering and starting class
  • packing up and leaving class
  • transition between activities during class
  • choice or down time during class
  • following directions given in class
  • retrieving, using and returning class materials
  • sharpening pencil
  • asking permission to use a pass
  • identifying appropriate reasons to use a pass or to ask a question
  • responding to questions or participating in class discussion
  • paying attention to presentations
  • group work
  • individual work
  • homework
  • studying for an assessment
  • long-range projects
  • bringing materials to class
  • organizing notebook and book bag
  • using a notebook effectively, e.g. finding and following examples
  • interacting with classmates in a socially appropriate manner (during classwork, free time, down time, in the hallway, at lunch, at recess) – note: socially appropriate would need to be defined with observable behaviors
  • empathizing with others
  • reciprocating in a social conversation
  • curtailing behavior when presented with negative feedback
  • initiating conversation
  • greeting others appropriately – initiating and responding
  • identifying non-verbal cues and communication

Certainly there are more. Please comment below if you want me to add anything to the list.

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Address Skills at Performance Points

performance-point

In the photo above you see a contrast between how children learn and how educators often teach necessary skills. Children learn to ride a bike by actually performing the target skills. This is a performance point – the setting in which the child actually performs. In school students are often taught necessary skills in isolation, away from the performance points. Imagine teaching a child to ride a bike by having him sit at a desk while the parent points out all the steps for riding a bike.

Often accommodations and supports are provided in isolation or out of context. Students with autism have lunch buddies in a contrived setting with an educator leading conversation. Students with ADHD have a weekly time to organize their notebooks. Students who have trouble functioning in a general ed classroom may be pulled out as a result.

Below are a couple of examples of how support can be provided at the points of performance. The photo below shows a checklist I used for a students with autism in my algebra class. They would follow the checklist and self-evaluate by checking off each step as it was completed. They were learning how to perform necessary skills at the point of performance.

checklist-in-class

Another overlooked point of performance is in organizing a notebook. Students should organize a notebook while IN CLASS and on a DAILY basis. I use the rubric below to help support students with this task.

checklist-for-notebook

Dr. Russell Barkley, an expert on ADHD, talks about performance points for students with ADHD in his book and in his ADHD Report. This focus at the “points of performance” can and should apply to any student with a disability (and students in general).

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ADHD is a Self-regulation Disorder

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Link to a handout presenting an overview ADHD. This handout will be used as part of a webinar to be recorded and posted on this site soon.

Below is a video by Dr. Russell Barkley on ADHD as a failure to self-regulate disorder.

 

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