ADHD and Challenging Behaviour

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1 ADHD and Challenging Behaviour 10 th of November 2017 Fintan O Regan Fjmoregan@aol.com

2 Publications Cooper P and O Regan F (2001) EDUCATING children with ADHD: Routledge Falmer Press O Regan F (2002) How to teach and manage children with ADHD: LDA a division of McGraw- Hill O Regan F (2005) ADHD : Continuum International O Regan F (2005) Surviving and Succeeding in SEN Continuum International O Regan F (2006) Challenging Behaviours Teachers Pocketbooks O Regan F (2006) Troubleshooting Challenging Behaviours Continuum International O Regan F (2008) The Small Change 2 BIG DIFFERENCE series Hyperactive, Inattentive and Disorganised, Special Direct O Regan F (2014) Successfully Managing ADHD Routledge Falmer Press

3 Core issues Learning Behaviour Socialisation 3

4 Risk factors in the child Specific learning difficulties/neurological difficulties Difficult temperament Levels of intelligence, IQ and EI Socialisation difficulties Physiological issues of levels of self esteem, depression, stress Other health factors MH and Behaviour in Schools March 2015

Risk factors in the family Overt parental conflict Family breakdown Sibling rivalry Inconsistent or unclear discipline Hostile or rejecting relationships Health of parents

5 Risk factors in the family Overt parental conflict Family breakdown Sibling rivalry Inconsistent or unclear discipline Hostile or rejecting relationships Health of parents Failure to adapt to a child s changing needs Physical, sexual or emotional abuse Parental criminality, alcoholism or personality disorder Death and loss-including loss of friendship

6 Risk factors in the community Socio economic disadvantage Homelessness Disaster, accidents, war or other overwhelming events Discrimination Other significant life events MH and Behaviour in Schools March 2015

7 Risk factors in the school Bullying Discrimination Breakdown in or lack of positive friendships Deviant peer influences Peer Pressure Poor pupil to teacher relationship MH and Behaviour in Schools March 2015

8 A management framework to deal with ADHD and challenging behaviour SF3R

9 Structure Acceptance and understanding of ADHD by the leadership of the staff in the institution Identification of key areas of strength and weaknesses of specific students Rituals and Routines for general management of students with ADHD

10 Flexibility Alternative ways of supporting skills in learning, behaviour and socialisation Mood and Motivation Management Working with other agencies

11 Rapport Effective communication with students with ADHD Practical strategies for dealing with disruption and defiance Feedback for students including rewards and consequences

12 Relationships Advocating the needs of children with ADHD with other staff members Peer to peer relationships including how to deal with all forms of bullying Effective communication with Parents and Carers

13 Resilience To support students with ADHD to deal with anger and frustration To develop confidence in students with ADHD To provide pathways for transition

14 SF3R Fintan O Regan 2006 Troubleshooting Challenging Behaviour Continuum publications

15 Structure in terms of rules Reduce anxiety Enhance motivation, confidence and self esteem Enhance concentration and reduce distractions Facilitate independence

16 Rules and Responsibilities Band 1 Band 2 Physical /Verbal abuse Bullying Timekeeping Use of Phones Dress Code/Chewing Distractibility Disorganisation Calling out Fidgeting Engaging others

17 10 High energy Anxiety Action 1 Negative Positive 10 Depressed Calm Low energy 1

18 Rapport: Communication 7% words 38% Tonality, Volume and Tempo 55% non verbal signals

19 Assertive Body language Eye contact or not be flexible Height/level positioning Relaxed Nodding Personal space balance Facial expressions Not fidgeting yourself.or Focused, active listening

20 Active Listening To give your complete focus to what the other person is saying Let the other person finish before you start talking Maintain eye contact (or not) Keep your emotions in check Don t interrupt or jump to conclusions Look for feelings or intent behind the words

21 Let s.. Assertive Sentence starters I need you to... In five minutes you will have. When I return I will see.. Today we are going to.. You will be.. I expect you to.. I know that you will Thank you for

22 Do it with flowers.. Instead of saying Be quiet! Can t you see I m talking? Maybe try saying Please don t interrupt How many times do I have to tell you? You re always getting into trouble Please listen carefully Do you need me to help you with this? David get back in your seat I m warning you! (((Angrily. Stop it David you should be sitting down Please listen to me. III need you to get back on task/line/learning

23 Refocusing the conversation Young person Adult It wasn t me I hear what you are saying. But they were doing the same thing I understand.. I m going to report /sue you Be that as it may. I was only.. Maybe you were.and yet. You are not being fair Yes I may appear unfair It s boring Yes you may think it boring yet You are annoying That could be true however what I need to

24 If not working try.. I am stopping this conversation now and I am going to walk away and give you a chance to think about the choices that you want to make. I know that when I come back we will have a productive conversation

25 Working with emotions Mentoring Coaching Counselling Dealing with issues such as YOU, self esteem, anger management, appropriate interaction with others, lying, academic expectations, future options etc

26 Resilience factors Resilience seems to involve several related elements. Firstly, a sense of self esteem and confidence; Secondly, a belief in one's own self-efficacy and ability to deal with change and adaptation; Thirdly, a repertoire of social problem solving approaches

27 The 7Cs of Emotional Resilience Competence Confidence Connection Character Contribution Coping Control Kenneth Ginsburg, M.D., MS Ed, FAAP A Parent s Guide to Building Resilience in Children and Teens: Giving Your Child Roots and Wings

28 Communication: Empathy We listen to those: We like and respect We like and respect those with whom we can identify or identify with us We pay attention to those whom we believe mean what they say Sean Misteil 1997

The Curious Case of ADHD

The Curious Case of ADHD Fintan J O Regan O MA 07734 715 378 fjmoregan@aol.com www.fintanoregan.com www.addiss.co.uk All Slides belong to Fin O Regan O 2008 and can only be used for presentation purposes