AD/HD: The role of teachers in the assessment of children suspected of having AD/HD

In the light of recent guidance published by The National Institute for Health and Clinical Excellence (NICE) on the diagnosis and management of attention deficit disorders in children, young persons and adults, Gill Salmon, a consultant Child and Adolescent Psychiatrist based in Swansea, South Wales, and Amanda Kirby, Professor of Developmental Disorders in Education based at the University of Wales, Newport, give an overview of the rationale for involving teachers in the assessment of children with AD/HD and the development and implementation of subsequent educational interventions. They also review the resulting training implications; explore some of the obstacles to multi‐agency, multi‐disciplinary working; and examine how current special educational needs policy goes hand‐in‐hand with the tiered approach to provision of child and adolescent mental health services in offering a graduated response to these children.     

Early identification and systemic educational intervention for young children with Attention-Deficit/Hyperactivity Disorder (AD/HD)

This paper focuses on the international experience with early identification and intervention for children with AD/HD. Much less is known about AD/HD in two- to five-year-old preschool children than is known for older school-aged youngsters. Despite this lack of knowledge, AD/HD is increasingly recognized in this population and stimulant medication increasingly prescribed to treat it. The lack of control of temperamental patterns in preschoolers seems related to later observations of hyperactivity, attention problems and antisocial behaviours in school-aged children. The emergence and continuity of AD/HD-like behaviours is influenced not only by genetic, pre- and perinatal factors, but also by social context factors. All these influences interact with a child's developmental needs in complex ways according to a systemic bio-psychosocial model. The undiagnosed AD/HD child will often be labelled by parents as difficult and the family scapegoat. Because of the age of the children and the variety of ‘normal behaviour’ in this group, interventions should include systemic, environmental and play-centred approaches.     

Teachers' comfort and importance ratings for interventions for preschoolers with AD/HD

The main purpose of this study was to explore preschool teachers' ratings of both the perceived importance of and their comfort levels implementing interventions for children with AD/HD. Participants included 138 teachers from licensed child care facilities. Teachers completed a questionnaire that required them to rate, on a 7‐point Likert‐type scale, the importance of 43 interventions and how comfortable they would be executing the strategy if asked to do so in the classroom. Overall, teachers concluded that the majority of the interventions were mostly important and believed they would be comfortable using the strategies. In addition, findings indicated that preschool teachers' importance and comfort ratings were highly correlated. Teacher variables (i.e., years of teaching experience, educational level, and having a student with AD/HD) were not correlated with, or discriminative of, comfort and importance ratings. The implications of these findings are discussed. © 2001 John Wiley & Sons, Inc.     

The reality of living with AD/HD: children's concern about educational and medical support

A diagnosis of AD/HD may tell us that the child has the core characteristics of inattentiveness, impulsivity and or hyperactivity, but it fails to convey the extent to which the social context of the child's environment manipulates these characteristics. This article reports on how children with a diagnosis of AD/HD view the impact their social environment has on their behaviour; providing us with insight into how educational and medical intervention strategies are failing to achieve their potential. The findings suggest that if children with AD/HD and their families are to benefit from educational and medical intervention then stakeholders need to work together to provide coordinated and consistent support.     

The Schooling Experience of Adolescent Boys with AD/HD: An Australian Case Study

This study explored the experience of schooling of six adolescent boys diagnosed with AD/HD from the perspectives of the boys, their mothers and their teachers. The study utilised social constructionism as the theoretical orientation and the Dynamic Developmental Theory (DDT) of AD/HD as the explanatory framework. Utilising a multiple, instrumental case-study, data were collected by means of semi-structured individual and focus group interviews as well as a review of school reports across a two year period. Findings of the study suggest that taking medication as prescribed together with supporting the students to make and manage friendships, utilising classroom strategies that support learning, and providing an engaging classroom environment are important considerations to promote a positive schooling experience for adolescents with AD/HD.     

DEALING WITH AD/HD IN THE CLASSROOM: ONE TEACHER'S EXPERIENCE 1

In this paper some of the fantasies that arise around the role of the counsellor in schools and how these fantasies, being a measure of the psychic health of the school, impact upon both the referral procedure and the counselling process, are discussed. Illustrated by case studies, ways in which teacher and counsellor are able to combine therapeutic and educational skills to challenge these fantasies and so more efficiently tackle emotionally based learning difficulties are considered. The title refers to the case of a 7 year old boy whose failure to make academic progress could be understood as an emotional refusal to take on further responsibilities of a premature adulthood.     

FOCUS ON PRACTICE: Difficulties in initiating and sustaining peer friendships: perspectives on students diagnosed with AD/HD

In this article, Myra Taylor, research fellow, and Professor Stephen Houghton of the Centre for Child and Adolescent Related Disorders at the University of Western Australia, report theory generated from interviews with teachers, students and mothers residing in Perth, Western Australia, on how children with attention‐deficit/hyperactivity disorder (AD/HD) initiate and sustain peer relationships. An initial review of the three sample groups’ respective perspectives reveals that children with AD/HD exhibit three distinct socialisation patterns: a socially integrated pattern (that is, having three or more ongoing friendship pairings with peers); a marginal integrated pattern (that is, having two or less ongoing friendship pairings with peers); and a socially isolated pattern (that is, having no, or infrequent, friendship pairings with peers). Both teacher and maternal perspectives are similar in so far as both perceive children with attention deficit disorders to have marginal to non‐existent friendships. Students with AD/HD perceive themselves, however, as having strongly to marginally formed friendships with their peers. Myra Taylor and Stephen Houghton explore suggestions that differences between adult and child perspectives relate to diagnostic status, age and developmental maturity. They identify opportunities for further research arising out of their work and indicate that a wider evidence base will be needed before robust recommendations for practice can be made.     

A neurodevelopmental approach for helping gifted learners with diagnosed dyslexia and attention deficit/hyperactivity disorder (AD/HD)

Abstract

Many intellectually and creatively gifted learners experience barriers to learning and development. These may be incorrectly diagnosed as distinct mental disorders, such as Attention Deficit Disorder, hyperactivity, dyslexia and so on. Medication, behaviour and remedial therapy are among the most frequently cited treatments. Emerging approaches to therapy, based on applied neuroscience and the importance of movement in structuring the brain, are finding that it is possible to ‘heal’ interactive links of dysfunctional behaviours and ensuing learning difficulties. This article presents a neurodevelopmental view of learning and attentional problems that are not uncommon in some gifted learners. By means of two case studies, a neurodevelopmental approach will be illustrated whereby such learners have been helped to overcome their learning barriers.     

Australian adolescent boys with attention deficit/hyperactivity disorder (AD/HD): teacher and teaching factors that assess the efficacy of reducing unwanted behaviours within the classroom environment

Students with AD/HD experience difficulty concentrating in the classroom due to unwanted behaviours. This article focuses on what six Australian adolescent boys have to say about teacher and teaching factors that enabled them to regain focus (if distracted) and concentrate on classroom learning. A multiple, instrumental case-study was used to collect data from the boys using semi-structured individual and focus group interviews as well as school reports across a two year period. Findings suggested that interventions including frequent short breaks, humour by the teacher and teachers who operate in a well-structured classroom and who know their subject matter well, were beneficial in reducing unwanted behaviours and resulted in less negative events, thereby making schooling a more positive experience.     

Social support,academic adversity and academic buoyancy: a person-centred analysis and implications for academic outcomes

The present study employed person-centred analyses that enabled identification of groups of students separated on the basis of their perceptions of social support (home and community), academic support, academic adversity and academic buoyancy. Among a sample of 249 young people, including many from high-needs communities, cluster analysis revealed three distinct groups of students: the thriver, supported struggler and at-risk struggler. We compared the three groups on their academic motivation. Analyses revealed significant differences between groups in adaptive motivation outcomes, but no differences in impeding or maladaptive motivation outcomes. Combined, the results speak to the importance of support and academic buoyancy for positive student outcomes.     

The relationship between protective factors and outcomes for children investigated for maltreatment

ObjectivesThis research explores the relationship between hypothesized protective factors and outcomes for children investigated for maltreatment.MethodsUsing data from the National Survey on Child and Adolescent Well-Being (NSCAW), we ran logistic regression models to examine the relationship between hypothesized protective factors (social competence, adaptive functioning skills, and peer relationships) and outcomes (externalizing behavior, internalizing behavior, reading competence).ResultsFor each hypothesized protective factor, we found variation in individual scores and sample mean scores at the lower end of the scales, indicating that these children fare worse than most children. However, many children experienced large changes in their individual scores over time suggesting that children can and do improve on these hypothesized protective factors. In examining the relationship between hypothesized protective factors and outcomes, children with higher levels of social competence were significantly more likely to be in the normal range for both externalizing and internalizing behaviors. Children with higher mean adaptive functioning skills were more likely to be in the normal range for both externalizing behavior and reading competence. The positive nature of the child's peer relationships was also related to externalizing behavior and reading competence.ConclusionsOverall, our analyses support the idea that social competence, adaptive functioning skills, and peer relationships are related to outcomes for children investigated for maltreatment. While further research is needed to establish a causal link, this work identifies three individual-level hypothesized protective factors as potential sources of variation in outcomes.Practice implicationsTo prevent or alleviate the harmful consequences maltreatment, it is necessary to understand factors that help children move beyond poor outcomes. Our analyses suggest that a strong relationship exists between a child's social competence, adaptive functioning skills and positive peer relationships and select outcomes three years after being investigated for maltreatment. With these individual-level protective factors related to more positive outcomes, it suggests that intervening to increase protective factors could improve outcomes for maltreated and at-risk children.     

Social interaction development among behaviorally handicapped preschool children: Research and educational implications

Literature is reviewed that documents the effectiveness of a behavioral approach for increasing the social behaviors of behaviorally handicapped preschool children. However, this literature also suggests that reciprocal interaction between target subjects and significant others seldom generalized beyond treatment settings. The importance of developing positive, reciprocal interaction has been well documented. The results of observational studies suggest that with respect to both quantity and quality of interaction, the child creates his own social environment. For example, the passive, withdrawn child is the more frequent recipient of social rejection than is the more socially active child; the physically aggressive child receives more hostile social bids from peers than less aggressive youngsters; and, of course, the child who initiates positive interaction with peers tends to receive more positive social attention than less socially adept youngsters. Thus, children's behavior patterns tend to set the occasion for that kind of social approach by peers that validates, in a sense, their own approach to peers. If affective education for young handicapped children is to become a reality, additional research is necessary to identify those response patterns that set the occasion for positive reciprocal interaction.     

Developments in UK early years policy and practice: can they improve outcomes for disadvantaged children?

Despite strenuous attempts made by the New Labour government in the UK to progress towards its goal of eradicating child poverty by 2020, educational outcomes for disadvantaged children remain depressed compared to those of more advantaged children. The fact that children from poorer socio‐economic backgrounds are at much greater risk of language delay, which is a key predictor of poorer educational outcomes, indicates that there is a fundamental need to enhance the language abilities of these children in their early years in order to improve educational progress. This paper discusses the extent to which two new major UK policy initiatives may impact on this situation, namely the introduction of the Early Years Foundation Stage, a new curricular framework for children aged from birth to five, and the development of the Early Years Professional role, seen as key to the implementation of this framework. The discussion concludes that due to insufficiently rigorous conceptual underpinnings, especially in the area of language and communication, these innovations seem unlikely to deliver the type of language‐enriched preschool environments necessary to enhance the linguistic capabilities of the poorest children in UK society.     

Researcher vulnerability: implications for educational research and practice

This paper explores the concept of researcher vulnerability through a review of the extant research literature and each author’s feelings of vulnerability connected to their research with vulnerable populations while exploring both sensitive and seemingly innocuous, yet important, topics in education using qualitative methodology. Specifically, a reflection of our respective study of the academic and social transitions of student combat veterans, and the academic and gender socialization of adolescent African American males is presented as means of illustrating the phenomena of researcher vulnerability. Implications of vulnerability for research, practice, and theory are discussed.     

Gender variance and educational psychology: implications for practice

The area of gender variance appears to be more visible in both the media and everyday life. Within educational psychology literature gender variance remains underrepresented. The positioning of educational psychologists working across the three levels of child and family, school or establishment and education authority/council, means that they are well placed to support knowledge, understanding and practice in this area. The literature highlights the importance of the terminology around gender variance, the differing representations of gender variance and the potential impact upon young people. Three practice examples demonstrate potential roles for educational psychologists and together with the literature highlight possible implications for educational psychology practice.     

Teacher's experiences in PBL: implications for practice

Project-Based Learning (PBL) has been implemented in the first year of the Industrial Engineering and Management programme at the University of Minho, Portugal, since 2004/2005. The purpose of this paper is to analyse and discuss teachers' experiences in PBL in this programme and to explore its implications for student learning and for teaching practices in higher education. For data collection, the research method used was written narratives to these teachers, at the end of the PBL semester. Findings suggest that teachers express a positive view of PBL as a learning approach. They identify student motivation and engagement, along with a better understanding of the application of concepts in real-life situations, as important outcomes of the project for students. Besides this, teachers also highlight the importance of the development of transversal skills by students throughout the project. Recommendations for future work and implications for practice will also be discussed.     

Demystifying inclusion: implications for sustainable inclusive practice

This paper argues that in the pursuit of influencing inclusive education development, definitions of inclusion have been promulgated that remain a distant concept in the minds of the most significant partners in this process, i.e. teachers and schools. This is despite best efforts to share ideas for sustainable change based on such definitions. Based on the author’s experience of being a researcher in an inclusive education project in South Africa and subsequent attempts to influence sustainable development at a secondary school in the project, it is argued that a demystification of the term ‘inclusion’ or related terms such as ‘inclusive education’ is necessary to the process of engagement with schools to bring about more sustainable change.     

Genre and practice: Shaping possibilities for children

This article examines the dialogic nature of educational practices in two diverse communities. We examine how kindergarten and first-grade teachers in two settings use locally specific variants of the genre of early childhood education to describe their practice and the children with whom they work. We rely on Bakhtinian notions of speech genre to theorize these differences, arguing that genres portray conceptions of children that represent issues of power and status. We argue that the meanings attached to the way students are viewed are generated within a community and that they have profound implications for the way children's performance is interpreted.