Working with Cub Scouts with ADHD University of Scouting 2013

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Working with Cub Scouts with ADHD University of Scouting 2013. Dr. Charles Pemberton, LPCC Past President KCA ACA Chair - Taskforce on DSM 5 Ed.D . in Educational Counseling 20+ years in Counseling and Mental Health SR-989, Cubmaster, Member of Review Board PARENT - PowerPoint PPT Presentation

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<p>Slide 1</p> <p>Working with Cub Scouts with ADHD</p> <p>University of Scouting 2013DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comIntroductionDr. Charles Pemberton, LPCC Past President KCAACA Chair - Taskforce on DSM 5 Ed.D. in Educational Counseling20+ years in Counseling and Mental HealthSR-989, Cubmaster, Member of Review BoardPARENTAdjunct Professor Graduate University of LouisvilleUndergraduate KCTCSPrivate Practice 80% children and familiesDimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comStatsNo statistics are kept nationally, but a survey of regular units serving special needs Scouts in one council produced some revealing figures.In March 1999, officials of the Old North State Council in North Carolina checked a total of 74 units (30 Cub Scout packs, 37 Boy Scout troops, and seven Venturing crews) with a combined total of 2,758 members. They found 245 (8.9 percent) with identifiable special needs.Almost half the special needs (47.3 percent) were identified as ADD, followed by learning disabilities (15.9 percent) and vision and speech impairments (13.4 percent).</p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comTodays ScheduleDiagnosis and IdentificationMeeting interventionsBehavioral StrategiesTools and ResourcesQuestionsWont get a plan that works Everywhere with EveryoneDimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comCauses of ADHDBiological DisorderNeurological dopamine/norepinephrineGeneticToxinsHead injuriesImmunizationsNo evidence:SugarFood additivesAllergies</p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com</p> <p>HyperactivityImpulsivityInattentionCharacteristics of ADD/ADHD</p> <p>The Tip of the Iceberg Hidden below the surfaceDimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comCharacteristics of ADD/ADHDHyperactivityImpulsivityInattentionPhysiologicalFactorsWeak Executive Functioning</p> <p>Sleep DisturbanceImpaired Sense of TimeDelayed SocialMaturityNot Learning EasilyFrom Rewards andPunishmentCoexistingConditionsLearningDifficultiesLow FrustrationToleranceHidden below the surfaceDimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comMajor FeaturesOften will not complete tasksEasily distracted by minor stimuliWork often messy and completed w/o thoughtForgetful in day-to-day activitiesImpulsive (interrupting others, cannot wait turn, etc.)FidgetinessExcessive talkingDimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comADHD SCOUTS HAVE GREAT ATTRIBUTES TOO!EngagingBrightExcitedCreativeHappy-go-luckyEnthusiasticExceptionalInquisitive</p> <p>SpontaneousCleverUniqueEagerEnergeticCarefree</p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comMedication parents infoIf your Scout takes medication to help him focus at school, it may help him focus better during Scout activities as well. You may want to discuss this issue with your Scouts physician.Make sure your Scout knows that medication is to help him focus, not make him be good.DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com10MedicationPrescription medication is the responsibility of the Scout taking the medication and/or his parent or guardian. A Scout leader, after obtaining all necessary information, can agree to accept the responsibility of making sure a Scout takes the necessary medication at the appropriate time, but BSA policy does not mandate nor necessarily encourage the Scout leader to do so. Also, if state laws are more limiting, they must be followed.DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com11How to helpGet trainedComplementThey are all individualsClear expectationsTalk to Parents about what worksMeetingsDay tripsWeekendsWeek long</p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com12How to helpSet a schedule (mental/physical)Know what is expectedUse daily/weekly forms for planningUse color codesLimit timeGive BreaksProvide reviewProvide Transition timeMinimize spaces/distractionsOrganizeDimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com13How to HelpPut it in writingSet smaller/reachable goalsDivide into smaller segments Reward all completionsReview for hasty errorsWork on discovering what is really happening (i.e. Forgetting)DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com14Forgetting1- Need to notice2- Need to write/record3- Need to bring home4- Need to look5- Need to understand6- Need to start/finish7- Need to store8- Need to turn-inDimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com15MovementOffer opportunities for purposeful movement, such as Leading cheersPerforming in skitsAssisting with demonstrationsThis mayImprove focus, Increase self-confidence, andBenefit the troop as a whole</p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com16Warning SignsBe aware of early warning signs, such as fidgety behavior, that may indicate the Scout is losing impulse control. When this happens, try a</p> <p>Private, nonverbal signal or</p> <p>Proximity control (move close to the Scout) </p> <p>to alert him that he needs to focus. </p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com17Warning SignsDuring active games and transition times, be aware when a Scout is starting to become more impulsive or aggressive. </p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com18Helping a child control his behaviorMinimize distractionsGive choicesLimit ChoicesTeach problem solvingUse calm discipline - distractionDimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com19RedirectingWhen you must redirect a Scout, </p> <p>Do so in private, in a calm voice, unless safety is at risk.Avoid yelling. Never publicly humiliate a Scout. Dont sandwich a correction between two positive comments.Good, bad, good</p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com20Time outIf it has not been possible to intervene proactively and you must impose consequences for out-of-control behavior, use time-out or cooling off.</p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com21Keep CoolDont take challenges personally. ADHD Scouts (should be Scouts with ADHD)want to be successful, but they need support,positive feedback,and clear limits.</p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com22EDGEThrough systematic Explanation, interactive Demonstration, and Guided practice, Scouting Enables Scouts with ADHD to discover and develop their unique strengths and interests. </p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com23Excuses Expect the Scout with ADHDto follow the same rules as other Scouts. ADHD is NOT an excuse for uncontrolled behavior.</p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com24Some Examples 1WeA fair trial often includes assessing the scout's behavior on camping trips or other activities both on and off his medication. If you choose to have your son take no medication for 1-2 events and he is unable to focus and benefit from the experience, it is reasonable to then medicate him for 1-2 events to determine if the medication actually yields any benefit. If the scout clearly does better on medication than off, it is expected that he will remain on medication for all activities longer than 2-3 hours.DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comSome Examples 2WeI lead a Tiger Cub den of 11 scouts, one of which has been reportedly diagnosed as ADHD. The Tiger is a discipline problem, but his actions go farther than youthful enthusiasm. This Tiger has difficulty keeping his hands and feet to himself. He frequently hits, and/or kicks, and/or tackles the other Scouts. His parents are little to no help. Other parents are becoming frustrated and angry. Our Pack has no bylaws to which I can refer for policy or guidance. Already the ADHD Tigers parents are in the early stages of a major snit, because its not Johnnys fault. </p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comSome Examples 2WeHeres my plan: </p> <p>1) Reiterate that a responsible adult must be present with the Tiger at all meetings to supervise their Tiger. 2) In the absence of Pack bylaws, default to the councils policy as well as the sponsoring organizations discipline policy, and be very clear what those policies mean, and that they apply to _everyone_. 3) Make it clear that there will be consequences if the hitting, etc. continues. 4) Follow through. </p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comSome Examples 3WeSo for I have been completely disappointed. The "pack" is so large that it is complete chaos. We've only been to two pack meetings so far. The first one was okay, but very chaotic. Parents, siblings of all ages, and about 30 or 40 boys all running and talking at the same time in the church's gym. The commotion was beyond my ADD comfort zone. There was a lot of waiting in between each activity, in which time many of the boys lost interest and wandered off. (Of course my son was one of the wanderers!) The pack leaders didn't seem to be able to hold their attention, or stay on task.DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comSome Examples 3WeThe second meeting was in the church sanctuary, and they had a kind of "ceremony" where the "color guard" came in with the flags. They had about 40 minutes of "announcements" which was very difficult for me to sit through, much less me son! Then the older scouts got to participate in an out-loud story, but the younger ones had to just sit there and watch. (Not a great idea for my youngster! He was ready to DO something by then!)DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comSome Examples 3WeNot only that, but apparently I'm the ONLY parent who doesn't know jack about boy scouts. Everybody else had a booklet and a uniform and knew exactly what was going on. I'm new to town and didn't even have a friend who I could ask. I'm totally out of the loop, and every time I ask for more information I get the "run around" and very few answers.DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comSuggested StrategiesWeTell the Scouts in advance what they will learn Provide a combination of visual, written and oral instructions since these help the Scout to focus and remember the key parts of a learning activity. Repeat instructions often Break large tasks into a set of smaller tasks or steps and monitor for completion of each step Make a written list of these steps and allow the Scout to cross off each step as it is completed. This method may also be used for any number of tasks.Work on one step at a time. </p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comSuggested StrategiesWeAllow for extra time for some Scouts to compete certain stepsHave different (and adjustable) activities for faster and slower learnersTry to provide a quiet area with limited distractions. Create a routine and expectations for each meeting.Plan short breaks Provide an area or time where the Scouts can move around and release excess energy. Establish a clearly defined and posted system of rules and consequences for behavior. </p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comSuggested StrategiesWeA card or a picture may serve as a visual reminder to use the right behavior, like raising a hand instead of shouting out, or staying in a seat instead of wandering around the room.Accept and praise each boys best effort in keeping with the Scout Oath. Never make comparisons. Help everyone to understand that while fair means giving everyone what he need, it is not necessarily equal. (Weinstein, 1994) </p> <p>DimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.comSumming it upDont Spoil Me. I know I should not get all I ask for. I am only testing youDont be afraid to be firm with me. I prefer to know where I standDont use force with me. It teaches me that power is all that counts. I respond better to examples of what I should doDimensionsFamilyTherapy2302 Hurstbourne Village Dr.Suite 300Louisville, KY 40299Phone: 502-491-9720Fax: 502-491-9721www.LouisvilleDFT.com34Summing it upDont be inconsistent. Youll just confuse me and make me try harder to get away with anything I canDont make promises you cant keep. I will learn not to trust youDont let me provoke you. If I say or do things to upset you, dont blow up or I may do it again. I dont mean it. I just want you to feel sorry for me. </p> <p>DimensionsFamilyTherapy2302 Hurstbourne Villag...</p>

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