The Value of Knowledge
In addition to working with parents and health professionals to determine the best approach for a child with a behavioral disorder, it is advantageous for teachers to become familiar with current medications and potential side effects. For teachers wanting a quick reference, the AAP provides the ADHD—Treatment with Medication and other fact sheets at http://www.aap.org.
Not all teachers will have the time or resources to research the different medication and treatment options. In this case, you might request an information pamphlet if a parent tells you that his or her child is taking medication. This documentation is often included in the prescription packaging and is easy for a parent to copy. Not only is this information an easy reference tool, it will also help you to be aware of possible side effects.
If a child is on medication, it is also likely that the parent or health professional will want feedback about the child’s behavior. In this event, keep an activity log and share this with the parent regularly. Some medications may take several months before maximum effectiveness is reached so be sure to follow the child’s progress over an extended period of time. Also be sure to share any unusual behaviors, actions, or physical concerns with parents, as these could be a reaction to the medication or a symptom of an underlying problem.
Although medication has been proven effective, there are other alternatives for behavior management to consider first. When considering such treatments, it is important that other causes, such as an inability to effectively communicate because of a language or hearing problem, be ruled out. As an educator, you can provide valuable feedback about the types and timing of disruption to help parents and physicians pinpoint any secondary causes. The following list details other forms of behavior management.
Individual Education Plans (IEPs)
Typically used for children with autism and learning disabilities, this approach entails meeting with the parent and child to determine the child’s goals for the year. This type of meeting allows the parent to participate in the child’s growth as well as helps the child feel a sense of accomplishment at the completion of each goal. Formal IEPs, however, require additional legal considerations before implementation. For more information about this, refer to the Autism Society of America’s website athttp://www.autism-society.org.
Support groups can take many forms, whether it is a group of parents sitting down together to discuss their children’s struggles or a health professional meeting with a parent, teacher, and child to determine the best form of treatment. Even peers can serve as support for one another. Whenever possible, however, serve as a mediator for these groups to prevent them from turning into gossip sessions or attacks on a child’s character.
Cooperative learning activities are important to any attempt at behavior modification. According to Johnson, activities that fall under this category move away from teacher-centered, lecture-style classrooms and allow children to be more active throughout the day. Some educators have even found block scheduling plans to be an effective course of action. In addition to the aforementioned suggestions for behavior management, the following alternatives related to health and well-being can be helpful:
Healthy Lifestyle. Although it has not been scientifically proven to aid in behavior management, promoting good nutrition and healthy exercise habits can do no harm. Allow children to play outside as much as possible or be creative and design some low-impact physical activities for the classroom. You can also request that parents include healthy snacks in their child’s lunch or, perhaps, have parents rotate and provide healthy snacks for the class once or twice a week.
Routines and Schedules. Although some children may adapt fairly easily to changes in bedtime or eating schedules, most children need a routine that they can adhere to from day to day. Sleeping habits, in particular, are subject to upheaval if bedtimes are not consistent. Provide parents with the knowledge that children thrive on routine. For parents who are struggling in this area—for instance, those who have two jobs or who work swing shifts—refer them to a counselor who can assist them in establishing a healthy routine for the entire family.
Whether a change in nutrition, exercise, or sleep habits modifies behavior, such natural alternatives can only be beneficial, as they will teach children healthy habits that can last a lifetime.
Behavioral problems are an important issue to address. Not only do they affect the families involved, they can have a significant social cost as well. Children with behavioral problems may be branded throughout the program as troublemakers or difficult learners. Such stigmas can affect their performance as well as their attainment of life goals. For this reason, it is important to find an equitable and viable solution for all parties involved. Although medications serve an instrumental role in helping many children deal with their behavioral problems, it is important to remember the consequences such as long-term side effects and dependency on the medication. It is crucial, therefore, to evaluate all aspects of a child’s behavior and determine what is best for the child. Educators, in particular, should have an integral role in this process and help families determine the best mode of treatment or alternative approach for addressing this issue. Perhaps Johnson sums it up best: “As an educator, the end goal has always been—and always should be—to make children happy, healthy, and productive.”
Diona L. Reeves serves as Editor-in-Chief for CYKE, Inc., a multimedia firm dedicated to improving the emotional and physical health of children through websites, CD-ROMs, and teacher curricula. Ms. Reeves has written articles for the American Academy of Pediatrics, Healthy Childcare magazine, and numerous health-related websites.
The American Academy of Pediatrics supports the concept of three-way involvement among parents, health professionals, and teachers, believing that it is the best way to monitor a child’s health and development. To learn more about this concept, referred to as the “medical home,” please visit the AAP website at http://www.aap.org.
The National Institute of Mental Health published Attention Deficit Hyperactivity Disorder, a detailed booklet that describes the symptoms, causes, and treatments of ADHD. This publication is available online at http://www.nimh.nih.gov/health/topics/attention-deficit-hyperactivity-disorder-adhd/index.shtml.