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Behavior Management and
Elementary Students with ADHD

               Team A:
Alice Allen, Emily Carter, Shari Hardy,
  Bobbi Murrell, and Amanda Pegues

          University of Phoenix
             March 21, 2009
Chapter One:
Introduction
Problem Statement
The problem, as indicated in this
study, is that due to the lack of time
and training, elementary school
teachers are not using effective
behavior management strategies for
children with ADHD who frequently
disrupt classroom instruction.
Purpose
    To determine if behavior management and

    modification strategies will result in greater
    learning and higher test scores for
    elementary students with ADHD.
    To determine if consistent boundaries, a

    highly predictable routine and external
    reinforcers will reduce the amount of
    impulsivity and distraction in the classroom
    and lessen the impact of the disruptive
    students on the other children.
Community
    Matthews Elementary School

    –   2 of 4 third grade classrooms
    –   600 students and 75 teachers
    –   Located in a country club community
    –   City population:15,728
             74.9% are white families
         

             14.7% are black families
         

    – Median annual income of $110,993
Work Setting
    Matthews Elementary School

    – Known for success with children with
      disabilities and behavior problems
    – School of Excellence Award for past 7 years
    – Fully staffed Special Education Team
    Majority of students diagnosed with ADHD

    are assigned to two of the four third grade
    classes to ensure consistency with
    educational process of the students
Work Setting (cont.)
Classroom A                               Classroom B
    Twenty-one students                       Twenty students
                                         
    Seven have ADHD                           Eleven have ADHD
                                         
    Test Group                                Control Group
                                         
    Mission Statement is “BEST”               Mission Statement is “We will
                                         
    (Believe in themselves and their          strive to do our personal best by
    ability to achieve; Embrace               practicing active listening,
    diversity and learn from it; Strive       respect, caring, cooperation,
    to make ourselves, our school,            effort, honesty and patience”
    and our community a better
    place; and Treat others the way
    we wish to be treated)
         12 out of the 18 students with ADHD are medicated
          14 of the 18 students are male and 4 are female
        Two teachers and one teacher’s aide will be observed
Writer’s Role
Five members of the School Improvement
team:
     Amore Bambinos
Dr.
Dr. Addison Davies
Dr. Anna Bassin
Dr. Norgina Wright
Dr. Elizabeth Cromwell



Each member has extensive background in
dealing with students with ADHD
Chapter Two:
Study of the Problem
Problem Description
    Difficulties with controlling impulsivity

    – Children are interfering with the teacher’s ability to teach
    – Children without ADHD are being affected by poor behavior
      of other students
    Staying on task is difficult

    – so class work, homework assignments, activities, and
      projects are often incomplete
    Organization can be problematic

    – Homework and books are regularly misplaced or
      unaccounted for
Problem
                   Documentation
    Observation of the classroom environment

    – Setting has been observed to assess the behavioral tendencies of the
      children
    – Teachers have been observed to determine their effectiveness in
      instructing and interacting with students who have ADHD
    Questionnaires

    – Measure teacher’s understanding of behavior management strategies for
      children with ADHD
    Periodic review of lesson plans

    – Demonstrate if the teacher’s lesson plans are keeping pace with
      standards
    Review of student’s academic performance

Highlights of Literature
                        Review
    “Medical treatment can reduce a hyperactive child’s

    symptoms. But cultivation of internal control and
    good behavior requires behavioral treatment, and,
    especially, a relationship between pre-behavioral
    stimulation and response” (Chang, Chang, & Shih,
    2007, p. 153).
    “Although children with ADHD experience significant

    academic and behavioral difficulties, research
    suggests that the majority of classroom teachers lack
    knowledge of what constitutes appropriate
    interventions and modifications (Parker, 1992)”
    (Nowacek & Mamlin, 2007, p. 28).
Highlights of Literature
                     Review (cont.)
    By analyzing the classroom, teachers can make

    themselves more organized and more responsible so
    that they can encounter fewer disappointments
    (Heward & Wood, 2003)” (Bloh & Axelrod, 2008, p.
    52).
    “Effectively teaching students with ADHD often

    requires the use of a variety of interventions in the
    classroom. Researchers (e.g., Eckert & Hintze, 2000)
    have suggested that teachers' acceptability of various
    treatments may influence their willingness to utilize
    them” (Vereb & DiPerna, 2004, p. 427).
Highlights of Literature
               Review (cont.)
    “Generally, best results occur when a team

    approach is used with parents/family, school
    personnel and therapists or physicians
    working together” (Kirkpatrick, 2005, p.23).
    “Attendance and engagement are critical

    variables in the success of parent training, as
    studies have shown that the degree with
    which parents implement the procedures as
    instructed affects the benefits to the child
    (Hinshaw et al., 2000)” (Evans et al., 2008,
    p. 52).
Causative Analysis
    Many teachers lack a basic understanding of ADHD

    Students are not self-monitoring or practicing cognitive behavior

    management skills
    Teachers may lack the knowledge of appropriate interventions and

    modifications
    The lack of teaching experience may be a factor

    A lack of special education courses and training may hinder the

    progress that a teacher can make while accommodating ADHD
    learners
    ADHD frequently coexists with other problems such as learning

    disabilities, Oppositional Disorder, and depression
    Insufficient collaboration on part of the parents, family, school

    personnel and physicians or psychiatrists
Chapter Three:
Outcomes and Evaluation
Goals and Expectations
    Teachers will receive training that will allow them

    to implement effective behavior management
    strategies with their students.
    Well-informed teachers will execute systems

    designed to create a calm and productive learning
    environment.
    ADHD learners will flourish under the guidance and

    instruction of a teacher who has learned to
    accommodate their needs as well as those of the
    other students.
Expected Outcomes
    Disruptions will decrease by 75%

    Five out of seven students with ADHD will receive

    passing grades on tests, class work, and homework
    Benchmark test scores will increase for all

    students
    Five out of seven students with ADHD will receive

    passing grades in language
    arts, math, social studies,
    and science
Measurement of Outcomes
        (should be observable and measurable)


  Daily log of behavior clip moves

 Teacher keeps track of grades and
  compares them to previous marking
  period
 Benchmark grades are compared to
  previous marking period
 Report card grades
Analysis of Results
Compare grade outcomes and behavior logs
of Class A with the control group to
determine if the teacher’s training in
behavior management and modification has
been beneficial.
Chapter Four:
Solution Strategies
Problem Restated

The problem, as indicated in this
study, is that due to the lack of time
and training, elementary school
teachers are not using effective
behavior management strategies for
children with ADHD who frequently
disrupt classroom instruction.
Behavior Modification
                 Strategy
    Methods to modify behavior of students with

    ADHD
     – Teacher Training
     – External reinforcement
     – Intermittent positive reinforcement
     – Daily Behavior Report Card
     – Self-regulation
     – Proper use of Time-out
Teacher Training
    40 hour training course on effectively

    managing ADHD students including:
    – How to identify students with ADHD
           Inattention, hyperactivity, and impulsivity
       

    – Behavior modification techniques and how to measure the
      student’s behavior
    – How to identify signs of target behaviors
           Target behaviors are behaviors the teacher wants to decrease or
       
           eliminate
    – How to successfully use a reward system for positive
      behavior
    – Effective time-out strategies
    – Effectively communicating the student’s behavior with
      parents
Teacher Training(cont.)

    Collaboration

     School Psychologist
           Will meet once a week for four weeks for one
       

           hour at a time
           Will provide in-classroom instruction
       

     Special Education Team
Intervention Program
    Peer-mediated intervention

    – The first step is assigning trusted peer-partners
    – Next, all students and partners will be trained to self
      monitor and to identify alternative social skills
    – Every 15 minutes the teacher will give feedback and praise
      to the ADHD students as a form of positive reinforcement
    – The teacher will meet with all students once a week to see
      how the process is working and if adjustments need to be
      made
    – A calendar plan will be maintained that covers six weeks of
      training and implementation of the peer partner’s strategy
      to monitor the program
References
    Bloh, C., & Axelrod, S. (2008, April). IDEIA and the means to change behavior should be enough:

            Growing support for using applied behavior analysis in the classroom. Journal of Early &
            Intensive Behavior Intervention, 5(2), 52-56. Retrieved February 20, 2009, from Academic
            Search Complete Database.
    Chang, H., Chang, C., & Shih, Y. (2007, June). The process of assisting behavior modification in a

           child with attention-deficit hyperactivity disorder. Journal of Nursing Research, 15(2),
           147-155. Retrieved February 20, 2009,           from CINAHL Plus with Full Text database.
    Evans, S., Schultz, B., & Sadler, J. (2008, August). Psychosocial interventions used to treat

            children with ADHD: safety and efficacy. Journal of Psychosocial Nursing & Mental Health
            Services, 46(8), 49-59. Retrieved February 20, 2009, from CINAHL Plus with Full Text
            database.
    Kirkpatrick, L. (2005, Fall2005). ADHD treatment and medication: What do you need to know as an

            educator?. Delta Kappa Gamma Bulletin, 72(1), 19-24. Retrieved February 20, 2009, from
            Academic Search Complete database.
    Nowacek, E., & Mamlin, N. (2007, Spring2007). General education teachers and students with

            ADHD: what modifications are made?. Preventing School Failure, 51(3), 28-35. Retrieved
            February 20, 2009, from Academic Search Complete database.
    Vereb, R., & DiPerna, J. (2004, September). Teachers' knowledge of ADHD, treatments forADHD,

            and treatment acceptability: An initial investigation. School PsychologyReview, 33(3), 421-
           428. Retrieved February 27, 2009,from MasterFILE Premier database.

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Behavior management and elementary students with ADHD

  • 1. Behavior Management and Elementary Students with ADHD Team A: Alice Allen, Emily Carter, Shari Hardy, Bobbi Murrell, and Amanda Pegues University of Phoenix March 21, 2009
  • 3. Problem Statement The problem, as indicated in this study, is that due to the lack of time and training, elementary school teachers are not using effective behavior management strategies for children with ADHD who frequently disrupt classroom instruction.
  • 4. Purpose To determine if behavior management and  modification strategies will result in greater learning and higher test scores for elementary students with ADHD. To determine if consistent boundaries, a  highly predictable routine and external reinforcers will reduce the amount of impulsivity and distraction in the classroom and lessen the impact of the disruptive students on the other children.
  • 5. Community Matthews Elementary School  – 2 of 4 third grade classrooms – 600 students and 75 teachers – Located in a country club community – City population:15,728 74.9% are white families  14.7% are black families  – Median annual income of $110,993
  • 6. Work Setting Matthews Elementary School  – Known for success with children with disabilities and behavior problems – School of Excellence Award for past 7 years – Fully staffed Special Education Team Majority of students diagnosed with ADHD  are assigned to two of the four third grade classes to ensure consistency with educational process of the students
  • 7. Work Setting (cont.) Classroom A Classroom B Twenty-one students Twenty students   Seven have ADHD Eleven have ADHD   Test Group Control Group   Mission Statement is “BEST” Mission Statement is “We will   (Believe in themselves and their strive to do our personal best by ability to achieve; Embrace practicing active listening, diversity and learn from it; Strive respect, caring, cooperation, to make ourselves, our school, effort, honesty and patience” and our community a better place; and Treat others the way we wish to be treated) 12 out of the 18 students with ADHD are medicated 14 of the 18 students are male and 4 are female Two teachers and one teacher’s aide will be observed
  • 8. Writer’s Role Five members of the School Improvement team: Amore Bambinos Dr. Dr. Addison Davies Dr. Anna Bassin Dr. Norgina Wright Dr. Elizabeth Cromwell Each member has extensive background in dealing with students with ADHD
  • 9. Chapter Two: Study of the Problem
  • 10. Problem Description Difficulties with controlling impulsivity  – Children are interfering with the teacher’s ability to teach – Children without ADHD are being affected by poor behavior of other students Staying on task is difficult  – so class work, homework assignments, activities, and projects are often incomplete Organization can be problematic  – Homework and books are regularly misplaced or unaccounted for
  • 11. Problem Documentation Observation of the classroom environment  – Setting has been observed to assess the behavioral tendencies of the children – Teachers have been observed to determine their effectiveness in instructing and interacting with students who have ADHD Questionnaires  – Measure teacher’s understanding of behavior management strategies for children with ADHD Periodic review of lesson plans  – Demonstrate if the teacher’s lesson plans are keeping pace with standards Review of student’s academic performance 
  • 12. Highlights of Literature Review “Medical treatment can reduce a hyperactive child’s  symptoms. But cultivation of internal control and good behavior requires behavioral treatment, and, especially, a relationship between pre-behavioral stimulation and response” (Chang, Chang, & Shih, 2007, p. 153). “Although children with ADHD experience significant  academic and behavioral difficulties, research suggests that the majority of classroom teachers lack knowledge of what constitutes appropriate interventions and modifications (Parker, 1992)” (Nowacek & Mamlin, 2007, p. 28).
  • 13. Highlights of Literature Review (cont.) By analyzing the classroom, teachers can make  themselves more organized and more responsible so that they can encounter fewer disappointments (Heward & Wood, 2003)” (Bloh & Axelrod, 2008, p. 52). “Effectively teaching students with ADHD often  requires the use of a variety of interventions in the classroom. Researchers (e.g., Eckert & Hintze, 2000) have suggested that teachers' acceptability of various treatments may influence their willingness to utilize them” (Vereb & DiPerna, 2004, p. 427).
  • 14. Highlights of Literature Review (cont.) “Generally, best results occur when a team  approach is used with parents/family, school personnel and therapists or physicians working together” (Kirkpatrick, 2005, p.23). “Attendance and engagement are critical  variables in the success of parent training, as studies have shown that the degree with which parents implement the procedures as instructed affects the benefits to the child (Hinshaw et al., 2000)” (Evans et al., 2008, p. 52).
  • 15. Causative Analysis Many teachers lack a basic understanding of ADHD  Students are not self-monitoring or practicing cognitive behavior  management skills Teachers may lack the knowledge of appropriate interventions and  modifications The lack of teaching experience may be a factor  A lack of special education courses and training may hinder the  progress that a teacher can make while accommodating ADHD learners ADHD frequently coexists with other problems such as learning  disabilities, Oppositional Disorder, and depression Insufficient collaboration on part of the parents, family, school  personnel and physicians or psychiatrists
  • 17. Goals and Expectations Teachers will receive training that will allow them  to implement effective behavior management strategies with their students. Well-informed teachers will execute systems  designed to create a calm and productive learning environment. ADHD learners will flourish under the guidance and  instruction of a teacher who has learned to accommodate their needs as well as those of the other students.
  • 18. Expected Outcomes Disruptions will decrease by 75%  Five out of seven students with ADHD will receive  passing grades on tests, class work, and homework Benchmark test scores will increase for all  students Five out of seven students with ADHD will receive  passing grades in language arts, math, social studies, and science
  • 19. Measurement of Outcomes (should be observable and measurable) Daily log of behavior clip moves   Teacher keeps track of grades and compares them to previous marking period  Benchmark grades are compared to previous marking period  Report card grades
  • 20. Analysis of Results Compare grade outcomes and behavior logs of Class A with the control group to determine if the teacher’s training in behavior management and modification has been beneficial.
  • 22. Problem Restated The problem, as indicated in this study, is that due to the lack of time and training, elementary school teachers are not using effective behavior management strategies for children with ADHD who frequently disrupt classroom instruction.
  • 23. Behavior Modification Strategy Methods to modify behavior of students with  ADHD – Teacher Training – External reinforcement – Intermittent positive reinforcement – Daily Behavior Report Card – Self-regulation – Proper use of Time-out
  • 24. Teacher Training 40 hour training course on effectively  managing ADHD students including: – How to identify students with ADHD Inattention, hyperactivity, and impulsivity  – Behavior modification techniques and how to measure the student’s behavior – How to identify signs of target behaviors Target behaviors are behaviors the teacher wants to decrease or  eliminate – How to successfully use a reward system for positive behavior – Effective time-out strategies – Effectively communicating the student’s behavior with parents
  • 25. Teacher Training(cont.) Collaboration   School Psychologist Will meet once a week for four weeks for one  hour at a time Will provide in-classroom instruction   Special Education Team
  • 26. Intervention Program Peer-mediated intervention  – The first step is assigning trusted peer-partners – Next, all students and partners will be trained to self monitor and to identify alternative social skills – Every 15 minutes the teacher will give feedback and praise to the ADHD students as a form of positive reinforcement – The teacher will meet with all students once a week to see how the process is working and if adjustments need to be made – A calendar plan will be maintained that covers six weeks of training and implementation of the peer partner’s strategy to monitor the program
  • 27. References Bloh, C., & Axelrod, S. (2008, April). IDEIA and the means to change behavior should be enough:  Growing support for using applied behavior analysis in the classroom. Journal of Early & Intensive Behavior Intervention, 5(2), 52-56. Retrieved February 20, 2009, from Academic Search Complete Database. Chang, H., Chang, C., & Shih, Y. (2007, June). The process of assisting behavior modification in a  child with attention-deficit hyperactivity disorder. Journal of Nursing Research, 15(2), 147-155. Retrieved February 20, 2009, from CINAHL Plus with Full Text database. Evans, S., Schultz, B., & Sadler, J. (2008, August). Psychosocial interventions used to treat  children with ADHD: safety and efficacy. Journal of Psychosocial Nursing & Mental Health Services, 46(8), 49-59. Retrieved February 20, 2009, from CINAHL Plus with Full Text database. Kirkpatrick, L. (2005, Fall2005). ADHD treatment and medication: What do you need to know as an  educator?. Delta Kappa Gamma Bulletin, 72(1), 19-24. Retrieved February 20, 2009, from Academic Search Complete database. Nowacek, E., & Mamlin, N. (2007, Spring2007). General education teachers and students with  ADHD: what modifications are made?. Preventing School Failure, 51(3), 28-35. Retrieved February 20, 2009, from Academic Search Complete database. Vereb, R., & DiPerna, J. (2004, September). Teachers' knowledge of ADHD, treatments forADHD,  and treatment acceptability: An initial investigation. School PsychologyReview, 33(3), 421- 428. Retrieved February 27, 2009,from MasterFILE Premier database.