Over on ms-teacher, a teacher has a little piece applauding a mother’s response to her daughter being suspended from school for bullying. The entry refers to a newspaper article describing how 12-year-old Miasha Williams’ mother had her hold a sign reading “I engaged in bullying behavior. I got suspended from school and this street corner. Don’t be like me. Stop bullying” in front of schools.
Continue reading ‘Bully picture’
Archive for the 'Acting out' Category
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In an article entitled “City special-ed lapses increase school violence,” Martha Woodall and Susan Snyder of the Philadelphia (PA, US) Inquirer describe how the local education agency’s failure to provide appropriate services to a student with Emotional and Behavioral Disorders played a role in that student’s beating of a teacher. On 23 February 2007 in a hallway outside Frank Burd’s algebra class, student Donte Boykin pushed his teacher (Mr. Burd) into another student, James Footman. Mr. Footman punched Mr. Burd in the face repeatedly, and Mr. Burd fell, breaking his neck.
Continue reading ‘Schools failed’
A school board in Milwaukee (WI, US) voted to develop a policy that would allow schools to permit the use of handcuffs on students. The Milwaukee Journal Sentinel commented on this issue in an editorial in late April. Here’s the beginning of that editorial:
Continue reading ‘Handcuffs in school’
The Incredible Years programs, which comprise a coordinated set of (a) parent training programs and individual family counseling, (b) teacher training and school consultation, and (c) group child training in social skills, problem-solving, and anger management, are in the news again. The IY programs are aimed at reducing conduct problems in young children. They have been researched extensively.
Continue reading ‘Incredible Years’
Sphere: Related ContentAccording to a story carried by CBS 3, a Philadelphia (PA, US) television station, authorities have charged a 12-year-old student with disabilities with disorderly conduct after she urinated in her pants at school. The CBS 3 report is based on a report published 20 December 2006 by the Danville (PA, US) Press Enterprise under the headline “Danville pupil charged with wetting her pants: Angry parents say police shouldn’t have been called” and with the lead, “A sixth-grade girl was charged by police with deliberately wetting her pants at Danville Middle School. (The Press Enterprise article requires a paid subscription, so I’m basing my coverage on an AP article carried by CBS 3. Continue reading ‘Conduct disorder?’
Sphere: Related ContentUnder the title “Troubled Children: Parenting as Therapy for Child’s Mental Disorders” in the New York Times, Benedict Carey has an extended article about parents using behavioral techniques to address the problems experienced by children with ADHD, acting out, Tourettes, and other Emotional and Behavioral Disorders. Mr. Carey focused his article on a family, the Popczynskis, who successfully learned to employ management procedures by working with William Pelham and his colleages at the the University of Buffalo.
Continue reading ‘Family therapy’
Sphere: Related ContentOver on Mentor Matters Mrs. Ris has reported on her efforts to help a child with some substantial Emotional and Behavioral Disorders. Mrs. Ris is an experienced teacher who’s seen some difficult students, but she’s decided that this particular boy needs something more than what she and her team can provide. Having had to make similar recommendations, I know how difficult it is to make such decisions. But, for some children, the plain fact is that sometimes more help is needed. Mrs. Ris explains this well.
I’m not sure if this is the same child to whom she referred when she welcomed a sixth child to her classroom, but there are two recent posts—relief and the waiting game—that tell the current story.
Sphere: Related ContentSometimes I just don’t get it.
The following abstract (from PubMed) describes research on use of medications as a treatment for preschoolers with attention deficit hyperactivity disorder, disruptive behavior disorder, and posttraumatic stress disorder. I suspect that the article reports on prior interventions that have been tried in most of the cases described in the study, but I have to wonder whether those interventions were well-conceived and -executed. Afterall, preschoolers are little kids. Most all of them are very susceptible to differential reinforcement. Did anyone test a carefully implemented time-out program with these kids (and I don’t mean one of the bogus take-time-to-get-yourself-together practices that are often labeled “time out”)?
There are surely a few preschoolers who will not respond to effective behavior management practices, and for those children and their families we must turn to additional means of therapy. But, I hope professionals concerned with Emotional and Behavioral Disorders among young children are using well-documented behavior modification procedures as a much earlier line of therapy.
Sphere: Related ContentProg Neuropsychopharmacol Biol Psychiatry. 2006 Sep 26; [Epub ahead of print] Related Articles, Links
Psychopharmacologic treatment of aggressive preschoolers: A chart review.
Staller JA.
Division of Child and Adolescent Psychiatry, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA.
Very young children with severe aggression are a growing focus of care in child psychiatry. Notwithstanding diagnostic uncertainties in this age group, medication, not usually considered a first-line intervention, is becoming a treatment option for a growing number of clinicians in spite of a dearth of research in this area. This chart review assessed the patient characteristics, diagnoses and treatment responses of aggressive preschoolers who were treated in a university child psychiatry outpatient clinic from 2001-2004. The most common diagnoses were Attention Deficit Hyperactivity Disorder (ADHD), Disruptive Behavior Disorder and Posttraumatic Stress Disorder (PTSD). Medication was prescribed for a majority of the children with prominent aggression; atypical antipsychotics were prescribed with the greatest frequency, followed by stimulants and then alpha agonists-treatment response ratings indicated moderate to marked improved in a majority of the preschoolers who received one or a combination of these medications. Findings support the need for controlled trials of medication in preschoolers with severe aggression.
Over at Soapy Water molly_g has been documenting the joys and travails of having a child who “didn’t come out of the cookie cutter.” “The Kid,” as she calls him, is going on 7 years old (I think) and having a difficult go at this time, behaving aggressively and experiencing what molly_g calls “a seasonal disorder.” There are issues of many stripes in this story (medication, insurance, etc.), and now she’s struggling with the schools about appropriate placement. It’s a story the deserves following and molly_g and The Kid deserve support. Go read “Rock bottom” and the rest of the entries recounting the story.
Sphere: Related ContentSometimes when police officers interact with children and youths with Emotional and Behavioral Disorders, the results concern me, as noted previously in my posts Letter to editors, Law enforcement protection, and Police training recommended (also see mollyg’s comment on the last of these posts). I came across another instance recently and want to report it here with links for further study.
According to a report from the Oregon Advocacy Center (OAC), an independent and not-for-profit organization that provides advocates for people with disabilities in Oregon (US), the story is about an 11-year-old boy (4’4″ or 1.3 meters tall and 65 lbs or 30 kilograms in weight) who had a long history of Emotional and Behavioral Disorders. The boy, referred to as “J” in the report, lived in a residential facility that had a school on the premises. One day, in an apparent rage, he destroyed items in his special education classroom and a teacher aide suffered scrapes and bruises when unsuccessfully restraining him. The teacher and aide took the other children out of the room and sought assistance. Someone called the police, who apparently arrived promptly. Meanwhile, the boy barricaded himself in the room.
On October 4, 2004, four armed police officers wearing riot gear and pre-authorized by a police captain to use a taser gathered in an Oregon elementary school hallway outside of a special education classroom. From behind the barricaded doorway, they could hear the screaming and swearing of a single fifth-grader. He had been trashing the room’s contents for thirty minutes or more and throwing them through the hole where the door’s window had been. Eventually, the police got behind a table and entered the room by pushing aside the furniture piled against the door.
As the four officers entered, one with a drawn taser and the other three “capable of providing lethal cover if the need arose,†the boy held a five-inch long metal drawing compass with a pointed end over his head as if to throw it. The officer who carried the taser fired his darts. The boy dropped on his back, twitching as a 5-second cycle of 50,000 volts went through his body. When he stopped moving, he was lifted to his feet and handcuffed.
In my view, this situation represents several failings, many of which the OAC reported noted. It’s easy to express concern about use of a taser on a small child; the police officers needed to know and employ other ways of handling the situation, to be sure. However, the situation should never have been allowed to escalate to the point that someone at the school called police; there are both preventative measures and means of responding to violent outbursts that can be employed. Here’s more from the OAC report:
The injection of police into situations where special education students have emotional outbursts is a short-sighted remedy that has not been shown to be effective in our state or elsewhere. More importantly, calling police as a method to control children like J is, in our view, almost never necessary and almost always traumatic. In all but the truly dangerous circumstance where a student poses an imminent threat to another person, we believe that the introduction of police into the mix should be viewed as an indication of poor educational practice and planning.
To their credit, it appears that many people involved did good things. Teachers had received (apprently ineffective) training in restraint. Teachers took other students out of harm’s way. School personnel were apparently concerned about risks to the boy himself.
I am in no position to second guess the people involved in this situation. The realists among we special educators know that sometimes these students have outbursts. However, I see it as a good example of how people in my position and other similar positions—those charged with preparing teachers and other public servants to do their jobs—need to anticipate the possibility that our students will have to address such volitile situations. We need to make sure that special educators, not just the police, know how to handle problems such as those that this boy apparently presented.
Please add to the list by commenting: Schools need policies and procedures for handling emergencies. Teachers need to provide environments that reduce the probability of outbursts. Teachers need real practice (not just idle theorizing) about calm restraint. Administrators need the same. Etc.
Link to the OAC report. Link to an advertisement for a book by Dennis Debbaudt entitled Autism, Advocates, and Law Enforcement Professionals. A friend told me that developmental disabilities councils in US states have created or are creating guidelines on interactions; if you know of such documents in your area (US or not), please pass them along to me.
Sphere: Related ContentProfessor David Schwebel and colleagues of the Department of Psychology and the Youth Safety Lab at the University of Alabama Birmingham (AL, US) reported that mothers’ ignoring of dangerous behavior correlates with children with externalizing behavior. These results are consistent with other research showing that parental monitoring of behavior is a component in Emotional and Behavioral Disorders.
How mothers parent their children with behavior disorders: implications for unintentional injury risk.
How mothers parent their children with behavior disorders: implications for unintentional injury risk.
J Safety Res. 2006;37(2):167-73
Authors: Schwebel DC, Hodgens JB, Sterling S
INTRODUCTION: This study was designed to test the role of parental supervision in explaining why children with behavior disorders have increased risk of unintentional injury. METHOD: Children referred to a pediatric behavior disorders clinic and their mothers were unknowingly observed in a “hazard room” environment that housed several items that appeared dangerous but actually were altered to be safe. RESULTS: Mother and child behavior in the hazard room was correlated to parent-, teacher-, and observational-reports of children’s externalizing behavior patterns, children’s injury history, and mother’s parenting styles. Maternal ignoring of children’s dangerous behavior in the hazard room was the strongest correlate to children’s injury history. CONCLUSIONS: Poor parental supervision might serve as a mechanism to explain why children with behavior disorders, and those with oppositional behavior patterns in particular, have increased risk of unintentional injury.
Link to PUBMED abstract.
Sphere: Related Content
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