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Afnan Es-sayyid
Thursday, April 4th, 2013
           Lisa McCaie
              Inclusion
          ECEP 233-063
My Child
    Priya is my child and she has Oppositional Defiant
                         Disorder.
Scenario:
  You have observed atypical development in many areas
  of development in Priya. Yesterday, her Mom was told
  that Priya has ODD (Oppositional Defiant Disorder).
  She asked you, “What do I do now?” and begins to cry.
  She covers her face and says “why me?”


                                Virtual Child: Afri,
                                1st semester.
Special Need?




http://lostandtired.com/2012/09/30/lets-talk-
       about-special-needs-parenting/
Priya & Family’s Needs?
 Priya’s mother was told that Priya has Oppositional
 Defiant Disorder.

Priya:
 Atypical development in many areas of development


Mother:
 Wonders what to do with this diagnose
 Wonders why this is happening to her
What is ODD?
 Oppositional Defiant Disorder (ODD) “is a condition
 in which a child displays an ongoing pattern of
 uncooperative, defiant, hostile, and annoying behavior
 toward people in authority. The child's behavior often
 disrupts the child's normal daily activities, including
 activities within the family and at school”(WebMD,
 Mental Health Center)



                                              http://oppositional-
                                              defiant-disorder-
                                              odd.wikispaces.com/
Atypical Development?
 An individual who is different than others in terms of a
 normal aspect such as, an individual growing up
 within the normal ages and stages. Atypical would be
 an individual who grows at pace or really slow, and
 who is diagnosed with any special need.




                          http://blog.journals.ca
                          mbridge.org/2013/02/at
                          ypical-language-
                          development/
ODD Video


          http://youtu.be/0VWPbTfLt-Q

This video talks about ODD and its background history
     such as, what’s it about and how it has formed.
                  (Class Notes Video)
Modifications




http://labspace.open.ac.uk/mod/oucontent/view.php?id=425702&section=1.2.4
Adaptation to Physical
                    Environment
 Modifications that could
    take place are for Priya
    would be:
- Materials, Toys &
    Equipment
-   Labelling System
-   Flexibility in Routines,
    Schedules & Activities
-   Stability & Predictability
-   Collaborative Planning
-   Preparing the child to
    Transition to School
         http://nicoleshomedaycare.blogspot.ca/
Materials, Toys & Equipment
 Have appropriate materials for the
  children to play with to avoid health
  and safety issues. This would help
  Priya by being able to connect with
  the item without frustration.

 Have manipulative materials and toys
  for children to avoid conflict, arguing,
  fighting, tantrums, and
  temperaments between the children
  which will set Priya off.
                                             http://www.naeyc.org/toys
       (Class Notes: Adaptive Learning
        Environments, Jan. 31st, 2013)
Labelling System
 Labelling large print items and toys
  in the classroom will make the
  child’s environment easier to access
  and they will visually see where the
  things they want are. For example, if
  Priya has no patience to look around
  and read for toys, instead of getting
  frustrated there could be different
  types of visuals.
                                          http://childhood101.com/2012/11/clearing-
 Other visuals are symbols, pictures,    the-kids-clutter-printable-toy-tub-labels/

  and shaped containers.
      (Class Notes: Adaptive Learning
         Environments, Jan. 31st, 2013)
Flexibility in Routines, Schedules &
               Activities
 Allowing more time to transition
 Consistency in order of the day, but
  time is flexible
 Modification of activities to be
  more inclusive
 Expectations and follow through
 If these pointed are taken into
  consideration Priya would be more
  relaxed and there would be less
  interruption throughout the day in
  schools and homes.
     (Class Notes: Adaptive Learning     http://www.docstoc.com/docs/3546771/CAUTION-
        Environments, Jan. 31st, 2013)    KIDS-AT-PLAY-DAYCARE-DAILY-SCHEDULE-
                                                        am-am-ARRIVAL
Stability & Predictability
 Even though you should be flexible with transitions, schedules,
    and planning you should still maintain stability and
    predictability for the Priya so that she can learn the routines and
    one day will be able to follow through without interruptions.
   A modification that could be made would be creating a schedule
    that the child can understand and you go through it with them
    to apply it. Then you let them know you’re available to support
    them at anytime.
   Also, talk to the child about emergency procedures and what to
    expect; so that they are able cooperate with you during these
    unexpected transitions.
   Always have expectations and follow through.
   If you follow these steps with your child who has ODD they will
    eventually learn the steps and expectations in the home or
    school and will follow through. Once they learn these
    transitions or procedures they will predict it and follow through
    easily than usual.
Collaborative Planning
 Be open to the learning and experience of Priya
 Take intro consideration her needs and comfort zone
 Have several material equipments
 View the environment as a 3rd teacher
 Always provide moral support
 If these steps were to take place Priya would feel included
  within the children and will build on her self-esteem to be
  postive and outgoing than viewing herself as trouble or
  not capable to cooperate or do anything.
                           (Class Notes: Adaptive Learning
                           Environments, Jan. 31st, 2013)

  Image: http://jonathancanzio.blogspot.ca/2012/12/collaborative-planning.html
Preparing the Child to Transition to
              School
 Have talks and discussions with Priya before
  attending to school and explain to her what it is and
  why she needs to go and the outcomes of it.

 Have a booklet that introduces the child to the
  environment of their classroom such as, where their
  cubbies are or where the toys are.
                                                          http://familysyste
                                                          matics.typepad.co
                                                          m/homework_succ
 Always have a couple of visits with the child and get   ess_network/new-

  them to get comfortable and adapt to the                 school-year-tips/


  environment before leaving the child there which will
  affect the child and set them off into temperaments.

              (Class Notes: Adaptive Learning
               Environments, Jan. 31st, 2013)
Teaching Strategies
 Modifications that could take place
    are for Priya to learn would be:

-   Visual communication
-   Visual images
-   Saying no less
-   Fidget Kits
-   Basket Approach
-   Calming strategies to use with
    children
-   Reinforcement
-   Task analysis
-   Giving instructions
                                        http://live-the-solution.com/mindmaps/
-   Giving choices
-   Chaining & Shaping
 Communication:
                                 Visuals
- “Visual supports hold time and space, direct
  attention, allow more time to process information,
  help memory and teach more words”
  (ConnectAbility: Visual Communication Workshop.
  Class notes).
- This allows children to use their words than throw
  many tantrums in the environment harming
  themselves. This would help Priya explain herself or
  what she wants when she’s under stress and throwing
  a temperament.

 Visual Images:
                                                          http://playfullearning.
- First and then approach to allow them to understand        net/using-visual-
  what comes first and then what comes second.               schedules-with-
- Allows them to process information easily and can              children/
  visualize what is expected from them.
- Always go step by step to help the process and not to
  trigger the child.
(Class notes: Using Visuals. Feb. 28th, 2013)
Less “NO” = Cooperation
  When a child is told no most of
   the time that’s when they began
   their tantrum and their reaction
   changes into an unpleasant
   mood.
  Instead of demanding the child       http://magicalhomes.in/are-parents-
                                          saying-no-less-often-to-children/
   to clean their room or do a task,
   work your way into the situation
   and talk to them about cleaning
   their room for example instead of
   them yelling no and you getting
   frustrated.
                                                 http://www.story-
                                       lovers.com/listscooperationstories.html
Fidget Kits
 These devices are used to help
  children focus and maintain
  attention during challenging
  activities such as, learning in a
  classroom setting or child care
  setting.
 The kit has sensory items to keep
  the child’s attention and they’re
  used for calming, focusing, and
  self-regulation.
   (Adaptive Devices: Class notes,    http://www.cheapdisabilitya
               03/28/13)                ids.co.uk/tactile-fidget-
                                           hamper-1184-p.asp
Basket Approach
 Basket A “My way or the Highway”
- Use once in a while (safety issues)
    such as, unsafe actions.
   Basket B “Parent as Teacher”
-   How to deal with the child
-   Proactive approach
-   Teaching social skills
   Basket C “Whatever”
-   Prioritize what is important and                     http://www.finishrich.co
    what can wait                                            m/blog/3-basket-
                                                          approach-to-financial-
                                                                 security/
    (Video- Oprah: Out of Control Children. Feb. 28th,
                           2013)
Calming strategies to use with
                 Children
 Choose a good time and age appropriate
Calming Activities:
- Breathing exercise (blowing candles/
  balloons)
- Physical activity (yoga, tense and relax,
  and stretching)
 Sensory play (Feeling Box, Listening
  Centre, Visual Centre)
 Positive self talk (I can…)
 These can help Priya during stress times
  and if she practise these strategies at
  appropriate times she can learn to use       http://pinterest.com/pi
  them when she’s angry or in a tantrum.       n/13018286392949116/
http://connectability.ca/2010/09/23/calming-
        strategies-to-use-with-children/
Reinforcement
 Reinforcement allows the child to learn new skills, build
   independence and self-esteem.
 It motivates the child and allows learning to occur faster
 Learning a new skill can be challenging but with
   reinforcement it helps the child stay on task.
4 Types of Reinforcement:
1. Social praise and attention such as, clapping
     high 5, tickle, smile, hugs/kisses, and cuddle
2. Tangible items such as, toys
3. Favourite Food if child does not respond verbally
4. Token economy such as, allowance or money           http://www.goodreads
                                                                              .com/book/show/1276
  (Class notes: ConnectAbility- Reinforcement workshop.   Feb.21st,   2013)   42.10_Days_to_a_Less
                                                                                 _Defiant_Child
Task Analysis
 Task analysis is when you break down complex skills
  into smaller easier steps to learn.
 Visual supports help for more complex steps.
 If the skill is too easy, you may be creating
  dependency but if it’s too hard the child can become
  frustrated.
 Begin with easy skill then move towards hard.
 You need to identify what the child can or cannot do.
  Then move from there.
 Data collection is a key component of skill building. It
  helps you track the progress, know when to fade
  assistance and to identify areas that need extra
  teaching.                                                         http://jennygusmay.wikis
                                                                    paces.com/Task+Analysis
 For example, while evaluating use short terms to
  describe child’s behavior such as, IND – independent.
 Gradually reduce the amount of prompts to increase
  independence.
 Success is built one step at a time.
   (Class notes: ConnectAbility: Task Analysis. March.14th, 2013)
Giving Instructions
 Set realistic expectations
 Set your child up for success
 Expect follow through
 Provide assistance
 Use their name and always maintain at eye level
 Make brief directions
                                                                                 http://www.juxtapost.co
 Use visuals to help child understand such as, gestures                        m/site/permlink/a86006e
                                                                                     0-d70a-11e1-9b77-
 Use positive language                                                         fda9bc46bee5/post/essen
                                                                                tial_guidelines_for_giving
 Allow enough time for child to process, wait and reinstruct if                _instructions_to_children
  needed                                                                        _and_using_your_words_
                                                                                     more_effectively/
 Always use priase
 Consider what will motivate the child
 This is important with do with a child who has ODD because
  you’re guiding them gently and slowing for them to follow what
  you’re instructing them to do, so that they gradually respond to
  you without being oppositional or defiant.
           (Class notes: ConnectAbility: Giving Instructions. Feb.21st, 2013)
Giving Choices
 Teaching new skills to reduce
  frustration, promote self-esteem and
  to replace behaviour that may not be
  the most acceptable.
 Breaking down tasks
 Giving options such as, would you
  like to do this or that or would you
  like help with this or would you like
  to try it alone?
 By providing the child with options
  and when teaching them new skills                http://mylittlebitoflife.com/?page_id=631

  can help them follow through and it
  builds on their self-esteem and
  independence.
  (Class notes: Making a choice. Feb.21st, 2013)
Chaining & Shaping
 Building one step onto another learned step in the
  sequence creating a strong chain.
 Shaping is where the child is rewarded for
  approximating or getting close to the steps that we
  want to see in the end. Gradually more steps are
  expected before the child receives the reward.
          (Class notes: Chaining & Shaping. March 14th, 2013)
 This helps would help Priya learn to do things slowly
 till she learns how to do it to avoid frustrations and
 temperaments and then being praised would
 encourage her to practice more than get angry.
  http://www.youtube.com/watch?v=vWQ0cE1pS-Q
Other Children
 Inclusion
 Collaboration
 Reading Inclusion
  Books
 Prompting and Fading
 Workshops with
  children to answer
  Q&A they have on
  ODD.
                         http://handsonblog.org/2012/07/31/give-your-
                                  teachers-more-than-apples/
Inclusion
 Children with special needs attend
  educational, recreational, and
  community programs with their peers.
 Built on the foundation of respect,
  fairness, justice and equity.
 Inclusion allows developmental
  progress because children learn from
  other children.                                                                http://www.emcoalition.c
   (Class notes: Inclusion of Children with Special Needs.   Jan.10th,   2013)       a/policies/social-
                                                                                         inclusion/
Aren’t they all our children:
http://www.youtube.com/watch?v=kaIRNXpoi34
Collaboration
                                         http://www.aiim.org/What-is-Collaboration

 Including all children in activities to allow them to
  collaborate and make the experience accessible for all.
 For example, Priya dislikes fast transitions so to meet
  her needs as well as the other children’s needs, then
  you would need to plan something engaging that will
  direct Priya as well as others all together to the next
  transition rather than saying Priya its time to go and
  taking her from her spot which will make her upset
  and while you calm her down others will be waiting.
Inclusion Books
   My Brother Sammy
   Having a Brother like David Author: Cindy Dolby Nollette and Others
   The ADDed Touch
   Special people, special ways. Maguire, Arlene
             (Class notes: Children with special needs book list titles. Feb.21st, 2013)
  These books are beneficial in classroom or home setting for other
  children and if Priya has siblings to help them understand more about
  being inclusive with children who have special needs.
For more books you can go on:
http://www.state.nj.us/humanservices/documents/ChildrensBiblioDisabi
                                 lityBooks.pdf

    You can also print your own book and use it as a strategy with all
    children including Priya to help them understand when they hit, yell,
    scream, and have tantrums that it hurts others. I personally like the
    “Tucker Turtle Takes Time to Tuck & Think” and “I can be a Super
    Friend”. If you would like to print more books on more topics you can
    visit this link and have it as a resource for children to learn from.
    http://csefel.vanderbilt.edu/
Prompting & Fading
 5 areas: physical, modeling, verbal,
  positional, pointing, and
  environmental.
 For example, if you instruct Priya to
  share with her peer and she is not able
  to do it on her own then you would use
  a strategy from prompting and fading
  to improve her ability to cooperate.
  Therefore you would position her arm
  to share.
 If Priya is having a hard time
  cooperating with others then you can
  point or verbally try to help her include http://www.childmdim.com/resource
                                                 s/sub-page-2/aba-approach/
  herself with others and get along.

 (Class notes: A review of Prompting and Fading. March 14th,
                              2013)
Children Workshops
 I believe having open discussions with children and
  answering any questions they have on what they see
  Priya doing when she’s upset would be beneficial
  and they would learn how to cope with Priya at
  those times and what to do or not to do.
 Children will learn to be more acceptable of others
  if they’re taught about it and that removes all their
  negative and basis views on Priya.



                    http://christianazadi.girlshopes.co
                    m/childrensworkshop/
Needs of Family (Mother)
 Learn and Understand Priya’s Disorder to help her
 Follow through steps and procedures where you can
  learn about what to do and not to do with Priya
 Learn how to deal with any defiant behaviour
 Work through your emotions
 Contact agencies and doctors to help you with Priya




                                  http://sexandtheshtty.blogspot.ca/
                                  2012/08/the-family-flirt.html
How to React?
 Have proper attitude
 Stop and evaluate
 Breath                                                     http://www.friendshipci
                                                             rcle.org/blog/2012/07/26
 Find everything positive about your child                  /10-hurtful-comments-
                                                             from-relatives-about-
                                                             your-special-needs-
 Focus on how to improve the situation                      child/

 Make an achievable goal for the child and yourself
 Ask and find support
 Live in the moment and make it truly count
     (Class notes: working through your emotions. Jan.31st, 2013)
Sharing Information with Professionals
Involved with Your Child
 “Professionals may become involved with your child for a
  number of reasons. In getting to know your child and
  family, they may gather information to carry out an
  assessment, develop a service plan, and set goals.”
  (ConnectAbility.ca: sharing information with professionals involved with your child. April 2nd, 2013)

 Priya’s mother would be sharing information with many
  specialists, doctors, Priya’s teacher and would go through
  many more requirements to learn how to cope with Priya’s
  ODD.
 For more information on sharing information you can visit:
  http://connectability.ca/2010/09/23/sharing-information-
  with-professionals-involved-with-your-child/
Support the parent
 Provide space in the centre for parents to sit in to talk
  about their child’s progress and to discuss their child’s
  disorder with the educators.
 The centre could provide workshops/guest speaker for
  Priya’s mother and invite other parents to join to
  understand the disorder better than to judge Priya’s
  family.
 I believe working as a team and supporting Priya and
  her mother would help them get through each day
  with ease than hardship.
ODD Video
 http://www.youtube.com/watch?v=LYhkFxfL72w

This video talks about ODD and how parents keep
quiet about it because their children don’t have
temperaments at school. Why parents have a hard
time during the summer with their child than they do
during school.
Agencies/Resources




http://blog.care.com/sheila/pet_care/
Family Doctor
 Family doctors diagnose Priya
  and then send her to
  specialized centres that meets
  her cause
 The doctor also can helps her
  Mother with questions they’re
  aware of and support the
  family through the process of
  the diagnosis.

                                   http://www.yourdictionary.com
                                           /family-doctor
Resource teacher/consultant
 Priya’s Mother can get the Form14 and should connect with a resource consultant.
 A resource consultant gathers information that has to do with the child within special
  needs, assists the family and childcare staff to determine what needs to take place such
  as, goals and improvements.
 They also interact with professionals in the community that follow up with the special
  need.
  (Class notes: Twenty Questions, 03/14/13)
 Centennial College offers “Early Childhood Resource Consultant Conference” to talk
  about different disorders and guide you with information you can use for your child.

Registration deadline April 1st, 2013
Saturday, April 6, 2013
8:15 a.m. - 12:00 p.m.
Cost: $10.00
Centennial College
Ashtonbee Campus
75 Ashtonbee Road (West of Warden Ave. & North of Eglinton Ave. E.)
(Class Email: Centennial College- Resource Cousulant Program – 2013 Conference brochure.
                                       Pdf. 03/16/2013)
Resource Consultant Agency
   This is a resource consulting service that supports inclusion in all children from 0-12 years old that
   face variety of challenges in licensed childcare programs. Inclusive child care provides all children
   with early lessons in cooperation, respecting differences, and consideration of others.
                                       Community Living Kingston
“Resource Consultants will:
   Facilitate the inclusion of special needs children and their participation in licensed childcare
   programs
 Provide support to families including information, visits, consultation and service coordination
 Consult with community childcare programs including resources, programming suggestions and
   modeling for staff
 Link to community services and resources by providing information, service coordination and
   transitional planning
 Plan for transition to elementary school in collaboration with the family
 Provide resources from the Community Living resource lending library
 Provide training and professional development to assist community childcare curricula and
   environments”(Community Living Kingston:
   http://www.communitylivingkingston.org/ProgramsServices/ChildCareResourceConsultant/tabid/34
   5/Default.aspx. April 2nd, 2013)
                           For more information or to make a referral contact:
                         Maria Victoria, Child Care Resource Consultation Coordinator
                          Phone: 613 546 6613 ext. 226 Email: mvictoria@kdacl.on.ca
Collage Pediatric Therapy
Approach
 “We are a team of speech-language, pathologists, psychologists, occupational
  therapists and behaviour working together in a practice focused exclusively on
  children” (Website: Collage Pediatric Therapy)
 They believe the children will gain most when they have hand in hand experience
  within the same centre. This type of practice is called multidisciplinary and allows
  the families to benefit from one point of view and provides professionals that
  discuss the child’s progress.
 They offer back to back therapy appointments with different clinicians in the same
  building to gain good results. This centre provides resources for parents and
  teachers to learn the skills at home and in school that has to do with the child.
 The centre provided full time support to families and allow them a lot of time to
  talk about their child’s specific need and answering all their questions to increase
  their knowledge on the information they’re seeking.
Services & process/availability:
 They offer services for children and adults
 Treatments and treatment programs tips
 They offer offsite services such as, at home or at school
 They break down the ages and tell you when you
  would need to seek therapy and give you reasons why
  by providing you signs and symptoms.
 they provide on their website all the types of disorders
  or special needs they deal with.
 You can make an account and book an appointment
  online or you can call or email.
Funding:
 Families that meet the collage pediatric therapy
  income requirements can apply for funding from
  certain charity foundations.
 They offer payment plans that are available from their
  financing partners and you can pay the amount in 6
  months to 5 years.

 WEBSITE COLLAGE PEDIATRIC
         THERAPY:
 http://www.collagetherap
  ies.ca/en/oppositional-
      defiant-disorder
                              http://business.sfu.ca/gbsa/protocol-on-receiving-
                              gbsa-funding/
Locations
 Mississuage ON
  1100 Central Parkway West,
  Unit 4, Suite 100 Mississauga ,
  ON L5C 4E5
  T (905 ) 402-3122
  F (905) 402-3124
 Thornhill-Vaughan, ON
  10 Disera Drive, Suite 240
  Vaughan, ON L4J 0A7
  T (905) 660-9690
  F (905) 907-8235
Relief worker
 A relief worker can help out with the parents or the
  teachers to guide them through working with Priya.
 Also, a relief worker can work with Priya at home to
  allow the parent a time to rest and observe to learn
  different ways and strategies to implement daily with
  Priya for better results.




                                         http://www.123rf.com/photo_9085273_
                                         pledge-of-hope-logo-for-tsunami-
                                         relief-efforts-charity-drive-2011-
                                         japan.html
Conclusion
 Through all these guiding topics and points presented it
  should help Priya’s mother with information on
  Oppositional Defiant Disorder and how to cope with it.
 This information will also help Priya at home or at school
  and she will learn many skills and strategies that will help
  her stay calm and go with the flow easy as learnt in the
  hope to decrease any defiant behaviour and to build on her
  self-esteem.
 The agencies provided help the parent learn more about
  ODD and support the parent throughout the whole
  process.

                                         References
    WebMD, Mental Health Center: http://www.webmd.com/mental-health/oppositional-defiant-disorder. March 28th, 2013
   YouTube Video: http://youtu.be/0VWPbTfLt-Q March 28th, 2013
   Class Notes: Adaptive Learning Environments, Jan. 31st, 2013
   ConnectAbility: Visual Communication Workshop. Class notes
   Class notes: Using Visuals. Feb. 28th, 2013
   Class notes: Adaptive Devices. 03/28/13
   Video- Oprah: Out of Control Children. Feb. 28th, 2013
   Calming strategies for young children. http://connectability.ca/2010/09/23/calming-strategies-to-use-with-children/
    March 29th, 2013.
   Class notes: ConnectAbility- Reinforcement workshop. Feb.21st, 2013
   Class notes: ConnectAbility: Task Analysis. March.14th, 2013
   Class notes: ConnectAbility: Giving Instructions. Feb.21st, 2013
   Class notes: Making a choice. Feb.21st, 2013
   Class notes: Chaining & Shaping. March 14th, 2013
   YouTube Video: http://www.youtube.com/watch?v=vWQ0cE1pS-Q March 30th, 2013
   Class notes: Inclusion of Children with Special Needs. Jan.10th, 2013
   Aren’t they all our children: http://www.youtube.com/watch?v=kaIRNXpoi34 April 2nd, 2013
   For more books you can go on: http://www.state.nj.us/humanservices/documents/ChildrensBiblioDisabilityBooks.pdf
   Class notes: A review of Prompting and Fading. March 14th, 2013
   Class notes: working through your emotions. Jan.31st, 2013
   ConnectAbility: Sharing information with professionals, http://connectability.ca/2010/09/23/sharing-information-with-
    professionals-involved-with-your-child/ April, 2nd, 2013
   ConnectAbility.ca: sharing information with professionals involved with your child. April 2nd, 2013
   YouTube Video: http://www.youtube.com/watch?v=LYhkFxfL72w April 2nd, 2013
   Class notes: Twenty Questions, 03/14/13
   Community Living Kingston:
    http://www.communitylivingkingston.org/ProgramsServices/ChildCareResourceConsultant/tabid/345/Default.aspx.
    April 2nd, 2013)
   WEBSITE COLLAGE PEDIATRIC THERAPY: http://www.collagetherapies.ca/en/oppositional-defiant-disorder March
    20th, 2013
   CSEFEL: http://csefel.vanderbilt.edu/resources/strategies.html April 1st, 2013
   Picture References are on slides or in notes.

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Oppositional defiant disorder

  • 1. Afnan Es-sayyid Thursday, April 4th, 2013 Lisa McCaie Inclusion ECEP 233-063
  • 2. My Child Priya is my child and she has Oppositional Defiant Disorder. Scenario: You have observed atypical development in many areas of development in Priya. Yesterday, her Mom was told that Priya has ODD (Oppositional Defiant Disorder). She asked you, “What do I do now?” and begins to cry. She covers her face and says “why me?” Virtual Child: Afri, 1st semester.
  • 4. Priya & Family’s Needs? Priya’s mother was told that Priya has Oppositional Defiant Disorder. Priya:  Atypical development in many areas of development Mother:  Wonders what to do with this diagnose  Wonders why this is happening to her
  • 5. What is ODD?  Oppositional Defiant Disorder (ODD) “is a condition in which a child displays an ongoing pattern of uncooperative, defiant, hostile, and annoying behavior toward people in authority. The child's behavior often disrupts the child's normal daily activities, including activities within the family and at school”(WebMD, Mental Health Center) http://oppositional- defiant-disorder- odd.wikispaces.com/
  • 6. Atypical Development?  An individual who is different than others in terms of a normal aspect such as, an individual growing up within the normal ages and stages. Atypical would be an individual who grows at pace or really slow, and who is diagnosed with any special need. http://blog.journals.ca mbridge.org/2013/02/at ypical-language- development/
  • 7. ODD Video http://youtu.be/0VWPbTfLt-Q This video talks about ODD and its background history such as, what’s it about and how it has formed. (Class Notes Video)
  • 9. Adaptation to Physical Environment  Modifications that could take place are for Priya would be: - Materials, Toys & Equipment - Labelling System - Flexibility in Routines, Schedules & Activities - Stability & Predictability - Collaborative Planning - Preparing the child to Transition to School http://nicoleshomedaycare.blogspot.ca/
  • 10. Materials, Toys & Equipment  Have appropriate materials for the children to play with to avoid health and safety issues. This would help Priya by being able to connect with the item without frustration.  Have manipulative materials and toys for children to avoid conflict, arguing, fighting, tantrums, and temperaments between the children which will set Priya off. http://www.naeyc.org/toys (Class Notes: Adaptive Learning Environments, Jan. 31st, 2013)
  • 11. Labelling System  Labelling large print items and toys in the classroom will make the child’s environment easier to access and they will visually see where the things they want are. For example, if Priya has no patience to look around and read for toys, instead of getting frustrated there could be different types of visuals. http://childhood101.com/2012/11/clearing-  Other visuals are symbols, pictures, the-kids-clutter-printable-toy-tub-labels/ and shaped containers. (Class Notes: Adaptive Learning Environments, Jan. 31st, 2013)
  • 12. Flexibility in Routines, Schedules & Activities  Allowing more time to transition  Consistency in order of the day, but time is flexible  Modification of activities to be more inclusive  Expectations and follow through  If these pointed are taken into consideration Priya would be more relaxed and there would be less interruption throughout the day in schools and homes. (Class Notes: Adaptive Learning http://www.docstoc.com/docs/3546771/CAUTION- Environments, Jan. 31st, 2013) KIDS-AT-PLAY-DAYCARE-DAILY-SCHEDULE- am-am-ARRIVAL
  • 13. Stability & Predictability  Even though you should be flexible with transitions, schedules, and planning you should still maintain stability and predictability for the Priya so that she can learn the routines and one day will be able to follow through without interruptions.  A modification that could be made would be creating a schedule that the child can understand and you go through it with them to apply it. Then you let them know you’re available to support them at anytime.  Also, talk to the child about emergency procedures and what to expect; so that they are able cooperate with you during these unexpected transitions.  Always have expectations and follow through.  If you follow these steps with your child who has ODD they will eventually learn the steps and expectations in the home or school and will follow through. Once they learn these transitions or procedures they will predict it and follow through easily than usual.
  • 14. Collaborative Planning  Be open to the learning and experience of Priya  Take intro consideration her needs and comfort zone  Have several material equipments  View the environment as a 3rd teacher  Always provide moral support  If these steps were to take place Priya would feel included within the children and will build on her self-esteem to be postive and outgoing than viewing herself as trouble or not capable to cooperate or do anything. (Class Notes: Adaptive Learning Environments, Jan. 31st, 2013) Image: http://jonathancanzio.blogspot.ca/2012/12/collaborative-planning.html
  • 15. Preparing the Child to Transition to School  Have talks and discussions with Priya before attending to school and explain to her what it is and why she needs to go and the outcomes of it.  Have a booklet that introduces the child to the environment of their classroom such as, where their cubbies are or where the toys are. http://familysyste matics.typepad.co m/homework_succ  Always have a couple of visits with the child and get ess_network/new- them to get comfortable and adapt to the school-year-tips/ environment before leaving the child there which will affect the child and set them off into temperaments. (Class Notes: Adaptive Learning Environments, Jan. 31st, 2013)
  • 16. Teaching Strategies  Modifications that could take place are for Priya to learn would be: - Visual communication - Visual images - Saying no less - Fidget Kits - Basket Approach - Calming strategies to use with children - Reinforcement - Task analysis - Giving instructions http://live-the-solution.com/mindmaps/ - Giving choices - Chaining & Shaping
  • 17.  Communication: Visuals - “Visual supports hold time and space, direct attention, allow more time to process information, help memory and teach more words” (ConnectAbility: Visual Communication Workshop. Class notes). - This allows children to use their words than throw many tantrums in the environment harming themselves. This would help Priya explain herself or what she wants when she’s under stress and throwing a temperament.  Visual Images: http://playfullearning. - First and then approach to allow them to understand net/using-visual- what comes first and then what comes second. schedules-with- - Allows them to process information easily and can children/ visualize what is expected from them. - Always go step by step to help the process and not to trigger the child. (Class notes: Using Visuals. Feb. 28th, 2013)
  • 18. Less “NO” = Cooperation  When a child is told no most of the time that’s when they began their tantrum and their reaction changes into an unpleasant mood.  Instead of demanding the child http://magicalhomes.in/are-parents- saying-no-less-often-to-children/ to clean their room or do a task, work your way into the situation and talk to them about cleaning their room for example instead of them yelling no and you getting frustrated. http://www.story- lovers.com/listscooperationstories.html
  • 19. Fidget Kits  These devices are used to help children focus and maintain attention during challenging activities such as, learning in a classroom setting or child care setting.  The kit has sensory items to keep the child’s attention and they’re used for calming, focusing, and self-regulation. (Adaptive Devices: Class notes, http://www.cheapdisabilitya 03/28/13) ids.co.uk/tactile-fidget- hamper-1184-p.asp
  • 20. Basket Approach  Basket A “My way or the Highway” - Use once in a while (safety issues) such as, unsafe actions.  Basket B “Parent as Teacher” - How to deal with the child - Proactive approach - Teaching social skills  Basket C “Whatever” - Prioritize what is important and http://www.finishrich.co what can wait m/blog/3-basket- approach-to-financial- security/ (Video- Oprah: Out of Control Children. Feb. 28th, 2013)
  • 21. Calming strategies to use with Children  Choose a good time and age appropriate Calming Activities: - Breathing exercise (blowing candles/ balloons) - Physical activity (yoga, tense and relax, and stretching)  Sensory play (Feeling Box, Listening Centre, Visual Centre)  Positive self talk (I can…)  These can help Priya during stress times and if she practise these strategies at appropriate times she can learn to use http://pinterest.com/pi them when she’s angry or in a tantrum. n/13018286392949116/ http://connectability.ca/2010/09/23/calming- strategies-to-use-with-children/
  • 22. Reinforcement  Reinforcement allows the child to learn new skills, build independence and self-esteem.  It motivates the child and allows learning to occur faster  Learning a new skill can be challenging but with reinforcement it helps the child stay on task. 4 Types of Reinforcement: 1. Social praise and attention such as, clapping high 5, tickle, smile, hugs/kisses, and cuddle 2. Tangible items such as, toys 3. Favourite Food if child does not respond verbally 4. Token economy such as, allowance or money http://www.goodreads .com/book/show/1276 (Class notes: ConnectAbility- Reinforcement workshop. Feb.21st, 2013) 42.10_Days_to_a_Less _Defiant_Child
  • 23. Task Analysis  Task analysis is when you break down complex skills into smaller easier steps to learn.  Visual supports help for more complex steps.  If the skill is too easy, you may be creating dependency but if it’s too hard the child can become frustrated.  Begin with easy skill then move towards hard.  You need to identify what the child can or cannot do. Then move from there.  Data collection is a key component of skill building. It helps you track the progress, know when to fade assistance and to identify areas that need extra teaching. http://jennygusmay.wikis paces.com/Task+Analysis  For example, while evaluating use short terms to describe child’s behavior such as, IND – independent.  Gradually reduce the amount of prompts to increase independence.  Success is built one step at a time. (Class notes: ConnectAbility: Task Analysis. March.14th, 2013)
  • 24. Giving Instructions  Set realistic expectations  Set your child up for success  Expect follow through  Provide assistance  Use their name and always maintain at eye level  Make brief directions http://www.juxtapost.co  Use visuals to help child understand such as, gestures m/site/permlink/a86006e 0-d70a-11e1-9b77-  Use positive language fda9bc46bee5/post/essen tial_guidelines_for_giving  Allow enough time for child to process, wait and reinstruct if _instructions_to_children needed _and_using_your_words_ more_effectively/  Always use priase  Consider what will motivate the child  This is important with do with a child who has ODD because you’re guiding them gently and slowing for them to follow what you’re instructing them to do, so that they gradually respond to you without being oppositional or defiant. (Class notes: ConnectAbility: Giving Instructions. Feb.21st, 2013)
  • 25. Giving Choices  Teaching new skills to reduce frustration, promote self-esteem and to replace behaviour that may not be the most acceptable.  Breaking down tasks  Giving options such as, would you like to do this or that or would you like help with this or would you like to try it alone?  By providing the child with options and when teaching them new skills http://mylittlebitoflife.com/?page_id=631 can help them follow through and it builds on their self-esteem and independence. (Class notes: Making a choice. Feb.21st, 2013)
  • 26. Chaining & Shaping  Building one step onto another learned step in the sequence creating a strong chain.  Shaping is where the child is rewarded for approximating or getting close to the steps that we want to see in the end. Gradually more steps are expected before the child receives the reward. (Class notes: Chaining & Shaping. March 14th, 2013)  This helps would help Priya learn to do things slowly till she learns how to do it to avoid frustrations and temperaments and then being praised would encourage her to practice more than get angry. http://www.youtube.com/watch?v=vWQ0cE1pS-Q
  • 27. Other Children  Inclusion  Collaboration  Reading Inclusion Books  Prompting and Fading  Workshops with children to answer Q&A they have on ODD. http://handsonblog.org/2012/07/31/give-your- teachers-more-than-apples/
  • 28. Inclusion  Children with special needs attend educational, recreational, and community programs with their peers.  Built on the foundation of respect, fairness, justice and equity.  Inclusion allows developmental progress because children learn from other children. http://www.emcoalition.c (Class notes: Inclusion of Children with Special Needs. Jan.10th, 2013) a/policies/social- inclusion/ Aren’t they all our children: http://www.youtube.com/watch?v=kaIRNXpoi34
  • 29. Collaboration http://www.aiim.org/What-is-Collaboration  Including all children in activities to allow them to collaborate and make the experience accessible for all.  For example, Priya dislikes fast transitions so to meet her needs as well as the other children’s needs, then you would need to plan something engaging that will direct Priya as well as others all together to the next transition rather than saying Priya its time to go and taking her from her spot which will make her upset and while you calm her down others will be waiting.
  • 30. Inclusion Books  My Brother Sammy  Having a Brother like David Author: Cindy Dolby Nollette and Others  The ADDed Touch  Special people, special ways. Maguire, Arlene (Class notes: Children with special needs book list titles. Feb.21st, 2013) These books are beneficial in classroom or home setting for other children and if Priya has siblings to help them understand more about being inclusive with children who have special needs. For more books you can go on: http://www.state.nj.us/humanservices/documents/ChildrensBiblioDisabi lityBooks.pdf You can also print your own book and use it as a strategy with all children including Priya to help them understand when they hit, yell, scream, and have tantrums that it hurts others. I personally like the “Tucker Turtle Takes Time to Tuck & Think” and “I can be a Super Friend”. If you would like to print more books on more topics you can visit this link and have it as a resource for children to learn from. http://csefel.vanderbilt.edu/
  • 31. Prompting & Fading  5 areas: physical, modeling, verbal, positional, pointing, and environmental.  For example, if you instruct Priya to share with her peer and she is not able to do it on her own then you would use a strategy from prompting and fading to improve her ability to cooperate. Therefore you would position her arm to share.  If Priya is having a hard time cooperating with others then you can point or verbally try to help her include http://www.childmdim.com/resource s/sub-page-2/aba-approach/ herself with others and get along. (Class notes: A review of Prompting and Fading. March 14th, 2013)
  • 32. Children Workshops  I believe having open discussions with children and answering any questions they have on what they see Priya doing when she’s upset would be beneficial and they would learn how to cope with Priya at those times and what to do or not to do.  Children will learn to be more acceptable of others if they’re taught about it and that removes all their negative and basis views on Priya. http://christianazadi.girlshopes.co m/childrensworkshop/
  • 33. Needs of Family (Mother)  Learn and Understand Priya’s Disorder to help her  Follow through steps and procedures where you can learn about what to do and not to do with Priya  Learn how to deal with any defiant behaviour  Work through your emotions  Contact agencies and doctors to help you with Priya http://sexandtheshtty.blogspot.ca/ 2012/08/the-family-flirt.html
  • 34. How to React?  Have proper attitude  Stop and evaluate  Breath http://www.friendshipci rcle.org/blog/2012/07/26  Find everything positive about your child /10-hurtful-comments- from-relatives-about- your-special-needs-  Focus on how to improve the situation child/  Make an achievable goal for the child and yourself  Ask and find support  Live in the moment and make it truly count (Class notes: working through your emotions. Jan.31st, 2013)
  • 35. Sharing Information with Professionals Involved with Your Child  “Professionals may become involved with your child for a number of reasons. In getting to know your child and family, they may gather information to carry out an assessment, develop a service plan, and set goals.” (ConnectAbility.ca: sharing information with professionals involved with your child. April 2nd, 2013)  Priya’s mother would be sharing information with many specialists, doctors, Priya’s teacher and would go through many more requirements to learn how to cope with Priya’s ODD.  For more information on sharing information you can visit: http://connectability.ca/2010/09/23/sharing-information- with-professionals-involved-with-your-child/
  • 36. Support the parent  Provide space in the centre for parents to sit in to talk about their child’s progress and to discuss their child’s disorder with the educators.  The centre could provide workshops/guest speaker for Priya’s mother and invite other parents to join to understand the disorder better than to judge Priya’s family.  I believe working as a team and supporting Priya and her mother would help them get through each day with ease than hardship.
  • 37. ODD Video http://www.youtube.com/watch?v=LYhkFxfL72w This video talks about ODD and how parents keep quiet about it because their children don’t have temperaments at school. Why parents have a hard time during the summer with their child than they do during school.
  • 39. Family Doctor  Family doctors diagnose Priya and then send her to specialized centres that meets her cause  The doctor also can helps her Mother with questions they’re aware of and support the family through the process of the diagnosis. http://www.yourdictionary.com /family-doctor
  • 40. Resource teacher/consultant  Priya’s Mother can get the Form14 and should connect with a resource consultant.  A resource consultant gathers information that has to do with the child within special needs, assists the family and childcare staff to determine what needs to take place such as, goals and improvements.  They also interact with professionals in the community that follow up with the special need. (Class notes: Twenty Questions, 03/14/13)  Centennial College offers “Early Childhood Resource Consultant Conference” to talk about different disorders and guide you with information you can use for your child. Registration deadline April 1st, 2013 Saturday, April 6, 2013 8:15 a.m. - 12:00 p.m. Cost: $10.00 Centennial College Ashtonbee Campus 75 Ashtonbee Road (West of Warden Ave. & North of Eglinton Ave. E.) (Class Email: Centennial College- Resource Cousulant Program – 2013 Conference brochure. Pdf. 03/16/2013)
  • 41. Resource Consultant Agency This is a resource consulting service that supports inclusion in all children from 0-12 years old that face variety of challenges in licensed childcare programs. Inclusive child care provides all children with early lessons in cooperation, respecting differences, and consideration of others. Community Living Kingston “Resource Consultants will: Facilitate the inclusion of special needs children and their participation in licensed childcare programs  Provide support to families including information, visits, consultation and service coordination  Consult with community childcare programs including resources, programming suggestions and modeling for staff  Link to community services and resources by providing information, service coordination and transitional planning  Plan for transition to elementary school in collaboration with the family  Provide resources from the Community Living resource lending library  Provide training and professional development to assist community childcare curricula and environments”(Community Living Kingston: http://www.communitylivingkingston.org/ProgramsServices/ChildCareResourceConsultant/tabid/34 5/Default.aspx. April 2nd, 2013) For more information or to make a referral contact: Maria Victoria, Child Care Resource Consultation Coordinator Phone: 613 546 6613 ext. 226 Email: mvictoria@kdacl.on.ca
  • 42. Collage Pediatric Therapy Approach  “We are a team of speech-language, pathologists, psychologists, occupational therapists and behaviour working together in a practice focused exclusively on children” (Website: Collage Pediatric Therapy)  They believe the children will gain most when they have hand in hand experience within the same centre. This type of practice is called multidisciplinary and allows the families to benefit from one point of view and provides professionals that discuss the child’s progress.  They offer back to back therapy appointments with different clinicians in the same building to gain good results. This centre provides resources for parents and teachers to learn the skills at home and in school that has to do with the child.  The centre provided full time support to families and allow them a lot of time to talk about their child’s specific need and answering all their questions to increase their knowledge on the information they’re seeking.
  • 43. Services & process/availability:  They offer services for children and adults  Treatments and treatment programs tips  They offer offsite services such as, at home or at school  They break down the ages and tell you when you would need to seek therapy and give you reasons why by providing you signs and symptoms.  they provide on their website all the types of disorders or special needs they deal with.  You can make an account and book an appointment online or you can call or email.
  • 44. Funding:  Families that meet the collage pediatric therapy income requirements can apply for funding from certain charity foundations.  They offer payment plans that are available from their financing partners and you can pay the amount in 6 months to 5 years. WEBSITE COLLAGE PEDIATRIC THERAPY: http://www.collagetherap ies.ca/en/oppositional- defiant-disorder http://business.sfu.ca/gbsa/protocol-on-receiving- gbsa-funding/
  • 45. Locations  Mississuage ON 1100 Central Parkway West, Unit 4, Suite 100 Mississauga , ON L5C 4E5 T (905 ) 402-3122 F (905) 402-3124  Thornhill-Vaughan, ON 10 Disera Drive, Suite 240 Vaughan, ON L4J 0A7 T (905) 660-9690 F (905) 907-8235
  • 46. Relief worker  A relief worker can help out with the parents or the teachers to guide them through working with Priya.  Also, a relief worker can work with Priya at home to allow the parent a time to rest and observe to learn different ways and strategies to implement daily with Priya for better results. http://www.123rf.com/photo_9085273_ pledge-of-hope-logo-for-tsunami- relief-efforts-charity-drive-2011- japan.html
  • 47. Conclusion  Through all these guiding topics and points presented it should help Priya’s mother with information on Oppositional Defiant Disorder and how to cope with it.  This information will also help Priya at home or at school and she will learn many skills and strategies that will help her stay calm and go with the flow easy as learnt in the hope to decrease any defiant behaviour and to build on her self-esteem.  The agencies provided help the parent learn more about ODD and support the parent throughout the whole process.
  • 48. References WebMD, Mental Health Center: http://www.webmd.com/mental-health/oppositional-defiant-disorder. March 28th, 2013  YouTube Video: http://youtu.be/0VWPbTfLt-Q March 28th, 2013  Class Notes: Adaptive Learning Environments, Jan. 31st, 2013  ConnectAbility: Visual Communication Workshop. Class notes  Class notes: Using Visuals. Feb. 28th, 2013  Class notes: Adaptive Devices. 03/28/13  Video- Oprah: Out of Control Children. Feb. 28th, 2013  Calming strategies for young children. http://connectability.ca/2010/09/23/calming-strategies-to-use-with-children/ March 29th, 2013.  Class notes: ConnectAbility- Reinforcement workshop. Feb.21st, 2013  Class notes: ConnectAbility: Task Analysis. March.14th, 2013  Class notes: ConnectAbility: Giving Instructions. Feb.21st, 2013  Class notes: Making a choice. Feb.21st, 2013  Class notes: Chaining & Shaping. March 14th, 2013  YouTube Video: http://www.youtube.com/watch?v=vWQ0cE1pS-Q March 30th, 2013  Class notes: Inclusion of Children with Special Needs. Jan.10th, 2013  Aren’t they all our children: http://www.youtube.com/watch?v=kaIRNXpoi34 April 2nd, 2013  For more books you can go on: http://www.state.nj.us/humanservices/documents/ChildrensBiblioDisabilityBooks.pdf  Class notes: A review of Prompting and Fading. March 14th, 2013  Class notes: working through your emotions. Jan.31st, 2013  ConnectAbility: Sharing information with professionals, http://connectability.ca/2010/09/23/sharing-information-with- professionals-involved-with-your-child/ April, 2nd, 2013  ConnectAbility.ca: sharing information with professionals involved with your child. April 2nd, 2013  YouTube Video: http://www.youtube.com/watch?v=LYhkFxfL72w April 2nd, 2013  Class notes: Twenty Questions, 03/14/13  Community Living Kingston: http://www.communitylivingkingston.org/ProgramsServices/ChildCareResourceConsultant/tabid/345/Default.aspx. April 2nd, 2013)  WEBSITE COLLAGE PEDIATRIC THERAPY: http://www.collagetherapies.ca/en/oppositional-defiant-disorder March 20th, 2013  CSEFEL: http://csefel.vanderbilt.edu/resources/strategies.html April 1st, 2013  Picture References are on slides or in notes.

Editor's Notes

  1. Stability Rock Picture: http://www.dsinpharmatics.com/my-company-plans-to-manufacture-a-phase-1-product-for-which-stability-may-be-an-issue-what-kind-of-focus-on-stability-do-we-need-to-satisfy-health-authorities-expectations/. Retrieved 03/04/13 Class notes: Adaptive Learning Environments. Jan.31st, 2013
  2. Positive Reinforcement Image: http://strategicdiscipline.positioningsystems.com/blog-0/bid/67904/How-the-Best-Managers-and-Leaders-Deliver-Positive-Reinforcement. April 3, 2013. Chaining Image: http://www.ceskapozice.cz/en/advisory/expert-files/chaining-sros-still-issue. April 3rd. 2013
  3. Books: http://tutoringservice.ca/blog/tag/best-books/. April 1st, 2013
  4. Support Image: http://resources.prufrock.com/GiftedChildInformationBlog/tabid/57/articleType/ArticleView/articleId/414/Default.aspx. April 3, 2013.
  5. Centennial college Logo Image: http://workinginpublishing.com/2012/06/05/working-with-centennial-college-press-writing-or-acquiringediting-short-non-fiction-titles/. April 2nd, 2013