While I have not seen any scientific or statistical studies, in my personal experience the period from mid-April to the end of the year can be among the most problematic periods for serious behaviors in school. I do not think that it is an accident or happenstance that some of the worst violence in schools has occurred during this period of time. Bad things can happen in school at any time but during this period the odds seem higher.
Continue reading "Spring Fever and Behaviors" »
The safety of drugs prescribed for ADHD have again been called into question. For depression the effectiveness of anti-depressants has been raised in a recent report reported in the Washington Post. Fortunately, under IDEA 2004, parents do not have to make a harsh choice between receiving services and having their child take medications that may not be effective (but frequently have side-effects) or in some cases can have serious risks. Among the beneficial changes to IDEA 2004 is that schools can not condition the provision of services on parents medicating their children.
Continue reading "Effectiveness and Safety of Psychological Medications Questioned" »
Good qualtity data collection to address a child's behaviors in school is one of the most stubborn issues that I confront. Often no data is collected, data is collected in a format that is not useful (e.g. simple hash marks with no context), or it is not generated across settings and disciplines. In the event that it is initially created in a useful format and all the other issues are also addressed (not a frequent occurrance), the data is rarely updated to determine the effectiveness of the plan whether a BIP or a sensory diet.
Mary Block, who is a school and clincially-based occupational therapist (see brief biography below), has designed an elegant online solution to these issues of data collection and updating data for FBAs, BIPs and sensory plans. The product is entitled Student Occupational Time Line which is trademarked under the acronym of SOTL. This product is designed expressly (but not exclusively) for the school setting.
SOTL allows data input from multiple informants, across settings and over time. It takes much of the drudge and effort out of the process of data collection, and also allows for tabulation and analysis all to the benefit of the child and the staff working with him or her. [The continuation of this post with the exception of the concluding paragraph was written by Mary Block.]
Continue reading "New Data Collection System Benefits Children With ASD, Sensory Issues, and Behaviors" »
A comprehensive landmark study of children and adolescents with bi-polar disorder has been released. The overall finding of this study is that the symptoms last longer and swing more rapidly from hyperactivity and recklessness to lethargy and depression.
Continue reading "Bi-Polar Disorder Different in Children" »
The harsh reality is that a large number of adults in prison are failed special education students. What schools frequently fail to recognize is that the stakes for students who receive special education runs the gamut from a meaningful life to a life behind bars. The following story puts a human face on the experience of one teacher working in a juvenile prison school in Georgia.
Continue reading "Striking Similarities Between Special Education In Prison and Outside" »
A Maryland School District filed for a restraining order in court against a young child with Downs Syndrome seeking to have him placed in a totally self contained school for children aged 3-21. While it is hard to discern the total facts of this case from the news story, it appears that the child has communication issues and was restrained in school. If his communication issues were not appropriately addressed, and staff did not have proper training or applied restraint when it was not needed, these factors certainly could have lead to the child's behavioral escalation.
Continue reading "School Files for Restraining Order Against Child With Downs Syndrome " »
Officials with TennCare, the state run Medicaid managed care organization, have announced a pilot study [Download TennCare Pilot Study.pdf]
of the use of psychotropic medications in children to treat conditions such as depression and ADHD. The impetus for this study is that "TennCare has seen dramatic increases in potentially harmful levels of utilization, with unproven therapies", according to J.D. Hickey, Deputy Commissioner of TennCare.
Continue reading "Tennessee To Study Dramatic Increase in Prescriptions for Behavioral Issues" »
A recent comprehensive study from the Department of Education and the Bureau of Justice Statistics have found that from 1992 to 2003 there have been major improvements in student safety in schools. The overall rate has dropped over 40%. The report indicates very low rates of serious violent crimes, but rates of theft, drugs and bullying are still widespread problems.
Continue reading "School Crime Rates Down Significantly" »