Treating ADHD in the Primary Care Setting Behavioral Interventions for ADHD Rene PretoriusParks LIMHP LMFT Behavioral Health Childrens Hospital amp Medical Center Presenter Disclosures Consultant ID: 914978
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Slide1
Children’s Project ECHO: Treating ADHD in the Primary Care Setting
Behavioral Interventions for ADHDRene Pretorius-Parks LIMHP LMFT Behavioral HealthChildren’s Hospital & Medical Center
Slide2Presenter Disclosures
Consultant/
Speakers bureaus
No Disclosures
Research fundingNo DisclosuresStock ownership/Corporate boards-employmentNo DisclosuresOff-label usesNo Disclosures
Slide3Overview & Learning Objectives
Identify at least 3 principles of behavior management that can be shared with parents of a child with ADHD.
Be able to describe the impact the ‘parent-child relationship’ has on the effectiveness of behavioral management of an ADHD child
List initial school recommendations for parents after their child is diagnosed with ADHD.
Slide4Principles of Behavior Management
Everything that is not medicationPsycho-education….Psycho-education…Psycho-education!ADHD child : Parenting StyleChanges to Parenting Style:Executive Functioning DelayVerbal/non-verbal working memory; inhibition & interference control; self-awareness & self-monitoring; planning & problem-solving; anticipation & preparation to act; self-regulation over time; emotional self-control Quantifiable 30-40% delay
Slide5Principles of Behavior Management
More immediate & freq feedback (reinf/consq)Verbal praise; attending; touch; tangible rewardNORMALIZE external motivationBe consistent (over time; not give up too soon; across settings; across caretakers)Less talking the better
! Use your actions…
Keep disability perspective
Don’t personalize
Slide6Parent-Child Relationship
Why does this matter?Ongoing neg p-c interactions over time can defiance Defiance AND Inattention/Hyperactivity/ImpulsivityEssential to positive p-c interactions as a part of beh. mngt. “Catch your Child Being Good” game; praise positive play behaviors; giving & taking attentionAges 2-6: Referral to PCIT (Early is KEY)
Slide7School Recommendations
Remember: School psychologists not allowed to diagnoseSchool eval vs Private testing and diagnosis Documentation of DX to school from MDDetermine need for IEP/504 PlanPsycho-education Neuro-developmental Disorder; impairments in school setting; required by law; same ‘starting line’
Slide8School Recommendations
Common accommodations: Preferential seatingALL testing in quieter locationCheck in/Check out Person – later on Behavioral Plan – aggression/disruption/off-taskResource – academic delays Accommodations/Resources/Support tailored to student – “individualized” Help parent advocate for child!!!
Slide9References
Barkley, R.A., (2005). Taking Charge of ADHD. The Complete, Authoritative Guide for Parents (rev ed.). New York: The Guilford PressBarkley, R.A. ADHD FROM A to Z: Advances in the Understanding and Management of Attention Deficit Hyperactivity Disorder [PowerPoint slides].
Slide10Questions?