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MAKING SENSE OF ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD)

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MAKING SENSE OF ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD) FUNCTIONAL IMPLICATIONS AND STRATEGIES Bruce Strouts Occupational Therapist It s not Rocket Science ... – PowerPoint PPT presentation

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Title: MAKING SENSE OF ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD)


1
MAKING SENSE OF ATTENTION DEFICIT HYPERACTIVITY
DISORDER(ADHD)
  • FUNCTIONAL IMPLICATIONS
  • AND
  • STRATEGIES

Bruce Strouts
Occupational Therapist
2
Its not Rocket Science
3
Aims
  • To show an awareness of the contributing factors
    to a persons behaviour.
  • To experience what it is like to have ADHD
  • To consider the impact of behaviour on the
    individual and those around them.
  • To provide strategies to help those presenting
    with ADHD

4
ADHD
ATTENTION
Easily Distracted
Fidgety Overactive
DEFICIT

Impulsive
HYPERACTIVITY
Appear rude
DISORDER
Risky Behaviours
5
People Have Different Points of View About ADHD.
It doesn't exist.
Its poor parenting
People are trying to medicalise bad behaviour
ADHD as an excuse for poor behaviour
Theyre attention seeking
6
Nurture / Nature Debate
7
Shaping our wiring system
As we are exposed to experiences our brain starts
to develop
When we are first born our brains (wiring system)
look like this
8
Whats it like to have ADHD ?
9
TASK 1
STATE THE COLOUR RATHER THAN THE NAME
BLACK
YELLOW
RED
ORANGE
WHITE
PINK
BLUE
GREEN
BLUE
10
TASK 2
11
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13
Making Sense of ADHD
SENSORY / MOTOR SKILLS
ENVIRONMENT
COMMUNICATION
FAMILY
BIOLOGICAL
LEISURE
OCCUPATION
14
Making Sense of ADHD
COMMUNICATION
Disruptive Behaviour
ENVIRONMENT
INDEPENDENCE SKILLS )
LEISURE
SENSORY / MOTOR SKILLS
FAMILY DYNAMICS
15
Making Sense of ADHD
ENVIRONMENT
NURTURING
ADHD
CULTURE
GENETICS
16
ADHD CAN BE
We can all think of a someone who has ADHD traits
SEVERE
MILD
MODERATE
17
ADHD LEADS TO..
  • FUNCTIONAL DIFFICULTIES

Poor ability to learn Poor memory, sitting still
Poor social skills Relationship breakdown
(Barge into games, not listen etc)
Organisation May miss appointments, untidy
18
This leads to
I dont know what to do
Frustrated
Failure
I feel a failure
Scared
He / she is frustrating me
Angry
19
STOPPING THE DOWNWARD SPIRAL
Getting into crime
Work opportunities
Breakdown in relationships
20
Dont just look at the top of the iceberg look
underneath
21
Putting the jigsaw pieces together
22
We need to begin by asking the 5 WH Questions
What are the features? Fidgety, sensitivities
i.e. smell, taste etc
Who is affected ? - The person, the family, you
or everyone.
When does it occur ? once in a while, daily,
monthly, in certain situations etc
How does its affect the person / family
23
5 WH Questions Cont
Where does it occur ? At school, at home, at
youth club or everywhere.
Why does it occur? Is it sensory based? Is it
contextual, is it relationship based, comorbidity
(Autistic spectrum) or other factors i.e.
abuse.
24
Why does the behaviour occur
  • Neurodevelopmental based The wiring system has
    not developed. Chemical imbalances. Sensory
    system not working effectively
  • Family based Poor family / people management
    i.e. role models.
  • Situational (contextual) At school more
    distractions. At home less distractions.

25
  • Autistic Spectrum Disorder (ASD)
  • Literal understanding
  • Sensory issues i.e. sensitive to noise, touch
    etc.
  • Dont like change
  • Unable to read emotions

26
Need to.
Observe the individual in different settings
Consider and act upon the 5 WH questions
Ask others
27
Consider
Sensory
Taste
Vision
Smell
Touch
Hearing
28
WE NEED TO ASK OURSELVES. HOW AM I GOING TO HELP
THIS PERSON TO
  • Listen
  • Stop fidgeting
  • Be less impulsive
  • Tolerate touch, smell, taste etc.
  • Communicate more effectively
  • Organise

29
Analysing The Behaviours
STAR ANALYSIS The STAR approach is one way of
analysing behaviour. STAR STANDS FOR Settings
Triggers Actions Results
Describe the action (behaviour)
Describe the setting
Describe the possible triggers
Describe the results (and effects)
Describe some of the strategies that have been
used

30
STRATEGIES
Targeting the problems (Strategies)
Family issues
Sensory issues
31
ACTIVITY ANALYSIS
WHAT IS IT?
ACTIVITY - The process of doing
ANALYLIS - The how of doing
32
ACTIVITY ANALYSIS
BROKEN DOWN INTO
Motor / Physical - walking, balance, endurance,
movement
Sensory - Touch, smell, taste, hearing, sight
Cognitive - Planning, learning, concentration
Perceptual - Figure ground, Spatial awareness
Environment - Lighting, distractions (noise and
visual), fabrics.

Interpersonal - Communication
33
Registration
Sensory input
Behavioural Response

34
Sensory approach to managing behaviour
Think behaviour Think sensory Using a sensory
spider
Smell
Taste
SENSORY
Visual
Touch
35
Case Example
Young Offender 16 years old ADHD Not taking
medication Poor concentration, impulsive,
disruptive on the wing
36
Environmental Modifications
Dont sit the person next to something that is
distracting.
Consider the types of materials that the person
is exposed to.
37
Environmental Modifications
  • Switch off distractions i.e. lights, projector
    fans etc

- Allow the person to work in a distraction free
environment.
38
Communication
Role modelling Who are the role model.
  • Consider
  • Understanding of language
  • Literal / non literal language
  • The meaning of words
  • Bat Bat that flies
  • Bath and ball

39
Communication
Meanings / Dictionary
Literal Meaning
Intended Meaning
40
Cartoon / Comic strip Approach Re-writing the
Script
When discussing an incident at school or at home
.
What happened.
What to do differently next time
41
Strategies
  • Organisation and structure
  • Remove anything from the work area that is not
    needed
  • Break up activities into small components
  • Use memory aids such as time tables (visual
    timetables), wall charts, diaries etc.
  • Keep belongings and materials in the same
    place

42
Strategies
Consider doing an activity on the floor.
43
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44
Strategies
Fidget Items
Movement Breaks
Gardening
45
Strategies
  • Keeping people occupied

Think about what the trainee is interested in
e.g. football, get them involved.
46
Resource list for Sensory Integration Books
The Out-of-Sync Child by Carol Stock Kranowitz,
M.A. ISBN 0-399-52386-3 The Out-of-Sync Child
Has Fun by Carol Stock Kranowitz MA ISBN 03 99
53 2714 Exploring the Spectrum of Autism and
Pervasive Development Disorders By Carolyn
Murray-Stutsky, M.S.,OTR and Betty A.Paris, PT.
Website www.sensoryintergration.org
47
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Proproceptive system
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