Executive Skills in Children and Adolescents

Executive Skills in Children and Adolescents

Peg Dawson, Ed.D. and Richard Guare, Ph.D.
Practical information for educators and psychologists on executive functioning in children and adolescents. Useful for students with ADHD, learning disabilities and traumatic brain injury.
Item: EXEC
Price: $32.00
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Full Description

This very practical manual provides has a clear, step by step detailed approach for strengthening executive functioning in children and adolescents. It explains how executive skills develop in children and are used in everyday life - from the self-regulation required for responsible behavior to the planning and initiation abilities needed to complete homework on time. There are guidelines for educators and clinicians on conducting multimodal assessments and using the results to plan environmental modifications, individualized instruction, coaching, and whole-class interventions.

Attention is also given to working with children with ADHD and other clinical problems in which executive skills are impaired. The authors have extensive experience with students whose executive skills are impaired by traumatic brain injuries.

This is a useful manual for teachers and parents to use in collaboration with school-based clinicians and for students required accommodations or special education. There are many useful forms for assessment tools, checklists and planning sheets, ready to photocopy and use.

Details
Item EXEC
ISBN# 1-57230-928-8
Pages 129 pages, 8˝ x 11, softcover
Year 2004

Authors

Peg Dawson, Ed.D.

As a licensed clinical school psychologist with an undergraduate degree from Oberlin College and a doctorate from the University of Virginia, Dr. Dawson is currently a staff psychologist at the Center for Learning and Attention Disorders, an agency within Seacoast Mental Health Center in Portsmouth, New Hampshire. Dr. Dawson has over 25 years of experience working in the fields of education and psychology, with a specialization in assessment of children and adults with learning and attention disorders. In addition to working in schools and mental health centers in New Hampshire and Maine, she has also taught in the Education Department at the University of New Hampshire at both the graduate and undergraduate levels. Active in professional associations, Dr. Dawson has been president of the New Hampshire Association of School Psychologists, the National Association of School psychologists, and the International School Psychology Association. She ha also served as the newsletter editor for the National Association of School Psychologists, and has published many journal articles and book chapters on topics related to educational policy and practices and learning and attention disorders. In addition to Executive Skills in Children and Adolescents, Dr. Dawson and her colleague Richard Guare have written a manual on coaching students with attention disorders.

Richard Guare, Ph.D.

He is a neuropsychologist and currently serves as Director of the Center for Learning and Attention Disorders in Portsmouth, New Hampshire. Dr. Guare received his doctorate in school/child psychology from the University of Virginia and completed a postdoctoral fellowship in neuropsychology at Children’s Hospital/Harvard Medical School. He has served as a consultant to a number of brain injury programs in New England, and has presented and published research and clinical work on acquired brain injury and attention disorders. In addition, Dr. Guare has been Adjunct Professor of Communication Disorders at the University of New Hampshire and teaches courses in child neuropsychology at the University of Southern Maine.

Contents

Ch 1. Overview of Executive Skills

  • Developmental trends
  • Executive skills and brain development
  • Sequence of development
  • Developmental tasks requiring executive skills

Ch 2. Assessing Executive Skills

  • Informal assessment measures
  • Behavior checklists
  • Formal assessment measures
  • Behavioral observations with formal assessment measures
  • Case example

Ch 3. Linking Assessment to Intervention

Ch 4. Interventions to Promote Executive Skills

  • Strategy 1: Intervene at the level of the environment
  • Strategy 2: Intervene at the level of the person
  • Home-School collaboration
  • Interventions for specific executive skill deficits

Ch 5. Coaching Students with Executive Skill Deficits

  • Step 1: Conduct a goal-setting session
  • Step 2: Hold daily coaching sessions
  • Building coaching into the student’s educational program

Ch 6. Classroom-Wide Interventions

  • Classroom routines
  • Classroom rules
  • Organizational systems
  • Integrating executive skill development into daily instruction
  • Variations on coaching
  • Caveats

Ch 7. Applications to Specific Populations

  • Executive skill weaknesses in the absence of a recognized disorder
  • Disorders that impact executive functioning
  • Acquired brain injury
  • Autism spectrum disorders
  • Attention-deficit/hyperactivity disorder
  • Sleep disorders and sleep deprivation
  • Complicated cases
  • Concluding comments

Appendix: Reproducible Forms

  • Executive skills semistructured interview – parent version
  • Executive skills semistructured interview – teacher version
  • Executive skills semistructured interview – student version
  • Executive skills: planning interventions
  • Incentive planning sheet
  • Behavior contract
  • Homework checklist
  • Long-term project planning sheet
  • Homework planning sheet
  • Desk cleaning checklist
  • Chore planning sheet
  • Changing classes
  • Classwork planning sheet
  • Getting ready to go home
  • Daily homework planner

Excerpts

Preface

Executive function is a neuropsychological concept referring to the cognitive processes required to plan and direct activities, including task initiation and follow-through, working memory, sustained attention, performance monitoring, inhibition of impulses, and goal-directed persistence. While the groundwork for development of these skills occurs before birth, we believe they develop gradually and in a clear progression through the first two decades of life. But from the moment that children begin to interact with their environment, adults have expectations for how they will use executive skills to negotiate many of the demands of childhood – from the self-regulation of behavior required to act responsibly to the planning and initiation skills required to complete chores and homework. Parents and teachers expect children to use executive skills even though they may little understand what these skills are and how they impact behavior and school performance.

Our first introduction to executive skills came through our work with children and teenagers who had sustained traumatic brain injuries. Problems involving planning and organization, time management, and memory, as well as weaknesses with inhibition and regulation of emotions, have long described a significant component of traumatic brain injury. Executive skills have also assumed an increasingly important role in the explanation of attention-deficit/hyperactivity disorder (ADHD). While our introduction to these skills originally came in our work with these populations, we have seen a growing number of youngsters who seem to struggle in school because of weaknesses in executive skills even when they do not meet the diagnostic criteria for ADHD or another disorder. We believe that these students will benefit from interventions designed to improve executive functioning. To do so, however, requires an understanding of what executive skills are, how they develop in children, and how they impact school performance. We have written this book to shed light on these important cognitive processes so that parents and teachers can better help children hone these skills for the purpose of achieving long-term independence – the ultimate desirable outcome of childhood.

While this book is written primarily for school psychologists and other educational professionals such as social workers, guidance counselors, and special educators, whose job it is to work with youngsters whose executive skills may be impaired, we also believe that the book will be of interest to clinical psychologists who see these children in private practice or a therapeutic setting, as well as regular education teachers and parents whose job it is to help children apply executive skills to the demands of the classroom and tasks of daily living.

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