Thursday, 30 April 2015

Intensive

The two day intensives were interesting, engaging, inspirational, and enlightening.  It has brought a sense of appreciation of what was happening in the weekly face to face sessions. The sample BIP’s  and the group discussion brought some clarity to me with regards to completing the Behaviour Intervention Plan.  I was about half way through my plan but I had not done any interview with the parent.  Participating in the intensives caused me to subsequently complete that aspect of the assessment. From the discussions it was reinforced that when students are meaningfully engaged, the classroom is well managed.  For the classroom to be effective and run smoothly there needs to be rules, routines, trust and student ownership. Teachers should therefore engage students in collaborating to create clear rules and discuss why rules are necessary.

Thursday, 12 March 2015

About Me


See Pares Primary (Staff) Home on the web for more details about Rosemarie.  Click here.

Behaviour Management


The above graphic is an example of a behaviour chart that I use in my class.  Each student's name is written on a cloud which forms a pocket on the wall.  The stars describe the behaviour.  Each day student starts the day with a green star (I am making responsible/respectable choices.  Depending on the number of times students stay on green, they will be rewarded appropriately)  Depending on his/her behaviour, he/she changes the star (YELLOW: My teacher is watching my behaviour.  This is a warning.  BLUE - My behaviour is unacceptable.  Here student will face a consequence: meet with the teacher for conference, have a detention, stay in while the rest of the class is on break.  Red -this is danger.  Student 's parent(s) may be called in, student may have conference with the principal/education officer, or be suspended.) to show is making right choices.  This system can be used with students with severe emotional and behavioural disorders since this multicoloured behaviour colour system breaks down behaviours into specific terms for the students.  Student responsibility is promoted since it is the student who changes the star depending on the displayed behaviour.

A tracking sheet that is completed daily is used to track students' behaviour.

Professional Development

Participating in professional development activities is a method of growth.  I believe that regardless of the grade, type of classroom or school setting, I should always be up to date with the most recent topics, policies ad news in regards to education by participating in and conducting professional development opportunities in order to enrich my knowledge of the field and make me a stronger facilitator of learning.

The following are some of the professional development I have been or am involved in

Resume


Click here to see Rosemarie's entire CV 

Teaching Philosophy

Working on the module Emotional and Behavioural disorders it is my intention to use preventive and supportive behaviour strategies more than corrective by conducting engaging lessons and clear expectations. Recognizing how valuable teacher encouragement and motivation is for personal motivation, I intend to motivate students while teaching them to be intrinsically motivated through challenging yet supportive lessons and assignments.  To engage in the training of young minds is full of challenges, frustrations, and responsibilities.  It is a task that cannot be taken lightly and it is full of excitement, wonder, and joy. Having completed training in Dyslexia and Literacy and now working on Introduction to Special Education, I strongly believe that all children can learn as long as they are “taught the way they learn.”  As a specialist teacher it is imperative that I provide proper motivation, encouragement and direction for the students placed under my care. I believe in staying relevant and keeping abreast of learning, motivation, behaviour, and development theories in an effort to relate to my students and challenge them to reach their full potential. I believe that each student is unique and of inestimable value and they should feel accepted, valued, emotionally, physically, or socially, safe in my classroom.  I should provide equal opportunities for these students to be educated alongside their non special education needs peers using ICT to provide differentiated learning.  I further believe that the students I teach deserve my time and full attention in regards to their education. It is important to me that my students, as well as their parents, other teachers, administrators, and people in the community, see me as someone they can approach, who will be fair and non-discriminatory. Classroom organization is also a key concept to consider when teaching. If students are in a classroom that is unorganized or set up in a way which hinders learning, it is not a good situation for anyone. I try to make it my business to find creative, new ways to have the room set up and to help my students become interested in learning.  I also believe that high energy levels and a positive attitude from the teacher are key elements to a successful learning environment.

Job Experiences

Grade 2 class teacher and Craft teacher (Seniors 1 - 3) at the Pigotts Primary School

Social Studies (Seniors 1 - 3), Home Economics, Craft teacher (Grades 6 to Senior 3) at the Potters Primary School

Grade 1, Kindergarten, Home Economics and Social Studies (Forms 1 - 3) Antigua and Barbuda Seventh-day Adventist School

Associate Director: Success Cocepts Iterational

Tutoring at the Antigua and Barbuda Centre for Dyslexia Awareness

Presently: Reading Specialist: Pares Primary School

Acting Principal (September - December 2014): Pares Primary School

After School Reading Coach

About the Course


Reflections/Assignments/Discussions

SPED275 EMOTIONAL AND BEHAVIORAL DISORDERS OF CHILDREN 

Initial Thought
February 6, 2015

Wow! This course has found me in a state of disequilibrium.  Because of previous engagement I am not able to make the face to face and so I must depend on colleagues or the tutor for information which I may get a bit late at times; and then there will be backing up of assignments or lack of understanding of what is to be done because I may not always get first hand information.  I hope I get into a state of equilibrium just now :-)  

February 9, 2015

Outline the major categories of emotional and behavioural disorders
  • Conduct disorder: a group of behavioral and emotional problems in children and adolescents.  They have great difficulty following rules and behaving in a socially acceptable way and are often viewed by other children, adults and social agencies as "bad" or delinquent. Factors that may contribute to a child developing conduct disorder, include brain damage, child abuse or neglect, genetic vulnerability, school failure and traumatic life experiences.  
  • Oppositional Defiant Disorder: a childhood disorder characterized by the frequent occurrence of at least four of the following behaviors: losing temper, arguing with adults, actively defying or refusing to comply with the requests or rules of adults, deliberately doing things that will annoy other people, blaming others for his or her own mistakes or misbehavior, being touchy or easily annoyed by others, being angry and resentful, or being spiteful or vindictive.
  • Attention Deficit Hyperactivity Disorder (ADHD): a common behavioural disorder that affects about 10% of school-age children.  These children act without thinking, are hyperactive, and have trouble focusing. They may understand what's expected of them but have trouble following through because they can't sit still, pay attention, or focus on details.
  • Emotional Disturbance and/or Behavioural Problems: a condition exhibiting one or more of the following characteristics over a long period of time and to a marked degree that adversely affects educational performance-
1.   An inability to learn that cannot be explained by intellectual, sensory, or health factors; 
2.   An inability to build or maintain satisfactory interpersonal relationships with peers and teachers; 
3.   Inappropriate types of behavior or feelings under normal circumstances; 
4.   A general pervasive mood of unhappiness or depression; or 
5.   A tendency to develop physical symptoms or fears associated with personal or school problems.

  • Childhood Psychosis: a serious brain illness accompanied by delusions or hallucinations, along with an alteration in thought process.  It encapsulates different subgroups, the most common being schizophrenia and bipolar.  Some doctors think certain people are born with the possibility of getting psychosis and it may be triggered by sad life events,  injury, illness or street drug use..                                                                                                                                                                                                                                                                                           Antisocial behaviours: hyperactivity, academic problems, poor interpersonal relationship                                          Aggressive behaviours: problem solving deficiencies, resent                                                         Defiant behaviours: suspiciousness, irritability 

   


     Cite examples of internalizing behaviours and externalizing behaviours



Externalizing BehaviorsInternalizing Behaviors
Violates basic rights of othersExhibits painful shyness
Violates societal norms or rulesIs teased by peers
Has tantrumsIs neglected by peers
Steals; causes property loss or damageIs depressed
Is hostile or defiant; arguesIs anorexic
Ignores teachers' reprimandsIs bulimic
Demonstrates obsessive/compulsive behaviorsIs socially withdrawn
Causes or threatens physical harm to people or animalsTends to be suicidal
Uses lewd or obscene gesturesHas unfounded fears and phobias
Is hyperactiveTends to have low self-esteem
Has excessive worries
Panics

http://www.education.com/reference/article/emotional-behavioral-disorders-defined/


List some of the characteristics of students with emotional and behavioural disorders

Academic characteristics
  • Disrupts classroom activities
  • Impulsive
  • Inattentive, distractible
  • Preoccupied
  • Does not follow or appear to care about classroom rules
  • Poor concentration
  • Resistance to change and transitions in routines
  • Often speaks out with irrelevant information or without regard to turn taking rules 
  • Demonstrates aggressive behavior
  • Intimidates and bullies other students
  • Regularly absent from school
  • consistently blames others for their dishonesty
  • Low self esteem
  • Difficulty working in groups
  • Demonstrate self injurious behavior
  • Can not apply social rules related to others personal space and belongings
  • Often manipulative of situations

What are the major political and social factors impacting how we treat individuals with EBD today?

Emotional and behavioural disorders do not just affect the individuals with these disabilities but parents, teachers and the society in general are affected.  Whereas the externalizing behaviours are obviously noticeable, internalizing behaviours are more likely to go unnoticed and are more "socially acceptable" than externalizing behaviours which directly affect other people.  Many of the children and youth who could quality for service under IDEA may not be identified and may not receive adequate supports to assist them with emotional and behavioural challenges they face both in and out of school settings.  On the other hand, children and youth who are African American are disproportionately over identified as having EBD.  Although students with disabilities are entitled to receive supports and services tied to their individual needs, very often minority students are educated in separate settings, subject to lower expectations, and excluded from educational opportunities.  Research suggests that unconscious racial bias, stereotypes, inequitable implementation of discipline policies, and practices that are not culturally responsive may contribute to the observed patterns of identification and placement for many minority students. 

My Reflection

Having gone through this activity, I am making an even greater effort to catch the students being good and reward appropriate behaviour consistently, using praise, points, bands with affirmations, gifts.  Additionally, I am making use of the behavioural chart in my room and I am working with colleagues to ensure that the behaviour expectations are kept before the students and clear rules, routines and consequences are articulated.

Resources

February 12, 2015
challenges that might impede collaborative efforts between mental health and education agencies in services to children with mental health.

From observation, children and adolescents who are in need of treatment in the education system here in Antigua and Barbuda do not receive mental health services for various reasons. Challenges that might impede collaborative efforts between mental health and education agencies in services to children with mental illness may include shortage of mental health professionals. Antigua has a shortage of child psychiatrists and other child mental health specialists. The service may be offered at the Mount St. John Medical Centre but there is a lack of access to information and care because of lack of communication and awareness. The Powers that be seem not to communicate the availability of resources on one hand and on the other hand those who need the services are ignorant of the facts concerning the availability of the resources. There are children and youths who are involved in multiple systems such as the school, welfare division and the juvenile justice (Boys training school or home for girls). Whereas these systems exist, they function independent of each other. There is no collaborative effort. Furthermore, the Clareview Psychiatric hospital in Antigua has resources but because of the negative perception in the minds of the society in general, parents are afraid to take their children or youths there to receive the necessary help because of the stigma related to mental health disorders. An additional challenge presents itself when parents are unwilling to admit their children’s needs far less to engage in collaboration. Because there is no formal consultation and infrastructure in the immediate communities where the children and youth with mental illness function they pass through the system without their issues addressed.

Case Studies

  1. Read the case studies of Rhonda  and Earl and a write detailed responses using the dimensions of chronicity, frequency and severity. 
  2. Decide if you think the Freddie will qualify for special educational services as EBD and explain your answer.
  3. Describe what you think Rhonda feels when she walks into school each day.





























Demographic information: 10 year old, third grade male 

Social parameters:  low socio-economic status, minority family

Behaviour: chronic - frequency: sent to the principal's office on an average of three times per week.  

Displayed externalizing behaviours: involved in several fights including one serious (severity), yells at teacher: “go to hell”, doesn’t turn in assignment or complete work in class; talks out in class, no parental monitoring (not supportive of suggested disciplinary methods)

Intellectual and Academic Functioning: Failed 2nd grade and may repeat 3rd grade; struggles with academics even when he is attentive

Emotional state: gets into moods

Teacher: Mrs. Perkins describes him as “sullen and hostile.”  Although there is punishment (revoking privileges, ignoring outbursts when necessary) there is no reward system for positive reinforcement because teacher does not have time.  She keeps notes and talk with previous teacher and principal.

History: His reputation of difficult and disruptive behavior preceded him to his new school.


Freedie displays emotional disturbance disorder.  His inappropriate manner of relating to people (yelling to teachers, fighting), his inability to learn which cannot be explained by intellectual factor (struggling with academics even when he is attentive), his chronic aggressive behavior (“sullen and hostile” defined by teacher, constant fights) in addition to his inability to build or maintain satisfactory interpersonal relationships with peers and teachers qualifies Freddie for special services.  Report of behavioural observations over a significant period of time and the teacher’s adequate documentation and written analysis of the duration, frequency and intensity of one or more of the characteristics of emotional and behavioral disorders can be used as evidence.



Demographic information: middle school student

Diagnosis: emotional disturbance and a learning disability in reading and written expression

Behaviour: chronic – frequency: four physical altercations in a short while. Language is often profane.

Externalizing behaviours: academic problems, poor interpersonal relationships, irritable impulsive and uncontrolled, having a “short fuse”

Internalizing behaviours: lonely (seemingly has no true friends in and out of school although she reports she is a part of a gang)

Intellectual and Academic Functioning: low language ability

Emotional state: angry


Disordered behaviour: Oppositional Defiant Disorder – Rhonda loses her temper, gets angry easily, resentful and easily annoyed – “short fuse; she flies into a rage when daunted” She defies/refuses to comply with requests/rules of adults – “her attitude toward school and anyone in authority is poor. She does not complete assignment following the given instructions.  She deliberately does things to annoy people – spiting on the vice principal.    

Rhonda has already accepted failure and when she walks into school each day, she feels disconnected and hopeless in terms of academic outcomes. She also feels a sense of marginalization in her school community – poor social adjustment makes her feel unimportant.  She definitely feels low self esteem - her external acts are coming from an inner state of inferiority.  She craves attention which is a need for personal significance.


Demographic information: 9th grade student

Diagnosis: emotional disability and a learning disability in reading and written expression

Behaviour
Chronicity:  history of inpatient hospitalization for emotional difficulties since 9, four times in the year with length of stay up to two months,
Frequency: walking around the room for 20 minutes  
Severity: assaulting another  student and the police

Externalizing behaviours:  causes or threatens physical harm to people (assaulting peer and police, threatened to kill mother, violates societal rules (stole knife from grandfather’s collection and took it to school), emotional outbursts, truant

Internalizing behaviours: attempted suicide, socially withdrawn

Intellectual and Academic Functioning: borderline range of intelligence - below average cognitive ability (generally an IQ of 70-85) with strength in Mathematics

Emotional state: depressed  

Disordered Behaviour : Conduct disorder – refusal to obey authority figure, truancy, Earl did not show interest in daily activities when teacher informed him that he earned reinforcement time he did not show joy, was he involved in class discussion


Concommittant Disorder: attention deficit hyperactivity disorder (ADHD)  Earl’s inattention (he did not complete assignments) impulsivity (emotional outbursts) and  his overactivity (walking around the room, being nervous)



February 19, 2015
Preparation (Reflective Reading)
Book: Mind Character and Personality Volume 1: Ellen G. White

How can you apply the key concepts in this reading to your own experiences and attitude to Life?
Thoughts:

From the reading I have a heightened sense of awareness and appreciation of the serious responsibility as a facilitator of learning both as a parent and an educator. I am in agreement that the parent and teacher should be acquainted with the psychosomatic relationship where humans are concerned according to MH 128 (1905).  Facilitators of learning  “should study the influence of the mind upon the body and of the body upon the mind, and the laws by which they are governed.”  Regardless of the socio economic, religio-political persuasion of those that I teach and even my very own persuasion,  I have recognized that God has endowed us all with intellectual faculties for personal blessing and the blessing of humanity .  A call is made for me to know my purpose and to live in accordance with this purpose and give birth to wonderful results in the process LS 275 (1915). Since I am engaged in the training of children and youths I am obliged to know myself, improve myself and think big while consistently staying in alignment with  the governance of God. 
As an educator, challenges, struggles, conflicts are antecedents to my own development CT 20 (1913) and I am now in a position to encourage my students to embrace conflicts and look for the seeds of development in those challenges.  It is virtuous to bring everything to the task at hand for the production of much fruit/outstanding outcomes.  I have come to acknowledge that God works in and through me to accomplish his good pleasures in my line of duty.  I am in deed colabourer and cocreator with God.  Lifelong learning is a must for the conscientious educators.  A course like this one is so timely.  I must commend USC and the government of Antigua and Barbuda for this initiative.  I am learning to invest thought, time and money instead of spending them.  I expect a return on my investment, a return where the outcome is concerned regarding my own children and the children I train.  As colabourer with God I am required to serve with tact, empathy and unconditional love where our children and youths are concerned.  I have come to the engaging realization that true education addresses the whole person so that our services and methods should be designed in such a way that would facilitate this truth.  To be in great demand in the world of work/service, market place it is imperative for me to cultivate my God-given powers COL 344 (1900).  E.G. White in RH, June 20, 1882.  (HC 218.) assures me as God’s servant, of spiritual resources to assist me in the execution of his work on earth.  I can testify to the availability of spiritual resources that have come to my aid as I recall facilitating classes with up to 44 students in Kindergarten with outstandingly favourable results.

References

White, Ellen G. (1900) Christ Object Lessons
White, Ellen G. (1913) Counsels to Teachers
White, Ellen G. (1915) Life Sketches of Ellen G. White. Pacific Press Publishing Association, (275)
White, Ellen G. (1905) Ministry of Healing. The Ellen G. White Publications, (128)
White, Ellen G. (1882) Review and Herald


Behaviour Recording
Questions
For which of the following would frequency recording be appropriate?  For which of the following would duration recording or momentary time sampling be appropriate?

a. Incorrectly pronounced words  frequency recording
b.  Homework assignments submitted frequency recording
c. Correct math problems frequency recording
d. Items assembled duration recording
e. Being "on task" duration recording
f. Humming (decide whether it’s humming a tune or just uttering "Hmm.") momentary time sampling/duration recording

Think of other ways to keep track of the number of occurrences of a behaviour and discuss them with a person of your choice.
  •       Coloured Coconuts:Have a pocket coconut tree with all students’ names on it. Beside each name have a pocket where either a red (some sort of consequence decided and explained earlier.) Yellow (warning), blue (caution) or green (doing great/desired behavior) coconut will be displayed.  Students is expected to have green coconut.
  •        Punch Out Card: Each child receives a pad of paper. Whenever they are performing well, helping out, etc., give them a punch with a one hole hole-puncher. When students reach a certain number of punches, they can pick from a box of prizes.
  •      Stoplight: Display on a classroom bulletin board a stoplight with four colors: green, yellow, orange, and red. Surround the stoplight with numbered pockets, one pocket for each student. Into each pocket, place a strip of green paper. If a student breaks a class rule, replace the green paper with a yellow paper. A second behavior problem on the same day, results in an orange paper. When a student receives an orange paper, have him or her complete a Time Out Record describing his inappropriate behavior and explaining how he plans to correct it. Send the Time Out form home to parents to be signed and returned. Severe discipline problems result in a red paper, which earns a phone call home or a trip to the office. At the end of each day, everyone goes back to green. On Friday, give every student who keeps his or her green paper all week a Bonus Ticket. At the end of each semester, hold an auction and allow students to spend their Bonus Tickets.
  •     Give Me Five: Discourage inattention by teaching students the "Give Me Five" technique. Whenever you say, "Give Me Five," students go through the following five steps:

  1.             Eyes on the speaker
  2. 2.         Quiet
  3.              Be still
  4.              Hands free
  5.              Listen

  •  SLANT: Discourage inattention, slouching, boredom by teaching students to SLANT. Whenever teacher says, "SLANT" students are required to: Sit up, Lean forward, Ask and answer questions, Nod yes or know and Track the speaker/teacher (could also mean talk to teacher)
  • Three Strikes!: Every Monday, provide each student with three index cards with his or her name printed in large letters on the blank sides of the cards. If a student misbehaves, he or she writes, on the first line of the lined side of the card, the date and the behavior, and drops the card into a fishbowl at the front of the room. Reward students who still have three cards at the end of the week, and assign consequences to those who have two, one, or no cards left. The next week, give back students' cards back and start again. The cards also serve as a record at report card or parent conference time.

February 23, 2015

Evaluation for Intervention
Name and describe at least five factors that Special NeedsTeachers should take into consideration, before intervention. (10 mks)
The Individuals with Disabilities Education Act (IDEA), is a federal statute that provides guidelines and regulations for how states and public agencies provide early intervention, special education, and related services.  Before Special Needs Teachers provide intervention they should consider the following five factors but not limited to
  1. Identify the behaviour - what does it look like? How often does it occur? How severe is it? Where does it occur and for how long?
  2. Determine the Function of the behaviour by using a functional behaviour assessment
  3. Identify the data collection measure - Frequency Data Collection Sheet, Antecedent Behaviour 
  4. Select a Differential Reinforcement Procedure to decrease or get rid of the problem behaviour
  5. Create the intervention plan – what replacement behaviour to be taught, what reward system would be put in place, how would the child be supported?  Target behaviour: can read it and know exactly what to look for.  
What is the ultimate goal of assessment? (2mks)


The ultimate goal of assessment is to gather information through students, teachers, and other adults/parent report and direct observation about a child’s behaviour (when behaviour occurs as well as the frequency) and to analyse the information in an effort to use it to plan ways to help the child change unwanted behaviours.

Assessment is an integral part of instruction, as it determines whether or not the goals or objectives have been met. Assessment inspires us to ask these hard questions: "Are we teaching what we think we are teaching?" Are students learning what they are supposed to be learning? Is there a way to teach the subject better, thereby promoting better learning?"  The ultimate goal of assessment is to gather information about students in an effort to identify strengths, decide what special educational support students need and then provide explicit, systematic instruction/remediation in the specific deficit area(s).

Describe the benefits of Functional behaviour assessment. (3 mks)


  1. Identifies the purpose of specific social or environmental factors responsible for certain behaviour.
  2. Helps IEP teams select interventions to directly address the challenging behaviour.
  3. Gives the student the opportunity to come up with a better way to have his needs met by involving him in the problem-solving process for addressing his challenging behaviour.
http://benefitof.net/benefits-of-functional-behavioral-assessment/ accessed February 18, 2015



March 2, 2015

Major issues associated with identification and assessment of  emotional and behavioural disorders in children
  • Significant changes in feelings or behaviour
  • Behaviour that is out of step with peers at a similar age and stage
  •  Persistent separation difficulties or attachment problems with family
  •  Being withdrawn, fearful, anxious or upset much of the time
  •  Poor-quality play that seems limited and repetitive
  •  Difficulty managing anger and frustration, frequent tantrums or aggression
  •  Difficulty in paying attention, following instructions and completing tasks
  •  Frequent defiance and refusal to follow instructions.

Tests and techniques are varied, however developmental histories, interviews, observations across settings, and behavioural checklists and rating scales are recommended, along with cognitive and achievement testing.
Reflection
I have identified a student to conduct my case study but I have a challenge.  My challenge is that I am not in the classroom as such and the children I work with do not exhibit emotional and behavioural disorders.  I am afraid that when I go to the classroom to observe the student will display her best behaviour.  I will have to work around how to get to observe the student.  


Questions to Consider
1.      What factors seem to influence how we have historically treated individuals with emotional or behavioural disorders?
Spiritualthe belief that people showing signs of behavioral disturbance were possessed by evil spirits.
Humanitarian: goes against the spiritual approach and suggest that behavioural disorders are the result of cruelty, stress, or poor living conditions
Scientific: Physical illness as proposed by Hippocrates, particularly pathology in the brain “emphasizing the importance of heredity as well as actual injury to the head.”

2.      How have attitudes towards deviance changed throughout history?

Prior to the 18th century there was quietness with regards to children. Then there were harsh and inhuman approaches in dealing with with EBDs.  Because a need was seen for the treatment of individuals with emotional and behavioural disorders, these individuals were segregated in asylums.  Recognizing that this brought isolation and maltreatment, they were provided with better living conditions and humane treatment and were treated in mental hospitals.  Scientific and humanitarian advances led to the identification of the biological, or organic, pathology underlying EBDs and brought about a gradual acceptance of individuals who are in need of professional attention.  The 1900’s saw advocacy, collaboration, research which have led to rights and laws.

3.      What can we learn from historical descriptions in terms of our own dispositions toward deviance?

Our religious beliefs may influence our attitude as well as ignorance which could lead us to display unfavourable attitudes to people who are challenged by emotional disorders.  An increased understanding of the scientific nature of the disorder leads to more humane attitudes.

4.      What role does superstition play in concepts of deviance? Do you think superstition plays a role today?

Superstition has to do with what one chooses to believe and it is still prevalent today since people believe that some persons who exhibit emotional behaviours are possessed.  We have seen in modern denominations spiritual leaders try to “drive the evil spirit out of persons.”  Different cultures accept different behaviours and superstition as well as deviance may be found in every society but the kind of deviance people generate depends on the moral issues they seek to clarify.  Persons can therefore celebrate what superstition they want to and condemn what they do not want.

5.      What are the major political and social factors impacting how we treat individuals with EBD today?

The establishment of laws within the constitution that caters to the rights of all human including those with emotional and behavioural disorders is a positive way forward.  Governments, organizations such as United Nations and UNICEF have put policies in place to direct how individuals are to be treated.  The establishment of social systems such as schools and homes that cater to the psychological and emotional needs of individuals in a least restrictive environment is an indication that there is an understanding and a need to cater to the needs of individuals with EBB.  Courses to educate individuals about the characteristics of these people and how to relate to them educate them and their families also play a significant role.

History of EBD up to the 1600's

Early writings claimed that abnormal behaviour was caused by a demon or a God who had taken possession of the person. This approach held the view that if the person’s speech or behaviour had religious or mystical significance they were occupied by a good spirit or a God and was hence treated with awe and respect. On the other hand, if the person was overactive, overexcited or his speech and behaviour was contrary to religious teaching, he was thought to be possessed by an angry God or an evil spirit. The primary treatment for abnormal behaviour was exorcism which included the practice of magic, prayers, incantations, noise making and the drinking of concoctions.
Hippocrates
A different view to the cause and treatment of abnormality was developed by the Greek (461-377 B.C).  This new school of thought was spearheaded by the famous Greek physician, Hippocrates (460-377 B.C). He postulated that mental illnesses were not caused by possession by demons or Gods, but were caused by natural, biological causes.

He argued that the brain was the central organ of intellectual activity and that mental disorders were due to pathology of the brain. He also emphasized the role of heredity/genetic predisposition and injuries to the head  in the development of mental disorders.
Hippocrates emphasized the role of natural causes, clinical observation and brain pathology in the diagnosis and treatment of mental disorders.
Hippocrates classified all mental disorders into three categories: mania, melancholic and phrenitis. He gave detailed descriptions of specific disorders under each category based on thorough clinical observation of his patients.
Another paradigm developed in this era that sought to explain personality/temperament is the doctrine of the four humors. This doctrine underscored four different personality types: the sanguine, the phlegmatic, the choleric and the melancholic.
As treatment for behaviour abnormality, Hippocrates recommended practical forms of treatment such as change of diet, abstinence from alcohol, celibacy, sobriety, exercise and changes in social interactions.
Greek and Roman Thought
Greek and Roman physicians who came after continued Hippocrates’ work.  They too highlighted the importance of practical and medical forms of treatment for mental behaviours. One major type was the use of pleasant surroundings as a form of therapy. In this approach, patients were provided constant activities such as parties, walks, dances, rowing along the river and musical surroundings.  Physicians of this time also made use of a wide range of therapeutic measures to include dieting, massage, hydrotherapy, gymnastics, education as well as other less desirable methods such as bleeding, purging and mechanical restraints.

Galen (A.D. 130-200) another Greek physician of this era also made significant contributions underpinning the role the nervous system plays in mental disorders. He also, took a scientific approach to his study and divided psychological disorders into two categories: physical and mental in nature. Among the causes that fell under these two categories were injuries to the head, alcohol abuse, shock, fear, adolescence, menstrual changes, economic reversals and disappointments in love.

Early Middle Ages to the 1600’s (Segregation Phase) (B)
The principles developed by Hippocrates and his peers of earlier times were preserved and practiced  through the Middle Ages (A.D 500 to A.D. 1500), predominantly by the Islamic countries of the region. Several Islamic countries established mental hospitals which delivered humane treatment for their patients.

However, in Europe, scientific inquiry into emotional and mental disorders was limited and the treatment of psychologically disturbed persons was characterized more often by rituals and superstition. For example, isolated rural areas were afflicted by outbreaks of lycanthropy – a condition in which people believed that they were possessed by wolves.

Management of the mentally disturbed was left largely to the clergy. Monasteries served as refuges and places of confinement. During this early part of the medieval period, the mentally disturbed was treated with considerable kindness. Treatment consisted of prayer, holy water, sanctification ointments, the breath or spittle of priests, the touching of relics, visits to holy places and mild forms of exorcism. These methods were often joined with vaguely understood medical treatments derived from earlier physicians, mainly Galen (A.D. 130-200)

During this period, some mentally ill persons were also punished as witches.


The Valencia mental hospital founded by Father Juan Pilberto Jofre (Villasante, 2003) was probably the first asylum established in Europe (Spain in 1409).   Little is known about the treatment of patients in this asylum. In 1547 the monastery of St. Mary of Bethlehem in London (initially founded as a monastery in 1247; was officially made into an asylum by Henry VIII. Its name soon was contracted to “Bedlam,” and it became widely known for its deplorable conditions and practices. The more violent patients were exhibited to the public for one penny a look, and the more harmless inmates were forced to seek charity on the streets of London.  These early asylums were primarily modifications of penal institutions, and the inmates were treated more like beasts than like human beings. This treatment continued through most of the eighteenth century.
March 5, 2015

Article Review


Subject:
Student Teachers
Students
(Behavior)
Intervention/treatment models
AuthorSusan R. Anderson, PhD
Pub DateJuly 2012
Publication:
Name: American International Journal of Contemporary Research.   http://www.aijcrnet.com/journals/Vol_2_No_7_July_2012/4.pdf accessed February 20, 2015
Issue:
Date: July, 2012 Source Volume: 2 Source Issue: 7
Topic: Psycho-Educational Processes as Strategies for Students Presenting with Emotional and Behavioural Disorders
Geographic:
Geographic Scope: Jamaica, Caribbean

Review
The article Psycho-Educational Process as strategies for students presenting with Emotional and Behavioral Disorders was authored by Professor Susan R. Anderson (University of the West Indies Mona, Jamaica) and published in American International Journal of Contemporary Research; an open access, peer-reviewed and refereed multidisciplinary journal.
 The objective of this study was to sensitize teachers to be more aware of the presence of these psycho-social and handicapping condition within the classroom and the paramount urgency of addressing appropriately these challenges. According to the author, “the Jamaican teaching/ learning situation is woefully unprepared to cater to the needs of these children” and I must say that the same holds true for Antigua.  Every child should encounter a pleasant classroom environment so that he can productively execute his class assignment thus maximizing on his fullest potential and consequently producing a relevant productive child who will in turn make a significant contribution to peer group.
I, as a teacher should strive to empathize and understand each student in my class and seek to acquire the necessary technique to decrease the social deviance and low performance of an emotional behavioral disorder a student may exhibit. 
Literature was adequately reviewed and supported with the appropriate citations. Hypotheses were well defined and easy to comprehend. It is also noted that although there is no definite definition for the conceptual terms emotional and behavioral disorders, for the paper it was defined as “a disability that is characterized by behavioural or emotional responses in school programmes so different from the appropriate age, cultural, or ethnic norms that the responses adversely affect educational performance, including academic, social, vocational or personal skills”. The published writing appraisal provided a justification for the author’s supporting that psycho education a technique that must be implemented to deal with emotional behavioral disorders. 
Professor Anderson indicated that the specimen were Jamaican school children. The qualitative research approach was implemented with the help of eight teachers who were trained to recognize EBD. Urban and inner-city students were employed to be observed for EBD by these teachers. In my estimation due to the coherent substantial sufficiency of the detailed by- weekly shared strategies and discussions conducted amongst these teacher and verbatim transcription done to maintain accuracy this literature can be confidently replicated.
This published writing is consistent with the view that once teachers are educated as to what are the signs that may trigger the various EBDS and the techniques to combat them; also children in the classroom find their environment and their work to be positively energy channelled and understand how to work with others to achieve common goals. Hence the results were clearly supported by the supposition.
One may conclude from this study that once teachers empathize and understand their students’ verbal and non-verbal communication both stake holders would achieve positive changes. The student’s grades will improve and teacher confidence level would be boost as she now sees her effectiveness. Technological integration is a vital technique which a child with EBD will embrace whole-heartedly because it encourages learning and interaction without being condemned in a personal manner. Using a mixture of the various techniques with measure of flexibility will reproduce favourable relevant results.  Families, educational psychologist, special educators and literacy specialist can collaboratively combine their effort to implement the appropriate method to each child.
Hence the author’s direction for future research, implication of results, empirical findings and existing theory to my knowledge matched the existing report. 

Dr. Susan’s Profile page :http://theuniversitysingers.mona.uwi.edu/des/pages/sAnderson.htm                                                                                                                                                         
American International Journal of Contemporary Research (AIJCR) http://www.aijcrnet.com/


Topic 1: Characteristics of Behavior in Emotional Children

A general pervasive mood of unhappiness or depression, a tendency to develop physical symptoms or fears associated with personal or school problems, inappropriate types of behaviour or feelings under normal circumstances, an inability to build or maintain satisfactory interpersonal relationships with peers and teachers are characteristics included in the PL 94-142 (IDEA) definition of seriously emotionally disturbed.  The dimensions of chronicity, frequency, and severity are essential in determining whether behaviour is normal and the following is the PL 42-142 (IDEA) definition of emotional disturbance.  Chronicity is a dimension of disordered behaviour referring to "...Over a long period of time...;"  severity is a dimension of disordered behaviour referring to "...Inappropriate types of behaviour or feelings under normal circumstances" and frequency is a dimension of disordered behaviour referring to "...To a marked degree..." Current terminology associated with emotional disturbance is best characterized by controversy, leading to different terms being used by different state agencies.  Inconsistency in defining behaviour disorders is a primary reason for inaccuracy in estimates of prevalence.  Eli Bower did the research upon which the federal definition of EBD is based, said that adding the term seriously to the term emotionally disturbed was not a good idea, the crucial difference was that EBD children exhibited the characteristics over a period of time and to a marked degree, all of the characteristics in the definition could be observed in almost all "normal" children at some point in time and the definition is practical in an educational setting related to the federal definition.  Characteristics used in Bower's definition of emotionally disturbed can be observed in almost all normal children to some extent at some time.  The National School Board Association opposed the name change from Emotional Disturbance to Emotional / Behavioural Disorders because the new wording would imply that differences between emotions and behaviour were important; the change would not adequately define those children affected by the disorder; they feared change and really weren't interested in the welfare of the children and the new label would include too many children for treatment at too great an expense. The Executive Committee of the Council for Children with Behavioural Disorders identified difficulty in operationalizing the definition; exclusion of social maladjustment; a variety of state definitions exist, resulting in diverse identification procedures and Subjectivity in clinical judgments of disturbance. 
Social Considerations are of great importance when identifying emotional disturbance.  Socio economic level, gender, racial/cultural group and age level are sociological parameters that guide our expectations for individuals' behaviour.  Sociological parameters, variation in individuals' tolerance ranges for behaviour, differences in the theoretical models from which professionals operate and differences in terminology associated with emotional problems are factors influencing our personal concepts of deviance.  Researchers have proposed behaviour typical of boys tends to be labelled as disordered; teachers see boys' behaviour problems as more disturbing; girls tend toward withdrawn and internalizing behaviour and boys tend to show conduct problems rather than personality problems.  The internalizing and externalizing factors have been found to have a positive association, perhaps indicating a common general underlying factor among individuals with EBD.  The internalizing factor includes Somatic complaints, social withdrawal, and fears and externalizing factor includes disobedience, delinquency, and overactivity.  With regard to the internalizing/externalizing dichotomy research support these two behaviour styles reflect the interaction of environmental and biological factors; there is a clear and positive association between the two types of profiles; females tend to be internalizers, while males tend to be externalizers and internalizers are more problematic for teachers because behaviours are difficult to measure. Historically, externalizers have been identified as emotionally/behaviourally disordered at a higher rate than internalizers.

Because of the theoretical stances represented in multidisciplinary teams, its members will usually be in disagreement about whether the student has an emotional disturbance. A majority of students with EBD fall in the low average-range on intelligence measures.  A disproportionate number of African American Students have been identified as having an emotional disturbance.  Research on teachers' tolerance ranges has led to the conclusion that the individual's definition of behaviour disorders is subject to his/her attitudes.  Teachers working with school children who are classified as Emotionally Disturbed statistically have the following attributes
  • They tend to be male.
  • They tend to be people of racial/ethnic minorities.
  • The are less well trained and educated than other special education teachers
  • They have a higher turnover rate than other special education teachers
Historical perspective, Identification, and assessment

Historical Perspective
Early beliefs from such ancient civilizations as those of Greece, Rome, India, and Egypt believed that behavioural deviates were possessed by demons.  These beliefs were most likely the result of humans' attempts to maintain some control over their environment. This concept eventually disappeared only to resurface again in the Middle Ages where there was an increase in abnormal behaviour and there was strong belief in demonology.  The mentally ill were treated harshly and accused of witchcraft.  Philosophers and physicians such as Hippocrates and Plato provided theories which allowed movement away from superstition and toward scientific inquiry.  Hippocrates placed mental illness on the same footing as other medical disorders by highlighting the belief that the mentally ill are genuinely suffering, and therefore to be treated like other sick persons rather than as moral degenerates.  Plato believed that interpretation of dreams provided insight into personality.  The scientific explanations of causes of mental disorders which had been proposed by the Greeks were expanded and improved.  French Physician Philippe Pinel was known for removing the chains from mental patients during the 1700s.  Dorothea Dix was responsible for penal and mental health reforms and the establishment of 32 mental hospitals during the 1800s.  Jean Itard, a physician during the mid-1700s is best remembered today for teaching the "wild boy of Averyon" speech and social skills.  In the mid-twentieth century, services for students with EBD lagged behind those for other special population because of limited understanding of etiology and appropriate intervention.  Parents were reluctant to become advocates.   Because of confusion over definition of EBD there was lack of direction among educators and established and effective intervention techniques were lacking.
The transition phase (1700s-1800s) was known for children being recognized as individuals with rights.  Clifford Beers having recovered from a mental breakdown, founded the National Committee for Mental Hygiene and campaigned for better conditions in the treatment of the disturbed wrote a Mind that Found Itself.   Towards the end of the nineteenth century Sigmund Freud and several European neurologists began actively investigating the causes of mental illness with the determination to change forever the understanding of mental illness. 
During the early 1900s, the White House Conference on Child Health and Protection; the Creation of the Council of Exceptional Children; the Creation of the National Committee for Mental Hygiene and the creation of a department of special education within the U.S. of education occurred. 

The earlier part of the twentieth century was marked by legislation requiring affirmative action towards persons with disabilities, increased public awareness of mental health, recognition of special education as a legitimate part of education and creation of the American Orthopsychiatric Association.    The International Council for the Education of Exceptional Children was founded with 12 charter members August 12, 1922.  Elizabeth Farrell was unanimously elected president at that first meeting, and the Council adopted what it called its three "aims":
·    To unite those interested in educational problems of "special children."
·    To emphasize the education of "special children" rather than his/her identification.
·    To establish professional standards for teachers in the field of special education.
·     
Wickman's 1928 monograph "Children's Behavior and Teacher's Attitudes," touched off a 30-year controversy concerning whether teachers should adopt mental health clinicians' attitudes toward behaviour.  The distinguished psychiatrist, Bender established classrooms for disturbed children at Bellevue Hospital in New York in 1935.  The League School, a model day school program in New York City, was founded by Fenichel.  Following World War II, parents of children with disabilities became more visible as the federal government provided greater resources to returning veterans.  The basis development of services for students with EBD following World War II included a Parents’ Advocacy Network. 
During the 1960s a number of books were published.  The book, Conflict in the Classroom represented the first attempt to integrate the widely divergent views of psychodynamic, psychoanalytic, and behavioural theory.  Cruickshank, in 1961 wrote a book detailing specific classroom procedures for education of hyperactive and brain damaged children.    Haring and Phillips wrote a book in 1962, Educating Emotionally Disturbed Children which provided explicit instructions for establishing public school classroom for children with EBD using behavioural principles and a structured environment. In the Mid 1960s, Hewett designed the engineered classroom where specific hierarchical educational goals were established, the environment was highly structured to ensure success, an elaborate reinforcement system was instituted to provide motivation and activities centres and specific times for specific subjects were instituted.   Project Re-ED, the NIMH, funded pilot residential schools for students with emotional/behavioural disorders, which was based in the philosophy that all of the child’s social systems must be taken into account if the treatment is to be effective was headed by Hobbs. 
Research of the 1970s provided a definitive course of instructional methodology for educating children with EBD.  Bower and Lambert's work establishing a screening instrument for emotional handicaps provided the basis for the definition of emotional disturbance used in PL 94-142.  The Education for All Handicapped Children Act of 1975 (P.L. 94-142) provided that all children with disabilities ages 5 to 18 must be provided a free, appropriate education.  The impetus for the establishment of special education programs was the passage of compulsory education laws.  Rehabilitation Act of 1973 (PL 93-112) is the legislation known for requiring affirmative action toward persons with disabilities by employers and administrators receiving federal funds.  Mills vs. Board of Educationon of District of Columbia (1971) was important because it laid the groundwork for P.L 94-142.  Public law 94-142 (Education for All Handicapped Children Act, 1975) provided a free appropriate education for all children with disabilities; required multidisciplinary planning; required an individual education plan (IEP) and has guided the direction of special education since its passage in 1975.  The most important provision of the Americans with Disabilities Act (ADA) passed in 1990 is that it prohibits both private and government employers from discrimination against qualified persons with disabilities.  The main goal of the NCLB Act was to establish a level of academic proficiency in core subject areas by 2013-2014.  Specific criticisms of the No Child Left Behind Act of 2001 (NCLB) focus on unreasonable and costly testing mandates, unreasonable expectations for performance and school accountability for special education students, lack of funding and Federal intrusiveness.  The major conflict between NCLB and IDEA 2004 could be summarized as IDEA mandates individualized programming while NLB requires a standard curriculum.    
Identification and Assessment
Characteristic included in the IDEA definition of seriously emotionally disturbed include the following five possible manifestations: inappropriate types of behaviour or feelings under normal circumstances; an inability to build or maintain satisfactory interpersonal relationships with peers and teachers, an inability to learn that can’t be explained by intellectual, sensory, or health factors, a tendency to develop physical symptoms or fears associated with personal or school problems and a general pervasive mood of unhappiness or depression.  Students who are socially maladjusted are sometimes eligible for special education if they otherwise meet criteria for EBD.  To qualify for special education services, a student must meet criteria for a specific disability and demonstrate educational need.  Response to intervention (RTI) should be considered prior to eligibility determination.  Prereferral interventions are based on the perspective that children operate in multiple systems and behaviours should be viewed within the larger context.
Reasons a thorough developmental history essential to the assessment of EBD include consideration of medical issues that might impact school functioning, documentation of duration, severity and chronicity of problem behaviours, consideration of family or situational factors that may impact social, emotional and behavioural functioning.  When a referred student is diagnosed with a psychiatric disorder by a professional outside of the school setting, the IEP team must consider comorbitity when making eligibility determinations.  Comorbidity might best be defined as the coexistence of two or more diagnosable disorders in the same individual.  Other disabilities that may coexist with EBDs include ADHD, ADD, autism, Language disorder.  According to IDEA 2004, parent involvement in the multidisciplinary IEP team is mandated.  Nondiscriminatory testing as a procedural requirement of IDEA refers to the responsibility of local education agencies to ensure that identification procedures are not culturally or racially biased. 
Behavioural observations are important in the EBD assessment because understanding of the context of behaviours can aid in the development of interventions. Selection of specific instruments and techniques for the assessment of EBD is usually left to the discretion of assessment personnel such as school psychologists. Tests or techniques typically used to assess for EBD include the SEDS-2 (Social-emotional Dimension Scale), BES-2 (Behaviour Evaluation Scale), and the SAED (Scales for Assessing Emotional Disturbances).  They all provide rating scales based on federal criteria for EBD.  Advantages of rating scales for eligibility decision makers include leading to discovery of problems for one teacher as opposed to problems across teachers, information from several teachers using the same questions can be compared for each child, somewhat objective measures focusing on observable behaviour and helping to satisfy the requirement for multiple sources of information.  Best practices for use of behaviour rating scales interpreting the results with reference to informants’ experiences with the child, considering the reliability and validity of the measures, selecting tests based on a large nationally stratified sample and seeking input from multiple informants and settings.  A specific purpose behavior rating scale might be selected by school assessment professionals when Referral concerns indicate particular types of emotional/behavioral problems that require further exploration.  Characteristics of the Achenbach System of Empirically Based Assessment include Emphasis on cross-informant assessment, along with interview and observation tools.  Projective assessment techniques refer to tests and procedures which Elicit an individual's inner feelings and conflicts through response to ambiguous stimuli.  In interpreting results from assessment for EBD, the competent examiner should probably consider the convergent validity of information gathered through multiple approaches.  Techniques such as human figure drawings, kinetic family drawings, thematic apperception methods, and face-to-face interviews with students may help to build rapport while eliciting information during the assessment process.

April 3, 2015