Why is it that my child sometimes follows my instruction and sometimes does not (even gets angry when I teach him)?

Focus and Concentration are very minimal to a developing child. Short attention and inability to follow instructions are common to babies and children with special needs. To follow your verbal command require complex organization of mind and body to coordinate and respond a correct motor output.

Example: Get the shoes.

Credits to the owner of this picture.
  1. Words used are critical. If the child does not know the concept or language, he will simply ignore it and it think it is just a sound or noise.

  2. Prompts are necessary. Pointing the shoes, acting out what is “get” and guiding him physically to where it is located can make a difference. It would mean success. It would mean the child obeyed and followed you.

The training and intervention we do to the child is necessary as each success will contribute to motivation. The more the child feels he succeed, the more motivated he becomes in doing the next “unfinished” or “underdeveloped” skills.

Is it okay to let my child play with others even if he is behind (in skills)?

Social Skills is the most important aspect of child development. Various things happen when he is with peers (term for children of his age)

  1. Observation- he sees, hears, moves as he is along with others. He will learn by being with them through his senses. Fear from parents is normal. It is instinct. Choose who he mingles with. Select the place where he socializes.
Credits to the owner of this photo.
  1. Actualization – he actualize or performs as he usually does. Given his performance, parents will be able to see baseline skills which needed to be improved, example toileting skills, sitting skills, eye contact, body language, language used, give and go (share), (-) stranger anxiety – meaning he can withstand being away from familiar persons and tolerance to frustration (being with others require patience) during play.

Foundations of an Effective and Efficient Child Care Provider

In the recently concluded 8th Biennial Convention of the Philippine Society for Developmental and Behavioral Pediatrics, many ideas were conveyed with scientific and factual data. It has been an enriching 2-day event attended by Pediatricians, Therapists, Educators and Advocates.

There is a study on the effects of an enriched environment to the brain of children. Dr. Joel Lazaro provided an insight on a study that the brain has a phenomenon called “Use it or Lose it”. When you provide an environment that stimulates the mind of a child synapses are formed. Early experiences matter because it influence brain architecture and function. Take for example Tiger Woods, a champion golfer. He was given an opportunity to play and be trained by his father, also a golfer. At a young age, he was already performing at par with other pros. The first five years of the child is an essential time- the foundation years. There is an interplay of nature versus nurture. The brain is developing during those years. Learning starts at home – his first school.

Furthermore, the plenary became more active and participative when the topic emphasized on early intervention and stress. Early intervention starts when the therapists commences their programs, when the child receives education in regular or progressive schools, when parents are equipped on new parenting techniques and when the family adjusts to accommodate the child’s individual and unique needs.

Stress can be acquired by children too. This can be seen by physical manifestations. It can be positive, tolerable and toxic stress. Positive stress is felt when the child undergoes natural course, events that are necessary for his development. Tolerable stress can be a loss of something dear to him like a loved one, a toy, a change of residence or parents separating. Toxic stress is the severe form where the child experiences emotions more than he can handle. For example, physical abuse. Verbal abuse in my opinion may fall in this category. Ridicule, shaming, bad-mouthing are some habits that can lead to stress.

Finally, “less is more” as what Dr. Lazaro emphasized. We live in a world where there is an abundance of almost everything. For me, when we take control and appreciate the little things we have and use it to our advantage, that is to allow more time for stimulation. When we have lots of technological armours, what is left is little quality time. When we have lots of dreams and demands to our exceptional children so they can be achievers, what is left is little quality time for play.

By: Teacher Jun Polancos

4O WAYS TO IMPROVE YOUR CHILD’S BEHAVIOR

4O WAYS TO IMPROVE YOUR CHILD’S BEHAVIOR

BY: CAYETANO POLANCOS JR., MAED-SPED, PTRP

The parent who has a child diagnosed with a developmental condition should undergo parenting classes. Traditional skills in child rearing may not always be applicable due to the complex nature of this childhood disorder. As a proactive parent, one must research in order to find light to unending questions and confusions surrounding this new chapter in his life.

PARENT AS A RESEARCHER

40. NETWORKING.

Create a network of friends, teachers, professionals who share the same passion for images (13) special needs population. Join associations that share common goals for your child.

  1. READING.

Educate yourself about your child’s condition, i.e. definition, characteristics, READinterventions and prognosis using books, journals, TV shows, youtube videos, and helpful internet websites, example Https://shapingpro.wordpress.com.

  1. JOURNALING.

Write down your observations in a journal notebook or diary. Writing is effective in monitoring recurrent behaviors. Your observations and interventions on that situation are recorded emphasizing the frequency, intensity and duration of maladaptive behaviors.

  1. BEING AN ADVOCATE.

Help others in early detection using A-E-I-O-U.

Blackboard with chalk
Blackboard with chalk

Problems and difficulties with articulation, eye contact, imitation, obedience and use of hands and feet which persists in 6 month are red flag signs. Through this, you will realize that sharing one’s thoughts could prevent further deterioration of the condition since early screening is paramount to positive prognosis.

  1. EXPLORE

Walking, strolling or traveling, one can find interesting idea. Enriching your mind with GO MASSfresh scenery, new events, and new itineraries can make your plight less depressing. Raising an exceptional child sometimes creates walls and boundaries and cut off communication lines and destroys paths. Go to church, malls, parks, parties.

  1. SEEK PROFESSIONAL HELP

Find professionals who are expert in the field. Developmental Pediatrician, OT, Speechs4 Therapists, Physical Therapist or Behavioral Therapist, SPED Teachers, Psychologists are among your options. Find competent, experienced and knowledgeable people to help you. Do not allow this problem to overshadow your judgment. Act the soonest possible time.

  1. LEARN NEW SKILLS

images (16)There is a major shift in education. Allow yourself to be trained in technical-vocational skills. Age is not a deterrent. Your skills can be of big help for your growing kid.

PARENT AS AN ACTOR

Implementing interventions at home and community can be pleasurable if we provide 123humor and creativity to a stressful task. We are already acting before – but it was more emotionally charged. This time, providing alleviation to problems should not raise our pulse, heart rate and blood pressure.

  1. EYE CONTACT

The eyes are the window of the soul. It is often underestimated but for children with special needs, it is key for learning. Establish eye contact consistently during conversation, tutoring and emphasis on shown materials.

  1. VOICE

Adjust your voice modulation to moderate in normal discourse, energetic in ecstatic mood and subdued in depress tone. The child finds cue to your feelings. Verbalize, express and speak your hearts out.

  1. EXAGGERATION

Emphasize and exaggerate your appreciation through your action and words; girls-exaggerating-18exaggerate your displeasure to emphasize that inappropriate behaviors are not tolerated.

  1. MODELING

You can certainly influence your child through your actions and words. Demonstrate the behavior you want your child to perform. Act until it becomes part of his repertoire of skills.

  1. ROLE PLAYING

Suiting up as a chef in the kitchen or wearing basketball jersey while playing add to theimages (17) motivation and interest of the child to you. Bring back the positive relationship through creative approach.

  1. STORY TELLING

Speech and language deficits are present in every disorder. In STORYTELLINGthis intervention, pile up beautiful stories or purchase simple story books and read it every night before he sleeps. You can make your own story.

  1. ARTS AND CRAFTS

Provide materials and make a product out of it like a project. To add skills, try selling it for training purposes in communication and social interaction.

  1. MUSIC AND MOVEMENT

Singing and dancing are innate for us Filipinos. Make it an instrument of growth and creative development. You may look for people to teach your child the basic steps or purchase materials to improve his craft.

PARENT AS A TEACHER

As a teacher, you facilitate learning. You guide the child and make learning enjoyable. Use multi-sensory approach, i.e. all senses are given stimulation – hearing, vision, tactile and kinesthetic. Reinforcers, visual aids and environment modification are needed to augment learning materials.

  1. TASK ANALYSIS

Break complex tasks into simpler, doable and achievable piece.

  1. TOKEN ECONOMY

Assign points for tasks and assign equivalent rewards for corresponding number of total points.

  1. BEHAVIOR CHART

Seeing an image or picture of actions, achievements, prohibitions, schedules posted in a wall as a reminder of your expectations can be a good reinforcer for the child.

  1. CONTRACT SETTING

A contract is a written agreement stating behavioral expectations, rewards for compliance and punishments for defiance and signatures of both parent and child.

  1. SOCIAL REINFORCER

This is the most commonly used form of reinforcement. Verbal expressions as well as high_five_by_mf99k-d6eingkphysical expressions are readily available with no expense at all. Pat on the back, high five and smile are some examples.

  1. ACTIVITY REINFORCER

This method can be used as an exchange of good behavior. Any activities that are pleasurable to him can be used as reinforcement. Example are watching TV (3 years and above, limited) and playing a game with peers.

  1. TANGIBLE REINFORCER

Examples are toys, board games, marbles, stickers, art materials and edibles. Computer, tablet and cellphone games are highly discouraged.

  1. PROMPT

It is a stimulus given before a behavior to assist the child in performing that behavior.images (8) Examples are verbal, gestural, pictorial and physical prompts.

  1. VERBAL REPRIMAND

It must be brief and direct to the point. It shows your disapproval. I can be in the form of scolding and just saying “No”.

  1. TIME-OUT

It is the removal of a child from a situation in which reinforcers are available. It also images (1)includes withdrawal of attention, physical isolation, ignoring, seat time out (taking a nap position), facing a wall or corner and removal of materials from his environment.

  1. RESPONSE COST

It is the quickest way to reduce unwanted behavior. Remove the reinforcers from his line of vision.

  1. REPETITION

To create an engram or memory trace, there should be a minimum of 3 repetitions to ensure adequate time for the brain to process. It can be incremental to test his endurance and tolerance.

  1. ASSERTIVE COMMUNICATION

Using “I” messages to convey your idea without shouting or ridicule. This is a mature approach where the child is treated with value.

  1. MODIFYING THE ANTECEDENT

Ensuring safety and anticipation of what might happen; re-designing the area to lessen distractions and unnecessary movements; and organizing sharp tools and fragile materials to prevent the behavior from happening.

  1. SOCIAL SKILLS TRAINING

Socially acceptable learned behaviors that enable a person to interact with others in ways that elicit positive responses and assist the person in avoiding negative responses.

  1. ACTIVE AND PLANNED IGNORING

This technique which the attention is withdrawn from the child especially if he is kids-chore-3throwing tantrums or crying is a powerful tool for behavior change.

PARENTS AS STRATEGIST

As a strategist, you have to know your PURPOSE. It means you have to prepare ahead to be on guard for possible negative events. You have to understand the strengths and challenges of this disorder. After that you rehearse, putting yourself as a doer and an empty chair as your subject. By this time you are ready to place it in real scenario – perform it with your child. Overcome obstacles surrounding your idea. Select the best strategy based on your knowledge. Use it. Evaluate after doing it. Some parents find it hard, but as a strategist you decide, choose and execute and be accountable for positive or negative results.      

  1. OVERCOMING CRISIS

There are five stages that one has to undergo when there are events that are not favorable to our expectations. These are denial, anger, bargaining, depression and acceptance.

  1. ADEQUATE NUTRITION

Pica, picky eater, junk foods, soda and swallowing problems are issues faced by parents daily. It is imperative that the parents use reinforcers to ensure compliance.

  1. BEHAVIOR TO PUNISH

These are dangerous behaviors such as running into the street without looking and 876248679_db81340a57intolerable behavior such as hitting other children to hurt them. It must be immediate. Do not punish frequently or its effects are diminished and child may no longer respond.

  1. LIFESTYLE MODIFICATION

The diagnosis is a ticket for the modification of unhealthy lifestyle. The focus of modification are home errands, communication, independent function in all aspects of daily living, scheduled trips, medical check-ups, school conference among other issues that must be addressed.

  1. HOME STRUCTURE

The home is your child’s first learning environment. Organize your home to accommodate your child’s special needs. It has designated and safe areas for playing, studying, putting toys or books and placing in time-out.

  1. PLAY

The primary occupation of the child is play. Adequate and quality time is needed to PLAY OUTDOORenter into their world without intruding and controlling the game or mood. The child is observant and open for learning in this period of pleasurable activity. Integrate teaching of concepts in a similar way.

  1. RELAXATION

General instructions for Jacobson’s technique involve tightening one muscle group while keeping the rest of the body relaxed, and then releasing the tension. Professionals who use this technique often combine it with breathing exercises or mental imagery.

  1. SLEEP PATTERNS

SLEEP8-9 hours of sleep is recommended for children. Nap time is discouraged for children 4 years old and above. Lack of adequate sleep disables repair of tissues thus inhibit healing. Imbalance of neurochemicals in the brain promotes irritability, lack of focus, aggressiveness and short attention span. Learning is difficult as the brain processes are disoriented.

  1. REFRAMING.

It is a psychological technique that consists of identifying and then disputing irrational or maladaptive thoughts. It is a way of viewing and experiencing events and emotions to find more positive alternatives. REMEMBERChange the conceptual and/or emotional setting or viewpoint in relation to which a situation is experienced and to place it in another frame to change its entire meaning. In teaching, reframing explains a point in a different way (analogy, association), thus helping those who did not understand it.

MATER QUO VADIS? MOTHER, WHERE ARE YOU GOING?

A PRACTICAL PARENTING GUIDE TO RAISING AN EXCEPTIONAL CHILD

JULY 24, 2015

HOLY CROSS OF DAVAO COLLEGE

PARENT SEMINAR IN CELEBRATION OF NATIONAL DISABILITY PREVENTION AND REHABILITATION WEEK (NDPR) 2015

Easy Steps: Red Flags Signs of a Developmental Problem

For a period of 6 months and these signs are consistent and persistent, please consult to a Developmental Pediatrician.

Blackboard with chalk
Blackboard with chalk

DEVELOPMENTAL PEDIATRICIANS IN DAVAO CITY

1. JEANNE MAE ABONADO -FORTUNA

Room 421 Medical Arts Tower

Davao Doctors Hospital

Quirino Avenue, Davao City

Tel. No: 302-7585

Cell. No: 0933-4657369

2. MARIA CRISTINA REYES- CAGUIOA

Metro Davao Medical and Research Center

Suite 313

Bajada, Davao City

Tel. No: 287-7777 local 2313

Cell. No: 0932- 8709601

3. MERVIN EDCEL EUSEBIO FLAVIER

Room 215 Medical Arts Tower

Davao Doctors Hospital

Quirino Avenue, Davao City

Tel. No: 221-2101 local 689

Cell. No: 0932-5365614

4. FERRIZA MARIA AMPARO -ISAGUIRRE

Child Development Clinic, Child And Adolescent

Neurodevelopmental Center

Brokenshire Memorial Hospital

Madapo Hills, Davao City

Tel No: 305-3171 local 4242

Tel. No: 221-0808 local 215

Cell. No: 0935-1584785