Friday, October 19, 2007

Instructional Strategies for Children with ADHD

"No two children with ADD/ADHD are alike"...but isn't that true for all of our students? In my quest to offer you concrete strategies to help those students in your classroom who may or may not be formally diagnosed with ADHD, I have found that the formula is quite similar to the effective instruction model we use at PSM/PECS. This style of teaching with well structured lesson, high expectations, minimal behavioral disruptions, and maximum engaged learning time meets the needs of MOST students.

Students (with ADHD) learn best within carefully structured environments. Watch as the strategies listed below, paraphrased from US Department of Education, Office of Special Education Programs, align with our formal observation/evaluation form.




  • Before beginning a lesson, preview your expectations about what students will learn and how they should behave during the lesson. (State and write objectives)Standard A

  • Be consistent! Peform ongoing student evaluation, watch for signs of daydreaming or visual/verbal indications of frustration (playing in desk, drawing, flipping pages in book, angry facial expression) Standard E

  • Provide follow-up directions. ORAL: after giving directions to the class as a whole, provide attional oral directions for a child with ADHD. Ask the child if they understood the directions, or to repeat the directions together. WRITTEN: Write objectives, assignments, and the page number for the assignment on the board, remind students to look at the board if they forget. Standard D

  • Divide work into smaller units. Break down assignments into smaller, less complex tasks. For example, allow students to complete five math problems before giving them another five. Standard B

  • Provide advance warnings. Let students know that a lesson is about to end. Announce 5 or 10 minutes before the end of the lesson, how much time remains. This is extremely easy if you have the class time schedule on the board!!!!! Standard A
  • Check assignments. Review with some students what they have learned during the lesson to get a sense of how ready the class was for the lesson and how to plan for the next lesson. ADHD students will often tell you they "get it." Make them repeat exactly what "they get" to ensure accuracy. Standard B

Many students with ADHD are easily distracted and have difficulty focusing their attention on assigned tasks. However, these practices can help children improve their organization of homework and other daily assignments.

  • Designate a "student advisor." Permit students to pair up with each other to assist in planning and organizing before and after school. They could help record homework, file worksheets, and fill and empty the backpack with necessary materials.
  • Allow time to clean out desks and book bags. Remind the child, on a regular basis, to sort through and clean out their desk, homework folders, or book bag.
  • Create a check list of materials to go home, materials needed at school...etc. Post check list on desk as a visual reminder.

As we already know, well-managed classrooms prevent many disciplinary problems. Behavioral interventions should be viewed as an opportunity for teaching in the most effective and efficient manner, rather than as an opportunity for punishment. The mose effective intervention is VERBAL REINFORCEMENT. Positive reinforcement produces the changes in attitudes that will shape a students' behavior over the long term. A few reminders...

  1. Define the appropriate behavior while giving praise. Be specific to a student, not always whole class.
  2. Give praise immediately.
  3. Vary the statements. The same praise statement made over and over eventually loses its value.
  4. Be consistent and sincere. Beware of false praise.

Other behavioral interventions:

  • Selectively ignore inappropriate behavior.
  • Physically remove nuisance items in desk...rubber bands, broken pencils, barrets. This works best after the student has been given the choice of putting it away immediately and then fails to do so.
  • Allow for outlets. Permit students with ADHD to leave the class on an errand, provide them an honorary job that will give them the opportunity to get out of their chair occasionally.
  • Proximity control. Tap the desk or shoulder of someone when you need to regain attention.

Do you have other suggestions? Use the comments link below to share with us the strategies or interventions that have worked well, or maybe not so well in your experiences.

2 comments:

Anonymous said...

I never really believed that this type of thing existed...until this year as a first year teacher. And when I finally got the chance to compare different children's behavior (all 22 of them!), I realized that some students really DO have add/adhd. As a teacher, it is frustrating because as much I say and do to try and help this type of student, they still CANNOT settle down on their own. This information has shed some light on add/adhd and will help me greatly! I espeicially like the idea of having a student helper. I am going to try that this week!

Anonymous said...

I share Megan's sentiment.

I've also found that it is really hard to seperate the child from the actual adhd (diagnosed or not). When I consiously try to make that distinction, I find myself getting less frutrated.

I appreciated the section of "other behavioral interventions", too. Ignoring the behavior, trying to remove the physical distractions in the room, allowing for outlets and using proximity are all really good strategies to use.

A list of approved rewards for students.

1. Lunch with the teacher in the cafeteria.
2. A telephone call home to say what a great student you are.
3. Complete only half an assignment. (student must get pre-approval)
4. Choose any class job for the week.
5. One day pass to help a kindergarten class with recess. (must be pre-approved with K)
6. Front office helper for 20 minutes.
7. Choose a book for the teacher to read to the class.
8. No homework coupon.
9. Extra 5 point coupon to be used on homework.
10. Show and tell opportunity
11. First pick of recess activity or equipment.
12. Move your desk for a day.
13. Coupon for extra 5 minutes on a test.
14. Sit with a friend at a separate table at lunch.
15. Write the homework on the board for a week.