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Are there any specific tips or tips for educating young children diagnosed with ADHD?

I was the director of a child psychiatry day treatment program for about ten years, and during that time, collaborated with a special education teacher to develop a template of recommendations from which we could select to produce an educational discharge summary for the school of the children we treated and educated. The special education teacher had Orton-Gillingham certification.Many of the children had attention deficit hyperactivity disorder (ADHD). The recommendations are NOT intended as a one-size-fits-all cookie cutter approach; rather, as we wrote a customized summary of each child’s classroom needs, this served as a reminder and sometimes a loose framework:School recommendations are as follows:a. A highly structured, self-contained classroomb. Xxxxx’s ability to tolerate distraction appears to be low; he was unable to remain on-task given any extraneous noises in the classroom setting. Therefore, a teaching environment with reduced stimulation is recommended.c. A Functional Behavioral Assessment should be conducted, and used as the basis of a Behavioral Intervention Plan (BIP). This should then be incorporated into an Individualized Educational Plan (IEP) or implemented as part of a “504” plan.d. A low teacher-pupil ratioe. A consistent behavior management program with clear academic and behavioral expectations, concrete reinforcers (points, stickers, stars, privileges), and consequences (not earning reinforcers, provision for time-out and isolation as needed)f. In-school mental health services including an in-school crisis intervention team are recommendedg. Provide Speech and Language evaluations to assess receptive language deficitsh. Conduct an academic and cognitive assessment to determine appropriate special education and related servicesi. The following Accommodations/Supplementary Aids are recommended:i. Chunking of tasksii. Explicit Teachingiii. Extra Response and Processing Timeiv. Sentence Frames and Starters for Writing Assignmentsv. Modeling and Repetition of Informationvi. Repetition/Overlearning of Skillsvii. Restating, Paraphrasing, and repetition of directionsviii. Prelearning of Classroom Materialix. Notetaker (peer or adult)x. Access to computer/laptopxi. Use of a daily/weekly planner to keep track of individual assignments and long-term projectsxii. Modified Homeworkxiii. Human Reader/Audiotape or compact disk recordingxiv. Extended Timexv. Reduced Distractionsj. When instructing Xxxxx:i. Provide one task worksheet at a timeii. Pair visual cues and models with oral instructioniii. Seat him in the front row or place him at a study carreliv. Monitor and supervise his progress towards task completionk. Praise efforts at mastery as well as actual achievement of mastery.l. Maintain regular contact with home to monitor educational, medical, family, or social issues which may affect Xxxxx’s school functioning.A full Occupational Therapy evaluation should be conducted in the school system to assess functional areas, fine motor skills and anger management.In addition to understanding overactivity, impulsivity, and inattention as functions of “ADHD,” our practice was informed by sensory integration theory; that was part of the reason an Occupational Therapy evaluation was a consideration. Poor graphomotor skills, hearing problems, executive functioning issues like a small working memory or poor internal timekeeping (and a number of other executive functions) can contribute to a classroom problem in ways that resemble ADHD or tapped to address the condition. It goes without saying that depression, anxiety (related to trauma or not) and other issues have to be ruled out before jumping to conclusions about the nature of a classroom disturbance, but this framework can be mined for useful ideas.

What can I use if I don't have a utility bill as proof of where I live when I apply for my California ID? Can I use letters from Social Security or Medicare? What about hospital bills?

Applying for a Real ID is a pain in the butt! If you are prone to tears, this would likely be the button pusher. If anger is your usual emotional expression, do what you need to do in advance before you go to go in as calm as possible with your best version of patience. My experience was awful. I had been warned in advance. It was far worse than I expected.So find your best version of you. Brace to be treated like a criminal. And in case anyone or you didn’t notice, I’m a white female American born, no accent. I just well enough. I’m a young senior. Nothing, I don’t think, about me would have someone think I’m an illegal.I had been warned in advance where the harder offices are so I avoided those. I went to a Los Angeles area DMV. I also dealt directly with a very nice helpful manager. However, getting to the nice manager meant getting past the “screening witch” who seemed to be overly enjoying her power trip. She had to first see all my documents.I had watched the two people ahead of me who also had a lot of documents have emotional melt downs with her.I had a thick folded of options. I felt confident until I had my turn.SHE SEEMS TO HATE RENTERS!Here’s what I had:US passport ( take your birth certificate if you have it in the same name)CA existing current licenseCurrent vehicle registrationProof of valid vehicle insuranceSocial Security IDMail from Social SecurityPrint out of my awards letter with my address on it.rental agreement ( the witch wasn’t happy because it wasn’t in a CA state legal form but instead was a legal template my landlord got from probably online. There was nothing wrong with it. Nothing. I’m in the legal field. )My utilities are included in rent. (She wasn’t happy about that. She wasn’t happy my cell bill is paid by a third party. )Medical Insurance(!!!) Medical insurance BILLING. (I don’t get any other mail at my residence. It all goes to my private mail address. However, insurance company’s mailing error is what saved my tush at DMV witch station. It had the address matching my rental agreement.)Business license with my name and address. ( seems she didn’t understand I can’t get that without being LEGALLY IN THE US)Private mailbox rental agreement showing my real residential address ( this wasn’t good enough for the screening witch)Storage contract with my name and mailing address on it ( since it wasn’t showing my residential address, she didn’t like it)I had other bills and mail all showing my private mailbox address.Anyway, twice in line for screening which as she sent me back to my vehicle for my OLD vehicle registration for years prior showing I had been here awhile. Go figure! In the end about two hours later I was advanced to the managers window for “special screening” since I didn’t have utilities in my name ( primarily this reason) and second, I didn’t want my residential address showing on my license.—At the managers window I waited about 45 minutes in a line with one ahead of me. At this point I’m pushing three hours here. ( and I had the initial advantage of being in the line for people with disabilities.)[Note to anyone with a standing or walking disability - BRING YOUR ROLLATOR. Otherwise you may be doing a lot of standing on hard floors. ]Once with the kind manager, who had already had a day of people complaining about the “screening witch”, she had to look up stuff and make several calls to learn how to keep my address off my license. Finally got that handled. After the nice manager, I was sent to Camera and then left.Total time there a little over 4–1/2 hours.About six weeks later my Real ID arrived. I got it early so I could fly.—Flash forward seven months to renewing it when my birthday rolled around.Easy and done and out in 15 minutes! Went to Ventura County. I walked in about 4:40. I was out before they closed at 5pm.No witch.Filled out the application on the computer, got a call number. Was walked over to the guy to process. He was a nice guy who I showed my real ID to and paid. I did a simple eye chart reading screening. We sent around to camera and then done.Very positive experience! What a difference.—So what I don’t know is - was it LA vs Ventura County and why it went so much faster and better - or - are renewals just way easier now?The Real IDs are needed to enter all Govt buildings and libraries and to fly as of October 2020. Your “movement“ is officially being tracked once you have it. Any place you show a drivers license - banks, medical, insurance, AAA, etc., you are tracked. Welcome to the new national ID card system. (Similar to communist countries.)

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