Executive Functions Assessment and Interventions Milton J. Dehn, Ed.D. CASP November 2020 Notice of Copyright 2020 These PowerPoint slides are copyrighted by Milton J. Dehn and Schoolhouse Educational Services, Inc. They are not to be reprinted, copied, or electronically disseminated without written permission. To obtain permission, email milt@SchoolhouseEducationalServices.com. Financial Interest Disclosure The presenter, Milton Dehn, is an owner of Schoolhouse Educational Services, Inc. which publishes the McCloskey Executive Functions Scale (MEFS), one of the assessment measures discussed during this workshop. Workshop Topics 1. 2. 3. 4. 5. 6. 7. What are Executive Functions (EFs) EFs, Academic Learning, and SLD EF Assessment Strategies EF Rating Scales The McCloskey EF assessment Case study Interventions Overview Two Students with Different Grades • Both have an IQ of 85-90 • Both have achievement test scores in the same range as their IQ • Same home environment opportunities • Neither has any type of disability • One is a B average student • The other is a D average student • What is the difference? • Many would say it is motivation, but is it? Who Gets Referred for SLD & When 1. Not completing school work (a school performance problem) is one of the top referral reasons 2. These kids get referred earlier than those who have the same skill deficits, but get better grades (have better performance) 3. It may be their executive function (EF) Punishing Kids with EF Delays/Deficits 1. Many middle-schoolers do not yet have the EF skills to perform well in middle school 2. They may experience punishing consequences for behaviors that are not entirely under their control 3. They may be retained even though their achievement test scores are average EFs and Misattributions 1. Misattributions: Laziness, apathy, irresponsible, lack of motivation, lack of respect for authority 2. Poor study skills 3. Low intelligence EF is the Elephant in the Classroom Dehn’s Conclusion • Every referred child/student should be evaluated for executive functions, regardless of age, abilities, skills, behaviors, background, and type of disability being considered • This includes SLD referrals • To omit this is poor practice and can harm the individual in both the short and long-term • So, many adults never knew what their problem was as struggling students What We Know About EFs 1. Not enough, but we should still assess 2. How well do the assessment instruments operationalize all of the EFs? 3. How well do we differentiate between academic skills deficits, EF deficits, intellectual deficits, and various psychological disorders? 4. Individuals with well developed EF skills succeed in school and at life. New Directions for EF Assessment 1. More than just an ADHD assessment component 2. Depth of assessment should match the depth of EFs 3. Should differentiate between academic and socialemotional EFs 4. Should identify EF production vs skill deficits 5. Should link more directly to specific EF interventions Executive Functions 1. 2. 3. 4. A complex construct; many different EFs Different theories and definitions Different from intelligence (correlate .2 - .3) Cues and controls cognition, emotion, social functioning, and behavior 5. Have a neurological basis: prefrontal cortex 6. Conscious and unconscious 7. Important for academic learning and production EF Definitions 1. Directive capacities 2. Supervisory system with multiple parts 3. Cue the use of other mental capacities such as cognitive abilities but are not those capacities themselves, e.g metacognition 4. “Purposeful, organized, strategic, selfregulated, goal-directed processing of emotions, thoughts, and actions” Executive vs Cognitive 1. Difficult to separate executive from cognitive 2. Executive aspects involved in both ability and skill performance 3. EF’s are measured in cognitive scales 1. Directly: Working Memory, Planning, and Attention 2. Indirectly during any cognitive testing task WM: Both Executive and Cognitive 1. The executive dimension of WM supervises short-term memory (a cognitive process) 2. The executive aspect of WM inhibits, shifts, and updates 3. The executive aspect of WM supports cognitive processes such as fluid reasoning 4. The executive aspect of WM cues the use of an executive skill/strategy, such as rehearsal Main Dimensions of EF 1. Self-Regulation 1. Awareness of need (is cued) to self-regulate 2. Directing the self-regulation functions 2. Self-Realization/Self-Awareness (selfknowledge) 3. Self-Determination (goal driven) 1. Develops in adolescence Awareness of Need to Self-Regulate 1. 2. 3. 4. 5. Is attentive to others and the environment Perceives cues from others Perceives cues from the environment Interprets cues correctly When cues are perceived, EF selects and directs appropriate EF skills, such as planning 6. Self-monitors & makes adjustments/corrections 7. If awareness of cues is lacking, needs directions from others (production deficiency if skill exists) Self-Regulation EFs 1. These are what are typically considered EFs 2. Awareness of when to self-regulate is a part of these (the directive part) 3. Cue and direct how we feel, think, and act 4. Can self-regulate without being consciously aware 5. McCloskey Executive Functions Scale has 31 specific self-regulation EFs Self-Awareness (Conditional Knowledge) 1. Knows which executive processes to apply to the task at hand 2. Knows when, how, where, and why to apply strategies 3. Has strategic knowledge & applies strategies 4. Knows when to adjust processes and strategies 5. If conditional knowledge lacking, a production deficiency is likely Self-Realization 1. 2. 3. 4. 5. Understands how mind functions Ability to self-analyze Appraisal of self is accurate Accurately perceives how one is perceived Knows one’s EF strengths and weaknesses but also cognitive and other domains 6. Has low correlations with self-regulation; 6year old example Self-Determination 1. Development begins around puberty 2. Has goals, short- and long-term 3. Long-term planning Domain and Environment/Arena Influences (McCloskey) 1. 2. 3. 4. 5. Awareness of the need to self-regulate varies by domain, situation, and environments/arenas The EF skills also vary Domains 1. Emotions 2. Behaviors 3. Cognitive functions (most related to SLD) Arenas 1. Intrapersonal 2. Interpersonal/social 3. Academic (most related to SLD) Conditional knowledge also varies by environment or arena Specific Executive Functions • Generate list of specific self-regulation functions, such as planning • See McCloskey list McCloskey (MEFS) Self-Regulation Clusters 1. 2. 3. 4. 5. Attention Engagement (initiating, inhibiting, flexibility) Optimization (monitoring, correcting) Efficiency (pacing, using routines) Memory (holding information, working, storing, retrieving) 6. Inquiry (anticipating, analyzing) 7. Solution (organizing, planning, deciding) Is There a “g” of EF? 1. Factor analysis does not prove that EF is one “thing” in the brain or one function 2. Rather, “Co-conductors” that collaborate 3. Thus, the development of EF’s can vary; can be specific strengths and weaknesses 4. Domain’s may have their own EFs; e.g. language 5. EFs also differ by “arena” 6. Saying that EF in general is weak is not especially helpful in understanding the problem, child, or developing an intervention Development of EFs 1. Begin to develop in early infancy 1. E.g., choosing where to look 2. Control of actions 2. The different EFs are on different developmental tracks and rates 3. Major developmental advances in adolescence 4. Development is not under the child’s control Development of EFs 1. Initially cued by external demand 2. Then become more internally driven 3. Complying with external EF demands requires more mental effort and greater control capacity than internal (ADHD) Neurological Basis of EF 1. Control center in prefrontal cortex (PFC) 2. Each EF has its own pathway through the frontal lobes and with other parts of brain 3. Connectivity is important for EFs functioning 4. Executive working memory, attentional control, and fluid reasoning also located in PFC 5. Inhibition is a fundamental function of the PFC; it underlies attention and WM Neuroanatomy Prefrontal Cortex Image Frontal Lobe dPFC 1. 2. 3. 4. 5. The last lobe to develop The “output” lobe; others are input Executive functions---prefrontal cortex Working memory---prefrontal cortex Attentional control---prefrontal cortex A Closer Look at Inhibition 1. Inhibit an automatic, learned, or typical response 2. Inhibit task-irrelevant responses 3. Interrupt/stop an ongoing response 4. Control/inhibit internal interference 5. Re-engage after disruption 6. Ignore distractions 7. Goal directed persistence 8. Thought to be the underlying weakness for ADHD and ADHD/Working Memory Gender Differences from MEFS Study 1. At all age levels, females significantly better EFs on Engagement and Optimization clusters 2. Ages 5-6, females better on all self-regulation clusters except Memory 3. Ages 7-8, females better only on Engagement and Optimization 4. Ages 9-10, females better on all except Efficiency and Memory 5. Ages 11-18, females better on all clusters EF Deficits in ADHD Population 1. Weak self-regulation EFs, especially inhibiting, focusing, sustaining 2. Also: holding, planning, sensing time 3. Self-realization and self-determination 4. Not all individuals with EF deficits are ADHD MEFS ADHD Profile (n = 47) 1. ADHD sample had significantly lower scores on MEFS clusters in both academic and self/social arenas, except for the Memory cluster 2. The majority of the differences were around one half standard deviation for unmedicated 3. Those on medication had better EF’s and did not have significant differences on Memory and Efficiency in both arenas and Solution in Self/Social arena MEFS Autism Profile (n = 38) 1. Autism sample had significantly lower scores on all MEFS clusters in both academic and self/social arenas 2. The majority of the differences were around 2/3 of a standard deviation MEFS SLD Profile (n = 48) 1. Percentages of SLD students rated as having EF deficits in Academic EFs ranged from 8% (Engagement) to 42% (Solution) 2. Percentages of SLD students rated as having Academic EF strengths ranged from 33% (Attention) to 3% (Memory) 3. Compared with non-SLD were significantly weaker on all 7 MEFS clusters, both academic and Self/Social (about a half-standard deviation weaker on most clusters) EFs and Other Disorders 1. Executive deficits are evident in every neuropsychiatric disorder (does not mean they are the cause) 2. Examples: Anxiety, ODD, CD, autism 3. Can have executive deficits without having a disorder EF and SLD Identification 1. Dehn’s perspective: A deficit in executive functioning (general or specific) is a “processing” deficit that can be used to document a processing deficit for SLD 2. In Dehn’s Pattern of Strengths and Weaknesses (PSW) approach EF scores can be compared with scores of other processes and CHC abilities Some Evidence for the SLD-Processing Weaknesses Connection Meta-Analysis of 32 studies by Johnson et al. (2010) found “moderately large to large effect sizes (many close to one standard deviation of difference) in cognitive processing differences between groups of students with SLD and typically achieving students.” The processes included were: Working memory, short-term memory, phonological processing, processing speed, executive function, and language.” MEFS Study: EF Correlation with Academic Skills 1. Teachers rated student’s overall academic skill level 2. Below average students had the lowest EF scores, and above average the highest 3. Significant differences by academic skill level for all MEFS clusters, regardless of disability status EF and Academic Learning 1. EFs are good predictors of achievement 2. EF deficits are more evident in production problems (homework) than acquiring academic skills 1. Production deficit: has the academic skills, but does not demonstrate/apply them 2. May be that teacher provides more executive controls during skill learning 3. EF demands increase in middle & high school 4. In middle school, there is a mismatch between demands and students’ EFs developmental level The Big 6 EFs for Academics (Meltzer) 1. 2. 3. 4. 5. 6. Goal-Setting (part of Self-Determination) Flexibly Shifting Prioritizing Organizing Working Memory Self-Monitoring EF and Reading Comprehension 1. Important EFs: Focusing, Sustaining, Organizing, Planning, Shifting, Inhibiting, Monitoring, Holding/Working, Generating, Associating, Storing/Retrieving, Balancing EF and Math 1. EFs needed for math computation include: Focusing, inhibiting, storing/retrieving, monitoring, and correcting 2. For math reasoning/problem solving, planning is important EFs and Written Expression 1. Of all academic skills, is the most impacted by EF difficulties 2. EFs needed to integrate the various processes, abilities, and skills when writing. Such EFs include: Sustaining, gauging, holding/working, organizing, planning, balancing, monitoring, correcting, generating, associating Discussion • How has the preceding information changed your perspective on executive functions? Assessment of EF 1. Should be a component of every psychological/educational evaluation 2. It determines success/failure; influences all aspects of functioning and life 3. Provides insights into what underlies, behavior, social functioning, learning, etc. 1. May be more informative than an FBA EF Classroom Behavior Examples • • • • • • Difficulty with self-control Difficulty getting started Is not very strategic Difficulty shifting from one task to another Difficulty planning and organizing Does not notice and correct mistakes EF Assessment Challenges 1. Assessments focus primarily on EF with symbolic material (academic learning arena) 2. Direct assessments provide much EF support 3. Each scale structures the EFs differently 4. Scales don’t assess for different arenas 5. Rating items are mostly general, not specific 1. E.g., the BRIEF Working Memory subscale has other EFs: Focus, Select, Modulate, Organize, Monitor, Execute, Direct Problem with Direct Standardized Testing of EFs 1. Standardized tests provide structure, focus, short intervals; reduce need for EF functions 2. May lack validity for the individual. Typically, overestimate the EF abilities and skills 3. Multiple EFs are required by each task 4. The tasks also require cognitive processes that are difficult to separate out 5. The assessment task is not a real world task Rating Scales vs Standardized Tests 1. Some studies have found rating scales to be more valid assessment of EFs than direct testing for reasons on previous slide 2. Rater is observing many aspects of EF; tests only sampling a few 3. Rating scales can be just as valid and reliable if they pass validity scale criteria, e.g., consistency and negativity NEPSY-II Attention/Executive Functioning Domain 1. Animal Sorting (shifting) 2. Auditory Attention (sustain attention) and Response Set (shift and inhibit) 3. Clocks (planning and organization) 4. Design Fluency (generating) 5. Inhibition (inhibit and shift) 6. Statue (ages 3-6) (inhibition) D-KEFS 1. Ages 8 – 89 2. Nine autonomous tests 3. Is half fluid reasoning CAS-II 1. Includes Planning, Attention, and Working Memory measures 2. Produces a composite EF score 3. Closely related with EFs in the academic arena 4. Is an excellent predictor of academic learning Test of Verbal Conceptualization and Fluency by Reynolds & Horton • Categorical Fluency measures fluency of ideation and the ability to retrieve words that fit within a conceptual category. • Classification is a verbal measure of shifting and rule induction that is designed as a language-based analog to the well-known Wisconsin Card Sorting Test™. 58 Test of Verbal Conceptualization and Fluency by Reynolds & Horton • Letter Naming measures word retrieval by initial sound and fluency of ideation. • Trails C measures the ability to coordinate high attentional demands, sequencing, visual search capacity, and the ability to shift rapidly between Arabic numerals and linguistic representations of numbers. 60 Testing Observation Guidelines 1. EF deficits implicated when there is progressive deterioration of performance as EF demands increase 2. Example Digit Span Forward vs Digit Span Backward 3. Differences in EF demands explain why subtest scores vary across batteries Interpretation of Rating Scales: Concerns 1. Raters can be biased 1. Use more than one rater 2. Look at validity scales 1. Are responses consistent 2. Are they overly negative 3. Picks infrequent answers Rating Scale Results 1. Expect scores to vary by informant 2. May be due to different environments, executive function demands, experiences with the child, or bias by informant 3. Parent vs teacher are usually more discrepant than between parents or between teachers BRIEF2 Scales 1. Inhibit 2. Self-Monitor 3. Shift 4. Emotional Control 5. Initiate 6. Task Completion 7. Working Memory 8. Plan/Organize 9. Task-Monitor 10. Organization of Materials BRIEF2 Indexes 1. Behavior Regulation Index 2. Emotion Regulation Index 3. Cognitive Regulation Index 1. Ability to control and manage cognitive processes and problem solve effectively 2. With SLD evaluations, this Index should be the focus 4. Global Executive Composite BRIEF2 Cognitive Regulation Index 1. 2. 3. 4. 5. Initiate/Task Completion Working Memory Plan/Organize Task-Monitor Organization of Materials CEFI (Naglieri & Goldstein) • • • • • • • • • • • Attention Emotion Regulation Flexibility Inhibitory Control Initiation Organization Planning Self-Monitoring Working Memory All under CEFI Full Scale Most of them apply to academic functioning MEFS Standardization and Norming 1. 2. 3. 4. 5. 6. 7. 254 Teacher raters, 167 cities, 29 states Ages 5-19; N = 1,000; 5 age groups Matches U.S. demographics well 17% of norming sample: disability/disorder Online data collection 110 Items <15 minutes to complete MEFS Structure 1. 2. 3. 4. 5. 7 Self-Regulation Clusters 31 Self-Regulation EFs Also, Self-Realization and Self-Determination Two arenas: Academic and Self/Social Identifies strengths and deficits across selfregulation EFs by arena 6. Individual item analysis Directive EFs vs EF Skills 1. Directive EFs: Becoming aware of the need to cue and then cuing and directing its executive skill counterpart, such as planning 1. On MEFS, labeled as “Knowing When” 2. Equivalent to construct of metacognitive awareness 2. Expressive Executive Skills: The actual expression of the EF skill, such as planning 1. On MEFS, labeled as “Knowing How” 3. Having the EF skill, but not expressing it because you don’t know when is a production deficit Knowing When vs Knowing How 1. Awareness of the need to cue and then cuing and directing its executive skill counterpart is Knowing When 2. Knowing How: The actual expression of the EF skill, such as planning 3. Not Knowing When results in an “EF production deficit” Working Memory (WM) Example 1. WM Directive Cues (Knowing When) 1. Noticing you just forgot something 2. Recognizing it will be difficult to remember 2. EF Skills (Knowing How) 1. 2. 3. 4. 5. Review your previous thoughts Write it down Rehearsal Chunking Visualizing Unique MEFS Rating Structure Identifies Different Types of EF Deficits Rating Description 5 – Almost always does on own without prompting 4 – Frequently does on own without prompting 3 – Seldom does it on own without prompting 2 – Does it, but only after prompting 1 – Only does it with direct assistance 0 – Unable to do even with assistance Strengths or Deficits 5 and 4 – Executive Function Strength (Knows When and How) 3 and 2 – Executive Function Deficit (Knows How but not When) 1 and 0 Executive Skill Deficit (lacks Knowing How and When) Arenas of Involvement (McCloskey) 1. EF’s vary greatly by situation, environment, and domain of functioning 2. Intrapersonal (internal processes) and Interpersonal (social) (these two combined on MEFS) 1. Autism has deficits in this arena 3. Academic (symbol system) 1. Language and academic learning 2. LD often deficient in this arena Validity Study: MEFS and BRIEF 1. The majority of correlations between MEFS cluster scores and BRIEF Metacognitive (now the Cognitive Regulation Index) scores are significant 2. The majority of correlations between MEFS cluster scores and BRIEF Behavior Regulation scores were not significant 3. MEFS Self-Realization and Self-Determination were mostly not significant 4. The MEFS and BRIEF are measuring different EFs or measuring them in different ways except those in Cognitive Regulation Index Validity Studies: NEPSY-II EF Tests 1. Nearly all correlations between MEFS cluster scores and NEPSY-II EF scores were not significant 2. Only the NEPSY-II Word List Repetition had significant correlations with several MEFS Self-Regulation clusters 3. The MEFS and NEPSY-II are measuring different EFs or measuring them in different ways Percentages with EF Skill Deficits Across 7 MEFS Clusters and 2 Arenas 1. 2. 3. 4. 5. 6. 7. 8. Normal males and females: 0-7% Speech and language: 0-15% SLD: 6-42% ADHD Unmedicated: 7-30%% ADHD Medicated: 4-32% EBD: 10-57% Autism: 29-53% Percentages for production deficits are much higher (has skill but does not do independently) Case Study 12 year old, 6th grade female WJ IV GIA of 71; WM a strength (95) Academic skills 2nd to 4th grade level She is in unstructured charter school projectbased regular ed. class; performance is poor 5. No interest in learning 6. Can shut down and become noncompliant 7. Can be socially appropriate when she chooses to 1. 2. 3. 4. Case Study Results 1. 2. 3. 4. MEFS completed by classroom teacher All cluster scores 1st percentile except Memory No EF strengths Most scores in the Knowing When Difficulty column; she can perform the EF when prompted and thus has the capacity/skill 5. Has more EF deficits (not knowing how) under academic than self/social, consistent with underachievement indicators on the WJ IV 6. NEPSY-II EF scaled scores are 7-12, majority around 9 1. Why? See Report Case Study Results 1. The items identify specific skills that need teaching or available skills that need to be self-cued (learn when to do them) 2. Quick Gains: develop more self-cueing for skills that are already there 1. Talk about situations, stimuli that mean it’s time to engage the skill, e.g., someone says, “Hello” means it time to focus on what the other person is saying and respond 2. Practice responding to cues Case Study Continued 1. Review number of responses under Strengths, EF Deficits, and Exec Skills Deficit columns while contrasting Academic and Self/Social arenas 1. Engagement, Inquiry and Solution stronger socially than academically 2. Which is the priority arena: Academic or Self/Social? Discussion What changes in your executive function assessment procedures are you considering? EF Intervention Considerations 1. Don’t assume the child has conscious control over the EFs in question 2. Knowing how deficits: Skill is present; needs to be taught how to recognize cues 3. If EF skills are lacking, then they need to be taught before cuing is taught 4. When skills taught, metacognitive (awareness) component needs to be embedded General EF Intervention Guidelines 1. Model effective EF use (think aloud) 2. Focus on making child aware of the EF’s needed to accomplish a task 3. Begin with external control when there EF skill deficits 4. Gains may be minimal and progress slow 5. Have reasonable expectations 6. Teach specific executive functions as skills routines EF Strategies for Goal Setting 1. Discuss goals with student and put in writing 2. Short-Term and Long-Term goals 3. Makes students more motivated when they set goals themselves 4. Identify the steps involved 5. Identify the strategies needed 6. Includes planning and time management Awareness Emphasis 1. 2. 3. 4. 5. 6. 7. 8. “Thinking about thinking” Applies to all EF Deficits and EF Interventions Teach child how EF works Inform child of strengths and weaknesses Teach how to control, apply, use the EF skills Emphasize personal efficacy of intervention Includes strategy knowledge and application Teach conditional strategy knowledge: how, when, where, why EF Strategies for the Whole Class (Meltzer): Metacognitive Instruction 1. Recognize the purpose of a strategy (basically an EF Skill) 2. Recognize the benefits of a strategy 3. Teach conditional strategy knowledge: how, when, where, why to use the strategy 4. When students understand the above, they personalize and generalize strategies and persist at using them Strategies for External Control 1. Structure the environment to reduce selfregulation demands 2. Structuring time (schedules, timers, etc.) 3. External prompting (providing list of steps) 4. Cue/prompt specific self-regulation EF skills when students’ directive EFs are deficient 5. Providing feedback and reinforcement Environmental Modifications for Poor Inhibition 1. Increase external controls 1. Restrict access to things that cause problems 2. Increase supervision 3. Create ways to cue child to control impulses 1. “What should you do when this happens?” 4. Teach child to ask self specific questions in problem situations 1. “Did I get too close?” Cues and Prompts Training Sequence 1. Practice following directions; perform the skill when directed to do so 2. Give verbal prompts without specific details 3. Give nonverbal cues 4. Discuss and practice recognizing cues from others and the environment 5. Discuss and practice self-cueing through selftalk Using Verbal Mediation 1. Using self-talk to increase self-control 2. Generating internalized language is a very effective tool for improving self-regulation EFs 3. First, model it by talking through it aloud 4. Then have child say it aloud 5. Then whisper 6. Then say it internally EF Strategies for Shifting and Flexibility 1. Shifting examples: from one approach to another, from one process to another, from the main ideas to the details, from writing to editing, from reading to computing 2. Flexibility examples: interpreting information in different ways, solving math problem in different ways, studying differently for different kinds of tests EF Strategies Organizing & Prioritizing 1. Prioritize based on level of importance 1. Allocate time based on priority 2. Teach them to impose their own structure on the task 3. Organize materials and work space 4. Graphic organizers 5. Following a rubric for writing Questions to Ask Self When Planning and Problem Solving 1. What prior knowledge do I have than can help with this task? 2. What strategies should I use? 3. What should I do first? 4. How am I doing? 5. What adjustments do I need to make? 6. How did I do? 7. What could I have done differently? Executive Functioning: Planning 1. Developing planning improves math performance (Naglieri’s study; ATI) 2. Discuss benefits of plans 3. Learn how to plan step-by-step 4. Develop plans 5. Verbalize them 6. Implement them and evaluate 7. Practicing planning steps with a variety of materials and situations Planning Steps 1. 2. 3. 4. 5. 6. 7. 8. What is my goal? What do I need to do to achieve the goal? How do I do each of these? Brainstorm ways? Select the ways. Put them in sequence. Break into smaller steps as needed. Implement, evaluate, revise EF Strategies for Working Memory 1. Learn how to manage cognitive load 1. What is cognitive load? 2. Using rehearsal 3. Chunking and visualizing EF Strategies Self-Monitoring and Checking 1. 2. 3. 4. Review progress towards goals Reflect on strategy use Develop and use personalized checklists Use self-cuing Attention: Self-Monitoring 1. Teacher, or device carried by student, cues student at variable intervals, 1 - 5 minutes 2. When cued, student marks monitoring sheet regarding behavior when cue occurred or behavior since last cue 3. When teacher is cueing, she also provides her rating alongside student’s; student receives bonus point when ratings match 4. Set a points goal that student is working for, easy at first, then keep adjusting upward Link 5. Reinforcement system is necessary Intervention Programs that Improve EF 1. 2. 3. 4. 5. 6. 7. 8. Cognitive Behavior Therapy I Can Problem Solve Skill-Streaming Social Skills Training Cognitive Strategy Training Working Memory Training Study Skills Programs for ADHD EF Strategies for the Classroom (Kryza) 1. Help students understand how their brains learn and function so that they realize they have control over their own learning 2. “What do you know about yourself as a learner that can help you learn and master this material?” 3. Have them self-assess during the learning process, “Is my study method working?” EF Strategies for the Classroom (Kryza) 1. Intentional and transparent teaching 1. Help students understand why we are learning this skill/material 2. How it will benefit them 3. What strategies students can you use to learn the material? EF Strategies for the Classroom (Kryza) 1. Help student develop an internal locus of control 2. Attribute outcomes to their own efforts and strategies (not so much to abilities) 3. Basically, attributing success more to EF rather than IQ, knowledge, and skills Increasing Homework Completion 1. 2. 3. 4. 5. Organizing materials Using an assignment notebook Time Management Getting started on homework Don’t provide too much help; guide student through the processes needed 6. Routinely preview and review upcoming tasks Help Teachers Understand 1. The extent of the EF demands they make on students and how these overwhelm students with slower EF development 2. How EF deficits contribute to academic production problems 1. Students with EF deficits get referred first McCloskey Self-Regulation EFs • • • • • • • • • • • • • • • • Perceiving Focusing Sustaining Initiating Energizing Inhibiting Stopping Pausing Being Flexible Shifting Monitoring Modulating Correcting Balancing Sensing Time Pacing • • • • • • • • • • • • • • • Using Routines Sequencing Holding/Working Storing/Retrieving Gauging Anticipating Estimating Time Analyzing Evaluating Generating Associating Organizing Planning Prioritizing Deciding