Helping Your Child to Flourish Mary Mountstephen MA (SEN) (ABRIDGED FROM JUNIOR MAGAZINE 2011) ‘Anna’s just fine Mrs Harten….there’s nothing to worry about….She’ll get there in her own time’. ‘Kyle won’t listen in class, he won’t sit still, he wriggles all the time and he distracts other children’. ‘I’m fed up with them not listening to me. Gemma’s a bright little button but she hates reading and her homework takes us hours. Her school doesn’t seem to know what to do to help her…’ Every child has a unique cluster of strengths, interests and talents which we look to nurture and celebrate and some will have physical, mental and emotional challenges to overcome. When these challenges are obvious, it is more likely that the child will have their needs recognized and strategies will be put in place to support them so that they can thrive and succeed to the best of their ability. Difficulties can arise however when there is a mismatch between what parents feel about their child’s development and the opinions of doctors, teachers or other professionals. As a parent (or other concerned family member) you may have a gut feeling or instinct that Kyle or Anna is just not doing as well as they should be when compared to other children. By acknowledging these instincts and acting on them in an informed and reasoned manner, you can begin to reassure yourself that early opportunities to prevent longer term problems are averted. A child’s hidden difficulties can cause frustration, leading to poor behaviour, erratic performance or emotional outbursts as outward signs of underlying and unidentified difficulties. In the longer term, some children tolerate and are tolerated in schools throughout their education. They underachieve academically, lose faith in themselves and either accept the judgments others have made about them or rebel against them. These are often the children who do not have a ‘diagnosis’ of dyslexia, dyspraxia, specific learning difficulty , ADHD or other condition, but are often unhappy, unmotivated and under-achieving. Jill Christmas, a respected occupational therapist, has worked for many years with children with developmental immaturities and she describes how these developmental issues impact on the child’s higher level functional skills such as handwriting. She points out that the basis of these problems can actually have started much further back in the child’s early development and by understanding some of the underlying factors, we can ensure that their challenges are addressed and underachievement avoided. ‘Many parents, teachers and allied professionals find themselves in a position where they know that child is not functioning at their best level within the school or home setting. For example, the child’s handwriting skills may not reflect their innate ability, and although it is recognized that there may be underlying issues, adults may feel unable to get to the root of the difficulty in order to support the child appropriately’. Jill Christmas (2009). Parents hope that their children will follow a normal developmental path, with at most some slight delays which will even out over time. However, some children will have developmental delays which they may not completely grow out of without support. If these difficulties are recognized early enough however, their life chances are improved. Kyle’s behaviour and academic performance is dependent on the underlying and invisible activity taking place continually in his body and nervous system. If Kyle is to flourish in school, it is important that the reasons for his ‘wriggliness’ are investigated so that he is not branded early on for behavior he may have little control over. There are a number of reasons why he might be behaving in this way and if we are able to identify some of the causes of his behavior as well as the observable symptoms, we can work out ways to help him. Kyle’s sensory systems may be making it physically uncomfortable for him to maintain concentration in class. Sitting still and paying attention, for example, can only take place if a child has adequate postural control and balance as the ability to sit still is not as easy as we may think! Christmas refers to focus, concentration and attention and the ability to sit quietly as being dependent on a ‘symphony’ of integration in relation to a child’s underlying sensory motor systems. The maturity of the vestibular (balance) system enables the child to be at the right level of ‘arousal ‘and focus. If Kyle can’t sit still, it doesn’t matter how many times you tell him to, he won’t succeed. At best, he will try to conform, and in so doing, all his attention and focus will be on maintaining his physical position rather than attending to instruction. If the teacher and school acknowledge this difficulty, one way it can be addressed is by introducing a whole class developmental movement programme such as Move to Learn or the INPP (Institute for Neuro-Physiological Psychology) Programme. These approaches are in use in many schools internationally and can be taught to teachers in a one day training session and easily integrated into the school day. Research internationally has shown the benefit of this approach in terms of improved focus, concentration as well as physical benefits such as improved balance and coordination. The programmes use simple, floor-based movements which mimic those made in the first year of life. By going back to the very beginning, they help the brain and body to develop a secure foundation for learning. When learning difficulties continue to go unrecognized, some children will learn strategies to adapt or avoid those aspects of school life which frustrate, embarrass or confuse them. They do make progress, but these coping strategies undermine their ability to learn as effectively as they might. Learning can become one long struggle for Anna who is paddling as fast as she can just to trail at the back of the class whilst Gemma and her mother have daily battles over reading every day. She is a little girl who causes no problems in a busy classroom. She wants to please, so she tries hard and can’t understand why it seems so much easier for everyone else and why she always finishes last. ‘These are usually children of above average intelligence who are able to compensate for their underlying motor and postural problems to produce academic work that is commensurate with their chronological age or ‘good enough’ to meet the minimum requirements of standard educational assessments. These bright children are held back by their unrecognized motor and postural problems and tend to become ‘lost in the system’ because it is assumed they are performing reasonably well….When the underlying problems are identified and corrected , cognitive educational performance exceeds previous expectations’. (Goddard-Blythe, 2009) Sometimes parents feel that their concerns are not being taken seriously by school or by other professionals and are anxious that time is passing fast and once gone, can never be retrieved. As a general rule, we would hope that parents know their child better than anyone else and their gut reactions about their child need to be taken seriously. The fact is however, that these concerns are more likely to be addressed if parents or teachers have a road map they can follow to help them make appropriate decisions. Parents’ concerns are often accurate indicators of the child’s underlying developmental problems and the key to helping a child is the ability to identify the most appropriate forms of supports and strategies which can be put in place. Anna may get there in her own time: but what are the consequences in the meantime and what happens if she continues to fall behind? Early Signs of Developmental Immaturity There are a number of early indicators of developmental slowness that may be evident in a child of school age. It is important to note that if some of these signs are present in a younger child, they are not necessarily indicative of developmental immaturity. Attention: Difficulties sustaining attention in class Sitting still: The wrigglers and squirmers. Receptive language: their understanding of what is said to them Expressive language: how they express themselves to others Pencil grip: how they hold their pencil or cutlery Visual skills such as eye control and difficulties with early reading games and activities Body awareness of themselves and in relation to others The ability to understand and respond to the ways in which other people are e expressing themselves through body language Coordination such as catching a ball Immature behaviour including difficulties in taking turns and in controlling their behaviour and impulses. (Source: Goddard-Blythe: EYFS presentation) Where to Go For Support By becoming aware and knowledgeable about the possible causes of underachievement, parents can start to feel more positive, with better control of the circumstances and able to develop meaningful dialogues with school and other professionals. The resources indicated in the reference section include easy to use checklists which will help pinpoint areas of difficulty and information on many common causes of underachievement in children who could be expected to be performing at a higher level. Parents will feel more confident if they are more aware of: What to expect at certain stages of child development How to identify areas of strengths and weaknesses in their child and why this might be so Where to go for support What the roles of various professionals are and what they do School-based and home-based strategies and interventions which are cost and time effective One of the most important points to make is that parents are not alone and that thousands of children, with the right (and effective) support have gone on to achieve. There may be complex or subtle underlying causes which require the intervention of professionals such as an educational psychologist, behavioural optometrist or neuro-developmental practitioner. Gemma was eventually referred to a behavioural optometrist who was able to identify that her eyes were not working well together as a team and her ability to track text was weak. Following a programme of eye exercises and some new glasses, Gemma’s reading began to improve significantly. Kyle’s school adopted the Move to Learn programme as a whole school initiative and the children are enthusiastic about this addition to the school day. By including everyone, Kyle is not singled out and, as an additional bonus, the teacher has also identified some other children whose performance has indicated possible underlying weaknesses. The purpose of this article is to raise awareness of the role physical factors can play in learning and to provide parents with some insight into the ways in which they, and schools, can support a child whose physical immaturity may be subtly affecting posture, the ability to sit still, to control impulsivity, to read and relate appropriately to other children. If these factors are addressed effectively, children are more likely to focus, achieve and thrive. References Christmas, J. (2009) Hands on Dyspraxia: Supporting Children and Young People with Sensory and Motor Challenges, Speechmark, Milton Keynes Goddard-Blythe, S. (2009) Attention, Balance and Coordination: The A.B.C. of Learning Success, Wiley-Blackwell, (2009) Mountstephen, M. (2010) How to Detect Developmental Delay and What to Do Next: Practical Interventions for Home and School, Jessica Kingsley Publishers, London www.multisensoryinterventions.co.uk www.movetolearn.com.au Contact Mary for details of training workshops for schools and talks for parents groups: mem@imaginationgym.com