The Ventura County SELPA, Mary E.

Samples
Executive Director

90 Ways to Help Students with ADHD

What is ADHD?
Attention Deficit/Hyperactive Disorder (ADHD) is a condition of the brain that makes it difficult for students to focus
their attention in the ways that we would like them to in school. For some students, there may be attention deficit
disorder only, with inattentiveness. For others, there will be hyperactivity and impulsivity as well. This brochure will
use the term ADHD to include both. It is one of the most common chronic conditions of childhood. It affects 4% - 12%
of school-aged children. About 3 times more boys than girls are diagnosed with ADHD. Symptoms that a student with
ADHD may display include difficulty focusing, shifting or maintaining attention, hyperactivity and impulsivity. Left
untreated, ADHD can lead to serious lifelong problems in school, relationships, and work.
Many students with ADHD have at least one coexisting condition:
Oppositional Defiant Disorder or Conduct Disorder (up to 35%)
Mood Disorders/Depression (up to 18%)
Anxiety Disorders (up to 25%)
Learning Disabilities
Developmental Disabilities
(Excerpted from the American Academy of Pediatrics, 37925 Eagle Way, Chicago, IL. 60678-1379,
www.aap.org, 2001)

Characteristics of students with ADHD

may include:

Make careless mistakes in school

Difficulty waiting in line
Difficulty paying attention in
class
Misplace materials needed for
school
Poor organizational skills
Fail to finish activities, homework

Act first-think later

Fidget in class

Appear bored
Difficulty taking turns & sharing
Blurt out answers, excessive talking
Shift from one unfinished activity
to another
Difficulty following instructions

Positive characteristics!

Creative, divergent thinker

Strong visual skills
See details other people miss

Energetic and enthusiastic

Ready to talk and participate
Can do several things at once

Have trouble making & keeping

friends
Daydream

General Instructional
Principles

Individualized Instructional
Practices

8.

Effective teachers individualize their instrucThese principles of effective instruction, which tional practices based on the needs of their
reflect what we know about how to educate all students. Students with ADHD may benefit
9.
students, will especially help a student with from the following techniques:
ADHD to stay focused on his/her assigned
Strategies for Behavior
tasks as s/he transitions from one lesson to another throughout the school day:
1. Remind yourself and the student of his/
her unique strengths even when youre
Prior to the Lesson
having a bad day.
Review previous lessons.
2. Classroom rules
Set learning expectations.
and consequences
should be clearly
Describe behavioral expectations for
stated and posted.
students.
Involve students
State needed materials.
with ADHD as part
of the classroom
Tell students how to obtain help if
group developing
needed.
rules. Review rules
During the Lesson
frequently, giving
examples and modUse a variety of audio-visual materials.
eling as necessary.
Check individual student understanding.
3. Praise students for specific behaviors
Allow students sufficient time to work
frequently and as soon as possible. Look
out the answer to a question, rephrase
for a behavior to praise beforenot afquestion as needed.
ter a student is off task.
Watch for students who need additional 4.
assistance.
Help students to identify and correct
their own mistakes.
Encourage and redirect students to focus
5.
and keep on task.
Maintain appropriate noise level in the
classroom.
Use systematic instructional techniques
such as Reciprocal Teaching to assist
student in organization and comprehension.

Concluding/Transitioning between
Lessons
Provide advance warning that
a lesson is about to end.
Check student assignments for
ability to complete independently. If needed restate necessary
steps.
Announce next activity and
instruct students how to begin
preparing.
Vary your tone of voice and
model enthusiasm for the content.

6.

When talking to a student, move to where

he/she is standing or sitting. Your physical proximity to the student will help the
student to focus and pay attention to what
you are saying.
Work together with the student to identify
appropriate goals for a behavior contract
such as completing homework assignments on time, raising hand to speak, staying seated, and obeying safety rules on the
school playground. Take the time to ensure that the student agrees that his or her
goals are important to master. Put contract
in writing, develop a visual system (e.g. chart), and make sure
rewards are achievable.
10. Have student participate in
selection of desired reinforcement. These rewards can include
tangible rewards such as stickers, small toys, or food items;
activity reinforcers such as
games, computer time, special
time with teacher or peers; and
privileges such as line leader,
homework pass, office runner, etc. It may
be helpful to consult with family and former teachers about motivational items for
the student. For activity reinforcers, observe what s/he chooses to do during unstructured time.

If student appears to be starting to go off

task, promptly intervene with redirection, praise for appropriate behavior, or
11. A token economy can be used to provide a
change stimulus (e.g. new task, new
high rate of reinforcement to the student
location, errand, etc.).
with ADHD for appropriate behaviors and
It is appropriate to request that a stuothers in the class who are modeling dedent change his or her behavior. The
sired behaviors. Tokens can be used to
most effective directions are brief and
earn any of the reinforcers above. Todirected at the students behaviornot
kens can be used as a raffle ticket toward
the student. Remind him/her of rewards
a desired outcome, accrued as points toand/or consequences. If giving a student a
ward a reinforcer, or to earn a whole
consequence, use a calm and respectful
class reinforcement.
voice.
12. Reward improvement (not just perfecCarefully evaluate whether to intervene
tion).
when a student misbehaves. In some
13. Give student frequent breaks. Have him/
instances, it is helpful to ignore the stuher get up and move around.
dents inappropriate behavior, particularly if a student 14. Communicate with family regularly
(e-mail, fax, notebook) about how student
is misbehaving
is doing. Dont forget to give good news!
to get your attention.
15. Allow student to work with younger stu7. Establish a
dents on reading, spelling, etc.
simple, secret
16. Include behavior contract or other accomsignal with the
modations for student with ADHD in your
student to remind
substitute folder.
him/her to remain
on task (an eye 17. Dont forget that behavior doesnt change
overnight, and remember to praise yourblink or finger
self for your efforts!
tap, for example).

Social Skills

for student to use as needed.

30. Seat student near a peer role model to

provide opportunities for students to work
18. When conflicts arise, conduct imcooperatively and learn from their peers in
promptu sessions with the group of inthe class.
volved students. Encourage students to
resolve their problem by talking to each
31. Use secret signals for student with
other, while you quietly monitor their
ADHD to communicate privately with
interactions during the session.
you. For example, a hand signal when s/he
needs a break or other support.
19. Teach students with ADHD appropriate
social skills using modeling, role plays, 32. Note for the students the
and simulations. Teach problem-solving
time at which the lesson is
techniques, helping student to consider
starting and the time at
options. (The SELPA has a resource of
which it will conclude. Set a
social skills curricula and materials for
timer to indicate to students
students with ADHD.)
how much time remains in
the lesson and place it at the
20. Be confident that although teaching sofront of the classroom. The
cial skills may be frustrating, it may be
students can check the timer
one of the most important things you
to see how much time redo. It will stay with students for a lifemains. Interim prompts can
time.
be used as well. For instance, students can
21. Keep in mind that students need positive
monitor their own progress during a 30adult role models to learn appropriate
minute lesson if the timer is set for 10
social skills.
minutes three times.
22. Be aware that the teachers body lan33. Turning the classroom lights on and off
guage and tone of voice are powerful
prompts students that the noise level in the
communicators.
room is too high and they should be
quieter.
Classroom Accommodations

page.
42. Teach student how to adapt instructional
worksheets. For example, help a student
fold his or her reading worksheet to reveal
only one group of questions at a time.
43. Shorten assignments, while making sure
not to decrease the value of the lesson.
44. Allow student to take tests in a quieter
room.
45. Provide foot rest and/or
wiggle cushion to assist with
postural stability and focus.
46. Provide small textured
items (porcupine balls, Koosh
balls, gel balls) to help student
release energy and/or prepare
for fine motor tasks.
47. Provide novel materials
(e.g. highlighter and gel pens,
textured and colored paper, etc.) for written
work.

Organizational Skills
48. Provide student with an assignment notebook to help organize homework and other
seatwork.

49.
23. Ask student which accommodations 34. Play music to prompt students that they
are too noisy. In addition, playing different
would help him/her to stay on task
types of music communicates to students
(including those used in the past) and
what level of activity is appropriate for a
teach him/her to respectfully request as
particular lesson.
needed.
50.
24. Give student notice if there will be a 35. Allow student to use headset to muffle
sound or with quiet music to help him/her
change in the typical daily routine.
focus.
51.
25. Have a plan for flexible, alternate
activities when student with ADHD is 36. Provide clear and precise directions,
with consistent eye contact with the stuhaving a bad day.
dent with ADHD.
26. Be aware of classroom pace. Students
with ADHD may get confused, upset, or 37. Chunk directions into main steps,
giving time between chunks to allow stubored if too fast or too slow.
52.
dent to understand.
27. Use computers with stimulating soft38. After giving directions to the class as a
ware to engage a student with ADHD.
whole, provide additional, oral directions,
28. Consider best seating assignment for
53.
(using different words) for a student with
opportunities to
ADHD.
monitor and rein39. Provide follow-up directions in
force behavior and
writing. For example, write the page
social interactions.
54.
number for an assignment on the black29. Seat student away
board or on a post it note.
from distractions
40. Highlight key words in the instruc(door, window,
tions on worksheets to help the student
traffic areas, overly
with ADHD focus on the directions.
stimulating visuals,
colorful objects).
41. Teach student to use a pointer to
Provide study carrel or private office
help visually track written words on a

Provide student with color-coded folders

and materials to help organize assignments for different academic subjects (e.g.
reading, mathematics, social studies, and
science).
Assign student a partner to help record
homework and other seatwork in the proper
folders and assignment notebook.
Respectfully assist student to periodically
sort through and clean out his or her desk,
backpack, and other special places
where written assignments are stored.

Time Management
Teach the student how to use a wristwatch
and calendar to manage his or her time
when completing assigned work.
Provide student with supervised opportunities to break down a long assignment
into a sequence of short, interrelated activities.
Tape a schedule of planned daily activities
to the students desk. Have child check
off
ac-

66. Require that the student proofread his/her 80. Provide student with naturally occurring,
real life opportunities to practice
work before turning in written assignProvide the student with a checklist that
ments. Provide the student with a list of
money skills.
identifies categories of items needed for
items to check when proofreading his/her
81. Color code basic arithmetic symbols
homework assignments (e.g., books,
own work.
such as +, -, and = to provide visual cues
pencils, and homework assignment
for students when they are computing
67. Allow the student to dictate writing assheets).
whole numbers.
signments into a tape recorder.
Teach student with ADHD how to prepare an uncluttered workspace to com- 68. Have the teacher or another student write 82. Allow student to use calculator to check
work and perform basic functions for
down a story told by a student with
plete his/her assignments.
word problems.
ADHD.
Keep track of how well your student
83. Have student play
Spelling
with ADHD completes homework. Promath games to practice
vide student and his/her parents with pro69. Allow child to decorate
adding, subtracting,
gress reports specifying good efforts and/
and illustrate personal
multiplying, and dividor any specific missing assignments.
dictionary of misspelled
ing whole numbers.
words.
Language Arts
84. Use a structured
70. Have spelling partners
program such as InnoReading
quiz each other, checking
vative Learning ConAsk the student to make storyboards that
off words when spelled
cepts Touch Math proillustrate the sequence of main events in a
correctly.
gram.
story.
71. Use manipulatives (cut out letters, PlayWord Problems
Schedule storytelling sessions in which
Dough, Wikki stix, etc.) to spell out hardthe student can retell a story.
to-learn words.
85. Teach student to read a word problem
and illustrate with symbols or stick figSchedule play-acting sessions in which 72. Teach student to frame hard-to-spell
ures before beginning to compute the
the student can role play different charwords.
answer.
acters in a favorite story.
73. Combine movement activities with spell86. Teach student to highlight or underline
Play board games that provide practice
ing lessons (e.g., jump rope while spelling
clue words that identify which operawith target reading comprehension skills,
words out loud).
tion to use when solving word problems.
sight vocabulary words, or phonetically
Handwriting
irregular words.
87. Ask the student to create and solve word
problems that provide practice with spe74.
Ask
student
to
practice
copying
and
erasProvide student with own personal copy
cific operations such as addition, subtracing
target
words
on
a
small,
individual
of classroom word wall to reference when
tion, multiplication, or division.
dry erase board. Two students can be
writing and reading.
paired to practice their target words toSpecial Math Materials
Composition/Writing
gether.
Use graphic organizers/story mapping 75. Provide special paper (e.g. colored lines, 88. Provide a number line for student to use
when computing whole numbers.
to assist student in developing the major
special lines for spacing) to assist with
parts of a story (e.g., plot, main charac89. Use interesting manipulatives to help
handwriting. I like school
ters, setting, conflict, and resolution).
students gain basic computation skills
76. Teach student to use his or her finger to
when adding single-digit numbers.
Establish
a
measure how much space to leave
post office in
between each word in a written assign- 90. Let student use graph paper to help
the classroom
organize columns when adding, subtractment.
and
provide
ing, multiplying, or dividing whole num77. Provide
interesting
visual
students with
bers.
marker for student to place between
opportunities to
words (e.g., spaceman).
write, mail, and
receive letters.
78. Teach handwriting skills through
Give graphic
a structured program such as Jan Olorganizers for
sons Handwriting Without Tears
letter writing
program.
and clear proceMathematics
dural/behavioral
expectations.
General

Study Skills

55.

56.

57.

58.

59.
60.

61.

62.

63.

64.

65. Provide Editors Checklist of stan79. Teach student rhythm and songs to
dards for acceptable written work.
memorize basic math facts.

What do I do if I suspect a student

has ADHD?
1. It is important to record the childs behaviors and the teaching interventions you have
provided. If necessary, refer to your school Student Study Team (SST). The SST will
work with you in developing other classroom strategies. If the SST feels it is necessary,
they will work with the family to initiate a special education assessment.
2. Share concerns with the family. Be careful to talk in terms of behaviors you are observing in school without attempting to diagnose. The family may choose to seek a physicians assistance. Most often the doctor will ask you to complete a behavior rating scale
to assist with a possible diagnosis.

What assessment strategies can be

used in schools to diagnose students
as having ADHD?
The assessment of attentional disorders in students is usually a multi-disciplinary, multistep process that includes teacher observations, parent and teacher interviews, behavioral
checklists and rating scales, as well as the use of psychometric assessment tools. It is
very important to gather a variety of data from the childs environment since there are no
single psychological, medical and/or neurological tests that reliably identify the presence
of ADHD.

What type of school programs are

available?
Most students with ADHD spend the majority of their school day in the general education classroom. Some may have a special plan to address their needs:
Section 504 of the Rehabilitation Act Plan (504 Plan). For students who are not eligible for special education,

a 504 Plan may be developed to list accommodations needed to assist the student in school.
Individuals with Disabilities Education Act (IDEA) Individualized Education Program (IEP). For chil-

dren who meet eligibility criteria for special education services (usually with Other Health Impairments or
Specific Learning Disabilities), an IEP is developed. It may include special education services (such as Resource Specialist, counseling, or behavioral consultation) as well as accommodations the student needs in
school.
These federal laws require schools and teachers to provide the accommodations and services specified in the
plans.

What about medications?

For many young people stimulant medications are a safe and effective way to relieve
ADHD symptoms. Different types of stimulants are available in short-acting
(immediate-release), intermediate-acting, and long-acting forms. Other medications are
also being tried to treat ADHD. Activity levels, cognitive function, academic achievement, behavior/personality, mood, body physiological systems, and attention may be
affected by medications.
Choosing to give a child medication is a very personal choice for families to make with
their physician. There are many considerations for families. Some children may experience mild side affects, but some children experience significant side affects. Stimulants
are contraindicated for children taking certain medications or who have certain medical
conditions. Finding the right medication dosage and schedule can be difficult. As the child grows the medication may
frequently require adjustment.
You may encourage a family to talk with their doctor if they have concerns about their child. Teachers should document and share information on the childs performance in school; however, a teacher MAY NOT in any way recommend, encourage or require that a family medicate their child.
If you have a child in your classroom for whom medication has been prescribed, it is important that you are aware of
possible side effects. Finding the right medication at the right dose with the right timing can be a difficult process.
Your regular communication with the family is important.

Words of encouragement.
Remember... Rome wasnt built in a day. Learning more about ADHD is the foundation for helping your student. As
you try various strategies, remember that the student needs your help and isnt doing this to you on purpose. Finding
the right interventions will make educational life more successful and positive for both of you. Good days and bad
days are bound to happen. Rejoice in the good, try to relax, and use your positive supports during the bad!

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www.venturacountyselpa.com

Contributing editors:

Contact person: Fran Arner-Costello, Assistant Director

Ventura County Special Education Local Plan Area (SELPA)
(805) 482-2353
[email protected]

Fran Arner-Costello, Ventura County SELPA

Frida Friend, Santa Paula Elementary School District
Evalene Townend, Santa Paula Elementary School District
Laurie Jordan, Rainbow Connection Family Resource Center
Heather Johnson, clerical staff