You may have heard that we are currently experiencing an “epidemic” or “crisis” due to the impact of substances on our communities, country and world. In this section, we will explore the impact of substance use globally, nationally, in Kentucky, and in the workplace.
Many people are familiar with the term substance use disorder (or SUD), but it can be difficult to understand how SUD is different from other terms such as alcoholism, drug addiction, and substance abuse. In this section, we will define the term substance (or drug) and SUD. We will discuss ideas about what a SUD is, what causes SUD, and how a person is diagnosed with a SUD.
Lesson Objective: To learn and practice strategies to help children identify, understand, and manage their emotions. Skills include identifying and labeling emotions, providing comfort, and modeling and cueing children to use calming strategies.
Lesson Objective: To learn and practice easing transitions, anticipating problems, planning ahead, using redirections, and providing choices.
Children in early childhood settings are learning the foundation for understanding and following social rules. As their teacher, you are helping children to help themselves.
Lesson Objective: To learn and practice giving clear directions.
A mother finds that her son does not follow her directions and figures out what is causing the problem. Watch as she learns how to give directions that can be followed. (Video length: 3 minutes 36 seconds)
Lesson Objective: To learn and practice using schedules, routines, and rules in an early care and education setting. Skills include establishing and implementing routines and rules.
Begin by watching this video, Managing the Classroom: Schedule and Routines (4 minutes 33 seconds). As you review the video, consider the following questions:
Why are routines and rules important to young children?
What are some important factors to consider when creating routines and rules in your classroom?
We will talk about steps to creating routines for children next.
The three FIT modules (ECE 104, 105, and 106) are designed to be taken in order. Although this is not required, if you have not done this, you may want to consider going back to take the modules you missed. As you conclude the 3 FIT modules, there are more points to keep in mind:
These strategies are new, and sometimes hard to use and don’t necessarily produce immediate results – though they will if used consistently over time. Continue giving children praise and support while working through the strategies. If you need help deciding when to use which strategy, solving problems, or adjusting when things are not working, make sure to follow up with your child care staff or ask to contact an Early Childhood Mental Health Specialist.
As previously mentioned, children may misbehave for different reasons:
Sometimes misbehavior comes with strong feelings, such as anger, frustration, or excitement.
Children who struggle with controlling impulses or who are hungry, tired, or sick may be more likely to react emotionally.
Sometimes misbehavior is an intentional choice the child makes to get what they want now.
Sometimes misbehavior is unintentional – the child may forget a rule or direction or just become distracted at the moment.
Children who struggle with attention and focus may be more likely to ignore rules or not think about consequences.
Stressful events can make it harder for children to control their behavior. This includes negative stress like family conflict, separations, illness, injury, etc., but it can also include stress from neutral or positive changes, like moving, changing childcare, or other changes in routines, including excitement from an unusually stimulating event.
It is important to help parents think about these considerations in relation to their child and the FIT strategies.
Remember, also, that if after several FIT modules, no notable progress is being made with the child’s behaviors, referral for more intensive clinical assessment and intervention may be appropriate. It will be important to consider the reasons progress is not being made. Are there concerns about the child’s development? Is the family or home in acute or chronic distress? Please familiarize yourself with available resources in your area including pediatricians, social workers, and evidence-based family intervention programs to be able to connect the parent with appropriate supports, if necessary.
Lesson Objective: To learn, prepare for, and practice using logical consequences and removal of privileges to address problem behaviors.
In this section, we will talk about how to address challenging behaviors. Logical consequences and removing privileges can be effective in addressing problem behavior:
LOGICAL CONSEQUENCES are given or imposed by adults for a short time in response to a child’s behavior. Logical consequences are directly related to the child’s behavior or the immediate situation.
REMOVAL OF PRIVILEGES involves taking something away, for a brief period of time, as the consequence of a behavior. Privileges to consider removing are those that are motivating and meaningful to the child. These consequences need to happen close in time to the behavior you are addressing. The child should be able to link their behavior to losing the privilege. Remove privileges for only a short time – and no longer than the remainder of the day. Removing privileges is useful when a timeout or logical consequences may be difficult or when a child is refusing to complete a timeout.
When using these strategies, remember these steps:
Give a clear direction or warning.
Give the child a brief period to comply (about 5 seconds).
Lesson Objective: Define positive behavior support and describe possible reasons behind challenging behaviors.
In the following sections, we will discuss how to support and promote positive behaviors. In addition, we will take a look at challenging behaviors, examine possible reasons behind these behaviors, and discuss appropriate responses.
All of these materials, available as no-cost downloads from www.downsyndrompregnancy.org, offer compassionate, practical, and up-to-date information and have been reviewed by leading medical and Down syndrome experts. Please share a link to downsyndromepregnany.org so that others can access these resources, but do not upload the books to your own website.
Welcoming a Newborn with Down Syndrome
A New Parent’s Guide to the First Month
This book offers support and accurate, reliable information to the new parents of a baby with Down syndrome. The book covers topics like breastfeeding, adjusting to a diagnosis, preparing siblings, understanding medical issues, preparing for the future, and, most importantly, it shares diverse stories about the daily lives of families whose children have Down syndrome at different ages.
“La bienvenida a un bebé con síndrome de Down: Una guía para nuevos padres” escrito por Stephanie Meredith y Nancy Iannone ya está disponible en español gracias a un otorgamiento de La fundación Joseph P. Kennedy, Jr. Este libro ofrece apoyo e información precisa y fiable a los nuevos padres de un bebé con síndrome de Down. El libro abarca temas como la lactancia materna, ajustándose a un diagnóstico, preparación de los hermanos, la comprensión de los problemas médicos, la preparación para el futuro, y lo más importante, que comparte diversas historias sobre las familias cuyos hijos tienen síndrome de Down en las diferentes edades.
Your Loved One is Having a Baby with Down Syndrome
When you learn that someone you love is expecting a baby with Down syndrome, you naturally have concerns, and wonder what to say and do. This book will help you through your initial, normal reactions of sadness, shock, and worry, and give you the information and perspective you need to welcome a baby with Down syndrome.
If you are a new or expectant parent, you will find everything you need to know to successfully breastfeed your baby with Down syndrome, including dozens of mothers’ stories to help reassure you that babies with Down syndrome CAN breastfeed.
If you are a medical professional, you will appreciate the Pro Tips designed specifically to guide you in helping your patients overcome any challenges they may face. Each chapter is written by an expert in the field using the latest evidenced-based research.
The test results are now known for the child. The second interview is being delivered at the doctor’s office. Again, we would want both parents present, along with the baby. The purpose of this interview is to give the parents the results of the chromosomal testing, which confirms that the child has the most common type of Down syndrome, trisomy 21. This interview will also allow the doctor to follow-up on the baby’s breastfeeding and any other concerns.
The case study featured in this course occurs in a patient room in the hospital. A baby has just been born. The pediatrician is informing the parents there is a concern their new son may have Down syndrome.
Continue exploring this case study by clicking on the first topic below.