You say nice things –I like you!

You’re fun to be around!

You think I’m good-you like me!

I’ll be good for you and try hard!

You just say ugly things to me!

You think I’m bad and dumb—then I’ll be bad and dumb!

Simple statements: The more positive you are with a child, the more they will like you, respect you, and work to please you, because they will feel better about themselves when they are with you. What we and others say to them forms their self image. We tell them who they are.

Good quality positive feedback develops positive attitudes, good self-image, and it motivates. Providing quality feedback is not necessarily easy nor does it come naturally to many of us. Please see my article Feedback Part 1 to get a better picture of what good quality feedback needs to be.

The more problems and issues a child has, the fewer obvious opportunities there may be to give them positive feedback; but the more problems and issues they have, the more they need positive feedback.

Most children who are high functioning and doing well receive lots of positive feedback. Every good grade on a test provides positive feedback; if they made a basket or scored a goal, they receive positive feedback; if they look nice, they receive positive feedback; if they have friends, they receive positive feedback. High functioning children tend to do well socially and have friends and positive social relationships—all things that provide positive feedback and, in turn, motivate and encourage the child to try more and do more. If you do a lot of things well, you receive a lot of positive feedback, generally feel pretty good about yourself, and on the occasion when you receive criticism, you accept it, learn from it, and are better for it.

Children who do not do well academically or in sports or socially tend to receive very little positive feedback. Their life is often filled with poor grades and failures in many, if not most, of the things they do. On the occasion when they receive positive feedback, they don’t believe it; and when they receive negative feedback/attention, it’s an affirmation that they are “dumb” or “bad” or whatever.

The children who receive the least positive feedback are the ones who need it the most.

Who children think they are is primarily a reflection of the feedback they receive. The feedback they receive determines how they define themselves.

Giving children real, true, and positive feedback is imperative.

One very important way to help every child is to create a positive environment for them. A positive environment helps motivate them, helps them develop a positive self-image, and it provides you the parent, caregiver, coach, or teacher with power to influence them in a positive way.

I define a positive environment as one that has a ratio of four positives to every one negative. The ratio of 4:1 is strong enough on the positive side to provide all the benefits of a positive environment, but also provides the opportunity for constructive criticism or feedback to extinguish unwanted behaviors and make corrections.

Think of a common scenario involving a child with a developmental, learning, or behavior problem or combination of all three. Typically such a child may live in a world where they receive only one positive to every four negatives. The sad reality is that for many such children that ratio is 1:10 or more, much more. Imagine their life–they are doing math and they hear, “That one is wrong. So is this one and that one and…”

When they are reading, for every word missed they hear, “Wrong!” and every word read correctly gets ignored. They play appropriately by themselves and get ignored. Then they poke their sister, who squeals, and they get a quick sharp, intense response from Mom. This is their day. Do something right—minimal or no feedback; do something wrong, and you are “bad” and “dumb” at math, reading, and even playing, or simply just “bad” and ”dumb.”

When balanced, negative comments and reactions generally have a significantly stronger impact on us than do most positives. Also, most negative responses are delivered with greater intensity than positives, thus the need for the ratio of 4:1 positives to negatives to create a good positive environment.

Parents, caregivers, and teachers need to learn how to find the opportunities for positive feedback. Mark and comment on everything that is right; don’t emphasize what is wrong, comment and emphasize what is right. Take note of those things that are wrong and come back and teach them. For children with behavior issues, catch them being good and let them know it. Perceive the struggling child as a child with the potential to do well, and work to help them develop that new perception.

We change the brain through the neuroplasticity fundamentals of frequency, intensity, and duration. It’s important to understand that neuroplasticity is how the brain changes and develops. Consistent positive input/feedback helps produce positive outcomes–motivation, good intentions, good self-image, and happy children. Consistent negative input/feedback creates negative self-image, poor attitudes, and unhappy children and helps produce negative outcomes. Negatives impact the brain, and if delivered with sufficient frequency, intensity, and duration, we do change the brain, building negative perceptions and making the brain more receptive to interpreting even positive comments as negatives.

Creating a positive world for your child goes a long way toward gaining their attention and cooperation and toward developing the strengths and abilities that you want to foster.

Your goal: four positives to every negative.

Reprinted by permission of The NACD Foundation, Volume 33 No. 3, 2020 ©NACD

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by Bob Doman

Was that right or wrong?

Did I do well or not?

Was that important or not?

Does getting it right matter, and if so how much?

Should I care—do I care?

Is it fun?

Do I like this and want to do it again?

Am I good at this?

Am I smart or dumb?

Most children’s answers to these questions are based on the feedback they receive. It’s not the actual performance at the moment that counts; it’s the response they get from it.

Your children, regardless of level of function, are reacting, changing, and developing based on how targeted the input, the frequency, intensity, and duration of the input, and the feedback they receive or not. Most children’s direction and rate of development can be significantly, if not dramatically, altered based on the feedback they receive.

At NACD we are fortunate to have a Portal upon which our families post videos that show how children’s programs are being implemented, and also how the children are functioning. One of the things we watch for on these videos is the feedback that the children receive and the general tone of the session. Inevitably we see a correlation between the quality and consistency of feedback and the rate of development of the child.

One glaring area where the feedback, or lack of, is easily seen is when we see a video of family or caregiver doing an activity that is repetitious. A common activity is working on sequential processing in which a child listens to or sees a sequence of items, then says or demonstrates in some way what they saw or heard. The feedback we observe varies from negative, to nothing, to fair/poor, to good, up to spectacular. We can fairly accurately predict the child’s rate of progress, or lack of, based on the feedback they are receiving. Let’s look at examples of each:

Negative Feedback

Essentially here we are seeing correct responses ignored and errors acknowledged. If the only attention the child receives, even if negative, comes when they make an error, you are actually increasing the odds of getting incorrect responses.

No Feedback

This is perhaps the most frustrating interaction to observe. Regardless of whether the response was correct or incorrect, the response is to simply give the child another sequence. If they don’t know if their answer is correct or incorrect, that is essentially communicating that it doesn’t matter one way or the other. So who cares and why try? The message is, “Let’s just get this over with.”

Fair/Poor Feedback

In these instances the child receives a relatively neutral response, such as “good” to every response whether it was correct or not. Or the child receives a low intensity “right” or “wrong” or “yes” or “no” response, or the equivalent. The reality of these responses is that the negative “wrong” or “no” has a greater impact on the child than do the affirmative responses. This makes the entire experience negative. These responses have low intensity and essentially communicate that it’s not really a big deal if you get this right or wrong, so why put yourself out. It also says, “This really isn’t fun, and I stink at it.”

Good Feedback

In giving good feedback, there is strong acknowledgement of correct answers: “Super!” “Great—you got it!” “Wow- you got another one!” And in response to incorrect answers, there is encouragement: “Almost, you’re going to get the next one,” “Oh, close—come on, let’s get the next one!” With good feedback the child should be feeling good, the emphasis is on their success, there should be smiles from both the caregiver and the child, and the child should be motivated to try hard and welcome the next session.

Excellent Feedback

Excellent feedback requires attention and preparation. The caregiver needs to observe the child and determine if it’s a good time to do the activity. Is the child wide awake? In a reasonably good mood? Are you making sure you’re not pulling them away from something fun? Part of the preparation is also getting yourself pumped so that you can start the activity with energy and the intention that you are going to be successful. And in some cases, part of the preparation is setting up some kind of reward system. The excellent feedback doesn’t need to sound significantly different than the “good feedback,” but the energy level is higher, the intention acknowledged before the activity is even started, and if needed some kind of reward system beyond the social/verbal acknowledgement is employed. What this additional reward system is would be very child specific. For young, lower processing children, that reward would need to be immediate and could range from a little food reward, to physically picking the child up and dancing around the room, to them engaging in one of their very favorite activities. For older, higher processing children, some form of a positive token economy system is often effective and appropriate. If you value the results you are trying to achieve, then give value to the results.

Whenever possible you want to teach your child to love whatever it is that you want them to do and do well. Simply put, if they love it they are going to do the activity with a lot of positive intention and intensity and do well. You really have the power to do this with virtually anything. One of the things I hate to hear from parents and caregivers is that Johnny is bored with the reading, math, processing activity, or whatever. In any activity that you are engaged in with the child, you are the one in control of how much fun it is, how much positive intensity there is, and ultimately how much the child loves the activity and thus their success.

Reprinted by permission of The NACD Foundation, Volume 33 No. 1, 2020 ©NACD

The post Feedback and Its Impact on Behavior, Learning, Development, and More – Part 1 appeared first on NACD International | The National Association for Child Development.

by Bob Doman

I’m good at reading!

I love to read!

I stink at reading—I hate it!

I’m great at soccer!

I really like playing soccer; let’s play some more!

I’m lousy at soccer—I hate it, I quit!

Simple statement: You like what you think you’re good at. The ramifications of this simple truth are tremendous.

If you feel you are doing well at something, you are motivated to do it more. You approach each new event with a positive attitude. You approach each new event with intensity, and you want to keep doing it, and you want to do it again. The key to triggering neuroplasticity is providing specific targeted input with the necessary frequency, intensity, and duration. Learning is changing the brain—physically changing the brain by growing connections and building networks. The process is what it is—the components are written in our DNA; we can’t escape it. We need to understand it and use it to the child’s advantage.

For fifty years I have been preaching that the first thing, the first goal when trying to teach a child anything is to first teach them to love it. Whether we are hoping to teach a child to crawl, walk, run, read, do math, or do chores, we need to teach them to love it or at the very least, like it.

“You can’t teach a child to love cleaning a toilet!” I beg to differ. If you know your child, you should be able to use that knowledge to create a fun, motivating environment around teaching them how to do it; and once learned, give them a lot of real and positive feedback. You can teach them to love cleaning a toilet.

One of the first things I often have to encourage parents and caregivers to do before starting to teach a child anything is to remember school. Odds are fairly good that if you replicate a lot, if not most, of what you remember school being like, you’re doing it wrong. But it doesn’t have to be that way. Learning can be and should be fun.

Back at the beginning of my career, I was a special education teacher. I worked hard to teach the eighteen children in my class, who all had serious learning challenges and labels like Down syndrome, cerebral palsy, and autism, to love reading and math. Randomly throughout the day I would have class question sessions and would throw out questions to a few of the kids in each session. I knew the kids and knew what they knew, so I would call out a child’s name and ask them a question that I felt confident that they could answer correctly; and when they did, I would wing a poker chip at them that they would have to scramble for. The token bought them time at the reward table at the back of the room. I taught the group to cheer at every correct answer, and the lucky child would grab his poker chip and go back to the reward table, where there were math papers with their names on them and books with their names as well. The kids loved doing math and reading and loved earning the reward of doing more math and reading. The tone, the environment, and the feedback can make most anything fun and positive. If the child likes whatever is to be taught and feels they do it well, they are going to approach the session with intensity and are going to want to do it frequently and to continue to do it (duration).

Another thing I did as a teacher was to mark only what was right/correct on a paper. I could give a child ten math problems, and if they only got one right, that gave me the opportunity to say things like, “Wow, you got that tough one right,” “See? You’re getting it—you got that one!” “Great, I bet next time you’re going to get more of them.” Why do schools always mark what’s wrong not what’s right? Typically if a child is given ten problems or questions, and if they got nine correct and one wrong, there is a big red mark on the one they got wrong. This essentially communicates to the child that you don’t care what they know, the emphasis is on what they don’t know.

We aren’t going to change what is happening in school very soon. I’ve spent fifty years trying to do it, with minimal success. But we can change how we do things at home.

I have spoken to groups of parents who have opted to keep their children home rather then send them to school, and I have actually encouraged them to refer to what they are doing as “home education,” not “home school,” because so many homeschoolers work very hard to replicate just what they do at school. We can do so much better.

You have the power to create fun, positive environments around teaching most everything. And you have the power to control the feedback and to make it positive. If your children approach what you are doing with positive intention and intensity, you are going to see them progress well, and you and they are going to enjoy doing it.

Reprinted by permission of The NACD Foundation, Volume 33 No. 2, 2020 ©NACD

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Did you ever walk out of an evaluation and on the way home think of something you forgot to ask about in the evaluation? Did you ever think about the evaluation conversation the next day and think that you really didn’t get something the evaluator said? How about when you get a program activity that seems way above or below where you thought your child was? Has that ever happened? How about waking up in the middle of the night consumed with worry about your child and having no one to talk to about it, has that happened?

You have a coach for a reason. Good programs and good outcomes require a lot of communication with you and with us. Everything I mentioned in the first paragraph happens all of the time. You forget to bring things up. We’ve said something that you didn’t quite get. You are looking at a program activity that looks way too hard for your child to do or there are so many frequencies of an activity that you can’t even imagine how you could possibly do it. So, contact your coach. Your coach has answers and can get answers quickly and can give you that extra time you need to really sort something out and get it resolved.

One thing we tell you over and over is that the brain can change with the right input. Your child can change when you do program well and sometimes those changes happen way before four months are up. Not only is your coach available to celebrate accomplishments, but she is also there to pass the news on to your evaluator so that your program gets updated and you can move right along to new things. Programs are meant to be efficient and communication helps keep them that way. The reverse situation is true as well as it relates to program efficiency. If you cannot get your child to do an activity or you can’t access some equipment you need then the sooner your evaluator has that information the better. That makes sense, doesn’t it?

Program is a big deal in your life but there is a lot more going on than just programs. Families often have issues going on with their parents’ being ill, issues with jobs and helpers, relocations, weddings and all kinds of very major things to deal with as well as holidays and vacations. All of these things really do disrupt program and take time away from those activities. Wouldn’t it be wise to let your evaluator know so that the program could be adjusted for as long as it needs to be adjusted? Your coach can help make that happen.

A big thing that a coach can do is give you encouragement and listen to and understand your fears and worries. It is not easy having a child who is having difficulties of any kind. There often seem to be endless things to worry about and keep you up at night. We totally understand that. The important thing for you to know is that you aren’t alone in this. We are here to be of genuine help to you and sometimes that means just listening to what worries you the most and making sure that we are working on it with you. We are ready to support you on this journey.

If you are just using NACD to get evaluations and programs, you are missing out on a lot. We could be helping you find resources, get program done more efficiently and more happily. We can help with behavior issues, teacher issues, even grandparent issues. Don’t let all of our resources go to waste. Join the many parents who are great communicators and let us hear from you on a regular basis. We make a great team.

Reprinted by permission NACD Newsletter, November 2019 ©NACD

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A lot of folks, particularly in the USA, have a hard time describing where in the world Romania is or are able to tell you much of anything about Romania (which unfortunately speaks to our educational system); but ask about Transylvania and everyone’s interest perks up and they conjure up visions of Dracula.

This last month I spent almost two weeks in the mountains of Transylvania with about 200 of our NACD family members from five different countries. We were practically under the shadow of Bran Castle, or what is widely known as Dracula’s castle.

This event was made possible through the efforts of many folks, but particularly little Tudor’s mom, Andreea Dumitru, and Teodora Pop, our NACD Romanian Coordinator.

Andreea’s efforts resulted in the advertising company Blitz TV sponsoring the event and arranging for free rooms and breakfasts for all of the families at the Cheile Gradistei Resort. Without this help many of the families would not have been able to participate.

There were two primary reasons for orchestrating the Transylvania Experience. The first was to provide a venue for an in-person evaluation for the children in the region, particularly Romania and Bulgaria, and the second was to provide an opportunity for the families to spend time together. To varying degrees families with children with developmental and genetic issues find it difficult to integrate their children into many, if not most, social situations. Getting to spend time with other families with similar issues who understand, permitting them to share support, encouragement, and to just be able to relax, accept, and socialize was a great unique experience. Sadly, Romania and the surrounding countries are often not very accepting of many of our children; so it was particularly important to hold this event in Romania.

Our Romania chapter, which includes many Bulgarian families, is certainly our most proactive NACD chapter, doing everything they can to support each other and to educate other families in their countries about the hope that NACD offers. Our families travel from around the country to participate and share their NACD experience at every possible event that they think might help another family learn about the hope for their children. They understand that NACD’s family-centered approach means that any family in any place in the world is only a call, an email, or a Skype visit away from their coach and evaluator on any day and that they can help their children irrespective of what may or may not exist in their area.

The feedback from the event from the families was outstanding, and everyone wants to repeat it next year, even with the understanding that we may not have funding assistance. At the families request, I have happily committed to coming back again next year (I didn’t have a chance to visit the castle on this trip, so I need another visit to Transylvania) and we will hopefully return to the same spot and show off and share the children’s progress and help generate some new memories to add to those we created this year.

Personally, it was a bit demanding. It took twenty-two hours to get there, arriving in the evening and starting the evaluations first thing the next morning; but it was truly a marvelous experience. These are incredible families! Being able to relax and interact with the families and share meals and a little down time outside of the evaluation process was extremely rewarding. Perhaps some of my greatest memories are of watching the children with issues and all of the typical siblings interacting together as naturally as if they had know each other forever. The typical siblings were amazing to watch. They instinctively knew how and when to help and how to communicate with or just be with a new special needs child they had just met minutes before. Speaking of communication, the majority of the parents spoke English and often an additional language or two, as did the children. I loved all the “Hi Bob”s I heard from so many of the kids who were just learning to talk as they walked in for their evaluations.

We have some hope that other NACD chapters and groups around the country and the world will come together and do more to help build their regional community of NACD families.

Lesson to be learned: We do better as part of a community that shares a common approach, common ambitions, and a belief that the primary responsibility for our children and the best people to help our children are we, the parents. We can make a difference and change the lives and futures of our children.

As always it is an honor and a privilege to be involved with such incredible families and children.

For more photos and a daily journal of Bob’s trip, please visit our Facebook page!

Testimonials from our Romania Attendees

TEODORA POP

I also wanted to write a few words about this experience, but it is so hard to write about everything in a couple of phrases.

For me it was an amazing and different and new experience, even though I am with NACD for 2 years and a half now and I´ve been before to Bucharest to help Bob with translations. This time I also took part in the organisation of the event and it was amazing. Meeting families for the first time, seeing other again and listening to everyone´s story, sharing opinions and advises and being there with Bob during the eval was a HUGE learning experience for me. I am confident that my decision to stay in Romania and dedicate myself to this cause and to the NACD families in Romania was the correct and the best one! I am honored and humbled working with the NACD staff and with all of you here in the Romanian chapter!!!

IOANA GRECU

The experience in Cheile Gradistei was beautiful and full of emotions. We waited eagerly for this moment. We couldn’t wait to meet Bob Doman, and the impression of him is a great one. We feel that he is a very good person and very involved in what he is doing. The kindness with which he is looking at the children makes you trust that what he is saying is good for the little ones. The parents are great, full of hope and positive. We left the place trusting in the NACD program and trusting in ourselves as a family that we took the best decision when we joined the program. The landscape helped us to relax and to spend some family quality time. Even though we had to leave earlier than scheduled, the presence of the other kids and parents made the days feel very short and filled with great moments. Thank you for everything!

IOANA RASPOPA

I need to say that we are grateful for a great weekend. Yes it was beautiful, but meeting with Bob (this time Matei was OK and awake comparing to last year) was a huge reinforcement for us. We also got really useful information from Teo and from other parents that gave us courage to push for more changes for Matei.

RALUCA BUSUIOC

You know what the experience at Cheile Gradistei makes me think at? We are thought that from the 3: frequency, intensity and duration, the most important is the intensity. So this experience was not as much duration as is was high intensity! Exactly like in the NACD activities: high intensity, so that you will want more!!! So that it will be forever in your mind and in your heart!

FELICIA TUSLUC

It was a great experience, both because of meeting people with which we share the same vision of recovery and of the joy in our children’s eyes enjoying the fresh air with us and other children like them. Meeting Bob face to face again revived our hope and trust in the complexity of the program and in our capacity to obtain great results.

PAULA SERBAN

For me this experience was revealing! I saw my child with different eyes and my soul was filled with hope. Meeting the other parents was as important, feeling their support and full understanding. To be able to talk with people that totally understand was something that I wished for for a long time. Besides the NACD family it is very difficult to find so much understanding and good advice. Now I feel that I have recharged ‘my batteries’ and we can keep going with so much hope. Thank you so much NACD!

RALUCA MANEA

It was wonderful seeing Bob again and getting to meet old friends that we have known merely in the on line. The children had a great time and loved to make new friends. It was a great time of connecting and reconnecting.

ALEXANDRA ANGHELINA

For us it was a first on multiple levels. Our first evaluation, first time meeting Bob Doman, first contact with a community of this type, first time seeing how a program looks like. So far we are loving everything that we discovered. We start this road filled with trust and extremely motivated to learn how to implement the program correctly.
The experience of meeting other NACD families was a great and interesting one. I can only bow in front of all this people that I got the chance to meet. They are an example worth following.

Thank you so much for this experience. And we cannot wait to see you all next year!

ANGELA HLATCA

For us, the Hlatca family, this year evaluation was another reason for hope and joy: after one year of vacation we finally were able to start the program again. We were happy to see Mr. Bob Doman again and he encouraged us and gave us new hopes for Tudor. This year´s location was a very beautiful one and we felt great there. The evenings were the best, having the opportunity to meet new NACD families and spend time together, to share experiences and to enjoy our beautiful children with which we played a lot. Mr. Bob Doman spent some time with us in the evenings and he is such a warm and very friendly person. A big thank you also for those who organised this very successful event!

Reprinted by permission NACD Newsletter, July 2019 ©NACD

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On January 26th I was given the honor of providing the keynote address for the Winter Home School Conference in Layton, Utah. The conference was a great success with a couple thousand in attendance.

As I was preparing for the conference, I realized that I needed to address an underlying systemic issue with homeschool, which was simply that the majority of homeschool families were simply replicating school, the very thing they were trying to replace. Just a couple of nights before the address, I realized that the key to this problem had been staring me right in the face. The foundation of the problem was, in fact, the very term “homeschool.”

I titled my speech “Targeted Home Education-T.H.E. Way Forward.” My presentation was aimed at helping parents understand all of the underlying problems and issues associated with turning their homes into mini institutions/schools. I helped them understand how building home education on the foundation of a curriculum, which is an anathema to everything we know about learning and children, was taking them in the wrong direction.

Home education provides an opportunity to individualize education, to build the foundation of learning, short-term memory, working memory, and executive function, the pieces that permit all of us to learn, think, and function in the world; and they are the pieces that can make all of our children smarter, much smarter. Home-based education should permit us to work with the “whole child” and help our children discover themselves, learn how to learn and to love learning, to pursue their passions, and become happy, successful adults with a sense of independence, service, and values. If we target what we are doing with home-based education, we can do so much better and even do it in less time than with a curriculum-based approach.

All of our NACD staff who were present and I were pleased with all the folks coming up to us throughout the afternoon and evening and announcing:

“We’re home educators, not homeschoolers; and we want to do it better and smarter.”

NACD Newsletter, February 2019 ©NACD

I wrote an article expanding on these concepts if you are interested in learning more:

T.H.E. Targeted Home Education:
Homeschool Renamed, Re-envisioned, and Given a New Way Forward
by Bob Doman

The post Targeted Home Education – T.H.E. Way Forward appeared first on NACD International | The National Association for Child Development.

What is the purpose of your program? Many of you approach your program as if the goal were to check off a lot of boxes. That’s not the goal. The goal is to produce change. It’s easy to lose track of where we are going and to get lost in the process. As you are looking at your one thing, think about goals. Think about those important things that we are trying to change or develop and focus and work with intention.

Intention is working with a targeted mental focus for the purpose of producing a specific future change.

One of the most glaring things I see when reviewing program videos are folks obviously working without intention, which results in very slow progress. I wouldn’t want to count all the processing videos I have watched that made me want to scream. As most of you know, developing processing skills is rather foundational and really important. You should also know that even an incremental change in processing results in wonderful things, like better understanding, increased language, increase in global maturity, improved behavior, and better cognition-global change! Understanding this importance, many families justly prioritize their processing activities; but what I often see are parents doing the activities without a lot of intensity, which means they are doing it without intention. I often have to pay very close attention to the videos to determine if the child is getting the sequences right or wrong because watching the feedback from the parent or helper, there wasn’t much difference in the response, whether the sequence was done correctly or not. Without quality feedback and reinforcement your child isn’t even going to know what the goal is and certainly is not going to be working with intention.

To digress a tad, on my last trip to our Cincinnati chapter, where I work out of a hotel that sits on the Kentucky side of the Ohio River, just across from the city of Cincinnati, I renewed my perspective on intention and intensity. Often on these trips I take a little walk along the river after I have my dinner and before I go back to my room to address more emails. Looking across the river I can see both the Cincinnati football and baseball stadiums. The Ohio River is a big river, and although the stadiums sit close to the river’s edge, they are still quite a way away. During the baseball season the Cincinnati Reds play, and during the football season the Cincinnati Bengals play. If I happen to be out in the evening and a game is being played, there is absolutely no question if someone gets a hit or a homerun or a team scores a touchdown. On this last trip, I was walking and looking out at the stadium when a touchdown was scored by the Bengals. The roar of the crowd from where I was across the river was almost deafening, and then the sky lit up with fireworks. The intention is to win the game, and it is understood that to win the game you need to get hits or advance the ball on the football field. The fans react with intensity to each of these events. There is no question of the intention of the players or the fans. It is also not surprising that teams in cities with good fans who help generate intensity and keep the players focused on the intention do well.

The goal of working on processing is to raise the processing level, preferably quickly. Watching these videos, it becomes blatantly obvious that more often than not the intention is to complete the activity and check off the box. I’m sure as the parent pushes themselves and their child through the activity, they think that they just need to do this another few hundred or thousand times and their child will move forward and ultimately, they probably will. But if we address not only processing activities, but also everything we do with our kids with intention, we can meet our goals faster, and generally much, much faster.

As an example of how we can create intention, I will at times do processing activities with criteria. What this means is that rather than doing a processing activity for a specific duration, such as a minute or two, we do the activity with a target. For example, if we are just starting to get auditory digit spans of five, working with criteria we will let the child know that the goal of the session is to get a five. As soon as they get a five, we have a party and the session ends. Their intention is no longer just to cooperate, to try or pretend that they are trying; it is to get a five! And our intention is no longer to check off a box, it is to get a five. It can be amazing to see how much faster we can move forward when the intention is clearly defined, and the child is receiving good feedback.

One of keys to focus and intention is data and attention to detail. If you are working on teaching your child to identify pictures, read words, recognize numbers, or complete a math process, you can only work with intention if you know where you are and where you are going. For example, if you are trying to develop your child’s sight word vocabulary you need to know what they know. Perhaps you have shown them 50 new words over a month or so. How many do they know? If I were flashing them the words, I would periodically stop on a word and ask them what it was or start a review session by testing a few words. I would mentally keep track of how many of the words they know, about what percentage they know, and even what types of words. Armed with some data we can do a number of things. If you provide your coach and evaluator with the data, they can make recommendations to do everything from change frequencies and durations, to how many new words are being introduced, to what kinds of words to introduce, or even to putting it away for a while. If the data is simply that we have checked off x number of boxes over these weeks, that doesn’t really help us reach our goal. The intention of every session should be to succeed, to teach your child to read more words; and to do that within each session, you need to be gathering data and work with intention.

Intention is every bit as important for every other aspect of program, whether we are teaching a child to walk properly, to track better, or to love looking at pictures. With absolutely every activity we do, we need to be mindful of what we are trying to achieve; and we need to be observant and constantly adjusting, modifying, and gathering data. Our intention is to produce new function, new abilities and to change your child’s life one piece, one step at a time.

I find intention to be a fascinating neurological phenomenon. You can consciously start doing something with intention, but then your brain appears to learn to apply it without conscious effort. As an example, through the years I have had children read short non-fiction articles as part of their program, primarily to improve reading comprehension. Generally, it would appear to the parent who was working with the child during the day that the child was engaged, and since we were working to develop reading comprehension, that they were actually reading to learn. I would on occasion have the parents do an experiment. The experiment was quite simple: at dinner after everyone had sat at the table, but before anyone was allowed to start eating, I would have the child’s father ask them what the story they had read earlier was about. Many parents were shocked when they discovered that their child couldn’t even remember the subject, let alone any of the content. A common answer from children to the question, “What did you learn at school today?” is “Nothing.” If the family repeated this for a few days, the child would start remembering more and more about the story; and if the parents randomly asked the dinner question, the child would usually maintain their new intention, which was not just to read the story, listen to the story, and answer specific questions immediately after reading the story, but to learn and try to retain the information. After the first couple of days I’m sure the child, when they sat down to do their story, was not consciously thinking, “I need to remember this because Dad is going to ask me about it at dinner.” The child’s brain had changed and was applying greater intensity to recalling the information on an ongoing basis. Your brain adapts and changes and even generalizes intention. Very cool!

One Final Note on Intention

Parents generally work with a child with better intention than anyone who is paid. As a parent there are a lot of things you could do with your day rather than work with your child. You don’t do it because you’re getting paid; and actually, many of you could be out doing things for pay if you weren’t home working with your child. You do what you do because your intention is to help your child. Even for you it can be tough keeping your focus and working each activity with the needed intention.

If you are having people help with program implementation or even sending your child to school or therapy, the issue of intention becomes significantly greater. If working with a child or children is a job, often the job is defined as implementing specific methods as best you can. Not a bad objective, but it’s not the right objective. The intention should be to produce results—good results and fast results. One of the frustrations I face every day of my life is educators, therapists, and even physicians applying the same methodologies day after day and week after week and year after year, in spite of that fact that they haven’t worked or haven’t worked well or worked fast enough. It is easy for people to get stuck in the rut of “this is what we do and how we do it and so be it,” regardless of the results or lack of.

Sorry for the little digression—back to program helpers. It is more difficult for people getting paid to help with program to achieve and maintain the proper intention than it is even for parents. As parents and bosses and supervisors, part of your job is to train your helpers well, clearly define the intention, quiz them on the data, and tie their efforts to achievement of the intended results, not checking off boxes. You might find it interesting to note that historically volunteers do a better job maintaining intention than people who are paid, and often the more people are paid, the poorer job they do of program implementation and working with intention. Obviously there are exceptions, but if you are not getting paid or if the pay is minimal, it is more likely that the primary goal it to help the child.

On occasions where we have had siblings help with program, we encourage good intention not by paying the kids or even rewarding them for their time, but for results. It has been fun watching how fast things can change if we do something like, “When Johnny can do two 5s in row, we are all going to go out for dinner and to a movie.” Everyone’s intention is tied to their successfully hitting the target.

Fifty years ago, when I started doing this work, I heard comments such as, “You must be a very patient person,” or, “You need a lot of patience to work with handicapped children.”

I’m not a patient person. To the contrary, I’m quite impatient, which is why I am constantly creating and looking for better ways to do everything. My intention is, and your intention needs to be, to be impatient, to work with intention, and to make it right, make it better, and to improve your child’s life. With our joint focus and intention and, yes, some impatience, we can do it.

Reprinted by permission of The NACD Foundation, Volume 32 No. 1, 2019 ©NACD

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We love hearing from our past and present families. It’s always tough for us when we graduate a child, seeing them move on, full of expectation and hope, and hopefully armed with a solid foundation. We always appreciate hearing from the families and learning how they fared.

We just received this note from Charles Smith and Marilyng Perez Montero regarding their daughter Ilaria. I recall meeting Ilaria and her family for the first time. Ilaria was a very sweet, quiet, well-mannered 10-year-old who lacked confidence and who came to us with a combination of processing issues, academic problems, and physical strength and coordination challenges. She was very anxious to do what she needed to do to better herself, and her parents were obviously dedicated to doing all they could do to make it happen.

Ilaria’s family was very organized and hit her program running and started seeing changes almost immediately. The family kept in close contact with me through their coach, Marta Palmes, and worked not only hard, but smart. The plan from the beginning was to keep Ilaria home and do NACD homeschool, get her “pieces” put together, and then to have her go back to school. Ilaria was with us for less than 18 months, but we were delighted to see her transform into a confident and capable young lady in that relatively short period.

When Charles, Ilaria’s dad, asked me if I thought Ilaria was able to handle going back to school, I told him that I felt she was; but when he told me where he wanted her to go, I was a bit concerned. He wasn’t going to just send her to school, he wanted her to go to a very challenging, tough academic school. I should not have worried. I will let Dad’s words speak for how she has done.

Congratulations, Team Smith!

—Bob Doman

Dear Marta [at NACD],

I am writing to inform you of our daughter Ilaria’s achievement of a 4.0 GPS her first year in middle school and being recognized as a recipient of the President’s Education Awards Program—all this less than six months after graduating from the NACD program. It is a momentous achievement and I would like to express my sincere gratitude to you and Bob Doman for all the efforts you have contributed on behalf of Marilyng, myself and Ilaria.

Your support during the design and implementation of Ilaria’s NACD program has been nothing short of overwhelming. Needless to say, without your and Bob’s expertise, input and encouragement, Marilyn and I would never have been able to achieve success in carrying out the program with Ilaria.

As you may recall, we were introduced to Bob Doman and NACD in the Summer of 2016. I was doing some research online for organizations that could assist our 10-year-old daughter, Ilaria, whom had been officially diagnosed as having a “learning disorder”. Ilaria was falling behind in mathematics as well as English and was lacking in physical strength and coordination.

We had tried a number of different private companies and public resources but did not feel any were right for Ilaria’s circumstances. Some were very expensive, and others did not provide the personalized attention we felt was necessary. Fortunately, I came across Bob’s name along with NACD when I was reading reviews by a client of one of the private companies we were meeting with. That day changed our lives!

After watching the online videos of Bob explaining how a child’s brain develops and why it is important to use teaching methods that take into account, we made contact with NACD. My wife and I were very excited to work with Bob and create a personalized development program for Ilaria.

We started implementation of the program in July 2016 and found that your input and weekly support was invaluable. In addition to your encouragement and support you greatly assisted us with the practical implementation of the program. I can distinctly remember your suggestion of creating an excel spreadsheet to keep track of and monitor the daily activities and progress of the program. This helped us tremendously.

Ilaria made steady progress throughout the remainder of 2016 and through the first half of 2017. In august of 2017, she started 6^th grade at a new middle school considered to be one of the most academically challenging schools in Florida. By the end of the first semester in December, she had achieved the honor roll during both quarters and finished with a 3.6 GPA. It was at that time, during her December evaluation with Bob, that he informed her she had successfully graduated from the NACD program.

The NACD program along with the support from yourself and Bob changed our lives and gave Ilaria the confidence to believe in herself and achieve her goals of making the honor roll in her first year of middle school. Thank you very much!

NACD Newsletter, October 2018 ©NACD

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In an effort to help our NACD families and others maximize their efforts and make the most out of the time they have to work with their children, it is incredibly important to keep reminding everyone about the significance of intensity.

The foundation of what we do at NACD is designing very targeted individualized programs that are created to help provide the maximum results, relative to the time invested. The significance of being targeted is that we stimulate and change the brain when we apply specific, organized, targeted input with the necessary frequency, intensity, and duration. Random input is just noise to the brain; disorganized input is irrelevant to the brain; and any input that is not received by the brain with intensity never happened.

We understand that intensity, the most important of the Super 3 (frequency, intensity, and duration), is not entirely a reflection of how loud or strong or exciting we are when working with our kids. The big factor is what the intensity is with which they are processing the input. Have you ever seen someone fall asleep at a party or in a movie theater or sporting event? These are all intense environments; but if that person is asleep, it has zero intensity for their brains—it didn’t happen. I recall the question I heard way back when in school—“if a tree falls in the forest and there is no one there to hear it, did it make a sound?” It’s not about you, it’s about them. Back to the folks at the party-how about if they are not asleep, but just dozing? Or, they just had a fight with their significant other and are running through the last argument in their mind one more time, or have a song stuck in their head that keeps going around and around. How much did all that “intensity” that is going on impact them? Probably not much. Ultimately intensity is based on how the individual is receiving/processing the input.

I have always related intensity and impact on a scale of 1-10. If something goes into a brain with the intensity of 9 or 10, learning is virtually instantaneous. Drop it down to 7-8 and we need a fair amount of frequency and duration to change the brain. If the intensity is only a 6, we need a lot of frequency and duration—many times per day and lots of days, weeks, or months. At a 5 we are in for a very long haul. And below a 5, we are better off taking a nap.

Let’s look at some of the things that affect intensity, starting with physiological issues. Diet is one of the things we talk about with all parents. I won’t get into the specifics of diet in this article but suffice it to say that if you feed your kids pancakes with syrup for breakfast, just send them back to bed and forget about school. Sleep is another foundational issue, and doing what is needed for both you and your child to get enough sleep is very important. So before we go any further, let’s see where we are. If what you are trying to put into your child’s brain is super exciting to them and they love it, they ate some good protein, had a great night’s sleep, and feel wonderful, you might get them to an 8. Trying to input something they might like but don’t love, drop to a 7; not a wonderful breakfast, drop to a 6; and then you were up with them for half of the night, we just dropped to a 5, and perhaps you are both getting ready for a nap.

Just yesterday I had a talk with a very nice family, great, concerned parents who have a teenage son on the autism spectrum. He has had a few small seizures that did not appear to have any residual effect and is on two different anti-convulsive medications. His doctors have also put him on two additional drugs that are used for schizophrenia and irritability. When I look at this boy, he looks like he is about to fall over with his eyes open. He’s at a 2-3 for intensity, and if you work hard, you can push him briefly to a 4, and on rare occasion to a 5. Under the circumstances we hope to maintain what function he has until these medications that all slow his brain down can be altered or eliminated.

Drugs that are used for seizure control and behavior and attention control are slowing down the brain. As a side note, the neurologists and neurosurgeons that I worked with almost 50 years ago were aware that the vast majority of seizures actually caused no harm, and my clinical observations over all of these years verify it; but we still have neurologists who see their mission as stopping all seizures, regardless of the fact that they are medicating the child to the point where there can be virtually no development. I’ve been happy to hear that after 50 years, there are a few neurologists acknowledging that not all seizures spell the end of the world and are being much more conservative with the medications. And fortunately there are new very promising alternatives to the drugs.

Diet, sleep, health, exercise, or the lack of, and medications all have an effect on the brain, your child’s ability to process information, and thus to be stimulated and develop.

I have a confession to make. I do not get regular organized exercise. I played sports, and I played them hard. I have almost always lived where I had a good size piece of land and always loved working outside and work hard. I enjoy walks and hikes, but a daily exercise routine—never. It’s a good thing your child has parents and helpers to help structure their days, establish priorities for them, and to motivate them and make things fun. Perhaps if I had some great fun personal trainer who came and got me at a specific time each day and praised my success, I might exercise. I probably would also need to add a 25^th hour to every day. As adults we are responsible for ourselves. We can choose to eat well, exercise, whatever; however we are also responsible for our children, and it is our responsibility to see that our children eat well, get their sleep, and do all the other things needed to help them develop well. Even the smartest child isn’t wise. We need to make the choices for them and keep them heading in the right direction. Side note: How many of you give your pets more nutritious diets than your kids?

The younger the children, the easier it is to make things fun and increase the intensity. I constantly hear that little Johnny is bored with this or that or he doesn’t like it. The reality is that it’s not about the activity, it’s about the environment of the activity and how it is presented. Remember Tom Sawyer and how he got the kids to paint the fence for him? Create the right atmosphere, and you can get your kids to have a ball cleaning toilets. If something doesn’t hurt, you can create an atmosphere that makes whatever you are doing fun, and if something hurts, stop doing it because something is wrong. If you can’t get your intensity or their intensity above a 5, what should you do? You should go take a nap and come back to it later with good intensity.

One of the most common issues I see when watching program implementation is a lack of intensity when a child gets something right or does something well. I can observe someone working on processing, and the difference in the response when the child gets something right or wrong is almost indistinguishable. Often when reviewing program implementation videos, we have to pay close attention to see if a child got something correct or not because we can’t tell the difference from watching the reaction of the parent or caregiver.

Children of most any age will respond to your positive attitude and words of praise. If older children need something more to get their intensity up to adequate numbers, then explore some form of a positive token economy, where achievement as a reflection of their trying and doing something with sufficient intensity to impact their brains can purchase special privileges and such. But always let your child know that you are proud of them for their efforts and achievements. Don’t reward compliance that does not equate with intensity. Reward achievement even if you have to initially make it a bit easier for them so that they can experience success.

One of the most common killers of intensity is duration. Many of the activities we give children have a duration of only a minute or two, and the duration we give is a maximum. Maximum, not minimum. More often than not, more turns a positive into a negative. We encourage parents to, if at all possible, end an activity on a high note. Parents tend to continue an activity until the child has had it, and it turns negative. The result of that is the next time you go to do that activity the child recalls it as a negative, not a positive. Imagine giving your child the forbidden fruit—ice cream. You give them just a spoon or two and they love it and you stop. They want more. Now imagine that you gave your child a couple more of spoons of ice cream—still loving it—and then you gave them a small bowl. They’re still loving it, but not quite so much. Then make them eat a large bowl, having to force them to eat it over the course of an hour; and to really make it fun, make them eat more and more until they throw up. That would sure teach them to love ice cream. When should you have stopped? We have the ability to turn most anything that can be positive and fun into a negative. Remember: it’s all about intensity.

The big secret to success is intensity—the intensity with which your child takes in the input you are providing.

Intensity is not only foundational, it is mandatory: Get it?

 

Anything that adversely affects your child physiologically has a negative impact on intensity: Get it?

 

Any mediation that affects your child’s brain is likely to have a negative impact on their intensity: Get it?

 

What you do can affect your child’s intensity, but ultimately, it’s a matter of doing what works to create intensity in them: Get it?

 

Too much of a good thing is a bad thing; stop while you are ahead: Get it?

 

If your intensity or your child’s falls below a 5 and you can’t raise it, take a nap: Get it?

 

To be successful we need to provide your child with specific targeted input with sufficient frequency, intensity, and duration: Got it?

 

Good!

Reprinted by permission of The NACD Foundation, Volume 31 No. 8, 2018 ©NACD

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You want to build a house, so you borrow a hammer. Every day you pull out your hammer and pound on something—anything—twice a day for two hours. And sometimes you just hold the hammer and look at it or set it close to a nail. Certainly at the rate of four hours of pounding per day, not to mention the extra time spent in the presence of the hammer, you should eventually end up with a house, right? After all, isn’t a hammer for pounding? Don’t you need a hammer to build a house? And yet, after a year of this, you see very little progress towards anything resembling your dream house.

Obviously this is just a metaphor; so let’s get right to the point. You probably have some goals in mind for your child, or you would not have come to us at NACD. Some of your goals may simply be about getting to the very next step—learning to walk, to read, to chew. And some may be about the bigger picture—your child becoming an independent adult, going to college, being employed. Whatever your goals are, we are here to guide you in your quest to achieve those aspirations. We’re here to give you some tools and teach you how to use them. NACD parents are the cream of the crop. You are the ones who are willing to pick up that hammer, roll up your sleeves, and get your hands dirty doing the work. You don’t have to be an actual carpenter or electrician or plumber. But you do need to know how to use your hammer effectively to do some of the things a carpenter does; and you do need to know how to use your wrench correctly when we ask you to tighten a nut. It is your job to do the work; it is our job to make sure you know how to do it well.

The activities, materials, and programs that we recommend on your NACD program are just the tools you need in order to work towards your goals for your child. They don’t magically produce results just by being on your program or even by getting the “done” box checked next to them. How you use them is all-important. In an effort to improve the quality and effectiveness of your implementation and use of the tools, here are a few pointers:

Educate Yourself

Men get teased for not reading manuals. As a woman, I want a manual for everything! I wish my kids had been born with their own personal manuals tied to their leg. Then I wouldn’t have to figure out what to do when their own little individual needs come up. Just open the manual and see what works for them. It would be so much easier.

Your NACD program activities may sound straightforward when you read the name. But you really can’t know what it is we intend for you to do unless you get the instructions. We provide links to videos and handouts right there on your program. If something has been customized specifically for your child, the note about it will be in the “comments” section just next to the name of the activity. Watch each video and re-watch them. It’s very hard—if not impossible—to remember every detail of what you watched the first time. Review them again after you’ve started implementing the activities so that you can check yourself and make sure you are implementing things correctly. I learned a long time ago that doing something poorly over and over does not result in doing that thing well. That’s why I don’t like the saying, “Practice makes perfect” unless it’s revised to, “Perfect practice makes perfect.” Repetitively doing your program activities incorrectly will not bring about the results you desire.

Have Intensity

Frequency, intensity, and duration. At NACD we live and breathe those three words. You’ll read them over and over in nearly every publication we put out there. They are that important. You don’t have to worry much about frequency and duration— after all, it’s right there on your program, spelled out by your evaluator. You may not be able to achieve the recommended frequency or duration every day, but you don’t have to guess about what your goal is. But what about intensity? That is much more abstract; something that is totally dependent upon your performance. If you don’t quite have a handle on what we mean by intensity, go to our YouTube channel and watch Bob’s video titled, “Frequency, Intensity, Duration.” Even if you do think you have a handle on it, go watch this video anyway. It’s always helpful to be reminded.

If you simply go through the motions of doing your program and then check off the boxes, most likely very little change took place in your child that day. Your level of intensity can make the difference between changing your child’s brain and just taking up the time. You don’t have to be fun all the time. Let’s face it—some program activities just aren’t that fun. But you can have a high level of positive energy, whether you’re having a blast or not. And if you’re just not feeling it that day…well, “fake it till you make it,” as somebody said. It’s that important. If you act like an activity is a total drag, your child will believe it’s a total drag. If you’re just going through the motions, your child will rebel. Remind yourself frequently of why you are working this hard. Renew your commitment to your intensity, and therefore to your program, and to reaching goals.

Provide Input and Feedback

With your program activities being merely tools, they don’t change anything in and of themselves. It’s you who facilitates the change in your child by how you use those tools. Since electronic devices are all “the thing” in therapy these days, let’s use apps as an example. A child can drive on a racing app and have a great time, and the app has served its purpose. But for an app being used with a therapeutic purpose in mind, it is the tool, and you are the director of the activity. If you have used any of NACD’s speech apps with your child, hopefully you understand what I’m talking about. The app requires the child to repeat the syllable or word that is presented. However, the iPad has no way to respond to what the child said. As a matter of fact, the iPad doesn’t know if they said anything at all. If the child isn’t getting any feedback about how they responded, the tool becomes somewhat useless. It’s a great tool—it keeps you from reinventing the wheel and having to create all those materials yourself. But you have to sit with your child, encourage them to respond, and then give them feedback about their response.

• Praise: In an effort to maintain high intensity and show their child lots of positive energy, one mistake many parents make is in responding, “Good job!” when in fact the child didn’t do the activity correctly. Be careful of using “good!” all the time, unless their performance was actually good. Remember, you are trying to shape their behavior/performance/production so that it becomes more accurate and closer to what you are looking for. By telling them “good!” when it wasn’t good, they don’t know that they need to change anything. It is possible to remain very positive and yet be more appropriate in your praise. Here are some examples: “Almost! Let’s try that again.” “That’s a tough one, isn’t it?” “You sure are trying hard!” “Nice try!”
• Accuracy of feedback: In addition to providing appropriate reinforcers, it’s also important that you give your child feedback about what they need to do in order to change and improve how they did something. As a speech therapist, it’s easiest for me to use a speech activity as an example. Let’s say that your goal is to get your child to produce the /m/ sound at the end of words. So as a tool, I give you a list of words that end in /m/. If that list were magic, then you could just go through it and your child would automatically learn to put the sound at the end of words, right? That would go like this: “Say ‘mom.’” “mah” “Say ‘boom.’” “boo” And you continue to do this until magically your child starts putting the /m/ at the end. Except that it doesn’t work that way. You must give your child feedback—and accurate feedback—so that they can change what they are doing. Using the example above: “Say ‘mom.’” “mah” “MoMMMMM. Use your lips! Mommmm. Get the back on there….”
• Cueing: Closely tied in with the wording you use for praise and the quality of the feedback you provide is the way you cue your child. This is especially true for speech and language activities, as well as sequencing activities. If you are asking your child to do something, and things just aren’t working, change what you are saying. Have you ever seen someone try to speak in English to a person who doesn’t speak English? What do they do? They repeat themselves over and over, each time getting a little louder, as if somehow volume and repetition trump not knowing the language. Seems a little ridiculous, doesn’t it? In the same way, if your child doesn’t “get” what you are saying, say it differently. Change the words. Simplify. Restate. Provide a visual cue. You’re the teacher, so teach. Provide information. Provide help. Give them what they need to be successful with what you are asking.

Take Advantage of Us (aka, Ask for Help)

NACD’s model for working with kids is unique. But let’s be honest: the model only works if you hold up your end of the bargain and we hold up ours. We provide you with the tools, and you do the work. But what if you don’t understand something you are being asked to do? What if you think you understand it, but in reality you are doing it incorrectly? I doubt that any of you wants to spend three months working hard at doing something wrong. A critical aspect of making our NACD model work is the part where you ask us questions and you let us know what you are doing. There are three main parts to this:

• Initiate contact with your coach. Every NACD family has a coach. They are your direct access to your evaluator and all things “NACD.” If you have a question, ask them.
• Respond to your coach. Our coaches have a very hard job. When they ask you how things are going, they really do want and need to know. Not only do they have the responsibility of making sure you know how to do your program correctly, but they also provide your evaluator with important feedback that impacts your next evaluation and program. Please don’t ignore your coach. Interact with them and let them help you.
• Send us videos. We are good at what we do, but we aren’t psychic. We really do need to see what you are doing for a couple of reasons: a. If you are doing something incorrectly, we won’t know unless you show us what you’re doing. b. If something isn’t working and we need to switch gears, the easiest way for us to figure that out between evaluations is to see your child doing their program. We know that it’s hard to find the time to record your child and to post the videos for us. But believe us when we tell you that it’s time well spent.

NACD’s toolbox literally has over 3000 tools. And even with all of that, we frequently make up new activities on the spot, specific to a particular child we are seeing. Not only are we always trying to improve the tools we recommend, but we are also trying to improve your use of them and our education of you. We always say how we love kids. But really, we love our NACD families. We think NACD parents are the best, and we truly want you to be successful.

Reprinted by permission of The NACD Foundation, Volume 27 No. 5, 2014 ©NACD

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