Today’s spotlight is on a fine young man who I have known since 1996. Yes, that is correct, 1996. I have been with NACD long enough now to have several adults that I have seen since they were infants, Nicolas Cooke being one of them. When I think of individuals that I have the greatest amount of admiration for, Nicolas is certainly on that list. Born with Down syndrome, Nicolas has been seeing us since he was an infant. Over the years I have been so proud of how he shines. Nicolas has developed into a wise, responsible, hardworking, strong young man of excellent character.

Nicolas has done very well in developing physical excellence and participated in his first triathlon at age eight. Nicolas’s mom, Linda, is a swim coach, and knowing the importance of physical exercise, she had Nicolas swimming at an early age. I remember the two of us reminiscing that he went from crawling, creeping, and walking right into a child who could compete alongside typical peers in a triathlon. Today, at age 24, Nicolas is involved in bodybuilding and martial arts and has been featured in a piece by a local gym where he works out.

Nicolas is very active in his community and his church. He has participated in a theater group and is a favorite within the children’s ministry, where he dresses up like Shaggy Dog and teaches children about God. At church Nicolas not only works in the children’s ministry, but he is also on the worship team and can be caught from time to time playing his guitar. One of Nicolas’s additional stomping grounds is at a local horse barn where he works part time. Linda says that Nicolas is on quite a few “speed dials” when it comes to needing help with various projects. Each morning, while Mom works and coaches, Nicolas is very diligent in his responsibilities, cooking, cleaning the home and pool and focusing on his education. Nicolas also assists in caring for his invalid father who suffers from a debilitating, degenerative neurological disorder. Being the youngest of nine children, Nicolas now has eight nieces and nephews that he loves to read to, play with, and supervise.

Linda knew that working on appropriate behavior and manners and teaching him to have a strong work ethic were crucial in helping him to be a highly capable adult. She and I can look back on his “stubborn years,” being thankful that she always kept firm boundaries in preparing him to be an individual that other people would seek spending time with.

In talking one day with Linda, she commented on the fact that Nicolas can clean her house better than anyone she could ever hire. His attention to detail and making sure each and every job is well done is a real asset. At the time Mom said, “I bet he could even be hired out and do a better job than any other cleaning company,” and then her eyes lit up. At the next evaluation I was pleased to hear that Nicolas already had a few clients.

It is a pleasure to work with so many wonderful families through NACD; and I am so blessed to be able to follow a number of our NACD kids and watch them become such fabulous adults. Nicolas is a man who makes each and every life he touches that much better.

Reprinted by permission NACD Newsletter, February 2020 ©NACD

Read the full article about Nicolas here: https://www.easttexasmatters.com/news/local-news/adaptive-athletes-shine-at-east-texas-gym/

The post Nicolas Cooke is Physically and Mentally Tough appeared first on NACD International | The National Association for Child Development.

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

The post 2019 Transylvania, Romania NACD Event appeared first on NACD International | The National Association for Child Development.

To be proactive is to anticipate, prepare, and intervene based on a long-term vision and perspective. When anticipating the future, you react accordingly before it actually happens.

To be reactive is to respond to a situation, rather than creating or controlling it.

How does this relate to what we do with our children? What we do in the short term affects the long term; and that myopic/short-sighted intervention can have a negative impact on outcomes.

One contributing cause is lack of a vision, lack of hope, and a willingness to accept a short-term possible solution. Another underlying issue is that most teachers and therapists are not involved for the long term and are not aware of the long-term results or consequences of their interventions. The third contributing factor is a lack of awareness and knowledge of the whole child. When looking only at pieces, one cannot perceive, acknowledge, utilize, or evaluate the impact on the gestalt of the individual.

Armed with decades of experience working with tens of thousands of “Whole Children”, it is relatively easy for us at NACD to look at your children and to be proactive. Being proactive requires looking at a child’s strengths and talents. In addition we must look at weaknesses and issues, determine what pieces we need to put together or issues we need to resolve, in what order, and in what priority to produce a good ultimate outcome. One of the benefits of working with “Whole Children,” working with the full spectrum of children, and working with individuals (often for decades) is that we have the benefit of experience and perspective.

Working with “Whole Children”

I have spoken at length about the importance of working with “Whole Children.” Working with “Whole Children” simply means we are working with all aspects of the child from their health, sleep, sensory function, social function, behavior, speech, language, fine and gross motor function, cognition, and academic development to their attitude, self image, etc. I don’t know if it is possible to be truly proactive without working with the whole child. Most children have disconnected individuals addressing various aspects of their lives, coming and going; and the more issues a child has, generally the more people there are working reactively, not proactively, with them. Working “reactively” means they are reacting to what is perceived as an immediate issue or need, without an historic or long range, long-term vision.

In discussing all of the people who can be involved with your child, you are tempted to associate them all somehow, to call them a team or an army, suggesting that they are somehow a cohesive unit working together. The reality is that they are individuals working with pieces, more often than not in virtual isolation. Such individuals are often working reactively, not proactively. They are working with their one piece generally in virtual isolation and establishing their piece as their priority and generally from a perspective that they are only going to be involved for a relatively short period of time. Working with children for only a few months, or even years, does not permit one to gain a long-term perspective and to understand the implications of what is in reality short-term, reactive intervention.

Proactive Intervention

To help clarify what it means to be proactive, it is best to look at the antonyms or words that are essentially the opposite of proactive. Those words include such things as myopic or short-sighted or improvident. Another way to look at this is to say we are being reactive as opposed to proactive.

Reactive Intervention

If we are being reactive, we are reacting to problems; if we are being proactive we are looking forward, into the future, so as to prepare for the future. As parents with limited experience, it’s often difficult to be proactive. It’s difficult to be proactive if you have not had the experience and knowledge to know the degree to which what is happening today, or not happening today, is going to influence tomorrow, next week, next year, and the future. Sadly, many therapists and educators do not work with individuals over long periods, as in decades, to understand what issues can be created by working perhaps hard, but not working from a long-term, proactive perspective.

Some common examples of being reactive rather than proactive would include things like teaching young children with Down syndrome to sign. (link to Signing contra-indicated for DS) The perception is that Johnny isn’t talking and is frustrated, so let’s give him a means of communication that he can use soon–signing. Looking at the short-term results, which may be the child being able to communicate a few basic needs and being perhaps less frustrated, reinforces the use of signing. But if looked at long-term and proactively, we discover that we have had a negative impact on the child’s ultimate ability to communicate verbally, and even more significantly, have had a negative impact on the development of the child’s auditory processing, with resulting adverse affects on the child’s cognition and global maturity. Reactive intervention is not the best intervention.

One of the more glaring areas where we often see disastrous effects of reactive intervention is in the area of mobility and walking. We sometimes have children come to us who never developed the neurodevelopmental or the structural foundation that can ultimately produce a child who is a functional walker. Being proactive, we know that we have to follow a typical sequence of development, which among other things, requires the neurological, tactile, proprioceptive, and structure pieces of the child going through the necessary developmental stages before working on standing and walking. Children in walkers who had been “helped” to stand before they had the strength and structure to do it themselves, or do it properly, and then “assisted” to walk using various apparatuses to hold them up so they could move their legs, usually end up not being able to walk independently. Often they have created structural issues that even numerous surgical interventions cannot properly address. Children you see walking with walkers or braces and crutches almost always end up in wheelchairs. Yes, the goal is walking; but can we achieve it by circumventing the foundational pieces?

An example of a reactive approach in education is encouraging children to write before they neuro-developmentally are ready. Sixty or seventy years ago, it was not uncommon to make left-handed children in kindergarten and first grade, at five or six years of age, write with their right hands. This practice was stopped because interfering with the natural development of handedness resulted in a plethora of neurological and even emotional problems. Today this isn’t happening; but today we have preschool education, which is even creating more problems by making children write before they developmentally have even firmly established a dominant hand. A child may be leaning toward the right hand, for example, at three or four, and if encouraged to write with the right hand, establish a skill set for writing with the right hand. Ultimately such a child may turn out to be left-handed. Because the skill set for this specific function was established, the child will tend to continue to write with the right hand and is generally encouraged to continue to write with the right hand, resulting in all of the issues that were created 60 years ago, including poor handwriting.

The Reality of Education

The reality of education in general is that the very structure and organization of school as we generally know it almost defines reactive intervention. Education is generally perceived from the short-term perspective of needing to get specific curriculum material into a child’s brain, whether or not the material is targeted to the specific child’s present knowledge base, to their level of processing and understanding, let alone their interests. The net result of reactive education is very often poor outcomes, children often learning to dislike or “hate” school, which becomes synonymous with hating learning; and often because of the abnormal environment of narrow competition, leaving the system with a damaged self-image and lacking a perspective of who they are and what they can be. Proactively it’s not difficult to understand that at the foundation of education we should have the goal of teaching the child to love learning and to make them feel that they are smart and can learn. Is anyone shocked to hear that children do well learning things they love and struggle with what they hate? If the goal of education is to produce adults who are actually educated, who become not just lifelong readers, but life long learners with the confidence to pursue their hopes and dreams, then the system needs to be re-evaluated and made proactive not reactive.

Educational & Therapeutic Perceptions

There are numerous examples in educational and therapeutic intervention that demonstrate the negative aspects of reactive intervention. The problem is ubiquitous, and it doesn’t seem to be changing anytime soon. Proactive intervention implores us to look at the child from a long-term perspective and with a vision and a plan to produce better outcomes. If existing outcomes are perceived as actual reflections of an individual’s potential, there is no motivation for change.

Perception of potential is a reflection of one’s experience. I recall a colleague correcting me many decades ago when I referred to someone as having twenty years of experience. He told me that the reality was that they had a year of experience twenty times, not twenty years of experience. I have been extremely disappointed to see how incredibly slow change in traditional education and therapeutic intervention has been. But doing the same reactive things year after year and producing the same limited results has not stoked change, but has reinforced the perspective of limited potential, and has encouraged many educators and therapists to keep doing the same things, producing the same inevitable outcomes.

Proactive intervention is stimulated by a need to do things better and to improve outcomes, all of which is perpetuated by a vision of what can be and what should be.

Reprinted by permission of The NACD Foundation, Volume 32 No. 5, 2019 ©NACD

The post Developmental/Therapeutic Intervention: Proactive or Reactive? appeared first on NACD International | The National Association for Child Development.

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.

Free with your NACD membership

NACD Math was designed not only to teach children how to do math, but also to help them learn that math is easy, that they are good at math, and to enjoy it.

NACD Math is now made available online for our NACD clients through the NACD Family Portal. The new updated NACD Math replaces Modular Math, as well as supplemental math books.

Lyn Waldeck and Sara Erling, along with John McCallum, have been working for the last two years to bring together the pieces of NACD Math. NACD Math is targeted for the special needs population, particularly for those children with Down syndrome, those on the autism spectrum, and children with learning disabilities who have historically had difficulty with math. The program has also been used with great success for typical children to establish initial math concepts and to teach them math processes from initial number and quantity concepts through sixth grade computation.

NACD Math has a long history of development and has been used with thousands of children internationally.

Math education for special needs children has been an issue, except for those who have been using Bob Doman’s Modular Math program. The reason our program has been so effective is that it is built around how children learn, whether they are on the spectrum, have Down syndrome, or simply are young. Historically math instruction requires a lot of words. A lot of words are not something any of these children process or understand well. Our math program is very visual and teaches the child just one step at a time; and it is designed to avoid the need for, or dependency on, prompts.

NACD Math has been designed so that virtually anyone can teach it. The program incorporates video step-by-step instruction, so the teacher, parent, or even a sibling can watch a short video and then replicate/teach the simple steps. Each math computational process builds on the previous processes, creating simple transitions from one process to the next.

NACD Math has permitted many hundreds of children with Down syndrome to start learning math even before their typical peers and often to stay ahead of them for many years. With the solid NACD Math foundation, children with DS have been able to move into algebra and higher math. To say that NACD Math has been helpful for this population is a gross understatement; it has been a game changer. NACD Math builds a math foundation and understanding that has permitted special needs children to advance into higher math and has established a foundation for typical children that gets them off to a running start and puts them way ahead of their peers.

Reprinted by permission of The NACD Foundation, Volume 31 No. 10, 2018 ©NACD

[space size=”30px”]

To Get Started with the NACD Program,
please visit our NACD Get Started page

[space size=”40px”]

Three Sets of Concepts

[space size=”30px”]

Video Instructions for the Parent or Instructor

[space size=”30px”]

Handouts with Examples of Each Concept

[space size=”30px”]

To Get Started with the NACD Program,
please visit our NACD Get Started page

The post NACD Math Program appeared first on NACD International | The National Association for Child Development.

This inservice provided Staci with the opportunity to share many of our foundational NACD concepts, such as the application of principles to trigger neuroplasticity and the need to and means with which to develop working memory and executive function.

The response from the organizers in Nigeria was excellent. To quote Popoola Paul, the Principal Consultant for HL Consult Training Solutions, “I want to express our unreserved and profound appreciation and gratitude. Indeed you didn’t just teach, but rather you impacted lives. This I must say will have a multiplier effect on our state and nation at large.”

Our mission is to impact the lives of as many children as we can and to help change the perception of potential and develop the tools to achieve it.

You will be hearing more about the NACD International Academy in coming months and our efforts to assist not only families, but also nations with our international programs.

NACD Newsletter, October 2018 ©NACD

The post NACD International Outreach appeared first on NACD International | The National Association for Child Development.

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

The post Intensity: Get It – Got It – Good! appeared first on NACD International | The National Association for Child Development.

Neurodevelopmental Approach

NACD has created a neurodevelopmental approach to human development, the achievement of human potential, and the remediation of developmental, educational, and neurological problems that is based upon the gestalt of the individual. The NACD Neurodevelopmental Approach utilizes a neurologically-based, targeted, eclectic treatment methodology.  The efficacy of NACD’s Neurodevelopmental Perspective has been demonstrated with the over 25,000 clients whose function has ranged from comatose to gifted, and from infant to geriatric.  The NACD Neurodevelopmental Approach is based on the following model:

A Gestalt Perspective

The evaluation of function and determination of treatment is based upon the gestalt of the client. The gestalt perspective involves perceiving the individual and his function as in integrated whole, more than a summation of his or her parts.

Identification of Neurological & Developmental Cause

Global areas of concern are identified, followed by an evaluation to determine the underlying neurological/developmental causes or inefficiencies producing the functional problem or problems.

Acceleration of Neurological & Educational Function

Intervention is based upon both the acceleration of normal neurological development and education, and the remediation of abnormal developmental patterns.

Recognition & Utilization of Neural Plasticity

The basic structure of the intervention is dictated by an appreciation of neural plasticity and the need for organized specific input,  which is provided with the necessary frequency, intensity and duration.

Validation & Empowerment of Parents

The traditional delivery system for therapeutic intervention involves direct interaction between the client and the therapist once or twice a week. This level of interaction is inconsistent with neurological need. In order to provide optimal input both in terms of frequency and sensitivity of input it is necessary to utilize those who can provide significant daily interaction and who know the client the best. This is most often accomplished by utilizing parents, family, or aides.  Given the necessary training and support these individuals can implement the vast majority of treatment plans.

Unlimited Potential

Lack of function or development is not perceived as a lack of potential. Each individual is perceived and provided with opportunities based on a perception of unlimited potential.

Targeted, Eclectic Intervention

Understanding that the more specific the input the more targeted and effective the intervention, an effort is made to incorporate as many valid treatment techniques as possible, providing a truly eclectic model. Treatment techniques are incorporated, developed, modified, and discarded based upon their efficacy or lack there of.

Interrelationship Between Neurological & Physiological Function

The relationship between neurological and physiological function is synergistic. A comprehensive treatment approach must address both factors as part of the gestalt.

Neurodevelopmental Approach: Dynamic Treatment Techniques

The NACD Neurodevelopmental Approach is not philosophically based upon any specific treatment techniques. Specific techniques and methodology are dynamic and often transient. Treatment techniques are created, identified, developed, modified and replaced in an effort to identify the best techniques to be utilized with an individual.

To learn more about the NACD program:
Click here to Get Started

Reprinted from the Journal of The NACD Foundation (formerly The National Academy for Child Development)

Reprinted by permission of The NACD Foundation, Volume 2 No. 1, 1981 ©NACD

The post The NACD Neurodevelopmental Approach to Human Development appeared first on NACD International | The National Association for Child Development.