CASE STUDY PRESENTATION

Stephanie and the Incredible Years Program

EDPS 676 Shawna Sjoquist

DEMOGRAPHICS
5 years 7 months Female Lives with her parents and 7 year old brother English is primary language in the home

BACKGROUND INFORMATION - GENERAL

Very Shy around new people Cries easily Needs time to adjust to new people and situations Prefers to play alone Few friends at school

Attended preschool for past 3 years

BACKGROUND INFORMATION - STRENGTHS

Ability to learn quickly Hard worker Happy Child Likes to help others Enjoys playing on the computer/ Ipad, playing with animals and visiting family in Cuba.

BACKGROUND FAMILY/ PAST MEDICAL HISTORY

Home:

Father often works away from home Different parenting styles used in the home Relationship difficulties in the home

Medical:

No current medical conditions No concerns with vision or hearing No complications during pregnancy Met all developmental milestones No previous assessments

DESCRIPTION OF PRESENTING PROBLEM-HOME

Stephanie refuses to speak at school

Father reports she is completely normal and will speak at home

Parents have tried encouraging speaking at school:

Positive reinforcement
Meetings with the teacher

Spent time in the class

DESCRIPTION OF PRESENTING PROBLEM-SCHOOL

Teacher Concerns:

refusal to speak at school refusal to participate in movement activities preferred use of parallel play walks with hunched shoulders and does not smile

PREVIOUS OR CURRENT DIAGNOSIS/ CASE FORMULATION

Teacher Parent

GENERAL RECOMMENDATIONS

Social Skill Recommendations

Secondary Reinforcement nice talking Use of eye contact and body language Basic Interactions/ Cooperative Games Opportunities for focused practice

Anxiety Recommendations
Feelings Recognition Emotional Regulation Strategies Normalizing Fears Relaxation Techniques

Communication Recommendations
Situations to motivate language Songs to accompany routines Use of Visuals

PROGRAMMING SUGGESTIONS- INCREDIBLE YEARS

Evidenced Based Pro-Social Skills Program

Carolyn Webster-Stratton, Ph.D. Age Range: 1 months 12 years

PROGRAMMING SUGGESTIONS- INCREDIBLE YEARS

Basic Aims:
Treatment/Prevention of child emotional behavioral problems Promotion of social competence, emotional regulation, positive attributions, academic readiness and problem solving Improved parent-child interactions, building positive parent-child relationships and attachment, improved parental functioning, increased parental social support and problem solving Improved classroom management skills and teacherparent partnerships

INCREDIBLE YEARS WHAT HAPPENS?

Weekly 2 hour sessions for 10 weeks 12-14 Families Transportation, Meal, Childcare

Parent Group:

Discuss past and present concerns New strategies Special Presentations Direct and Indirect Focused Practice

Child Group:

Pro-social skill development School Emphasis on focused practice, praise and reinforcement

Teacher Involvement

INCREDIBLE YEARS- WHAT DO THEY LEARN? (PARENTS)

Child Directed Play Effective Ways to Praise and Encourage Your Child Emotional Regulation and Feelings Motivating Children Through Incentives Rules, Responsibilities and Routines Effective Limit Setting The Importance of being Clear, Predictable, and Positive Ignoring Misbehavior Time Out to Calm Down Positive Discipline Teaching Your Child to Problem Solve

INCREDIBLE YEARS- WHAT DO I LEARN? (CHILDREN)

Making New Friends and Learning School Rules Detecting and Understanding Feelings Doing Your Best in School (Listening, Waiting, Quiet Hand Up) Problem Solving Controlling Anger How to be friendly (Helping) How to be friendly (Sharing) How to talk with friends (Tell, Listen, Ask)

THE CLASSROOM

SESSION EXAMPLE

Objectives:
Intro concept of relaxation Intro range of feelings and words for feelings Increase awareness of nonverbal cues Identify variations

SESSION EXAMPLE

Think of something happy

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STEPHANIES GAINS

Parents becoming united in parenting

Strategies Praise

Stephanie has progressed from using:

Visuals Gestures Mouthing single word responses Mouthing phrases and sentences Verbally stating her name