Monday, 28 December 2009

Back AWAY from the scooter. I’m a professional.



Scene: It is a sunny day, 4 children and one psychologist are seated outside at the lunch tables of a nonpublic school for children with emotional disturbance. Birds are chirping.

Aaand….Action.
Three of the four children are eating bologna sandwiches. The fourth child looks at the sandwich and screams, “I hate this sh*%!” and throws said sandwich at psychologist.

Psychologist wipes bologna and mayo off of face and says, “I see that you do not like your sandwich. It’s okay to not like bologna, but it is not okay to throw food. Can you use your words instead?”

Bologna Hater jumps up and runs for a Razor Scooter.

Camera pans to psychologist’s terrified face and ominous music plays: dun dun dun

Psychologist leaps up and says, “Scooters are for riding, not throwing. Put down the….

Scooter is thrown at psychologist

Aaaaaaand Cut.

Questions from the audience?

Yes, you….No, I do not have a future in script writing.
Young lady in the front?...Yes, this really happened to me.
The gentleman in the back...No, thankfully no stitches required.
And last question?...Yes, bologna is a vile meat, I should have known better.

So there you have a dramatic reenactment of me trying to de-escalate an emotionally disturbed child. What the scene didn’t let you in on is that this little guy was a foster youth who had just had a supervised visit from his mother that had not gone well, and his reaction had little to do with the processed meat. This example stands out in my mind only because it is one of the few times I have been unsuccessful in talking down an angry kid from becoming violent.

Not to toot my own horn or anything (too late), but there are few kids who I can’t get to comply with instructions. My tips aren’t foolproof, but they have worked on more occasions than not. And since my last post about getting bitten resulted in requests for some tips for de-escalating students who are angry, here you go:

1) Prevention, prevention, prevention. Rarely does aggression come out of nowhere (even bologna can be a trigger, apparently) Usually, aggression comes from frustration, internal stress that has been activated, provocation from others, and/or a desire to regain control over a situation. Try to see what is underlying the anger and intercept it.

2) Anticipate, anticipate, anticipate. If you see a child becoming increasingly upset, intervene early in the chain of events. Understand that verbal aggression is the “gateway” to physical aggression. If you hear anything about anyone’s momma, intervene swiftly and redirect. “That’s not appropriate language for class. I need you to use respectful language. This is a warning. If I hear it again, you both will receive a classroom service.”

2) Anticipate when the child may have external factors that will impact his or her ability to control his or her anger. For kids with turmulteous home lives, they often cannot check their anger at the school door. For vulnerable students, provide a brief, private, check-in before class and give them a replacement behavior for acting out in advance. “I know you had a rough weekend. If you find yourself getting upset, then you can use this pass to take a break for 5 minutes.”

3) If prevention and anticipation are not sufficient, then we move to Defcon 3: Talking a kid down once they have already escalated a bit. This may look like the student grumbling, cursing under his or her breath, pushing something, etc. First, try to redirect privately if possible. There is a lot of secondary gain (usually attention) from acting out. In close physical proximity, acknowledge the anger. “I know that makes you angry when Joey talks about your mom. He will have a consequence for that. I need you to take a deep breath. Then, you can choose to take a quick break outside or go in the reading corner to relax. It’s up to you.” That way, the kid feels validated, and has a face-saving way to pull it together again.

4) Defcon 4: You try the private conversation and the kid escalates (shouts profanity at you, says he doesn’t care, or postures toward you or another student). In a business-like but firm tone, tell the student you need to speak with him or her outside for a moment. You could say something like, “I see that you are very upset. For your safety, we are going to step outside for a moment. This is your chance to turn it around so I can tell your parents how well you controlled your anger today.” Model calm. If you get worked up, it will likely escalate the situation.

5) Defcon 5: If the student refuses to see you privately outside, intervene in the chain of events you have set out in your classroom already (e.g. warning, classroom service, detention, call home). You can also call for backup at this point. There is nothing worse than being in a classroom alone with an aggressive student. If your phone doesn’t work (you can tell I work in schools where this can happen), and you have an aggressive child, move the calm children out. It is far easier to get 20 calm kids out the door than one out-of-control child. Say, “Children, for your safety, we are all going to step outside in the hallway while Jeffrey calms down.”

6) And most importantly, never serve an angry child bologna. Just don’t do it.

Tuesday, 15 December 2009

Thrice Bitten, Not Shy.

I posted once on my Facebook Fan Page that I was "writing reports, which is the non-glamorous side of school psychology." One of my wonderful colleagues wrote back, "Wait, there's a glamorous side???"

Okay, so there's not really a glamorous side, but I try to tell the cyberworld the truth of this profession--the warm fuzzies, the cold pricklies, and the insane. I don't want to sugar coat how hard this job is, though I try to write about the positive stuff as much as possible.


Recently, I've been getting lots of emails asking me what experience would be good for preparing one's self for graduate school in school psychology, and being a school psychologist. Being biased toward my own experience, I say that you should work with kids with special needs before deciding on this career. The best training I ever got was before grad school, working in a group home for developmentally disabled adolescents, and then during grad school, in a home for emotionally disturbed kids. I figured, if I work with the most difficult to manage students, I could handle any kid that comes in my office after that. I was, for the most part, correct. After getting stitches for having a scooter thrown at my head, managing kids who threw objects or bit me, I can handle a surly teen who doesn't feel like doing my tests. I also have an expansive verbal repertoire for redirecting behavior: "Stoves are for cooking, not throwing, Jeffry," "Climb on the play set, not the roof, John," and "Sorry, we can't push the lawnmower to Safeway. Shall we push a stroller instead?" So glamorous, right?

Since working with students with disabilities over the past 9 years, I have been able to keep myself safe from severe situations except on three occasions*:

Bite #1: I was working in a group home for adolescents with developmental disabilities. The ”OJ is going to jail!” kid always went home on Friday afternoons with his grandmother. This Friday, his grandmother had cancelled. Kid shows me his suitcase and says, “Grandma is coming.” I tell him for the 10th time that day that Grandma is coming next week, and he screams and bites the back of my right hand and won’t let go. Why the right hand? I need that one, buddy. No one is around to help me. I tell him to let go. He doesn’t. I tell him to sit down (I don’t know why) and to my surprise, he sits down and releases my hand. I cry. He says, “Grandma is coming” and plays with the buckle on his suitcase.

Bite #2: Working with a 6 year old who has severe language issues and is possibly on the autism spectrum. I ask him, “What color is the sky?” and he sniffs my face, then arm, and then gently bites my arm. I say, “Can you tell me what you are thinking about instead of biting my arm?” He says, “this game is too hard.”

Bite #3: Trying to test a 9 year old boy in foster care, who is severely inattentive and impulsive. I present him blocks. Blocks get thrown. I present copying. Pencil gets thrown. I try a talking game (ha! No objects! You can throw all the words you want!). He leaps out of his chair, starts crawling on the ground, snarling, and says, “I’m a mean, mean, dinosaur! Run away from me.” I say, “you look like a nice dinosaur to me.” He says, “No! Play my game, I’m bad!” I peer down at him and he swipes at me and then bites my ankle. I take a breath, ankle throbbing and say, “Actually, I have studied dinosaurs for many years now and you appear to have all the features of the Nice-a-saurus Rex who happens to be angry right now.” He giggles and gets back in his chair and starts working. I pretend my ankle doesn’t hurt and try to recall when I got my last Hepatitis B shot.

What are the lessons from these incidents?

1) If you want to work as a school psychologist, make sure you have your Hep B shot current.

2) Be prepared that every so often, you may get a surprise bite, or have an object thrown at you. If you work with severe needs kids, it could happen. Working in a group home is a good way to get on the job training so you can handle any kid who comes in your office.

3)The majority of kids school psychologists work with are not severe needs students, but you don't get to pick who gets referred to you. Get experience working with all kids, and you'll be much more comfortable in your role.

4)In 99.9% of situations, you can prevent acting out with good de-escalation techniques.**

5)Most importantly,the kids who act out are often trying to communicate something to you by biting, hitting, or throwing, that they cannot put into words—-they are disappointed, the work is too hard, or they feel like a bad kid. Try not to take it personally and work with the kids, parents, and staff to teach them alternative ways to communicate.

I hope I have not frightened anyone from the profession. But you gotta hear the non-glam side too...

*Three times in nine years isn't so bad, right? Who doesn't deserve a good triennial injury?
**You want a post on this? Lemmie know!

Thursday, 3 December 2009

Where is My Jumping to Conclusions Mat?


I have written before about the dangers of eavesdropping and making assumptions. I now turn to a favorite movie, Office Space, to illustrate the dangers of jumping to conclusions when you are a school psychologist.

I really could have used this mat the other day to remind myself how lame it is to jump to conclusions. In the words of Tom Smykowski, from the movie Office Space: “You see, it would be this mat that you would put on the floor… and would have different CONCLUSIONS written on it that you could JUMP TO.” Brilliant.

Not knowing much about gangs and how they all work, I strive to have the kids explain it without jumping to my own conclusions. With each student I talk with, I learn a bit more about the intricacies and inter-workings of gang recruitment in middle and high school--the difference between “being jumped” and “being jumped into,”* the differences between wearing a red belt and wearing a red belt, and the tragedy when a kid “dies for a color.”Gang life is so ingrained in the culture of my students, whether they are in a gang or not. It even filters down to tagging graffiti in the name of Obama.

Back to my tale of jumping to conclusions. I suppose that after 56 years** of working as a school psychologist in large urban school districts, the frame of gang prevention is thoroughly engrained in me. This is why when I learned that one of my high school students I am counseling jumped another one of my high school students I am counseling into a gang over the holiday, I freaked out. And I’m pretty unfreakoutable.

I had been talking to both of them about the decisions they had to make about pursuing their goals or joining a gang. Both were teetering on the edge of joining and felt trapped. One kid was possibly already affiliated but afraid to tell me. When I first heard about the jumping in incident, I jumped to the conclusion that these kids were now mixed up in something deadly and freaked out. Luckily, I was scheduled to see both of them that day. I pushed my freakoutdeness aside and calmly asked each of them separately, "So, what's new?" And then I listened.

I can’t go into detail and I’ve changed some of the language because of confidentiality, but I will say that my freak-out level was significantly reduced when I found out what “gang” it was. It was S.O.J.

What is this nefarious S.O.J? Not the new rap singer who might be a second cousin to the Notorious BIG. I found out that it means “Soccer Over Jail.”

Let’s take a moment to ponder the interworkings of 9th grade minds constantly exposed to gang life. Instead of forming a soccer club or team of some sort, they decided that the best way to prove you loved soccer was to beat up new members. I bet the higher ups are wishing they didn’t give the soccer team the axe in budget cuts now.

There isn’t a real moral to this story, other than the obvious one: really listen to your students and not make assumptions about their behavior until you have their perspective. Was it wrong to beat someone up? Yes. Was the intention misguided? Yes. Are these juvenile delinquent gang kids? Not at this time...I hope. Maybe I'm naive, but I feel that what they truly want is to belong and have support. My interventions with these kids is going to be far different than the one I would have done had I used my “jumping to conclusions mat” and decided they were gang members. We’ll start with learning how to start a club appropriately and figure out how to get soccer back in their lives.


*From what I’ve gathered, “being jumped” is basically being beat up for the purpose of injury, to settle a score, or to get your money or property, and “being jumped in” means that you get beat up by the gang to prove you’re worthy of being in the gang. This is the filtered version from the perspective of a suburban white girl. I’m sure it’s more complex than that.

**Each year is a dog year of learning, so technically, I’m on year 8.

Wednesday, 2 December 2009

If You Love Glee so Much, Why Don’t You Marry it?



I think I will.

After a day of being a de-facto “lice-check line” monitor today at my elementary school, due to my unfortunate office juxtaposition, I really needed something fun to do this evening. I came home, psychosomatically itching all over (please, please be psychosomatic) and am delighted when I realize it’s Wednesday. Because Wednesday means that my night shall revolve around my favorite show, Glee.

How do I love Glee? Let me count the ways.


1) So funny. Love the counselor and her OCD. I love her outfits, love the Costco-sized hand sanitizer on her desk, love her pamphlets (e.g. “My mom has bipolar and won’t stop yelling”, "So, you like throwing up?"), love her.

2) Random and partially-random outbursts of singing and dancing as a form of expression for the yoots. You know how I love movies where dance is the key to overcoming adversity.

3) Portrays disabilities in a positive light. And the disabled character doesn’t saunter in for a very special episode, but a main character is in a wheelchair and several episodes have featured students with Downs Syndrome and deafness. They are portrayed as normal kids who happen to have disabilities. Their disabilities are not the core feature of their presence in the show.

My only complaint for all the Hollywood producers who read my blog (cough cough) is that there are no black male students as main characters in the show, and last week’s episode had a group of black girls who stole things. Not a good stereotype to be perpetuating.

Other than that, I love me some Glee and will be settling into my couch this evening to enjoy. Do join me, metaphorically speaking,* and let me know what you think!

*I do not have room for my 1s of 10s of loyal readers on my couch. Plus, my greyhound and wolf dog like to take up most of the space. Husband does not share the love of Glee. Humph!

Wednesday, 25 November 2009

Mindful Dishwashing and Rainbows




I once was forced to go to this professional development for psychologists on “teaching mindfulness,” which is basically the idea that kids (and adults) benefit from being aware and present. I have to say, I was really hoping for the latest brain-based research on the mind-body connection, because I love me some data. Instead, it was hours of us practicing out own mindfulness. During the busiest time of the year, we were taken through a series of activities such as breathing like rainbows, with arms outstretched in a slooooooow arc, and mindful walking. That’s right. Mindful walking. We all had to walk super sloooooooow and be really aware of how our foot felt touching the ground and whatnot. Let me tell you, I was mindfully texting the whole time, because I had a to-do list a mile long.

I’m afraid mindfulness is not for me. I find yoga too slow (next pose! next pose!) and I quit Tae Kwon Do after the first month because I just wanted to kick in some things and Master Kang insisted on a slow process where you have to have patience and stuff. And I certainly couldn’t relate to the presenter when she said, “I am so mindful, that when I put down the dish soap, I really feel it. It’s amazing.”

I have channeled all of my energy into my life and work, and school psychology appears to be a good match for me. Every day is different, there are tons of deadlines, crises, and things that have to be done right away. I go! go! go! All day long. There is no time for rainbows and walking super slow, thank you very much.

Well dang it if sometimes, the things we are resistant to actually end up being just what we need.* The very thing I rolled my eyes at at the "professional development" became pretty useful last night when I was in traffic on the San Francisco Bay Bridge trying to get home, with 8 hojillion people. After an hour, I had made it exactly one half mile towards my home. Every time I inched forward, a car would cut me off and I’d be in the same friggin’ spot. Then, a small snail surpassed me (in my mind) and I found myself getting increasingly annoyed. There was only crappy music on, and NPR had a lame guest. Then, I generously let this guy in my lane, in an effort to pay it forward and whatnot, and there was no “thank you” wave. RUDE. But, instead of getting even more upset, I took a breath, and started trying the mindfulness crap. I started by generating reasons for his rudeness, mindfully.

1) Perhaps his wife is in labor and he is trying to get to the hospital and is so distracted by his joy and anticipation that he is going to be a dad that he failed to notice my generosity.

2) Perhaps he lost his peripheral vision in his left eye in the Gulf War and did not see that I was so generous to let him in. A clear war hero deserves to get home .4 seconds before I do.

This went on and on in my head, and then I found myself laughing. On a roll, I started thinking of all the positive things I could think of in that moment, like the fact that I am in this car in a commute because I have a job in a recession. I was suddenly also mindful of being in my warm, toasty, comfy car. I became aware that a fabulous song had just came on the radio.** My mood lifted. I started singing and dancing to myself, and when I hit my crescendo, I suddenly became mindful that the people in the cars around me were staring at my erm…performance… and they were smiling. A guy gave me a thumbs up and laughed, and a motorcycle dude gave me a fist pump of approval. Mindfulness worked.

But I’m still not going to be mindful of the dishwashing soap as I clean up after Thanksgiving dinner. Old habits die hard, what can I say?


*Example: When my best friend tried to get me to join Facebook, I rolled my eyes and thought, “Why would I need to join that?” I stand corrected, Kendra. I love Facebook now. Especially the lively discussions that have ensued on the blog fan page recently. I will be sure to give thanks tomorrow on Thanksgiving if you stop by and become a fan!

**It wasn’t Air Supply’s classic ballad, “Making Love out of Nothing At All” if that’s what you’re getting at.

Friday, 13 November 2009

Sneakery! Again!

It is Friday the 13th. And it marks the end of School Psychology Awareness Week, which I totally forgot was this week, just like last year, and the year before. Gah! Every year! But I suppose today is technically still part of the week, so here you go with a post about what I do all day.

And just to be clear, my job description is NOT, as a janitor described to a kid inquiring who I was: “She works with ‘dem crazy kids.” That will NOT be next year’s theme for School Psychologist Awareness Week. I certainly don’t want to see a poster of that. School Psychologists: We work with ‘dem crazy kids. Bad PR.

So, in the spirit of awareness, I give to you:

Top 10 Things I Do All Day as a School Psychologist
(In decending order of how much time I spend doing it)

10) Tracking down the yoots*, aka poking my head into classrooms and trying not to be disruptive while children yell, “Take me! I need therapy!” or “I a’int no f*ing special ed! No!!!”

9) Tracking down teachers to talk about the yoots, trying to get information from them while they are desperately trying to prepare for having 20-30 little friends come in for some more learning.

8) Tracking down administration to ask about a particular yoot/situation/political issue/bureaucratic hoop.

7) Tracking down parents to get information or give them feedback about their yoot (carefully using caller ID blocking so they answer)

6) Group counseling. Trying to promote positive social skills and not accidentally forming a gang.

5) Individual counseling. Topics include: “What were you thinking about when you drew this/said that/did that/brought that,” family problems, peer problems, learning problems, check-ins about traumatic situations, and my favorite: giving positive adult attention and conducting play therapy to process situations.

4) Testing or observing the yoots for every possible reason on Earth that they are having a hard time learning—social, emotional, behavioral, processing, intelligence, situational, inter-personal, historical—everything.

3) Writing reports about yoots that no one reads, but are really informative if you can get past the technical stuff.

2) Attending meetings about yoots to share results of testing in a way everyone can understand to develop interventions.

1) Lovin’ working with ‘dem crazy kids.

Happy School Psychologist Awareness Week!

If I were fancier, I would have some sort of animation that made little confetti fall down over this entry. Maybe next year…if I don’t forget.

* Yoots (noun). Slang for “youth” derived from obscure reference to the classic film, “My Cousin Vinny.” The two yoots were seen fleeing the scene.

Wednesday, 11 November 2009

"Strategery"

Many of my posts are about the glamorous side of being a school psych, the fun n’ games dealing with bureaucracy monsters*, and the general tomfoolery of working in public education. I thought it was high time I offered up something actually useful for those of you in the trenches along with me, who sit in intervention meetings and everyone turns to you for the good suggestion.

For those who read for the cute stories and/or have a morbid curiosity about 10 year olds who pack heat in their backpacks (true story), we’ll see you next post!

For the hard core intervention peeps who believe in having a huge arsenal of weapons of mass instruction,** I give you:

Strategies for Students with Reading Comprehension Problems

Here’s a little side lesson about roots and suffixes before we begin.

Dys = abnormal or difficult

Lexia = word

So "Dys-lexia" is a reading disability that affects students at the word-level of reading. These are the kids who struggled with phonics in elementary, can’t decode multi-syllabic words easily in middle school, and laugh in high school when you ask, “do you ever read for fun?” because it is so laborious to try and decode every single word you come across. Their reading fluency is impaired and they lose the meaning. I tell my yoots: reading is like riding a bicycle—if you go too slow, you fall off. These students "fall off" in terms of comprehension because they are spending all their mental energy on decoding the individual words.

But there are other kinds of reading disabilities. There are the kids who can decode, but haven’t a clue what they just read. It is not unlike when you “read” a whole page in a book and then realize you didn’t really read it. The eyes were moving across the page, and the words were being "read," but there wasn’t any comprehension. These kids are typically really smart and they can articulate thoughts in class, but have a surprisingly low level of understanding what they read, given their intellect.

These kids (and all kids, really) benefit from a number of strategies for reading comprehension. Some of the strategies I pulled together from watching great teachers, some are "classics", and a few are from the New Teacher Project. Enjoy!

Rapid Reviewing
• Rapid reviewing improves both reading comprehension and memory
• After reading a section of text, students write down everything they can remember without looking back at the text.
• If they can’t remember at least 80% of the key points, they have read too much material before reviewing.
• They then reread the material and repeat the process until the key points can be recalled

Metacognitive Journals
• Students analyze their own thought processes in a journal, in which a page is divided into two columns separately titled: “What I learned,” and “How I came to learn it.” They record their thinking during and/or after reading
• The format can be modified with other prompts as well, such as “Passage/Text,” “What I think it means” and “Thoughts/Questions/Connections I had to the text”

The Insert Process/Marking the text
• Readers remain active while using symbols to represent their thoughts as they read, such as, “!” when you agree with the author, “?” for questions and “*” for new learning. Students can use sticky notes (Post-it notes) if they are unable to mark in the text.
• These markings should be revisited for further reflection/clarification after reading.
• A chart of possible symbols can be downloaded at http://www.readwritethink.org/lesson_images/lesson230/insert.pdf.

Questioning the Text/Author
• As readers notice the breakdown of meaning, they come up with questions to ask the author about the book for clarification and understanding.
• The questions are intended to help the reader better understand any confusing areas, and assists the reader in targeting appropriate strategies to repair meaning.

Graphic Organizers
• Graphic organizers are visual representations that show how key concepts are related and/or organized. They are important because they help readers visualize connections between ideas within the text and organize the new information.
• The visual representation and organization of information helps students build their text base and make sense of the text.
• Examples include problem/solution, statement/ support, sequence, cause/effect, compare/contrast, and argument.

KWL
In this strategy, students use a graphic organizer to establish:
• K- what they already know about the topic;
• W- what they want to know or learn about the topic;
• L- what they have learned after reading.

There are two popular modifications of the KWL teaching strategy:
• KWWL- what I know, what I want to know, where can I find the information, what I have learned
• KWLH- what I know, what I want to know, what I have learned, how I learned it

SQ3R
This strategy is an acronym for the five steps that comprise the strategy:
• S-Survey - students survey the reading material to develop an idea of its contents.
• Q-Question - students formulate questions about the text. These questions become their purpose for reading.
• R-Read - students read the text to answer the questions they formulated.
• R-Recite - students either jot notes about the text or discuss with a partner.
• R-Review - students review what they have learned by discussing their process with a partner and reviewing their notes. Finally, they answer their questions

Connection Chart
• This strategy calls for students to keep a running record of connections made as they read. Students are given a chart with three columns labeled for each of the different types of connection (text-to-self, text-to-world, text-to-text). As students read, they record their connections on sticky notes and place them in the appropriate column.

Using Social Networking for Character Analysis
• Students create a mock “Facebook” or “Myspace” page for a character in a book, a historical figure, or a current political figure.
• Students “characters” can interact, depending on if they would have been “friends” or not.
• This technique allows students to put themselves in the shoes of the characters and understand the underlying motivations, behaviors, etc.


*e.g. I called HR nine times yesterday to find out a simple thing. Nine times. No answer. Really? No voicemail there either? I guess they like the “While You Were Out” 1980s pink notes as much as my schools do. Which would be fine if they answered the phone to take a message. I’m gonna have to drive to the ‘hood tomorrow to ask a question, I just know it.

**Trenches and weapon metaphors in an education post? I guess it's my feeble attempt to make this post relevant to Veteran’s Day.
Girls Generation - Korean