STRATEGIES
FOR TEACHING MATHEMATICS STUDENTS
WITH
ATTENTION DEFICIT DISORDER (AD/HD)
Introduction
Mathematics education is one of thge
most difficullt subjects to lear for students with attention deficit disorders. These
disorders are characterized by serious and persistent difficulties in attention span,
impulse control, and hyperactivity. Attention Deficit Disorder (ADD) is a chronic disorder
that can begin in infancy and extend through adulthood. It can have a significantly
negative effect on an individual's life at home, in school, or in the community. There are
two types of attention deficit disorders: undifferentiated Attention Deficit Disorder
(ADD) and Attention Deficit Hyperactivity Disorder (ADHD). In undifferentiated ADD, the
primary and most significant characteristic is inattentiveness but hyperactivity is not
present. AD/HD students still manifest problems with organization and distractibility,
even though they may seem quite and passive. These students also tend to be overlooked
more easily in the classroom, and may be at a higher risk for academic failure than those
with ADHD.
To be diagnosed as having ADHD a
student should display, for six months or more, at least eight of the following
characteristics prior to the age of seven: 1) fidgets, squirms, or is restless; 2) has
difficulty remaining seated; 3) is easily distracted; 4) has difficulty waiting for
his/her turn; 5) blurts out answers; 6) has difficulty following instructions; 7) has
difficulty sustaining attention; 8) shifts from one uncompleted task to another; 9) has
difficulty playing quietly; 10) talks excessively; 11) interrupts or is rude to others;
12) does not appear to listen; 13) often loses things necessary for tasks; and 14)
frequently engages in dangerous actions.
After: "Diagnostic and
Statistical Manual of Mental Disorders" (3rd ed., rev.) (American Psychiatric
Association, 1987).
CHICAGO, Sept. 30 (AP) - The American
Academy of Pediatric Me4dcine has issued its first guidelines for treating attention
deficit hyperactivity disorder, suggesting that stimulant drugs may be most effective but
that behavioral techniques should also be used. The guidelines appear in the October issue
of the medical journal Pediatrics, which will be released Monday.
As many as 3.8 million school-age
children, most of them boys, are believed to have attention deficit disorders. Symptoms
may include a short attention span, impulsive behavior and difficulty sitting still. The
guidelines, which fall in line with those issued in recent years by the National Institute
of Mental Health, were created in consultation with child psychiatrists and psychologists.
They suggest that the evidence favoring medications like Ritalin is stronger than the
evidence about behavioral therapy.
Symptoms improve in at least 80
percent of children on stimulants, and medication should be switched if it is not working,
the guidelines say. Critics say that many doctors and teachers turn to drugs like Ritalin
as an easy fix and that their long-term effects are uncertain. The guidelines say any
treatment should begin only after a diagnosis is certain and doctors, parents and teachers
have discussed appropriate treatment goals. The guidelines say drugs should be used with
behavioral techniques, including time-outs for hitting. They call for rewarding children
when they complete tasks, like homework.
General
Strategies
- Student monitoring, self management,
discipline, and encouragement can be a very important aspect for academic success.
Below are the two basic aspects of AD/HD facilitation.
- Self-monitoring techniques can
be very effective in the school setting. Self-monitoring of attention involves cueing the
student so that he/she can determine how well he/she is attending to the task at hand.
Cueing is often done by providing an audio tone such as a random beep, timer, or the
teacher can give the cue. The student then notes whether he/she was on or off task on a
simple recording sheet. Self-monitoring techniques are more likely to be effective when
tied to rewards and accuracy checks.
- Behavior management
techniques must often be used in the learning environment. By examining a student's
specific problem behavior, understanding it's antecedents and consequences, teachers can
help students with AD/HD to develop behaviors that lead to academic and social successes.
- Provide supervision and discipline:
- Frequently onitor proper behavior and
immediately direct the student to an appropriate behavior.
- Enforce classroom rules consistently.
- Avoid ridicule and criticism. Remember
that students with AD/HD have difficulty staying in control.
Providing Encouragement:
- Reward more than punish.
- Immediately praise any
and all good behavior and performance.
- Change rewards if they
are not effective in motivating behavioral change.
- Find alternate ways to
encourage the AD/HD students.
- Teach the student to
reward himself or herself. Encourage positive self-talk (e.g., "You did very well
remaining in your seat today. How do you feel about that?"). This encourages the
student to think positively about himself or herself.
Bring to the student's attention
mathematics and science role model who has a
disability similar to that of the student with an impairment. Point out that this
individual got ahead by a combination of effort and by asking for help when needed.
Reduce the amount of materials present
during activities by having the student put away unnecessary items. Have a special place
for tools, materials, and books.
Reward more than you punish, especially
with positive reinforcers.
Be patient with an AD/HD student.
Seat students with AD/HD in the front
near the teacher with their backs to the rest of the class. Be sure to include them as
part of the regular class seating.
Place these students up front with
their backs to the rest of the class to keep other students out of view.
Surround students with AD/HD with good
peer models, preferably students whom the AD/HD student views as significant peers.
Encourage peer tutoring and
cooperative/collaborative learning.
A class that has a low student-teacher
ratio will be helpful to a student with AD/HD.
Avoid all distracting stimuli. Try not
to place students with AD/HD near air conditioners, high traffic areas, heaters, doors,
windows, etc.
Avoid transitions, physical relocation,
changes in schedule, and disruptions.
Be creative! Produce a somewhat
stimuli-reduced study area with a variety of mathematics activities. Let all students have
access to this area.
Encourage parents to set up appropriate
study space at home, with set times and routines established for study. Also, use this
home area for parental review of completed homework, and periodic notebook and/or book bag
organization.
Educational, psychological, and/or
neurological testing is recommended to determine learning style, cognitive ability, and to
rule out any learning disability (LD is common in about 30% of students with AD/HD).
A private tutor and/or peer tutoring
will be helpful to a student with AD/HD.
Have a pre-established consequences for
misbehavior, remain calm, state the infraction of the rule, and avoid debating or arguing
with the student.
- Avoid publicly reminding students on
medication to "take their medicine."
- Bring to the student's attention
mathematics models with disabilities with a similar disability to that of the student.
Point out that this individual got ahead by a combination of effort and by asking for help
when needed.
- Ask previous teachers about interactive
techniques that have previously been effective with the student in the past.
- Expose students with behavioral
disorders to other students who demonstrate the appropriate behaviors.
- Direct instruction or target behaviors
is often required to help students master them.
- Have preestablished consequences for
misbehavior.
- Administer consequences immediately,
then monitor proper behavior frequently.
- Determine whether the student is on
medication, what the schedule is, and what the medication effects may be on his or her in
class demeanor with and without medication. Then adjust teaching strategies accordingly.
- Use time-out sessions to cool off
disruptive behavior and as a break if the student needs one for a disability-related
reason.
- In group activities, acknowledge the
contributions of the student with a behavioraldisorder.
- Devise a contingency plan with the
student in which inappropriate forms of response are replaced by appropriate ones.
- Treat the student with the behavioral
disorder as an individual who is deserving of respect and consideration.
- When appropriate, seek input from the
student about their strengths, weaknesses and goals.
- Enforce classroom rules consistently.
- Make sure the discipline fits the
"crime," without harshness. z
- Reward more than you punish, in order
to build self-esteem.
- Praise immediately and all good
behavior and performance.
- Change rewards if they are not
effective for motivating behavioral change.
- Develop a schedule for applying
positive reinforcement in all educational environments.
- Encourage others to be friendly with
students who have emotional disorders.
- Monitor the student's self-esteem.
Assist in modification, as needed.
- Present a sense of high degree of
possessiveness in the classroom environment.
- Students need to understand that
something which is difficult for one student may be easier for another student.
- Encourage and reinforce childrens
estimates, even if the answers are irrelevant.
- Develop their mental calculation skills
at an early age. Help them by using rapidly flash pictures, numbers, or objects. Help them
concentrate on remembering and recognizing what they saw first, second, and etc.
- Encourage older students to use place
value to find answers to larger computation problems mentally.
- Have children act out problems. It
stimulates the students interests and capture their attention when their peers are
acting.
- It is helpful to encourage students to
feel comfortable with incorrect answers and teach them to understand that they can learn
from errors, in another word, be positive. (You may start with a page of solved problems
that include correct answers. Work with students to locate the wrong answers by talking
about unreasonable answers). If this is introduced at a young age, this approach takes the
fear out of making mistakes, teaches students to view mistakes as a learning process, and
helps them develop self-confidence.
- Make sure you understand students
thinking before commenting on the work or marking an answer as wrong. Remember, given
their thinking or what they saw, their answer may be correct.
- Provide copies that are clear and
uncluttered.
- Seat Students close to the blackboard.
- Provide a verbal description of printed
materials, especially directions and other key points.
- Directly teach students how to use the
textbook format.
- Provide tape recorded textbooks.
- Use colored highlighting pens to
emphasize key information and get attentions.
- Have short intervals during class
sessions so that students get to refresh themselves while gaining back their attention.

Teacher Presentation
- Behavior management techniques must
often be used in the school. By examining a child's specific problem behavior,
understanding it's antecedents and consequences, educators can help students with AD/HD
develop behaviors that lead to academic and social success.
Maintain eye contact during verbal
instructions.
Make directions clear and concise. Be
consistent with all daily instructions.
When you ask an AD/HD student a
question, first say the student's name and then pause for a few seconds as a signal for
him/her to pay attention.
To help with changes in assignments,
provide clear and consistent transitions between activities and notify the student with
AD/HD a few minutes before changing activities.
Repeat instructions in a calm, positive
manner.
AD/HD students may need both verbal and
visual directions. You can do this by providing the student with a model of what he/she
should be doing.
You can give an AD/HD student
confidence by starting each assignment with a few questions or activities you know the
student can successfully accomplish.
Self-monitoring techniques can prove
effective in the school setting. Self-monitoring of attention involves cueing the student
so that he/she can determine how well he is attending to the task at hand. Cueing is often
done by providing an audio tone.
Consult with special education
personnel to determine unique specific strengths and weaknesses of each student.
Develop an individualized education
program. By identifying each student's individual strengths and specific learning needs,
you can design a plan for mobilizing those strengths to improve students academic and
social performance.
Gradually reduce the amount of
assistance, but keep in mind that these students will need more help for a longer period
of time than the student without a disability.
Require a daily assignment notebook as
necessary and make sure each student correctly writes down all assignments. If a student
is not capable of this, the teacher should help the student.
Initial the notebook daily to signify
completion of homework assignments. (Parents should also sign.)
- Use the notebook for daily
communication with parents.
- Systematically introduce new
mathematics vocabulary.
- State a purpose for any independent
reading.
- Give verbal descriptions of each part
of a multistep process or algorithm.
- Encourage students to verbalize steps
as they work problems.
- Highlight operation signs in practice
activities involving a mix of operations.
- Provide a model problem and solution at
the top of practice worksheets.
- Use interesting problem situations
within a childs experience.
- Provide construction paper
"masks" to blot out portions of a page at a time to help students keep their
place in a book.
- Cut a worksheet into segments and
assign only one small section at a time.
- Using Prompt Cards (Hide-and-seek cards
to aid students with attention and short-term memory deficits in understanding math facts.
Cards helped one apply his visual strengths and comprehend facts without memory overload
because small steps were emphasized at a time.
- Prompt cards appear to help minimize
distractions for student by reminding him of the task at hand. The Visual cuing system of
the prompt card seemed to keep him on task and to motivate him to complete problems as
accurately as possible.

- Rehearsal saying the numbers or
items over to oneself, repeating pieces of information.
- Chunking grouping numbers or
components to be recalled in pairs (i.e., 2-3-6-4-=23, 64)
- Associating connect or join
together new information with known information
- Elaborating thinking of other
things to go with the information to be remembered, linking information to aid recall
(i.e., making up a rhyme).
- Constant-Time Delay procedure:
- Incorporated teacher-selected or
student-selected prompts to ensure accuracy of response. The process involved showing the
student a math problem on a flash card, waiting four seconds for the student to give the
correct response then providing either a visual, verbal, or material prompt to ensure the
correct answer. Students would then repeat the entire problem with the correct response.
Recitation
Gradually reduce the
amount of assistance, but keep in mind that these students will need more help for a
longer period of time than the student without a disability.
Consider alternative
activities/exercises that can be utilized with less difficulty for the student, but has
the same or similar learning objectives.
- Require a daily assignment notebook as
necessary and make sure each student correctly writes down all assignments. If a student
is not capable of this, the teacher should help the student.
- AD/HD students may need both verbal and
visual directions. You can do this by providing the student with a visual model and a
verbal description of what he/she should be doing.
- You can give an AD/HD student
confidence by starting each lab assignment with a few questions or activities you know the
student can successfully accomplish.
- To help with changes in assignments,
provide clear and consistent transitions between activities and notify the student with
AD/HD a few minutes before changing activities.
- Make sure all students comprehend the
instructions before beginning their tasks (the AD/HD student will probably need extra
assistance).
- Simplify complex directions. Avoid
multiple commands.
- Repeat instructions in a calm, positive
manner.
- Help the students feel comfortable with
seeking assistance (most students with AD/HD will not ask for help).
- Assign only one task at a time.
- Modify assignments as needed for the
AD/HD student.
- Keep in mind that students with AD/HD
are easily frustrated and they need assurance of things that are common in mathematics,
e.g., when an experiment does not turn out as expected. Stress, pressure, and fatigue can
help reduce their self-control and can lead to poor behavior.
Group Interaction and Discussion
- Help the students feel comfortable in
seeking assistance (most students with AD/HD will not ask for help, especially in a group
activity).
- Gradually integrate the AD/HD student
into the interactive system
- Teamed/paired for mathematics and
children can be grouped according to skill level, then they are more likely to work at
similar pace and can receive more help and individual tuition. Pupils can change groups
when appropriate.
- At times, it is advisable to provide a
time limit (when working in groups) for short assignments in order to capture the
students attention.
- Make sure you are testing knowledge and
not attention span.
- Give extra time for certain of the
examination tasks (e.g., math related). Students with AD/HD may work slowly.
- Keep in mind that students with AD/HD
are easily frustrated. Stress, pressure, and fatigue can result in reduction of
self-control and lead to poor behavior.
- Use especially some of the general
strategies related to stress, i.e., management (see first part of General Strategies).
- Testing accommodations such as: (1) Use of a highlighter; (2) computer with/without spell
check/grammar/cut & paste features; and (3) suitable setting such as private room and
preferential seating.