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May 2003 Issue


    Articles include:

    PROGRAM DESCRIPTION

    SPIN is co-sponsored by the Disability & Communication Access Board and the Special Education Section of the Department of Education. Services include a phone line for information referral and support, a quarterly newsletter, an annual conference and community workshops. SPIN is guided by an Advisory Committee made up of parents, teachers and people with disabilities.

    SPIN
    919 Ala Moana Blvd., # 101
    Honolulu, Hawaii 96814

    PHONE
    586-8126
    Neighbor Islands dial the following exchange then 6-8126: Kauai -274-3141; Hawai'i-974-4000; Maui-984-2400; Molokai & Lanai - 1-800-468-4644

    FAX
    586-8129

    E-MAIL
    accesshi@aloha.net

    WEB
    www.spinhawaii.org

    IDEA MAY BE IN JEOPARDY

    On April 30th the U.S. House of Representatives passed H.R. 1350, a bill to reauthorize I.D.E.A. and make critical changes to this civil rights law for students with disabilities. The passage of H.R. 1350 was significant, because it was done over the protest of tens of thousands of parents and disability rights advocates who were convinced that
    it was " a bad I.D.E.A."

    Among the changes that parents found most troubling were:
    ® less than full funding of IDEA
    ® removal of key protections for students with disabilities who are viewed as discipline problems
    ® allowing states to set rates for due process attorneys
    ® setting a 1-yr. statute of limitations to file a complaint
    ® removal of requirements for behavioral assessments and plans
    ® optional 3-yr. IEPs.

    Within a few weeks, the Senate is expected to offer its own bill to reauthorize I.D.E.A. After it passes, the House and Senate bills go into conference to create a final statute.

    Parents are highly encouraged to call their Senators to request that key protections that are currently in IDEA are
    restored. It will surely take a strong effort by parents across the country to protect the civil rights now guaranteed to our children under IDEA.

    If you would like to be informed about IDEA's movement through Congress, call SPIN, check our website: www.spinhawaii.org or go to www.dredf.org to receive action alerts.

    It's Not Too Late...
    If you are a parent of a child with an emotional or behavioral disability, you can still sign up for HFAA's Family Conference, "Let Them Fly" June 21st at the UH Campus Center. Your teen or young adult won't want to miss their Youth Conference, "I Believe I Can Fly" set a week earlier on June 14th.

    Call today to save your seat at 487-8785 (Neighbor Island callers call collect).

    EBS AND ATTENTION DEFICIT AND HYPERACTIVITY DISORDER

    This is the third in a series of articles intended to help parents and helping professionals learn what kinds of treatment choices show promise in helping children and teens with emotional and behavioral disabilities.*

    Much of our information comes from work done by Hawaii's Evidence Based Services (EBS) Committee. Its members are constantly reviewing research on evidence based services or interventions--those that have been scientifically proven to have a positive effect in the treatment of a particular disorder--to help try to improve the quality of mental health services for Hawaii children and teens. Their 2002 report,"Summary of Effective Interventions for Youth with Behavioral and Emotional Needs", is available on-line at www.state.hi.us/doh/camhd.

    In this article we'll look at what has been said about Attention Deficit Hyperactivity Disorder, (ADHD), one of the most commonly diagnosed disorders. As you read these findings on effective practices keep in mind the following:
    ® no intervention or medication is 100% effective with all kids,
    ® only those studies that met scientific research standards (for example, randomized control and
    experimental groups) were reviewed,
    ® a number of promising practices in the field of children's mental health have not been studied
    thoroughly enough to receive an EBS rating, and
    ® if your child is receiving an intervention that is not listed as effective, but that seems to be giving real benefit, then it may be the best option available for him or her.

    The important thing with any intervention is to have some way to measure its effectiveness.

    SIGNS OF INATTENTION
    * makes careless mistakes
    * has trouble sustaining attention
    * appears not to listen when spoken to
    * struggles to follow through on instructions and chores
    * has trouble organizing tasks
    * avoids task that require sustained mental effort (like homework)
    * forgets to turn in work, loses supplies
    * gets distracted easily

    SIGNS OF IMPULSIVITY
    * blurts out answers before questions have been completed
    * interrupts or intrudes on others
    * has trouble waiting or taking turns

    SIGNS OF HYPERACTIVITY
    * fidgets or squirms in chair
    * has trouble remaining seated
    * runs about or climbs excessively
    * has trouble playing quietly
    * talks excessively
    * acts as if driven by a motor

    What is ADHD?

    A diagnosis of Attention Deficit/Hyperactivity Disorder is based on two sets of symptoms hyperactivity-impulsivity)

    Will my child outgrow ADHD?

    It used to be thought that children outgrew ADHD once they got to their teens, because hyperactivity tends to diminish with age. Impulsivity and attention deficits, however, may continue into adulthood. At least 2-4% of all adults are thought to be affected.

    What about other disorders?

    Two-thirds of children with ADHD will also be found to have at least one other coexisting condition. The most common disorders to occur with ADHD are:
    ® Disruptive Behavior Disorders (like Conduct Disorder or Oppositional Defiant Disorder)
    ® Mood Disorders (like Depression or Bi-Polar Disorder)
    ® Anxiety Disorders
    ® Tics and Tourette Syndrome, and
    ® Learning Disabilities. Teenagers with ADHD are also at increased risk for early cigarette use, followed by alcohol and then drug abuse.

    What works in treating ADHD?

    Getting appropriate treatment for ADHD is very important. Medication, support and education of parents, and appropriate supports at school can help prevent low self-esteem, school failure and antisocial behavior.

    MEDICATION. The EBS Committee noted that Stimulants (for example, Ritalin, Adderall, and Dexedrine) have been found to be highly effective in improving ADHD symptoms. Between 70-80% of children respond positively to these medications, especially when the dosage is carefully monitored. Tricyclic antidepressants (Norepinephrine, Dopamine, Bupropion), while less effective than stimulants, have also been shown to provide some benefit.

    THERAPY. The EBS Committee found STRONG SUPPORT for Parent Training in Behavioral Management and Classroom Behavior Management. Behavior interventions tend to improve targeted behaviors or skills, but are not as helpful in reducing the main symptoms of ADHD--hyperactivity, inattention or impulsivity. While drug therapy with stimulants is more effective than Behavior Therapy/Management alone, the combination of medication and behavior training for parents and teachers results in greater parent satisfaction and improved parent/child relationships.

    If you suspect your child or teen may have Attention Deficit/Hyperactivity Disorder, it is important to get help! Check with your family physician or ask the school for help in evaluating whether school based behavioral health services are needed.

    *For copies of EBS & Depression and/or EBS & Anxiety Disorders call SPIN or check out the
    December 2002 and February 2003 SPIN News at www.spinhawaii.org.

    FYI

    SUPPORT GROUP NEWS

    SIBSHOPS: For Brothers or Sisters of Children With Special Needs

    Here's a unique opportunity to meet and talk with other brothers and sisters who know what it's like to have a sibling with a disability and to learn more about disabilities and the services that people with disabilities receive. Participants can make new friends, play games, and have lots of FUN!

    Sibshop is open to children 6-12 who have a brother or sister with special needs. The group meets the 1st Saturday of every month from 11 a.m.- 2 p.m. at Easter Seals Hawaii (710 Green Street). Currently there is no charge to participate in the Sibshop and lunch is included. For more information or to register, contact Nicole Deligans at 536-1015.

    BRAIN INJURY ASSOCIATION OF HAWAII

    The Brain Injury Association of Hawaii (BIA) holds two monthly support group meetings. The TBI (Traumatic Brain Injury) Support group for all meets on the 2nd Wednesday of the month from 6:30 p.m. The TBI Education Session meets on the 3rd Wednesday of the month from 7:00 p.m. Both groups meet in the conference room at the Rehab Hospital. For more information, call the BIA at 524-9399.

    PO'OHALA FAMILY SUPPORT COUNCIL CALL FOR MINI-GRANT APPLICATIONS

    In our February issue families were asked to brainstorm with other
    families in their community and identify an innovative approach of providing services for their family member with a developmental disability. The Po'ohala Family Support Council will be offering funding to one or more such projects and is encouraging families to submit their mini-grant applications now. Applications must be postmarked on or before July 1st.

    For more information, contact Leolinda Parlin, Po'ohala Project Coordinator, at the State Council on Developmental Disabilities office at 586-8100 or e-mail to poohalaproject@netscape.net. Neighbor islands can dial their exchange number listed on page 1 then ext. 68100.

    TUNE IN TO "FAPE NOW!"

    FAPE NOW is a regular TV talk show series featuring a panel of various experts who discuss special education issues and share possible solutions and resources. The program also provides a forum for viewers to share their opinions and questions during the show which airs every Saturday from 6 - 7 p.m. on Channel 56. Local show host Bob Rees facilitates this interactive program.

    FAPE NOW is co-produced by Rio K. Martell and Rachel Spigal, Co-Chairs of the Central Oahu Community Children's Council and Naomi Grossman, President of the Autism Society of Hawaii.
    For more information contact Rio Martell at 383-5666.

    SELF-DETERMINATION FOR YOUTH

    Hawaii Families As Allies (HFAA) is partnering with the UH Center for Disability Studies to do a study to learn about young people with emotional and behavioral challenges and their parents view self-determination. Targeted are youth between the ages of 14-26.

    Three discussion meetings are scheduled in July and participants will be paid for each meeting. For more information call HFAA at 487-8785 or Sally at 956-3982 (call collect from neighbor isles) or e-mail: Nhomi@aol.com.

    SPIN AWARDS

    PARENTS OF THE YEAR

    Donna Mitts has made an enormous difference in her school community of Pa'auilo. When no one else would help, she stepped forward to become president of the Pa'auilo P.T.S.A and helped to raise thousands of dollars to increase services and programs for their students. She also became the leader of the local 4-H Club, giving students exposure to projects they would never have known about. Later, when the school needed a new playground, Donna and her husband spent countless weekends at school shoveling dirt and gravel and moving equipment to provide a wheelchair accessible play area that was a fun place all children could enjoy.

    A PARTNERS in Policymaking graduate of 2000, Donna also became an AmeriCorps volunteer through the Learning Disabilities Association, working to help parents understand the IEP process and their rights. When no teacher was able to give instruction in sign language, Donna (with a signing son) started a class herself. Now, about 30 more people will be able to sign to her son and others in the future.

    Donna is a hardworking and compassionate parent who has personal integrity and walks her talk. She is a positive role model to our children and parents alike.

    Arthur and Charlzetta Croker exemplify teamwork, love and dedication in raising their young family-two sets of twins, three girls and one boy. Incredibly, three of their children have a diagnosis of autism and the fourth has Attention Deficit Hyperactivity Disorder. How do they handle such mind-blowing responsibility and worry and still get out of bed in the morning? In the case of Chaz and Arthur, they do it with remarkable determination and generosity. This awesome pair made a commitment early on to learning as much as they could about resources and strategies that might help their family.

    They attend every conference they can possibly attend to learn more of how to help their children and the children of other parents. They participated in the 2002 PARTNERS in Policymaking Academy and graduated with a clearer understanding of the system of services available to their kids and others. Along the way, they learned the fine art of advocacy.

    Whatever the Crokers learn, they share with others in their community. It is not uncommon for them to stop by the grocery for a gallon of milk and spend an hour listening to a fellow parent in need. They have become one of the prized natural resources on the Waianae Coast.

    FAMILY CHOICE AWARD

    Lisa Maetani has committed over 15 years to her professional career as a social worker for persons with special needs. Whenever families have expressed their collective needs to Lisa, her response has always been, "let's get to work!" This approach has translated into the development of programs within the state that included the Developmental Disabilities Division's Family Support Services Program, Statewide Respite Program, Kokua Keiki Diaper Project, recreational opportunities for folks with special needs and their families, and Ka'imipono, a grass roots family support group that realized their dream of having their children swim with dolphins at Sea Life Park.

    Both at the Developmental Disabilities Division's Family Support Unit and now at the Early Intervention Section, Lisa has never considered limiting herself to "regular work hours." Working at night, on weekends, on holidays and even on vacation best characterize Lisa's dedication to the people she works with.

    Her professional supports to individuals and families have always been, and will always be, without boundary. Lisa has a warm, compassionate spirit and a heart that belies her size. In the eyes and hearts of our parents and children, she is a GIANT!

    PROFESSIONALS OF THE YEAR

    June Callan, State Resource Teacher for Assistive Technology (A.T.), has been working to help
    children, families and schools statewide deal with the possibilities and challenges of evaluating, choosing, using and maintaining assistive technology devices to ensure access to the general curriculum for our students with disabilities. June is truly one of a kind!

    Despite her hectic schedule, she always makes time to personally assist teachers and other school personnel in exploring the possibilities to meet the needs of students with disabilities. Many parents have depended on her expertise and support to navigate the system in order to gain the necessary assistance for their children.
    June is a true pioneer because she goes and searches out so much in A.T. and passes her knowledge along to people all over the state. One of her exemplary accomplishments has been putting information about A.T. on cable TV where teachers and parents can learn about the various options from the comfort of their living room.

    When June works with kids, she tries to find out what makes them excited. She has truly gone above and beyond in looking for new devices and even bringing experts and equipment from the Mainland to match a child's unique needs. Mahalo June, for your unflagging support of our kids!!

    Dennis Hokama has dedicated 33 years of his life to the education of students in Hawaii. Born
    and raised on Lanai, this teacher and administrator still looks at Lanai as his home despite his home base as principal of Roosevelt High School.

    Dennis has also been an active member of the West Honolulu Community Children's Council for more than three years. Throughout his participation on the Council, Dennis has been supportive of activities that encourage members and interested parents to actively participate in the process of improving the educational success of children and young adults with special needs.

    When Dennis comes to the CCC meeting as the Department of Education representative, he really sees it as a vehicle for parents to have their concerns and questions answered. Although he always comes with excellent ideas, he generally defers to what works best for the parents present and he rarely takes credit for his ideas or actions. His leadership style encourages others to open up and collaborate with each other and get things done.

    Thank you Dennis for serving as a role model for other educators, providers and parents to continue to work for the betterment of all students, especially students with disabilities.

    Jeanne Prickett has racked up a whole host of accomplishments since coming to Hawaii in April
    of 1996 to become the Administrator of the Hawaii Center for the Deaf and the Blind (HCDB). She has been a wonderful asset to the Deaf community and to students with hearing loss and students with visual impairments. Sadly, she will be moving to the Mainland next month.

    Jeanne made the HCDB a real option for students from Neighbor Islands by expanding and renovating dorm space and finding funds to make sure students got home for visits on a regular basis. She worked to make the dorms and classrooms safer for students by securing a visible fire alert system throughout the school.

    Jeanne has helped Deaf Culture/May Day activities become an annual event and pulled together the itinerant teachers for deaf and visually impaired students to work together for the first time to gain the support from the Department. She also significantly upgraded the expertise of Hawaii's itinerant teachers for the visually impaired by securing training through the University of Northern Colorado.

    Parents have benefited from her professionalism and commitment, too. She has worked tirelessly to improve the structure of deaf education and to improve the lives of students. Jeanne has a "big heart" for wanting the best for all special education students. She will be missed!

    MARK YOUR CALENDAR

    PECS (The Picture Exchange Communication System) Training Workshops
    5/29/30 Ritz Carlton Kapalua
    6/2-3 Renaissance Ilikai Waikiki Hotel
    6/4 PECS Follow-up Training Workshop
    Call 302-368-2515 or www.pecs.com.

    6/6-9 Oceans of Potentiality Science & Technology Camp (all youth 13 & older) Camp Waianae
    FEE, scholarships available
    Call 695-5877.

    Hawaii Families As Allies Conferences
    6/14 "I Believe I Can Fly" Youth Conference
    6/24 "Let Them Fly" Family Conference
    Contact 487-8785.

    6/29- "Ride the Wave"
    7/2 Preparing Deaf & Hard-of-Hearing Students For Life After High School
    Renaissance Ilikai Waikiki Hotel
    http://wrocc.csun.edu

    7/19 Free Screening Clinic for Children (Bone & Joint Exams)
    9 - 1 p.m, Shriners Hospital
    Call 941-4466.

    8/9 & Camp Cool (Interactive Computer Exploration for Kids 8-13 yrs.) $5 fee
    8/16 Call ATRC at 532-7110 or e-mail to atrc@atrc.org

    10/3-4 Hawaii Foster Parent Association Conference Special Feature: Concurrent Teen Track for junior & senior foster youth on Saturday, Sheraton Waikiki
    Call Judith at 263-0920.