~ An amusing story about Ryan, (who is nearly 4) my
cortically blind and brain damaged grandson. Latest news is that
he is walking and on the verge of talking, at least we get a lot
of baby babble, dragging of furniture, climbing and reaching things
he shouldn't!!
Tonight I had a late start with dinner as the kids all were going
to McDonald's and a movie, so I was waiting for them to go before
I started to cook for Pa and I. Ryan had the run of the house and
was playing quietly in the kitchen - well the oven wasn't on so
it was safe. I should have remembered when my kids played quietly
it meant trouble!!!!
I watched the first ten minutes of the news then went
to find Ryan! He didn't have a toy to play with in the kitchen and
I heard splashing. He had managed to get a 2 Litre bottle of Soya
oil out of the pantry, break the seal and unscrew the lid and pour
it onto the floor and play in it.....splashing and sliding!!!!!!
This is my blind and brain damaged boy, who doesn't like finger
paint, doing what comes naturally to toddlers - getting into mischief!!!
I must admit, I did laugh while I cleaned up and it
was quite a mission involving several newspapers and half a bottle
of Handy Andy!!!!!! The kids came home in the middle of the clean
up and took him into the bathroom for a bath where he could splash!!!
At least the kitchen floor is squeaky clean now!!!
~ We were told when Sarah was 16 months old that she
would possibly never walk, talk, and had cerebal palsy, and global
delay - she would possibly be a’ vegetable', the words of
the Paediatrician and other so called specialists. Well, she is
now 5 years, and has just finished her first year of ballet - having
sat a ballet exam and passing with a mark of 79%...NOT BAD AYE!!
And it is all down to love, patience and good old fashioned trying
again and again - from THE Grandparents!!
We are now being told she is an asset to society
and is now ahead of her peers and is above 'normal' (what-ever that
is!!) So how's that for encouragement for others...
~ Kia ora. Well! My grandson Jalen was diagnosed with
rheumatic fever 2 years ago and every month he receives his penicillin
injection at the same time he receives a treat from McDonalds but
now he has swapped McDonalds for….wait for it………..Sushi
which is healthier and better for him. Who would ever guess a child
would ditch McDonalds!
High Times: TV3 8.30pm.
This is documentary on the effects of drugs over the
decades. Sorry about late notice, but we have just been notified.
It is in 3 parts and GRG are featured in the final segment on 4
August.
NATIONAL NEWS STORY - New law gives grandparents greater
rights
01 July 2005
Grandparents battling for custody of abused and neglected
children have a better chance of getting legal recognition with
new legislation, which takes effect today. Ruth Hill reports.
It takes a village to raise a child, so the old saying
goes.
However, legislators have been slow to recognise the
fact that birth parents are not the only ones to have an interest
in a child's welfare.
The Grandparents Raising Grandchildren Charitable
Trust welcomed the emphasis on children's welfare in the new Care
of Children Act, but warned there was still a long way to go to
achieve justice for grandparents, especially in the area of financial
support.
Trustee Kate Woodd, a former family lawyer, said she
was "cautiously optimistic" that the bill would make it
easier for grandparents, who she said had enough problems looking
after traumatised children, often on very little money, without
having to fight endless court battles too.
The new law widens the category of people who can
seek "parenting orders" for children.
Parenting orders will allow grandparents to see their
grandchildren when parents split, and grandparents who raise children
themselves will now have the law behind them.
Ms Woodd agreed that in some ways, the new rules -
the first changes to guardianship legislation in 36 years - were
merely "window dressing" for what was already happening.
However, it was still important recognition that grandparents
and others were often vital to a child's life, and represented "a
more enlightened approach".
"We are dealing with grandparents who are by
and large the ambulance at the bottom of the cliff," she said.
"They are raising children because mum or dad
can't or won't or have been found by the court not to be suitable
as primary caregiver.
"We are really pleased that the new legislation
is refocusing away from simply the rights of the parents, to looking
at the rights and needs of children and the obligation on everyone
involved to look after their best interests."
The bill has been attacked by opposition parties for
not going far enough to redress what they say are "serious
flaws" in Family Court law.
Ms Woodd agreed the bill was not perfect.
The biggest disappointment has been the lack of progress
on getting better financial support for grandparents raising grandchildren.
A survey commissioned by the trust of 323 kin caregivers,
released in March, showed 37 per cent were caring for children on
an income of under $20,000 a year.
On top of counselling, medical, clothing, schooling,
and accommodation costs, many grandparents were also stuck with
legal bills involved getting custody and guardianship of their grandchildren
– often at the request of Child Youth and Family (CYF).
Ms Woodd said social workers often asked grandparents
to look after children and then encouraged them to apply for custody.
As long as children are technically under the custody of CYF, caregivers
are entitled to the foster care allowance. But as soon as the grandparents
take over custody, the child is no longer "in need of care
and protection" as far as CYF is concerned, and caregivers
are only entitled to the Unsupported Child Benefit (UCB), which
is significantly less.
CYF pays between $110.56 and $158.66 (depending on
age) under the foster care allowance, plus a quarterly clothing
allowance and other grants for special education and health needs.
The UCB from Work and Income ranges from just $94.77 for under-fives
to $138.97 for children aged 14 and over. Nearly half of the survey's
respondents reported they were receiving no allowance at all.
One grandmother, who had cared for five grandchildren
over 12 years after her two daughters died, had only received the
allowance since 2003 because she had not been told she was eligible
for financial assistance. Many grandparents receiving the UCB did
not realise they were entitled to ask the Government for more money
under support and service orders, Ms Woodd said. "Often grandparents
and even lawyers don't realise they can push it, and there's no
way you're going to get CYF going `Oh, by the way, you can get this
and this'."
She said the trust had raised the issue with the
office of Social Development Minister Steve Maharey several times
but without result. "If these grandparents had not stepped
in, the only option would be to put these kids in foster care.
"The discrepancy is discriminating against these
children."
The trust had also been pushing for tougher rules
to stop endless re-litigations of custody cases. The trust estimates
that almost a third of their members are facing constant challenges
to their custody status from parents. Because older people often
have their own home and savings, they do not qualify for legal aid.
Some grandparents were spending hundreds of thousands of dollars
on cases in which the children's beneficiary parents were bankrolled
by legal aid, she said.
Ms Woodd said the real focus of the legislation should
be on "alternative dispute resolution", rather than drawn-out
and confrontational court proceedings, which inflamed already stressful
situations.
As the law stands, someone applying for a "parenting
order" has to apply for an affidavit, a summary of that person's
version of events, which is then considered by the court. "By
its nature, an affidavit is a very one-sided view of the facts and
tend to be quite polarising, so you get argument and conflict over
and above the initial conflict. "It would be better if there
was an automatic referral to mediation and counselling. "Even
a few months is a long time in a child's life, and there are children
out there missing out on their mum and dad or grandparents."
One revolutionary aspect of the bill was that the
Family Court now had to take the child's view into account. National
MP Nick Smith has been heavily critical of this move, saying young
children were not mature enough to make such major decisions, and
susceptible to "bribes" by parents. However, Ms Woodd
said the change brought New Zealand into line with the United Nations
Convention on the Rights of Children and international best practice.
"In every case I was ever involved with, it was clear that
the children wanted to have their say. "Now, if they are able
to express their views, they must be taken into account. "That
doesn't necessarily mean they will get what they want – but
we are thrilled that the children will be heard."
Furthermore, it ensured that lawyers for children
must actually meet the child concerned. Previously some held it
was "inappropriate".
Ms Woodd said roles were still evolving in the fast-changing
area of family law. "There is still a lot of role definition
needed. You talk to social workers and psychologists involved in
court proceedings, and there is much concern about how best to extract
information from children and who should be doing it and how often
it should be done."
Some "teething problems" in the application
of this legislation were inevitable, she said. Firstly, the Family
Court was already struggling to cope with a massive workload and
would need more resources to implement the changes. "We could
potentially now have the whole whanau in the same room, so our court
rooms will have to get bigger or we'll be hiring conference rooms
at hotels for court hearings!" Ms Woodd said.
Some lawyers have already drawn attention to potential
pitfalls in the legislation. Previously, it was presupposed that
one parent would have day-to-day custody and the other "access".
Now more than one person can have a parenting order and "care"
of the child, with "contact" at different times. However,
if one person fails to return the child under a shared-care arrangement,
neither is able to apply for a warrant under the new legislation
to enforce the care order. The whole case would have to go back
to court to be re-argued.
"The Family Court doesn't like putting children
in the horrible situation where they're being taken off mum or dad,
because it's really a scrap between the adults, but this does leave
open the risk of abuse." ENDS
Corrections to above article from Kate Woodd: She
said: “file an affidavit” not apply, and “ in
virtually every case” not in every case I was ever involved
with, it was clear that the children wanted to have their say
From Minister Maharey: 7 July 2005
Government support for grandparents raising grandchildren
Income-testing of benefits
The Trust's National Office newsletter of May 2005 raised questions
about means testing of the Child Disability Allowance and the Unsupported
Child's Benefit. The newsletter included a media release by United
Future deputy leader Judy Turner, alleging that "Christchurch
and Rotorua Work and Income offices are illegally means-testing
grandparents raising their grandchildren when applying for benefits".
I have made extensive inquiries about these allegations.
I can assure you that there is absolutely no intention on the part
of this government to means-test these benefits, and that there
has been no change in the guidelines or instructions issued to staff.
Neither the Bay of Plenty nor Canterbury regions of Work and Income
are aware of the issue having been raised with them. I suspect that
what may have happened is that a grandparent approached Work and
Income for extra assistance (which we very much encourage them to
do), and that they have been invited to apply for a Special Benefit
or a Special Needs Grant, both of which are income tested.
If any Work and Income Office has given the wrong
information, I would be grateful to receive details about this,
so we can fix it.
Financial support to grandparents raising grandchildren
Hon Ruth Dyson (Minister for Senior Citizens) and I are very aware
of, and sympathetic to, the difficulties faced by some grandparents
raising grandchildren, particularly those whose only source of income
is New Zealand Superannuation. We have been working with officials
to respond to this, as part of a wider review of the Unsupported
Child's Benefit (UCB), Orphan's Benefit (OB), and Foster Care Allowance
(FCA). Recommendations from this review will be considered for Budget
2006.
In addition:
· Work and Income and the Department of Child,
Youth and Family Services have updated the brochure for kin carers
from 1 April 2005.
· I have directed the Ministry of Social Development
to develop a specialised case management pilot for NZ Superannuation
clients who are raising grandchildren. A detailed implementation
plan will be reported to me in September.
I encourage all kin carers raising grandchildren to
talk with their Work and Income case manager, to ensure you are
receiving all the support you are currently entitled to. In some
cases this could include supplementary assistance through such programmes
as the Child Disability Allowance, Special Needs Grants, or Special
Benefit.
I want to reiterate this government's commitment and
intention to improve the support provided to grandparents raising
grandchildren.
Hon Steve Maharey
Minister for Social Development and Employment
We emailed this letter (above) to our emailable members and here
are a few responses:
~ I had dealings with the Local WINZ branch about
the UCB and was told I couldn't have it as I had too much income
(from ACC) This was in August last year. I left it and started enquiring
again in Feb this year and was told still NO! I wrote to Steve Maharey
and hey presto got a call from WINZ saying they had reviewed my
case and I am entitled....they kindly backdated the benefit to Feb
and included a top up as Grandchild was under CYFs before me.....I
ask you!!! Julie in Auckland.
~ Oh gooody! Lynn in Hamilton.
~ What about grandparents who are not on super but
benefits? Not all grandparents are retired. Am I the only one angry
by this letter? It doesn't really address anything does it? Carole
from Taranaki.
Thus far we are aware of Grandparents Raising Grandchildren
policy from United Future, NZ First and the Labour Party (in no
particular order).
Spotting future criminals early the key, says Judge
29 June 2005
By Sophie Neville
The next generation's violent criminals can be spotted
by the age of about three, Principal Youth Court Judge Andrew Becroft
says.
But early intervention in the often troubled lives
of these "human time bombs" is seriously lacking.
The issue has been raised at a Youth Horizons conference
in Wellington – involving more than 200 people – to
discuss severe conduct disorder.
The disorder affects up to 3000 mainly male teenagers
and is seen in many of New Zealand's worst offenders. Also known
as juvenile psychopathy, it manifests in a total lack of compassion,
including violence toward people and animals, stealing, arson, alcohol
and drug abuse.
What to watch for
Early indicators of severe conduct disorder in children:
? Lighting fires
? Refusal to obey instructions
? Cruelty to animals
? Attacking other children, including punching, biting
and kicking
? Lying
? Stealing
? No interest in learning or trouble with reading
? Truancy
? Alcohol and drug use
? Not coming home at night
? Depressed, anxious or angry
Source: Youth Horizons clinical director Justine Harris
Judge Becroft told The Dominion Post yesterday that about half of
the 5000 young people a year before the Youth Court were likely
to have some form of conduct disorder. "They are human time
bombs – tomorrow's violent offenders."
Children with the disorder were very naughty at preschool
– telling lies and being violent and difficult.
By primary school they were committing property offences;
by 10 they were smoking cannabis; by intermediate school they were
violent; and by their early teens they had usually dropped out of
school.
"Most youth offending we don't need to be hysterical
about, but these kids we do need to be," Judge Becroft said.
But Children's Commissioner Cindy Kiro said labelling
children as potential offenders was worrying.
"If we can identify young offenders by three,
then it begs the question of why we don't stop them with early intervention,"
she said yesterday.
Judge Becroft said help was desperately needed for problem children
and their families. "The earlier the better. If the community
really took seriously criminal offending, we would have comprehensive
earlier intervention."
Child development researcher Richie Poulton said the
disorder was caused by a combination of genes and upbringing.
"Spotting what trajectory kids are on is critical.
Human beings are malleable – you can make a difference if
you intervene early."
Professor Poulton told conference delegates, including
health, education, justice and welfare officials, that the gene
that caused the serious behaviour problems was almost always triggered
by a child's environment.
"Genes don't operate in isolation. It is childhood
maltreatment that turns the gene on and off."
Youth Horizons clinical director Justine Harris said
there was no doubt many serious violent criminals of the future
could be identified at preschool.
"We're saying you need to be really targeting
this specific group because they are going to do the most damage."
The non-profit organisation is one of a few that deal
with conduct disorders. Government funding allowed it to treat only
65 young people last year, Ms Harris said.
Though some pilot studies and programmes were under
way to help identify and work with these children, Judge Becroft
and Professor Poulton said government agencies needed to cooperate
on the issue.
"The cynic from the grandstand would say the
long-term benefits would be seen from 15 years," Judge Becroft
said.
"Early intervention is not compatible with three-year
election cycles."
Child, Youth and Family said yesterday that it had
set up an inter-agency working group to tackle the disorder, and
opened a residential home in Lower Hutt last year to run programmes
for those with severe behaviour problems.
Sadly a number of grandparents who are raising grandchildren
have these types of children living in their homes. In some cases
for grandparents the early child abuse of these children was prolonged
and has indeed hard wired some children. This is something we have
been raising for some length of time and it is not surprising at
all. Children who have had abuse and neglect in early childhood
need ongoing psycho therapy and counselling for many years. But
the Mental Health system is in disarray and the waiting lists are
long. Paying for a private practitioner is often out of the Grandparents
finances.
It stands to reason that when we in NZ have one of
the highest rates of child abuse in the Western world then of course
we are going to go on and have children like this. Oh and just for
good measure the reports on the radio this week state that child
abuse is on the up yet again. Now, wouldn’t it make sense
for the Family Courts to order therapy for all young children whom
have suffered abuse and neglect at the time of giving custody to
the Caregiver. Also CYF need to take some of this responsibility
when the children are under their care and protection, this needs
to be done sooner rather than later.
Caregiver Training for September: Free
To register: please contact Maxine Carroll on 0800 227 305 or fax
04 9132168.
CYF will reimburse petrol money and child care costs.
EAST/WEST
01 & 02
September
Wanganui
CI
AUCKLAND
02 & 03
September
Waitakere
CI
BOP/NP
05 & 06
September
Whakatane
NV
EAST/WEST
07 & 08
September
Napier/Hast/CHB
SC
WELLINGTON
08 & 09
September
Porirua
CH
AUCKLAND
09 & 10
September
Auckland South
CI
BOP/NP
10 & 11
September
Hamilton
OC
WELLINGTON
13 & 14
September
Wellington
CI
WELLINGTON
15 & 16
September
Lower Hutt
CH
LOWER SOUTH
15 & 16
September
Oamaru
UM
BOP/NP
17 & 18
September
Rotorua
LI
AUCKLAND
16 & 17
September
Waitakere
MB
LOWER SOUTH
17 & 18
September
Dunedin
CI
NORTHLAND
17 & 18
September
Whangarei
OC
LOWER SOUTH
22 & 23
September
Christchurch
OC
About Strengthening Families
Strengthening Families is a major new strategy that improves the
wellbeing of families. It is supported by the Ministries of Health
and Education, the Ministry of Social Development and many other
agencies involved in, or associated with, providing social services.
It involves government and non-government agencies working together,
and with their respective sectors, to achieve better outcomes for
families at risk.
Strengthening Families arose from several local and
national contributing factors. These included concern about intergenerational
cycles of disadvantage and the level of long-term dependency on
welfare that some families face. There was also concern about gaps
in services at the local level and the recognition by the health,
education and welfare sectors that there were many common areas
of concern, for example common clients in common areas of New Zealand.
Strengthening Families aims to achieve:
· better outcomes for children by helping families
meet their care, control and support responsibilities
· improvements in families' abilities to resolve
difficulties and problems, and maximise the outcomes and opportunities
for their children
· clearer definitions and better collaboration
between the health, education and welfare sectors locally and nationally
· better use of existing resources.
How Strengthening Families is achieved
There are two main areas of work in the Strengthening
Families strategy: local level co-ordination and national level
co-ordination. This is a referral service which can be used by any
organisation. After establishing what the difficulties are the Strengthening
Families Co-ordinator will call in the appropriate organisations
along with the family to set up the outcomes for the family. The
contributing Agencies will then be accountable for the objectives.
Strengthening Families locations are:
North Island
South Island
Northland
Warkworth /
Wellsford
Rodney
Hibiscus Coast
North Shore
Waitakere
Auckland
Counties-Manukau
Whitianga
Huntly
Ngaruawahia
Hauraki
Waihi/Waihi Beach
Matamata-Piako
Hamilton
Te Kuiti
South Waikato
Taupo/Turangi
Tauranga
Rotorua
Eastern Bay of Plenty
East Coast
Gisborne
Wairoa
Hastings/Napier
Central Hawkes Bay
Taranaki
Taumarunui
Wanganui
Manawatu
Palmerston North
Tararua
Wairarapa
Horowhenua
Kapiti
Porirua
Hutt Valley
Wellington
Nelson
Tasman
Golden Bay
Marlborough
Kaikoura
Buller/Westland
Waimakariri
North Canterbury
Christchurch
Mid-Canterbury
South Canterbury
Waitaki
Central Otago
Lakes District
Dunedin
Queenstown
South Otago/Clutha
Ranfurly
Gore
A new member joins the Counselling service at Barnardos.
I (Toni Wallace) come from a clinical psychology background, and
have worked with children and adolescents in a community mental
health service, and before that with adults in an inpatient mental
health setting. I really enjoy the energy of kids and look forward
to working with groups and helping facilitate new adaptive learning
for them.
We have a strong belief from our experiences with
the programmes we offer and our involvement with the children and
their families, that every child and family in our community can
gain benefits from attending the groups. As always, we remain as
flexible as possible and open to your enquiries.
We want to particularly promote this year our Separation
Group for Children. We think it is very important for children of
separated families to be able to talk about their experiences in
a safe environment, and to hear that other children have the same
issues to deal with.
The programme runs for 4 weeks for the children only,
featuring;
1. Changes, Grief and Loss 2. Feelings 3. Problem
solving 4. Self-esteem.
The All About Me programme continues to follow the
same format, of 6 themes covered over 6 sessions. The themes feature:
1. Communication Skills
2. Feelings and Behaviour
3. Recognising and Dealing with Anger in a positive
way
4. Sorting out Problems
5. Handling Put Downs
6. Self Esteem and Feeling Good about Myself
Parental involvement is seen as very important to
the success of the program, and parents are encouraged to attend
a parent session, which is held after the children’s session
each week. This time gives parents the opportunity to find out about
the activities the children have worked on and to better understand
the skills their child will be practising at home.
The planned programmes for Terms 3 & 4 (2005)
are as follows:
Term 3
All About Me
7-9 yrs
runs weekly for 6 weeks, 0900 – 1030 on Wednesdays.
Commences
Wednesday August 3rd
Concludes
Wednesday September 6th
Separation
7-9 yrs
runs weekly on Tuesdays for 4 weeks, 0900 - 1030
Commences
Tuesday August 30th
Concludes
Tuesday September 20th
Term 4
All About Me
10 – 12yrs
6 weekly sessions, 0900 – 1030 on Wednesdays
We also provide individual counselling for parents
and /or children 4-12yrs old depending on the needs.
We welcome enquiries and referrals from parents, schools,
lawyers, community organisations, government departments, doctors
and anyone else interested in the programmes. Please phone us, Linda
and Toni
Oppositional Defiant Disorder Treatment. ODD, by Anthony
Kane, MD
Introduction
Oppositional Defiant Disorder (ODD) is a psychiatric
behaviour disorder that is characterised by aggressiveness
and a tendency to purposefully bother and irritate others. These
behaviours cause significant difficulties with family
and friends and at school or work.
Description
Oppositional defiant children show a consistent pattern
of refusing to follow commands or requests by adults.
These children repeatedly lose their temper, argue with adults,
and refuse to comply with rules and directions. They are easily
annoyed and blame others for their mistakes. Children with ODD show
a pattern of stubbornness and frequently test limits, even in early
childhood.
These children can be manipulative and often induce
discord in those around them. Commonly they turn attention away
from themselves by inciting parents and other family members to
fight with one another.
Behavioural Symptoms
Normal children occasionally have episodes of defiant
behaviour, particularly during ages of transition such as 2 to 3
or the teenage years where the child uses defiance in an attempt
to assert himself. Children who are tired, hungry, or upset may
be defiant. Oppositional defiant behaviour is a matter of degree
and frequency. Children with Oppositional Defiant Disorder display
difficult behaviour to the extent that it can interfere with learning,
school adjustment, and, sometimes, with the child's social relationships.
Common behaviours seen in Oppositional Defiant Disorder
include:
Losing his temper
Arguing with adults
Actively defying requests
Refusing to follow rules
Deliberately annoying other people
Blaming others for one's own mistakes or misbehaviour
Being touchy, easily annoyed
Being easily angered, resentful, spiteful, or vindictive.
Speaking harshly, or unkind when upset
Seeking revenge
Having frequent temper tantrums
Many parents report that their ODD children were rigid and demanding
from an early age.
Diagnosis
The diagnosis of ODD is not always straight forward
and needs to be made by a psychiatrist or some other
qualified mental health professional after a comprehensive evaluation.
Causes
It is not clear what causes Oppositional Defiant Disorder.
There are currently two theories.
The developmental theory suggests that ODD is really
a result of incomplete development. For some reason, ODD children
never complete the developmental tasks that normal children master
during the toddler years. They
get stuck in the 2-3 year old defiant stage and never really grow
out of it.
The learning theory suggests that Oppositional Defiant
Disorder comes as a response to negative interactions.
The techniques used by parents and authority figures with these
children bring about the oppositional defiant behaviour.
Co-morbidity
Oppositional Defiant Disorder usually does not occur
alone.
· 50-65% of ODD children also have ADD ADHD
35% of these children develop some form of affective
disorder
20% have some form of mood disorder, such as Bipolar Disorder or
anxiety
15% develop some form of personality disorder
Many of these children have learning disorders
Any child with Oppositional Defiant Disorder must
be evaluated for other disorders as well. If your child has ODD
it is imperative to find out what are the -existing problems. This
is the key to treating the condition, as we shall soon discuss.
Prognosis
So what happens to these children? There are four
possible paths.
Some will grow out of it. Half of the preschoolers
that are labelled ODD are normal by the age of 8. However, in older
ODD children, 75% will still fulfil the diagnostic criteria later
in life.
The ODD may turn into something else. 5-10 % of preschoolers with
ODD have their diagnosis changed from ODD to ADHD. In some children,
the defiant behaviour gets worse and these children eventually are
diagnosed with Conduct Disorder. This progression usually happens
fairly early. If a child has ODD for 3-4 years and he hasn't developed
Conduct Disorder, then he won't ever develop it.
The child may continue to have ODD without any thing else. This
is unusual. By the time preschoolers with ODD are 8 years old, only
5% have ODD and nothing else.
The child develops other disorders in addition to ODD. This is very
common.
Treatment
Medical Intervention
There have been some recent studies that have examined the effects
of certain medications on Oppositional Defiant Disorder. All the
research is preliminary and just suggests that certain treatments
may help.
One study examined the use of Ritalin to treat children
with both ADHD and ODD. This study found that 90% of the children
treated with Ritalin no longer had the ODD by the end of the study.
The researchers skewed the results a bit. A number of children were
dropped from the study because they wouldn't comply with the treatment
regimen. Still, if these children are included as treatment failures
the study still showed a 75% success rate.
There have been two studies examining the effect of
Strattera on children with both ADHD and ODD. One study showed that
Strattera helped with ODD, one study showed it did not help.
There was a large Canadian study that showed that
Risperdal helped with aggressive behaviour in children with below
normal intelligence. It did not matter if the child had ADHD or
not.
There was study showing that 80% of children with
explosive behaviour improved when given the mood stabilizer, divalproex.
There was another pilot study examining the use of
Omega-3 oils and vitamin E in ODD children. Both helped the ODD
behaviour to some degree.
Psychological Intervention
Parent management training is still viewed as the main treatment
for Oppositional Defiant Disorder. Our program, How to Improve Your
Child's Behaviour which is available online, or some other parent
training program is still considered essential if you want to help
your child. Also, the younger your child is when you enrol in such
a program, the better the results.
Conclusion: Advice to Parents
Currently, there is still far too little research on this very common
disorder.
Medically, the most important consideration is to
treat other disorders that come along with ODD. Considering that
Ritalin may help alleviate the problem in 75-90% of ODD children
who have ADHD, and considering that most children with ODD also
have some degree of ADHD, I feel that it is very worth your while
to try your ODD child on Ritalin unless you know for sure that he
does not have ADHD. The other treatments may also be worth a try
depending upon the nature of your child.
I feel that using Omega-3 supplements and a vitamin
E supplement should be tried in all children. This is because most
children are deficient in these nutrients. Even if it does not help
with the ODD, it should make your child healthier.
Parent training is still the most effective means
of dealing with Oppositional Defiant Disorder. The two main drawbacks
of most of these programs are the expense and the availability.
Some practitioners charge $100 or more per visit and
considering the program will take several months costs add up. Insurance
usually will not pay for such programs. Many parents complain to
me that they can not afford the program that their child so desperately
needs.
In addition, these programs are not available everywhere.
Over the years, numerous parents have told me that where they live
there are no programs for Oppositional Defiant Children.
I created How to Improve Your Child's Behaviour to
address these two problems. It allows parents to help their children
regardless of where they live and at a cost that is less than one
office visit. Even though it was an experiment to try to administer
such a program online and to date no one else is doing this, over
the past two years How to Improve Your Child's Behaviour has proven
time and again to help parents gain control of their defiant children.
It is tough to live with children who have ODD. However,
if you make sure that your child has his other problems addressed
and you improve your parenting skills by enrolling in a parent training
program, you can do a great deal to improve your child's condition
and his future.
your 2-year-old from having temper tantrums and you
can't stop your teen from relying on peers and go back to relying
on you.
Q. My teen often answers questions with one-word answers.
It makes me feel distant and estranged from her, though she's a
great kid and has great conversations with friends, from what I
can tell. Should I be worried?
A. It is not unusual at all for teens to speak to
their parents with one-word answers. "Where are you going?"
"Places." "When will you be back?" "Sometime."
"Who will you be with?" "People."
But your final response should be, "I need more
information."
That being said, the days of your child bounding in
the front door with the details of her day are over. She's breaking
away from you so that she'll eventually be able to stand on her
own as a young adult. Peers bridge the gap between dependence on
parents to becoming a full-functioning independent adult. That's
why she talks non stop to peers but not to you.
Many parents wish their teens could sidestep this
attraction to peers, but it's not part of the developmental plan.
You couldn't stop
Some parents mourn this loss of their child's closeness.
Of course you miss those conversations and friendly interactions.
Once your child moves out after high school and establishes herself
confidently as a young adult, she'll come back for easy conversations
and even ask for advice. But in order to determine who she is right
now, she needs to separate from you.
Keeping Her Safe
Your job, however, is to keep her safe -- and that
requires knowing where she is and who she is with. It's okay to
press her, and insist on knowing her whereabouts. Let her know clearly
that it's not because you want to dominate her life and control
her; it's because it's a safety issue for family members to keep
track of one another. Understand that she probably won't say, "No
problem." She's more likely to huff away.
But let her. To be compliant and agreeable equates
to dependency. And teens are not necessarily doing their developmental
homework when they're sweet and pleasant.
Lastly, when she's home and sits down to eat a meal,
sit down with her. Don't pump her for information, but open up to
her about your life. Tell her of a juicy incident at the office,
let her in on a bit of family gossip, and explain an outrageous
piece of news. It's complimentary to teens that you see them as
old enough to be in on a few intimacies of your life. Although there
are no guarantees, by letting a teen in on your life, she just may
let you in of hers.
School Refusal
Q. “How do I get my nine-year-old daughter to
school? She seems to have tummy aches or headaches constantly, and
misses several days of school each week. Any suggestion that she
must go, she screams and cries and seems to be genuinely afraid
of going to school. What can we do?"
A. Situations like this require a firm hand. Do not
be tempted to wait and hope that she will eventually go to school
by herself. If left too long, she may never go back (seriously,
it can happen!).
At the same time, recognise that her anxiety and distress
are genuine. Getting angry at her will not work.
Try to work out if her fear is about going to school
(school phobia), leaving you or home (separation anxiety), or going
into crowded public places (agoraphobia).
If it might be the first, check if she is being bullied,
teased, embarrassed, or abused at, or on the way to, school. Work
closely with the teachers to identify and deal with any problematic
situations.
Take her to the doctor for a complete physical examination.
Tell the doctor the whole story and ask him to rule out any serious
illnesses. Once the doctor has done this, believe him! Do not chase
after ever more expensive tests. From this point onwards your assumption
is that the child is well and so should be in school. Give her firm
and confident reassurance that both she and you will be fine when
she is there. If she complains again of being unwell you then have
two options:
The first is that you insist that she go to school
unless there is clear, measurable, evidence that she is sick, for
example having a temperature, obvious diarrhoea and vomiting, etc.
Just "feeling unwell" is not enough to miss school, after
all, many adults have to go to work with headaches or other symptoms.
The second option is to "believe" her. Since
she says she is too unwell to go to school, then clearly she is
too unwell to be up and about the house. If she is sick then she
is sick, and so she goes to bed: lights off, curtains closed, no
TV, no special snacks. Ignore her and go about your normal daily
routine. Make sure that the option of staying home is boring. If
she is not sleeping then, ideally she should be doing some school
work. Certainly there should be no friends or visitors to entertain
her.
Along with this, set up clear incentives (rewards,
privileges) for getting to school.
You must be tough and firm, but also calm, about all
of this. Be clear that you expect her to be at school, but do not
get into a fight with her about it. The goal is for her to want
to get back as quickly as possible. Once there, and she discovers
that nothing does happen to her or to you while at school, the symptoms
of depression and anxiety should rapidly resolve.
If none of this works, or if you are concerned about
a serious depression or anxiety disorder, seek professional help
through your family doctor.
But please, don't just hope it will go away on its
own. You need to take some decisive action.
Di’s Little OE:
Our new Waiheke GRG Support group asked me over to
give a speech. For those not in Auckland, Waiheke Island is 45 minutes
by ferry from Devonport. I purchased my return ticket from Fullers
Ferry Services and asked the girl which gangway was I to go down
and she pointed to the right. Now it was bedlam in the building
as the last rugby Test match was to be played that evening and the
building was a sea of red jackets moving very slowly.
The boat arrived and I boarded along with many others.
Once settled I thought this was odd as ferry was heading back to
Auckland. Oh well I thought perhaps it picks up more people from
the city then head out to Waiheke. Low and behold after going to
the city we headed back to Devonport again. This was most odd so
I asked an attendant and he told me ‘no this boat just goes
back and forth to the city’. He stated that I was to run too
as the Waiheke boat was just over to the left. As I tried to get
thru the sea of red jackets the boat left.
I went and spoke to the girl at the counter, and told
her she had told me the wrong boat and I was expected on the Island
to do a speech. She grabbed the RT and called the captain of the
ferry, hats off to her she admitted it was her fault and unbelievably
the Ferry turned around and came back again. Of course most of the
red jacketed people wanted to know what was going on and crowded
out on to the decks. Probably after the bombings in London (shocking)
they were alarmed. A very embarrassed Di boarded the Ferry and slunk
quietly in a corner. I did eventually get to Waiheke, where I was
to learn from the Island folk that this Ferry never comes back for
anyone unless you are the PM or royalty. Mmmmm better stick close
to home, but then again……
Citizens Advice Bureau:
These offices are a mine of information on all manner
of things. Telephone 0800 367 222 and this will automatically put
you through to your local office.
Harry Potter:
The much anticipated release of this book saw my grand-daughter
head to her room for a whole day (10 hours) and evening reading,
with short stops for meals. If nothing else this series had encouraged
a generation to read, bit like our days but it was “Famous
5” and the “Secret Seven” by Enid Blyton.
New GRG Web Site:
Development and construction of this upgrade began
on July 25th and will take 8 weeks before ready.
Will keep you posted.
Di
National Convenor and the team.
E te Atua, aroha mai..... O God shower us with love
Ka kite
* Please feel free to send this report on to others
whom you think may be interested:
* Please pass this on to other grandparents/kin carers
you know of.
* Views expressed in this newsletter may not be the
views of the GRG Trust.
* GRG Trust Head Office hours are 9am-3pm daily. (We
raise grandchildren too)