Month: March 2019

Guardianship and Alternatives for Young Adults with Disabilities

  • When people turn 18, they are legally adults.
  • They make their own medical, legal, and financial decisions.
  • This can be scary for families and young adults.
  • Parents want to stay involved with decision-making and meetings.
  • Guardianship is one way to address this.

Family discussion

 

Guardianship

  • A court decides if a person needs a guardian.
  • A Guardian will  make decisions for them
  • Guardians are a good idea for people who may never be able to make their own decisions.
  • Guardians should get training to learn their role.

Alternatives to Guardianship

 Power of Attorney:

  • A person can choose to have one and what areas they want them to help with.
  • A person can remove them when they are ready.
  • This is a good choice for people who need help now but will be able to make their own decisions one day.

Money Supports

  • Conservators, rep payees, and joint bank accounts can help manage money.

Health Care Proxy

  • The person chooses who will make medical decisions for them if they are unable to make them.

Supported Decision Making

How to Decide What Supports are Needed

Recommended reading:

 

Reversing a Guardianship Agreement

The Arc- Guardianship and Alternatives

 

My child does not want to go to school

Children walking to school
Children walking to school

As a doctor for children, I often talk to parents about school refusal. There are many reasons  why children do not want to go to school and the reasons change with age.

Here I summarize a list for the most common causes of school refusal. Some are typical for age and some require help and support.

Separation anxiety. Children who become very sad and worry when their parents leave. It can start at 6-7 months of age. Peaks at age 15-18 months. Most children cry when parents leave, but can calm fast and they are happy to see their parents at pick up time. Children who cannot calm down, refuse to play with other kids, may need help.

Light bulbWhat parents can do;

  • Talk to your children about school in simple words “its School time, play time”.
  • Remind them of things they like to do at school.
  • Use rewards. A reward can be a fun activity that you do together.

Performance Anxiety. Definition: Children who escape certain class activities. Examples are; reading in front of the class or being called on to answer questions.

Light bulbWhat parents can do;

  • Talk to teachers, they will give important information about how your children are doing in the classroom.
  • Work with the teachers to make a plan, for example; allow time for them to raise hand or practice reading before the class starts.
  • Use stars reward system for “reading out loud”.
  • Tell them you are happy with their hard work, even if they were not successful.

Learning Disability (LD). Definition: difficulties with school academics. Difficulties can be in; reading, writing, math or in more than one topic.

Light bulbWhat parents can do;

ADHD. Definition: It is a medical condition that makes it difficult to listen and pay attention. It is due to changes in the brain chemicals. ADHD is more noticed when children move to higher grades. Children with ADHD can be misunderstood. As a result, making friends can be hard.

Light bulbWhat parents can do;

  • Talk with the teachers. Ask if your children act same at home and school?
  • Talk to your doctor. ADHD is very common and can be treated with medications and some additional help at home and school.
  • Schools can help and support children with ADHD. Know your rights, students with ADHD

Bullying. Definition: when a person or a group repeatedly harm someone. It can be; physical, calling out names or using the social network to post bad things.

Light bulbWhat parents can do;

  • Ask Children if they ever get hurt in school or called names.
  • Ask the school counselor and the teacher to help you find out more if you have any reason to think about your children being bullied.
  • Get children help through therapist, share with your school and your doctor.

 

Depression. Definition: low mood and loss of interest in fun activities. It is more common among older children/teenagers. Depressed children can be irritable or angry not sad. It is important to notice any other changes to your children mood and behaviors at home.

Light bulbWhat parents can do;

  • Talk to the school counselor, your doctor or someone in your community to help you with resources.
  • Always look for expert help.

Resources: