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Parents with children with special needs and how to treat the other siblings in the household. 

2/20/2014

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Parents or even caregivers with other children in the home sometimes forget about the other children in the home. It is important to keep in mind that the other children should be considered along with all factors in the home of a child with special needs. The following are some ideas that will optimized the effectiveness of your treatment package through the inclusion of the other children in the home. 
1.  Any reward program should be available to all the children in the home. If you child with special needs is receiving a token or reward system then include all children in this program. By including everyone the children all feel they are treated equally and will not feel resentment or anger towards the child with special needs when they receive reinforcers such as a cookie or an outing.  If the other children are resentful or angry that might result in more aggression and aggitation or non-compliance from the child with special needs. 
2.  When consequences such as loosing an outing occurs then you have a choice of either having both children loose the outing or making sure the child with good behavior gets some alternative reward.  The most important factor is that the child with special needs realizes he earns the outing only after good behavior.  In the case where the other child is good it is usually better to have both children loose the priveledges since that way the child without special needs may help his brother to avoid having tantrums in the future.  However, it can also be helpful to have the special needs child see the other child get the reinforcer for good behavior. Either method is useful. Parents should try to see which method results in more improvements in the children's behavior. The only crucial factor is that the consequence of not earning it for the special needs child is implemented consistantly.
3.  If the child with special needs requires alot of doctor appointments it may be helpful to take the other child with you and see the doctor for a general check-up or any minor issues they have. This will help to include him and avoid the situation in which the "normal" child is not getting as much attention and time from the parents. This can also be accomplished by offering another fun activity for the "normal" child while his sibling is at the doctor office. 
4.  If the child with special needs has special equipment such as ipad or toys it is good to provide the "normal" child with some other equivalent toy or equipment while working with the special needs child. What often happens is parents focus on teaching the special needs child something on the computer and the "normal' child begins to tantrum and resent the special needs child. This can be avoided by having similar alternative equipment or taking turns with the equipment you do purchase for the special needs child. 
5. If the "normal" sibling is able to understand the parent can ask him to help teach his brother something. This is useful since they can facilitate even more learning and even run some of the reward programs you have set-up for the special needs child.  A general description would be useful of what you are trying to teach his brother.  Try to avoid any negative statements about how smart he is and focus on just learning new things.  Always praise the "normal" child for helping by saying things like " you are so helpful you taught your brother to sing the alphabet!"

Generally, including the other siblings needs and assistance can promote faster progress for you child. The siblings are part of the family system and the enviorment that the special needs child lives in and can contribute to teaching and progress of your child with special needs.  If they are not considered or addressed it can actually slow the learning progress. All family members should be a part of the treatment plan!





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How do I relax when my kids are upsetting me!

2/19/2014

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Parents and Caregivers often become frustrated with clients or their own children. This occurs even more often when working with children with behavior problems or diagnosis such as autism.  The following are some tips for handling stressful days!
1.  Parents and Caregivers should plan time to take breaks from teaching and relax. Parents can do this by hiring a babysitter, having time for walks, taking deep breaths, relax each muscle systematically in your body,  count to ten or baths to relax. Time for yourself is important to keep your balance when dealing with difficult behavior problems.
2. Incorporate time for teaching your children into your routine so that you can accomplish errands and not become overwhelmed with activities in your day.
3.  When you realize you are feeling tired or stressed a quick trip to the bathroom, drink some cold water or other drink or to relax in a soft chair may help you to cope with a stressfull situation.  After you are calm then return to the situation and things will be easier to resolve. 
4.  If you child does something upsetting in a public place you may have to work on this problem at a later time. Perhaps roleplaying difficult situations after dinner or brainstorming theses situations will help you to avoid these upsetting situations in their future.
5.  Parents or caregivers can change a stressful situation into an appropriate one by simply changing the subject.  For example, the parent might say wow  look at the rain outside it is really pouring or I can't find my cellphone can you help me find it. 
6.  Parents can have cue words for their children that they say when they are getting upset so the child is aware and can avoid a big argument. Parents might say for example "use your words and ask me what you want". This is a good cue or reminder for the child and this can result in a more appropriate or less upsetting interaction with the parent. 
Parents and caregivers must realize that their own behavior can escalate a problem. By making efforts to relax, change the subject or talk about similar situations (role play) later you can reduce the number of situations that upset you and your child in the future. 
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