School Health Project

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• School Health Project

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OBJECTIVES

• Create awareness Need
  for Mental Health.
• Evaluate Mental Health status of
  Adolescents particularly their difficulties in
  various spheres of personality development.
• Understand Teachers Perception and Self-role
  in spotting the nature of Mental Health
  difficulties in the Adolescent
• Plan Preventive and Therapeutic Measures-Non
  Medicinal and Homoeopathic Interventions.

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• When to refer for psychological testing ?

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Psychological Tests

• It is the structured technique used to
  generate a carefully selected sample of
  Behavior Individualized response.

Behavior Sample is used to make inferences
about the psychological attributes of the
peoples behavior that is to be tested E ,g. -
Intelligence - Self- Esteem

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Assessment

• Uniform
• Objectives
• Interpretable.

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Types of Tests

• Achievement Tests Educational purpose.
• Ability Tests Measure the Capacity
  /Potential of an Individual
• Aptitudes OR Intelligence
• Personality

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• Reliability
• Validity

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INTELLIGENCE

• It is a cognitive ability of an individual to
  Learn from experience, to Reason well and to Cope
  up with demand of daily living

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INTELLIGENCE TESTS

• Stanford Binet Intelligence Mentally
  retarded children

Wechslers Tests developed tests for all age
group children
MISIC Malians Intelligence Scale for Indian
Children
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Subtests in the test
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Subtests in the test
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Background Information

• Mast S. a student of 4th std, was referred by the
  school for treatment of behavioral problems and
  frequent school absentees.
• The mother of the child is also creating some
  difficulties for the class teachers by meeting
  the Principal and complaining about their
  handling. So teachers also were eager to solve
  his problem.

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Preliminary Data

• Family set up
• Nuclear family
• Father 42 yrs, Senior Technical Engineer in
  TAPS
• Mother 39 yrs, Housewife
• Elder brother15 yrs old ,studying in 11th std.
• Both Grandparents visit regularly esp. Paternal
  Grandparents stay for few months
• Both of them are retired.

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OPD Case-2 Mast. S.S.S.
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OPD Case-2 Mast. S.S.S.
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OPD Case-2 Mast. S.S.S.

• Clinical Diagnosis
• Attention Deficit Disorder of Inattention type
  with Learning Disability
• with Expressive language difficulty

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DEFINITION of Learning Disability

• LD is a general term that refers to a
  heterogeneous group of disorders manifested by
  significant difficulties in the acquisition and
  use of listening, speaking, reading, writing,
  reasoning or mathematical abilities. These
  disorders are intrinsic to the individual,
  presumed to be due to central nervous system
  dysfunction, and may occur across the life span.

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Criteria for Learning Disability

• IQ average/ above average
• Visual acuity max 20/40 with best correction
• Auditory acuity max 30-35 decibel with best
  correction
• Only minor motor defects
• No primary emotional conflicts

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CHARACTERISTICS OF LEARNING DISABILITIES

• Hyperactivity and attention deficit
• Memory Disorders
• Specific Learning Disabilities in the areas of
  reading, writing and arithmetic
• Perceptual Impairment
• Disorders of speech
• Disorders of Listening

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CAUSES OF LEARNING DISABILITIES

• Causes related to the Nervous System
• Neurological Damage
• Maturational Delay
• Genetic Factors
• Biochemical Factors
• Nutritional deficiencies

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Important factors in Learning Disabilities

• The Achievement- Intelligence Discrepancy
• Ruling out other handicaps
• Central Nervous Dysfunction LD

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READING DISORDER (DYSLEXIA)

• Definition of dyslexia
• It is a specific language-based disorder of
  constitutional origin characterized by
  difficulties in single word decoding, usually
  reflecting insufficient phonological processing

• The disorder exhibit three key symptoms
• Inaccurate reading
• Slow reading
• Poor reading comprehension

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Family dynamics at the time of conceptions
OPD Case-2 Mast. S.S.S.
Disturbed state of mother
Birth
Shifted to B-predominance of Hindi language
Up to 5 yrs Good language command
Active, Attractive, Talkative, Artistic, Bold,
Inquisitive
Since 2-3 yrs
Difficulties with teachers
Gradual starting of the complaints.
Mother is in Depression
Stresses of child
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• Add from AECS-III presentation

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Dispositional Qualities

• Active
• Affectionate
• Tendency to form easy rapport.
• Talkative
• Artistic
• Bold
• Inquisitive
• Manipulative
• Moody
• Sensitive to scolding /Reprimanded.

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Psychological Report

• Informal Assessment
• Motor abilities
• Can jump and run well.
• Can ride bicycle.
• Can tie shoelaces and button up.
• Can fold and cut paper.

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Psychological Report- cnt

• Writings
• He has untidy handwriting and often mixes up the
  upper and lower alphabet scale. Has difficulty in
  remembering the sequence of alphabets.
• Omission
• Aero plane- aroplane
• State stat
• Library- libray.
• Additions
• Tasty teasty
• Buffalo- buffalow
• Reversal
• Thirty-thrity

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Psychological report cnt..

• Concepts
• He needs to be explained about the concepts of
  rhyming words opposite words.
• He had difficulty in describing pictures which is
  indicative of Expressive Language Difficulty.

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Psychological report cnd.

• Psychological report 10th December 08
• Test Administered- MISIC Malians Intelligence
  Scale for Indian Children

Test Results
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ROLE OF REMEDIATION IN LEARNING DISABILITIES

• Tell me and I will forget,
• Show me and I will
  remember
• Involve me and I
  will understand
• Individualized Educational Plan (IEP) is a heart
  of a remedial programme.

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Plan of Management
For Child

• Remedial Education
• Individual Educational programme IEP
• Lot of learning skills
• Plan of motor activities to improve motor
  coordination- to improve writing speed
• Plan to improve his Attention span-
• Plan to reduce in restlessness-activities
• Plan to improve his Mood.

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Plan of Management
For parents

• Counseling of the parents.
• Handling of Mood of the mother.
• Acceptance of the Limitations of the child
• Role of Firmness Need of the uniformity in
  handling the child.
• Motivational support from family.

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Homoeopathic Intervention

• Totality
• A/ F Vexation
• Affectionate
• Artistic
• Manipulative
• Lean, Thin
• Cr.Chocolates3,
• Cold Drinks3 ,
• Pungent 3,
• Non-Veg3,Fish 2, Chicken2 , Sweets2

• Remedies
• Lycopodium
• Natrum. Mur.
• Cal. Phos

Final Choice Natrum .Phos
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Follow ups

• Regular to school
• No school absentee in last almost one and half
  months.
• Started writing in cursive writing
• Expresses desire for reading- though
  infrequent.
• Attention span has increased task completes
  with competition with Elder Br.
• Spelling mistakes are fluctuating .
• Mathematical calculation tries to follow
  steps.
• Do some of activity on his own.
• Restlessness is still present.
• Mood fluctuates with the interest in studies.

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THANK YOU