Executive functioning skills are behaviors that guide and complete actions. They are the skills we use, independently, to help us to complete tasks and achieve goals.
Think of them as not the individual skills of a task, but the behaviors needed to complete the task.
Executive functioning skills are crucial for academic success. These skills are not directly taught in school, through are expected to be utilized in the classroom setting. The independent use of skills, including initiation, problem-solving, working memory, inhibition and organization, is difficult for both adults and children.
Executive functioning concerns are seen in a variety of conditions and diagnoses including ADHD, Learning Disabilities, Anxiety, Depression, Autism Spectrum Disorder, and a variety of medical conditions. However, there are no specifics of what is necessary for a diagnosis of Executive Functioning Disorder in the Diagnostic and Statistical Manual 5th Edition (DSM-V).
Executive Functioning By Age:
During the preschool years, prefrontal brain systems undergo rapid changes such as making new neurological connections and speeding up how fast messages are transmitted in the brain. It is the time in which executive functioning skills, specifically inhibitory control, rule use, working memory, and motor persistence, play a critical role in the development of socialization and readiness for academic learning. The early years of schooling are learning how to be a student. There are many inherent structures and routines in place to help ensure the child completes work. As children get older the natural scaffolds of teacher interference and organization are removed, stressing the need for independence.
As children reach school age, executive functioning skills are central to successful acquisition and efficient use of academic skills, particularly in efforts to overcome learning problems of all kinds. At this age, children are expected to integrate multiple executive functioning skills as a means to complete longer tasks.
As these children age into adolescence, the demands of executive functioning skills increase tenfold. At this age, executive functioning difficulties are seen with spontaneous use of skills, strategic initiation of tasks, and mental flexibility. Meaning concerns are no longer with regard to impulse regulation but rather with initiating action on work/time management as well as developing organizational strategies to complete work.
Interventions for Executive Functioning:
A major component of intervention for executive functioning is that the techniques have to be in real-life contexts. Teaching skills during tasks that mimic academic and life demands results in better carryover of skill. This systematic approach to teaching problem solving with everyday activities is best. Familiar tasks should be used to learn skills initially. The use of novel tasks in the learning process will prove difficult due to perceived difficulty, stress or anxiety around possible failure.
Specifically, as the child learns to complete a multi-step task following a set sequence of steps (with multiple opportunities to practice the routine), the task becomes less novel. The child is then able to improve functional activities with less reliance on external cues.
Interventions must be rehearsed, coached, and practiced to support overlearning or automaticity in the environment in which they will be needed. This will explicitly support the “how and when” skills associated with the child’s unique areas of problem behavior.
There is also an emphasis on developing a child’s metacognitive skills. Metacognition is essentially thinking about thinking. You are teaching the child to think and plan ahead before diving into an activity or task.
A fourth principle involves structuring the child’s environment by establishing simplified, consistent routines for daily tasks. Teaching and carryover is most effective with accommodations and interventions across each environment. These accommodations could include verbal cues, nonverbal gestures, schedules, check-lists, alarm clocks, timers (auditory or visual), and/or environmental modifications.
Additionally, a motivational reward/consequence system, and/or self-talk methods can also be used to ensure success.
NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!