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Executive Functioning Guide for Children

Introduction

Executive functioning skills are critical cognitive processes that allow us to self-regulate and engage in goal-directed behaviour. This guide provides a comprehensive framework for understanding and supporting executive functioning in school-age children.


Why Executive Functioning Matters


Current Challenges

  • Mental health issues are rising among children and adolescents

  • Between 2016-2019, approximately 8.7% of children ages 3-17 had ADHD diagnoses and 7.8% had anxiety diagnoses

  • These rates continue to increase post-pandemic

  • Many schools lack adequate support systems


Key Executive Functioning Skills

  • Planning and predicting outcomes

  • Using past experiences to inform future decisions

  • Problem-solving independently

  • Adapting to changes and unexpected events

  • Developing multiple strategies ("Plan B" thinking)

  • Self-monitoring and adjustment

  • Breaking down complex tasks

  • Time management and resource planning

  • Social awareness and behavioural adaptation


Impact of Executive Dysfunction


Common Manifestations

  • Disorganisation and feeling overwhelmed

  • Slower task completion

  • Difficulty with social relationships

  • Challenges reading social situations

  • Emotional regulation struggles

  • Negative school experiences

  • Avoidance behaviours


The Anxiety Connection

  • Executive dysfunction often causes anxiety

  • Avoiding challenges increases anxiety

  • New experiences feel particularly stressful

  • Traditional interventions (like talk therapy alone) may be insufficient


Implementation Strategies by Role


General Education Teachers

  • Provide structured classroom environments

  • Use declarative language and model self-talk

  • Post clear visual expectations

  • Implement educational accommodations

  • Collaborate with special education staff


Special Education Teachers

  • Develop specialised supports

  • Provide additional scaffolding

  • Offer direct instruction in executive functioning strategies

  • Support skill application across settings

  • Collaborate on accommodation implementation


Teaching Assistants

  • Support independence vs. prompt dependence

  • Provide strategic cues and scaffolding

  • Assist with strategy implementation

  • Require proper training in executive functioning support


School Service Personnel (SLTs, Social Workers, Psychologists, etc.)

  • Embed executive functioning support in existing interventions

  • Address specific skill areas related to their expertise

  • Support social interaction and multi-step tasks

  • Provide direct strategy instruction when appropriate


Parents

  • Create structured home environments

  • Establish clear boundaries and expectations

  • Allow natural consequences

  • Support homework completion

  • Develop "real world" skills

  • Use visual schedules and analogue clocks

  • Assign age-appropriate responsibilities


Students

  • Participate actively in skill development

  • Use taught strategies

  • Make behavioural choices within their capability

  • Practice self-advocacy

  • Complete assigned responsibilities

  • Maintain basic organisation and hygiene


Leadership Implementation


Key Principles

  1. Executive functioning support should be a school-wide initiative

  2. One team member can lead implementation

  3. Leadership skills are essential for program success

  4. Integration into existing practices is crucial


Best Practices

  • Focus on skill building across environments

  • Avoid relying solely on reward systems

  • Emphasise independence over compliance

  • Build team collaboration

  • Provide ongoing staff training

  • Monitor and adjust strategies as needed

 
 
 

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National Neurodiversity Assessments trading as Speech and Language Therapy West Midlands Ltd

Sutton Coldfield, Birmingham, West Midlands

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