types of rewards for ADHD children

 

Rewards

Daily rewards

·     Snacks

·     Desserts after dinner

·     Staying up X minutes beyond bedtime

·     Having a bedtime story/reading with a parent for X minutes

·     Choosing radio station in car

·     Extra bathtub time for X minutes

·     Choosing family T.V show

·     Talking on phone to friend(local call)

·     Video game time for X minutes

·     Playing outside for X minutes

·     Television time for X minutes

·     Listening to radio/ stereo for X minutes

·     Other as suggested by child

Daily or weekly rewards

·     Going over to a friends house to play

·     Having a friends come over to play

·     Allowance

·     Bike riding/ skating/ scootering/ skateboarding (in neighbourhood for daily reward: longer trip with family or bike rewards)

·     Special activity with mom or dad for X minutes

·     Earn day off from chores

·     Game of choice with parent/ family

·     Other as suggested by child

Weekly rewards

·     Making a long distance call to relatives or friends

·     Going to the video arcade at the mall

·     Going fishing

·     Going shopping / going to the mall

·     Going to the movies

·     Going to the park

·     Getting ice cream

·     Bowling, miniature golf

·     Selecting something special at the store

·     Making popcorn

·     Having friend over to spend night

·     Choosing family movie

·     Renting movie video

·     Going to the fast- food restaurant with parent and or family

·     Watching taped T.V shows

·     Other as suggested by child

Older children could save over weeks to get a monthly (or longer) reward as long as visual (eg. pieces  of picture of activity) are used;

e.g., camping trip with parent, trip to baseball game, purchase of a videogame cartridge.

Rewards for an individual child need to be established a a menu. Children may make multiple choices from the menu for higher levels of reward, or may choose a longer period of time for a given reward.

 Sample school rewards

·     Free time for X minutes

·     Talk to best friend

·     Listen to tape player (head phones)

·     Read a book

·     Help clean up classroom

·     Clean the erasers

·     Wash the chalkboard

·     Be teacher’s helper

·     Eat lunch outside on a nice day

·     Extra time at recess

·     Write o chalk board

·     Use magic markers

·     Draw a picture

·     Choose book to read to the class

·     Read with a friend

·     Care for class animals

·     Play”teacher”

·     See a movie/filmstrip

·     Decorate bulletin board

·     Be messenger for office

·     Grade papers

·     Have treats

·     Earn class party

·     Class field trip

·     Student of the day/ month

·     Pop pocorn

·     Be a line leader

·     Visit the janitor

·     Use the computer

·     Make ice cream sundaes

·     Teach a classmate

·     Choose stickers

·     Take a good note home

·     Receive a positive phone call

·     Give lots of praise

·     Hide a special note in desk

·     Choose seat for specific time

·     Playing card games

·     Receive award certificate

·     Take polaroid pictures

·     Draw from “grap bag”

·     Eat at special table

·     Visit the principal

COORDINATION TEST

Coordination Test

1.  Finger to nose

1.  shoulder abducted 90 degree - Elbow extended

2.  Finger to  therapist  finger\

1. Sit opposite each other

2.  index finger

3.  finger to finger

1.  Both shoulder abducted to 90 degree with elbow extended

4. Alternate nose to finger

1.  Alternately touches the tip of his or her nose And the tip of the therapist finger

5.  Finger opposition

1.  the patient touches the tip of the thumb to the tip of each finger in sequence

2.  speed may be gradually increased

6.  mass grasp

1.  An alternation is made between opening and closing fist ( from finger flexion to full extension)

7.  pronation /supination

1.  Elbow flexion 90 degree and held it close to body

2. The patient alternately turns the palm up and down

3. Shoulder 90 Degree and elbow extended

4.  Gradually increased

8.  Rebound test

1. The patient is positioned with the elbow flexed

2. The therapist give resistance

3. Suddenly released

4.   contraction in elbow extensor

9.  Tapping (hand)

1.  Tap the hand alternatively

2.   Use both the hand

10.   Tapping ( foot)

1.  Tab  both legs alternatively

11.  Alternate heel to toe, knee, heel to toe

1.  Supine  position

2.  Touch the knee and big toe  with opposite extremity

12.   Toe to examiner finger 

1.  Supine position

2.  touch the great toe  to examiner’s finger

13.  heel to chin

1.  Supine position

2.  The heel of one foot is slight up and down the chin of the opposite lower extremity

14. Drawing a circle

1.   Figure 8 pattern

2.  I en air with upper extremity

3. Lower extremity supine position

15.  Fixation or Position  holding

1. Upper extremity:  the patient hold arms horizontally in front (Sitting or standing)

2.  Lower extremity: The patient hold the leg  in extension in sitting