Guided Self-Management Tools For ADHD - Children 6-12

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The document discusses strategies for managing ADHD symptoms in children such as medication, behavioral techniques, and educational strategies. It focuses on strengthening behavioral and educational skills through worksheets teaching skills like organization, planning, problem-solving, and completing homework.

The document discusses strategies such as teaching parents how to increase structure at home, improve children's executive functioning skills like planning and organizing, and providing daily school check-ins with rewards for good behavior.

The guide teaches children skills like organizing their belongings, boosting self-esteem, remembering tasks, getting work done without distractions, and solving problems.

GUIDED SELF-MANAGEMENT TOOLS

FOR
ADHD
Children 6-12

Version 1.1
FOR PARENTS
GUIDED SELF-MANAGEMENT
Household Rules and Structure
These worksheets help you create and
FOR
ADHD Skill 1
apply rules and structure at home and set
clear and consistent expectations for your
child and family.

Homework Help
These worksheets provide ideas for
helping your child complete homework in
INTRODUCTION an easier and more organized way.
Skill 2
Children with Attention-Deficit/Hyperactivity Disorder, or
ADHD, often have difficulty paying attention, sitting still,
and/or acting impulsively. They can have trouble learning, Daily School Check-In
getting along with their peers, and behaving appropriately These worksheets help you link your child’s
at school or home. These challenges can impact behavior at school with rewards they can
children’s self-esteem and increase the likelihood they earn at home for good behavior.
Skill 3
develop depression, anxiety, and/or disruptive behavior
symptoms. Working with your child’s primary care team
can help you get ADHD symptoms under control.
The most effective interventions for managing ADHD FOR CHILDREN AND PARENTS
symptoms in children and teens typically involve a
combination of medication, behavioral techniques, and
educational strategies. For children below age 6, experts How to Solve Problems
usually recommend starting with behavioral This skill teaches your child to brainstorm
interventions. In this guide, we focus on strengthening different ways of solving a problem and,
behavioral and educational skills by: 1) teaching parents before taking action, evaluate which
how to increase structure at home and help with Skill 4 solutions are most likely to lead to success.
schoolwork; and 2) improving children’s ability to plan,
organize, and solve problems, skills that are commonly
referred to as executive functions. The worksheets in this How to Remember What I Need To Do
guide will explain the skills and help you and your child This technique helps your child keep track
try them at home. All of the skills included in our guide of important information, such as
are evidence-based, meaning they are strategies that deadlines for school assignments.
have been tested and proven to be effective through Skill 5
rigorous scientific research. Many families have found
these strategies to be beneficial; we hope they will work
for you, too. How to Get Things Done
This skill teaches your child to plan ahead
in order to start and complete tasks
SKILLS & EXERCISES without getting sidetracked, such as doing
homework assignments or chores.
Skill 6

Each of the skill handouts includes an explanation of the


skill, a description of how it will help your family,
instructions for how to use the strategy at home, and a How to Organize My Stuff
list of common questions and concerns parents and This strategy helps your child establish
children usually have, along with our answers. The first 3 organizational systems, such as organizing
skills are for parents, and the next 6 skills are for children, Skill 7 their bedroom, backpack, or schoolwork.
with suggestions for ways parents can participate. You
can read the scripts to younger children, and let older
ones choose if they want to read it themselves or follow How to Manage My Time
along with you. Work through the guide with your child These worksheets support your child in
and try out each new skill for about two weeks to see creating schedules, staying on task, and
which fit your family best. See what’s working and what’s meeting deadlines.
still challenging, then adjust as needed. Once you’ve Skill 8
found a set of skills that works for your family, keep at it
until it the routine becomes second nature. It may be
challenging at first, but the more you practice, the easier
How to Feel Good About Myself
it will get to make these skills and exercises a part of your
These exercises provide ways to identify
daily lives. Let us know how things are going and be in
your child’s strengths and boost their
touch if you and your child need any additional support self-esteem.
for management of ADHD symptoms. Good luck! Skill 9
PARENT HANDOUT:
HOUSEHOLD RULES AND STRUCTURE
ADHD Skill 1

WHAT ARE HOUSEHOLD RULES AND STRUCTURE?

Household Rules and Structure are strategies families use to organize their daily lives, create consistent
routines, and set clear expectations at home.

Applying rules and structure at home helps children complete everyday tasks, such as sticking to a schedule,
following family rules, getting ready for school or bedtime, and completing homework and chores. This helps
with children’s working memory, organization, and planning skills, which can be especially useful for children
with ADHD. This can make life easier and happier for the whole family.

Try some of the methods below to increase rules and structure at home and see how they work for your
family.

HERE’S HOW TO USE RULES AND STRUCTURE AT HOME

11 Stay Organized. Help your child organize their physical spaces by creating systems to keep things neat. For
example, encourage your child to have an assigned place for every object in their room. Then, have them regularly
spend a small amount of time cleaning up so that no one area ever gets too messy. Some ways to do this include
spending 5-10 minutes each day straightening up their room or backpack, or going through their belongings every
few months to donate or put away things that don’t get much use.

Tools such as planners, “to do” lists, and calendars can also help children with ADHD. Encourage your child to use
organizational aids like these to keep track of important information, such as homework assignments, due dates,
and social activities. Offer a daily reminder for your child to use and check their planner. The more they write
down, the less they (and you) have to remember! For ways to use these tools to help with your child’s homework,
see Homework Help (ADHD Skill 2).

You can also use a family planner and/or calendar to track family activities. Put important information where
everyone can see it, such as on the refrigerator or near the front door.

22 Set Household Rules. Decide on a short list of rules (3-5) that you want your child to follow. For example, Jack’s
family has these rules: “1) We keep our hands to ourselves and respect each other’s personal space; 2) We speak to
each other using kind and calm words; and 3) We focus on each other during meals and not our screens.”

In the beginning, it may help to highlight the rules that matter the most to you (so pick your battles!). As your child
demonstrates a stronger ability to follow rules, you can make them more challenging or add new ones to the list.

Review the rules as a family, then write them out and post them somewhere everyone can see them. This provides
regular reminders about family expectations. Try giving your child directions, keeping the following tips in mind for
maximum effectiveness: 1) give simple and clear instructions for one task at a time, 2) make sure you are giving
directions when your child is undistracted), and 3) provide rewards for following the rules, and/or implement
consequences if they don’t. Talk to your child’s primary care provider if you need more assistance with this.
HOW TO USE RULES AND STRUCTURE AT HOME (cont.)

33 Create routines. Create detailed routines for your child’s usual tasks, such as getting ready for school, doing
homework, cleaning a bedroom, or getting ready for bed. List the steps you’d like your child to complete, in the
order you’d like them done. This helps your child walk through a “checklist” to start and finish a routine. It also
supports their working memory and planning skills and makes your expectations clear.

You can also create routines for those tasks your child finds challenging, such as using relaxation skills to control
their energy around bedtime or using the skills in this guide. Review our example routines and then create some
of your own.

The more consistent a routine is, the easier it is to follow. Once you create a routine that works, encourage your
child to practice it and stick with it.

44 Discuss with your child. Be sure to review any new household rules or changes in routines with your child. Go
over each one to make sure you’re on the same page. The clearer your expectations are, the better your child will
be able to meet them.

55 Provide positive feedback. Remember that it can be hard for children with ADHD to follow rules, complete daily
routines, and stay organized. As you use the strategies in this packet, be sure to praise your child’s efforts.
Frequent encouragement will help your child feel good about working hard.

Some children benefit from an extra push to follow rules and routines, such as earning rewards or privileges for a
job well done. Rewards that are free, easy, and simple are best (e.g., extra time on a fun activity). Many families
use a behavior or sticker chart to track their children’s progress toward earning a desired reward.

66 Evaluate and adjust as needed. Every few weeks, review your household rules and structure to evaluate what’s
working well and what needs tweaking. Get your child’s feedback and incorporate their ideas for improvement.
They can provide valuable insight into how rules are working or suggestions for improving routines.

77 Be patient. Remember it can take time to learn new habits. Your child may not be able to follow a routine or rule
correctly every time, especially when it is new or challenging. Offer your child encouraging reminders until new
routines and rules become easier. Be patient with your child and yourself, and show your child you are confident
they can do it.
PARENT HANDOUT:
HOUSEHOLD RULES AND STRUCTURE
ADHD Skill 1

EXAMPLE ROUTINES

Ethan’s Morning Routine

Set your alarm the night before for 6:15 am.


Routine starts at 6:15 am. Mom may give you a gentle nudge if you’re still in bed at 6:25 am.
Use the bathroom.
Wash your face.
Brush your teeth.
Comb your hair.
Get dressed and put on the clothes you chose last night.
Eat breakfast, including at least one piece of fruit. No screens during meals!
Take your medication. Mom or dad will give it to you.
Put your lunch in your backpack.
Double check that your homework is in your backpack.
Get your coat, shoes, and backpack.
Be out the door and waiting for the bus by 7:15 am.

My Routine
PARENT HANDOUT:
HOUSEHOLD RULES AND STRUCTURE TIPS
ADHD Skill 1

HOW CAN HOUSEHOLD RULES AND STRUCTURE HELP MY FAMILY?


Children with ADHD can find it hard to control their attention, energy level, and/or desire to act on their urges.
This can make it difficult to behave appropriately or get things done.

Children with ADHD often respond more positively to environments that are structured (i.e., organized and
predictable). Families who use consistent rules and structure at home often find that their children are better
able to follow directions, stick to routines, and get along with others.

Caregivers also frequently notice that as their children’s skills and independence increase, they all feel less
frustrated. When there are clear guidelines for behavior and regular household routines, children are better
able to do things on their own. This leads to fewer arguments and can make your home more positive for the
entire family.

COMMON PARENT CONCERNS


We completed the routine worksheet, but my child keeps forgetting to use it.
Try giving your child gentle reminders to help them remember routines. For instance, you can give verbal reminders,
such as prompting your child when it’s almost time to start a routine, or visual reminders, like putting notes around the
house for them to see. You can also come up with creative ways for them to remember the steps in a routine, such as
acronyms or rhymes. As your child makes progress toward memorizing their routines, be sure to offer lots of praise!

When my child breaks a family rule or can’t complete a routine, they get frustrated or down on themselves.
Children can feel badly if they have a harder time than their siblings or peers. When your child gets discouraged, cheer
them on by praising their effort and highlighting their successes. Go through the How to Feel Good About Myself
worksheets (ADHD Skill 9) together, and see if those strategies help your child identify their strengths and feel better
about themselves.

Your child may also benefit from practicing coping skills to manage negative thoughts and emotions. For example,
they can try to problem solve, use relaxation skills, or challenge overly negative thoughts. Practicing skills like these
can help children take active steps to feel better and more in control. Talk to your primary care provider if you would
like more guidance in this area.

Even with a lot of structure and routine, my child has a hard time staying on task and getting things done.
Some children find organization and routine more challenging than others. Try some of the other strategies in this
guide to improve your child’s working memory, organization, planning, and time management. Building these skills
may help your child respond better to structure and routine. Your child’s teacher may also have suggestions based on
what they’ve seen work well in the classroom.

My child doesn’t like to follow rules!


Some children respond to rules by acting out, and this can occur more often when a child has ADHD. Try using some
of your parenting “tricks”, such as giving your child clear and simple directions and using rewards and/or
consequences to motivate them to make better choices in response.

If your child’s ADHD symptoms make it difficult for them to do the things they want or need to do, they may need
additional support, such as medication and/or therapy. Check in with your child’s primary care provider about
medication and whether a referral to a behavioral health specialist could be helpful.
PARENT HANDOUT:
HOMEWORK HELP ADHD Skill 2

WHAT IS HOMEWORK HELP?

Many families say that their children do not like doing homework. Homework can be extra
challenging for children with ADHD, because they often have difficulty paying attention, sitting still,
doing tasks they dislike, and/or managing negative feelings.

Homework Help is a set of strategies parents can use to make homework time easier for the whole
family. It includes tips for increasing organization, creating homework routines, providing support
and supervision, and breaking assignments down into smaller steps. In combination with the other
skills in this guide, Homework Help techniques can help you support your child and make
homework time less frustrating and more productive.

HERE’S HOW TO PROVIDE HOMEWORK HELP AT HOME

11 Use organizational tools to keep track of assignments, projects, and tests.


a Help your child stay on top of their schoolwork, due dates, and daily activities by using
planners, calendars, and “to do” lists. At the start of each school year, help your child create a
simple and clear system to keep track of important information. For example, your child can
write down each week’s events in a planner, put new homework assignments in a red folder,
and store finished assignments in a green folder.

b Give your child daily reminders to update their “to do” list and follow their schedule. For more
tips, review the chapters on Remembering Things I Need to Do (ADHD Skill 5) and How to
Organize My Stuff (ADHD Skill 7).

22 Create detailed homework routines.


a Tasks are easier to do when they are part of a regular routine. Help your child create a daily
homework routine, including where they will do it, what time they will do it, and how they will
prioritize their assignments. See our example for ideas.

b Think through the routine details together to make sure that you and your child are on the
same page. For example, is your child’s homework space quiet and distraction-free? Do they
have access to the materials they need there (e.g., pens, pencils, calculator, etc.)? When
scheduling homework time, do they need a break between when they get home from school
and when they start working? If they get stuck or need help, what should they do?

c Encourage your child to stick to the routine every day. The more consistent the routine is, the
easier it will be for them to get in the habit of doing homework every day and not waiting until
the last minute.
33 Provide support and supervision.
a The younger your child is, the more homework support they will need. Younger children may do
better if you keep them company while they work and walk through their assignments with them.
Older children may be fine with having you nearby to answer any questions. Children of all ages
benefit from check-ins and encouragement to stay on task.

b If possible, look over your child’s homework to be sure they are doing it correctly and did not skip any
of it. This encourages your child to be thorough and decreases the chances they will put the work off
until another time.
c Make sure your child’s routine includes turning in completed work. You can create a “Backpack
Checklist” of what should go into your child’s backpack each night before bed, which you can check
as part of your child’s bedtime routine. If your child has a hard time turning homework in, you can ask
their teacher to monitor their performance and give feedback to you, or use the Daily School
Check-In (ADHD Skill 3) to incorporate rewards and give your child an extra push. See our example,
and then make your own routine.

44 Break bigger assignments or projects down into smaller steps.


a It can be overwhelming to tackle a difficult or big assignment, such as a school project or studying for
a test. First, make sure your child understands the assignment. If they don’t, walk through it with them
or help them problem solve how to figure out what they need to do.
b Then, help your child turn a big assignment into smaller, more manageable assignments and
accurately estimate how much time they need for each step (see ADHD Skill 6, How to Get Things
Done, and ADHD Skill 8, How to Manage My Time, for tips). Encourage your child to take short breaks
as needed to stretch or do an in-place exercise (like jumping jacks) or have a small snack before going
back to work.
55 Inspect and improve your routine
a Every few weeks, review your child’s homework routine to evaluate what’s working well and what
needs fine-tuning. Work with your child to identify ways to make homework time easier.

66 Notice when your child is working hard and offer praise and encouragement.
a Remember it can take time to build good homework skills and your child may not be able to do their
homework independently right away. Your support can make a big difference. Offer encouraging
reminders and praise until new strategies become easier to use. Be patient with your child and
yourself, and show your child you are confident that they can get their homework done carefully and
correctly!

Sofia’s Homework Routine


Routine starts when you get home from school around 3:30 pm.
Take a 30-minute break for a snack and relaxation.
Get your planner and homework materials. Ask dad if you’re unsure what you need.
Eliminate distractions. Turn off TV and music, put away phone.
Sit down at your desk.
Do homework until dinner at 5:30. If you need a stretch break, set the timer for 5 minutes, then start
your homework again.
After dinner, bring homework to dad for him to review.
Put your finished homework in your homework folder.
Put your planner and homework folder back into your backpack.
Put your backpack by the front door.
Great job! Do something you enjoy for 30 minutes.
PARENT HANDOUT:
HOMEWORK HELP TIPS ADHD Skill 2

HOW CAN HOMEWORK HELP STRATEGIES HELP MY FAMILY?


Many parents and children find that homework time is a stressful time. Homework is a task that can lead to
frustration, annoyance, and even arguments at home. Doing schoolwork can be especially challenging for
children with ADHD, as it requires using many different skills at the same time, such as working memory,
organization, planning, and time management.

By making homework time more structured, predictable, and organized, parents can help their children
strengthen their own abilities. As children build skills and independence, they often feel better about school
and themselves. This can make your child happier and make homework time easier for the whole family.

COMMON PARENT CONCERNS


My child refuses to do homework!
One way to motivate your child to do homework is to allow them to do something they enjoy once they finish, such as
talking to a friend or spending individual time with you. You may also want to incorporate consequences into your
approach, such as the loss of a privilege for not following homework rules (e.g., if your child does not do their
homework, they lose the ability to watch TV that night).

Another approach involves creating a homework contract that you and your child create together. It can include what
your child agrees to do (e.g., I will write my homework assignments in my planner before leaving class; If I don’t
understand what I need to do, I will ask my teacher) and what parents will agree to (e.g., We will provide you with the
school supplies you need to do your work; If you are having a hard time, we will check in with your teacher).

My child gets too much homework, and they can never finish it all.
Different schools and teachers approach homework in
different ways. Talk to your child’s teacher(s) about your child’s
learning style and homework challenges. You can decide
together how much homework is necessary and if there are
ways to lower the amount while still reinforcing important
concepts (e.g., completing part of a worksheet). You can then
review these expectations with your child and problem solve
together.

My child’s homework is complicated, and I’m not sure how


to help them with it.
This is something many parents say! It can be hard to keep up
with all of the different topics children learn about in school,
especially if they aren’t subjects you’ve thought about lately or
studied yourself. Start by seeing what your child’s school
provides. Many schools offer learning support, like homework
club or after school tutoring, and teachers are often willing to
spend extra time explaining tricky concepts to students. Your
child’s friends may also be able to help; many students find
that their peers are a great resource for understanding what
happened in class and how to tackle a hard assignment!
COMMON PARENT CONCERNS (cont.)
When my child does homework, they sometimes get so frustrated that they start yelling or crying.
When my child does homework, they sometimes get so frustrated that they start yelling or crying. Provide validation,
empathy, and encouragement. Express understanding that homework can be difficult, help your child label their
emotions, and remind them that they have done challenging things in the past and can improve with practice and
effort. Using a strategy like Problem Solving for ADHD (ADHD Skill 4) can also help your child get unstuck. Try not to
do your child’s homework for them, as it can give the message that they can’t do it on their own.

Homework can be more challenging for some children than others, and it can feel discouraging. Practice some of
the other strategies in this guide to improve your child’s working memory, organization, planning, and time
management abilities. Building these skills may make homework time easier for you and your child, and using
strategies to identify personal strengths (How to Feel Good About Myself, ADHD Skill 9) can shift your child’s
attention toward their positive qualities.

If your child’s ADHD symptoms make it difficult for them to do the things they want or need to do, they may need
additional support, such as medication and/or therapy. Check in with your child’s primary care provider about
medication and whether a referral to a behavioral health specialist could be helpful.

Nick’s Backpack Checklist ______’s Backpack Checklist

Planner

Red homework folder


(things to do)

Blue homework folder


(things to turn in)

Lunch

Pencil case

Textbooks

Change of clothes for gym


PARENT HANDOUT:
DAILY SCHOOL CHECK-IN
ADHD Skill 3

WHAT IS A DAILY SCHOOL CHECK-IN?

Children with ADHD can find the demands of school challenging. For example, they may have a hard
sitting still or paying attention, talk when it’s not their turn in class, or have difficulty getting along
with their peers.

A Daily School Check-In is a system parents and teachers use to identify, track, and change your
child’s problem behaviors at school.

It involves:
1) identifying the behaviors you and your child’s teacher would like to change at school;
2) working with your child’s teacher(s) to monitor these behaviors;
3) the teacher(s) giving you daily feedback on your child; and
4) you providing specific rewards for your child when they engage in good behavior.

These rewards increase your child’s motivation to


behave at school, encourage them to work
Daily
Daily School
School Check-In
toward their goals, and make it more likely they Date
Date

Today,
Today, Daniel...
Daniel...
Teacher
Teacher
Most
Mostof
ofthe
the Some
Someof
ofthe
the AALittle/None
Little/None
Time
Time Time
Time of
ofthe
theTime
Time

will continue behaving in the future. Stayed


Stayed in
in his
his seat
seat
Kept
Kept his
his hands
hands to
to himself
himself
Handed
Handed in
in his
his homework
This strategy is effective at addressing a broad homework
Followed
Followed directions
directions
range of behavior problems at school. You can Raised
Raised hand
hand before
before talking
talking
partner with one teacher or several to improve Notes:
Notes: Total
Total
your child’s behavior.

HERE’S HOW TO USE A DAILY SCHOOL CHECK-IN

Create a list of 3-5 problematic school behaviors.


Talk with your child’s teacher to identify 3-5 behaviors that cause problems for your child at school (e.g., getting
1 out of their seat, bothering other students, forgetting to turn in homework, breaking classroom rules). The list
can include both academic and social behaviors, two areas that can be challenging for children with ADHD.

Create a list of your desired behaviors.


These should be the behaviors you and the teacher would like to see instead, stated in a positive way and
2 focused on behaviors your child’s teacher can observe (e.g., staying in seat, keeping hands to self, handing in
homework, following classroom rules). Include 1-2 “easier” behaviors that you know your child is able to do in
order to boost your child’s confidence.

Make a daily report card.


Decide on a way for your child’s teacher to track their behavior and share it with you. It should be clear, easy to
3 use, and include the teacher’s input. This can be as simple as a daily note home, but parents and teachers
usually find that something like our examples work better.
HERE’S HOW TO USE A DAILY SCHOOL CHECK-IN (cont.)

Decide on check-in frequency.


When you first start using this strategy, it’s best if the teacher can do it every day. As your child’s behavior
4 improves, you can gradually decrease how often this check-in occurs until you no longer need it. Teachers
should make sure the card goes in your child’s backpack (or gets sent to you electronically) at the end of the day
whenever they complete it.

Create a list of at least 5-10 rewards to give at home.


Think of as many ideas as you can. Include a range of reward types (items, activities, privileges) and sizes/costs
(free, small, medium, large). Have rewards you can give every day (e.g., extra screen or story time) and once a
week (e.g., going out to eat), as well as some “big ticket” rewards that take longer to earn (e.g., going to a sporting
5 event or movies once a month or less). Use our list of reward ideas to get started. Be sure to only include rewards
you are willing and able to give if your child exhibits ideal behavior. If your child’s teachers or school use rewards,
add their ideas too. Get your child’s input to be sure they are motivated to earn the rewards on your list.

Decide what your child needs to do to earn a reward.


Be specific about what your child needs to do to earn a reward (e.g., “5 smiley faces or checkmarks = a small
reward”). Easier school behaviors or ones done correctly less of the time should earn smaller rewards and harder
tasks, bigger rewards. An example of how to reward behaviors differently based on your child’s individual
strengths and challenges is the following: If your child is generally able to get along with their classmates, they
6 can earn 5 extra minutes of screen time each day they’re able to meet this goal. If they find doing work in class
harder than positive social behavior, they can earn 15 extra minutes each day they work without issue. Younger
children do best with rewards they earn daily, while older children may prefer to “bank” credit to earn bigger
rewards over time.

Review the check-in card each day the teacher completes it.
Follow through and consistency are key here. This will show your child you take this seriously and provide
7 opportunities to highlight progress and troubleshoot obstacles. If they have a harder day, remind your child that
they have another chance to do well tomorrow.

Provide rewards as soon as possible.


When your child earns a reward, be sure to give it to them. Try to provide rewards as soon as possible after your
8 child earns them (but never before!). This will help them connect their good behavior at school to the positive
feeling of earning a reward.

Set realistic goals for improvement.


It’s okay to start small to make sure your “bigger” goals are within reach. For example, if your child is running out
9 of the classroom 10 times a day, staying in class all day may be too challenging at first. Work your way up to this
by gradually increasing the amount of time your child needs to stay in class (e.g., aiming for a small but
consistent improvement each week).

Remember to praise good behavior.


10
10 Praise your child whenever their school behavior earns them a reward. The more parents reliably praise and
provide promised rewards for good behavior, the better children will feel and the faster behavior will improve.

Adjust the check-in card and rewards list over time.


As your child’s school behavior improves or certain rewards lose their value, you can adjust your Daily School
11
11 Check-In card and/or rewards chart to maintain your child’s motivation and progress. For example, after your
child is able to consistently speak appropriately to peers 2-3 days/week, you can increase the goal to 4-5
days/week. You can also adapt these if new problems develop.
Daily School Daily School
Check-In Check-In
Date Teacher Date Teacher
Most of the Some of the A Little/None Most of the Some of the A Little/None
Today, ______... Time Time of the Time Today, ______... Time Time of the Time

Notes: Total Notes: Total

Daily School Daily School


Check-In Check-In
Date Teacher Date Teacher
Most of the Some of the A Little/None Most of the Some of the A Little/None
Today, ______... Time Time of the Time Today, ______... Time Time of the Time

Notes: Total Notes: Total


PARENT HANDOUT:
DAILY SCHOOL CHECK-IN TIPS
ADHD Skill 3

HOW CAN A DAILY SCHOOL CHECK-IN HELP MY FAMILY?


Having a Daily School Check-in helps parents, teachers, and children set clear goals for improving
behavior. It helps you create an organized and fair system to track your child’s school behavior and
provide rewards. You decide together what your child needs to do to earn rewards, which helps your
child focus on behaving.

This strategy increases communication and consistency between home and your child’s school.
When parents and teachers are on the same page, children face predictable consequences and their
behavior often improves.

When used properly, the Daily School Check-In can be done simply, quickly, and easily. Using a Daily
School Check-In and rewards system can give your child the extra nudge they need to do better in
school. When rewards are carefully chosen and only given for good behavior, you may be surprised
by how well your child will behave to earn what they want!

COMMON PARENT CONCERNS


I wasn’t raised with rewards and don’t like the idea of “bribing” my child.
All children are different, and yours may need some extra motivation to behave the way you’d like. Your
family may already have ways of informally “rewarding” your child, such as promising your child something
when they do well in school or follow rules. Here, you’re implementing a predetermined, clear, and consis-
tent system to improve your child’s school behavior, increasing your influence over your child’s behavior
and keeping both you and your child accountable.

Why should I reward my child for behaving the way they are supposed to at school?
Just as adults appreciate being rewarded for working hard, children respond well to tangible incentives for
good behavior. The Daily School Check-In helps you and your child’s teacher shift your attention toward
the things your child does right. They provide another way to influence your child’s behavior.

This seems like it will take a lot of time. I’m too busy!
A small time investment can lead to big improvements in your child’s school behavior. This may take some
time to set up at first, but eventually it becomes part of families’ and schools’ routines. Most parents and
teachers actually gain time back, because they spend less time managing children’s misbehavior. Over
time, families often find children do not need rewards to behave.

My child’s teacher thinks this will be too hard to do. They’re busy!
We know teachers have very full schedules, so try to keep this system as simple as possible. Discuss what’s
possible for them and decide together what makes the most sense in the context of their day. Many teach-
ers find that they can complete a simple behavior log in a few seconds! Over time, this will lead to
improvement in your child’s school behavior, decreasing the amount of time teachers have to respond to
problem behaviors during the day. The more feedback the school provides, the better you’ll be able to
change your child’s behavior.
COMMON PARENT CONCERNS (CONTINUED)
My child keeps forgetting to bring their Daily School Check-In sheet home.
Children, especially those with ADHD, can be forgetful! Work with your child’s teacher to get the sheet into
your child’s homework folder or backpack. When you first start using this technique, consider awarding
your child some smiley faces or checkmarks on their rewards chart for simply returning their sheet to you.
This will give them some extra motivation until this behavior becomes second nature. It also gives them a
reason to bring the worksheet home even when they have a hard day at school. If paper sheets seem too
challenging for your child or their teacher, emailing the sheet may help.

I thought rewards worked best when children get them immediately after good behavior. How does this
work when their behavior is at school and rewards are at home?
Review your reward system with your child’s teacher(s). Some teachers are able to give rewards for good
behavior in school (e.g., extra time doing a fun activity, helping the teacher with a task, getting a small toy
or prize). This could be done at a set time of the day or week so your child knows when their reward is
coming. If you’re giving the rewards at home, try to do so as soon after school as possible. You (or another
caregiver doing pickup) can talk about it on the way home and then let your child collect rewards as soon
as you get there. Or, if you won’t be seeing your child directly after school, you can sometimes leave a fun
note in their backpack reminding them that you will pick rewards for good behavior as soon as you all get
back home.

My child is having a hard time earning rewards.


Be sure to include a range of goal behaviors on your list, including at least one or two that your child can
do some of the time. Once they have some success, they will be even more motivated to earn rewards for
all of the behaviors on the list. If you’re unsure which behaviors are easier for your child to do, their teacher
may be able to help.

If your child’s ADHD symptoms make it difficult for them to do the things they want or need to do, they
may need additional support, such as medication and/or therapy. Check in with your child’s primary care
provider about medication and whether a referral to a behavioral health specialist could be helpful.

REWARD IDEAS

Small Rewards Medium or Large Rewards

Play with friends Have a sleepover


Spend time with caregivers without siblings Go for a hike
Cook meal together Go swimming, bowling, or biking
Play cards Eat out
Go to library Plan family outing
Play video game Visit a museum
Have extra treat after dinner Go to the movies
Play game together Make craft together
Skip a chore Take music or dance lessons
Get screen time Get a new piece of clothing
Pick small prize out at the store Buy a book or game
PARENT HANDOUT:
PROBLEM SOLVING FOR ADHD
ADHD Skill 4

WHAT IS PROBLEM SOLVING FOR ADHD?

If your child is having a hard time paying attention, staying organized, or controlling their energy, they may
experience problems because of these difficulties. A positive problem solving strategy can help them more
effectively deal with their daily challenges and concerns.

Your child may be frustrated if they are having a hard time dealing with problems, big or small. This can make
them feel bad about themself or cause them to get in trouble with parents, friends or teachers. Problem
solving strategies can help them change that!

These worksheets teach your child a simple plan for solving problems. They will learn to:
1. Name the problem
2. Identify 3 possible solutions
3. Name one good thing and one bad thing about each solution
4. Pick one to try
5. Evaluate how things went after you implement the solution.

HERE’S HOW TO MAKE A PROBLEM SOLVING PLAN AT HOME

You can introduce the plan by saying, “Everyone can use help solving problems. When our problems make us feel bad
about ourselves or get us into trouble, we sometimes need strategies that make it easier to deal with challenges. Here’s
the Problem Solving Plan we are going to start using.” Introduce the 5 parts of the plan to your child by going through
them together and reading the explanations below.

1 What’s the problem? You may be feeling overwhelmed and not know exactly how to describe the issue you need
to handle. Clearly stating the problem as a first step helps you really focus on what it is so you can then figure out
exactly what you need to do to solve it. Try to be as specific as possible (e.g., “My friend is being mean at recess
and that’s making me mad” is better than “My friend makes me mad” or “I’m mad”).
2 What are 3 possible solutions? Think of 3 possible solutions to your problem so you have some good options to
pick from, but not so many that you are overwhelmed with choices. Don’t worry about how good or bad they are
yet. You will evaluate them in the next part.
3 What’s one good thing and one bad thing about each solution? This step requires you to name one positive
outcome and one negative outcome that could occur if you choose each solution. This step will help you
consider the benefits and challenges of each choice. This is an essential step because you are gathering important
information for your plan!
4 Pick one! This is your chance to take charge as you pick which solution you want to try out first.
5 How did it go? After you follow through with applying a solution, it’s time to evaluate it. This will help you learn
what the best options for different problems are, and you can refer back to these tested solutions as needed. If
your first solution isn’t successful in solving the problem, you can try a different one or start a completely new
solution brainstorming session. Don’t give up!

The next worksheet puts the Problem Solving Plan into a chart and shows you some examples. Go over the example
together and then have your child try to solve the practice problems. Come up with solutions for our example
problems and then try it for one of their own.
CHILD WORKSHEET:
PROBLEM SOLVING
ADHD Skill 4

Example 1: I didn’t pay attention in math class today because I was bored. Now I don’t understand today’s
homework.

What’s the Problem? I don’t understand my math homework assignment.

One Good Thing One Bad Thing

Solution 1 Don’t do the homework. I can play videogames earlier I’ll get a zero.
because I’ll have less to do

She is good at math and


Solution 2 Text my friend for help. She might not respond.
can help me

Solution 3 Talk to my teacher My teacher will explain She might still give me a
tomorrow and ask for help. what I missed. zero for today’s homework.

My Choice Text my friend for help.

How’d it go? My friend texted me back. She called and helped me. I understood and did the homework.

Example 2: My parents wanted me to clean my room before watching a movie. They reminded me
about this two times, but I forgot and now they are upset with me again. This keeps happening to me.

What’s the Problem?

One Good Thing One Bad Thing

Solution 1

Solution 2

Solution 3

My Choice

How’d it go?
CHILD WORKSHEET:

PROBLEM SOLVING
ADHD Skill 4

Example 3: I’ve known that we had a history project due for a while, but I just couldn’t get much done on it
because I was so overwhelmed with all of the steps. Now it’s due in three days and I don’t know what to do.

What’s the Problem?

One Good Thing One Bad Thing

Solution 1

Solution 2

Solution 3

My Choice

How’d it go?

Example 4: My friends stopped inviting me places because I was always grounded for bad grades. I’ve been
working hard using my skills and my grades are improving. I have permission to hang out with them again, but I
don’t think they like me anymore.

What’s the Problem?

One Good Thing One Bad Thing

Solution 1

Soution 2

Solution 3

My Choice

How’d it go?
CHILD WORKSHEET:

PROBLEM SOLVING
ADHD Skill 4

Example 5: I get so excited when we line up for gym that sometimes I jump to the front of the line or accidentally
bump into my classmates. My friends are getting mad and sometimes my teacher says I might lose my gym privileges!”

What’s the Problem?

One Good Thing One Bad Thing

Solution 1

Solution 2

Solution 3

My Choice

How’d it go?
Blank Problem Solving Plans
What’s the Problem?

One Good Thing One Bad Thing

Solution 1

Solution 2

Solution 3

My Choice

How’d it go?

What’s the Problem?

One Good Thing One Bad Thing

Solution 1

Solution 2

Solution 3

My Choice

How’d it go?

What’s the Problem?

One Good Thing One Bad Thing

Solution 1

Solution 2

Solution 3

My Choice

How’d it go?
PARENT HANDOUT:
PROBLEM SOLVING TIPS ADHD Skill 4

HOW CAN PROBLEM SOLVING FOR ADHD HELP MY FAMILY?


Your child’s struggles with skills like attention, organization, memory, and/or energy level may get in the way of
them dealing with challenges and solving everyday problems. Many children feel like this sometimes.

Problems may feel too big to solve, they may not feel motivated to address them, or they may think that they
aren’t good at solving problems so they shouldn’t even try. You may also notice that they try to solve a
problem, but give up easily if they aren’t successful right away. The good news is that having a strategy to solve
problems can really help!

The problem solving technique described here can provide a clear way to help your child think through
challenges, brainstorm options, notice what works and what doesn’t, and keep trying if their first attempt
doesn’t work. Using this method can help them solve problems, have more positive outcomes, and feel better
about themself.

Making and following a problem solving plan can also reduce frustration for you and your child’s teachers by
helping them to be more independent. This plan ensures that the adults in their life are not just telling them
what to do, but instead supporting and guiding them to overcome challenges on their own. Everyone can
benefit from solving problems in their lives; these skills can help the rest of your family as well!

COMMON PARENT CONCERNS


My child doesn’t think they have problems that need solving.
It can be hard to notice which challenges or frustrations can benefit from problem solving skills. Go over past
situations with your child that caused them to feel sad, frustrated, stressed, or another negative emotion. These are
great opportunities to practice their problem solving. If you notice a situation where your child can use these skills in
daily life, gently point it out to them (e.g., “You told me you were frustrated at lunch because you forgot to bring your
lunch with you even though you packed it the night before. Do you think we can use the Problem Solving Plan to help
plan for tomorrow?”).
When we try this, my child can’t think of any solutions.
Think about what might be getting in the way. They might be feeling
overwhelmed and stuck. Suggest one example solution to get them started.
Often, once they hear one idea, they can get creative and come up with
solutions of their own. Remind them that they don’t need to think of the
“perfect” solution because there is no such thing. They can make mistakes and
ask you and their teachers for help as needed. Review our practice examples to
remind them of some good options for common concerns as well as the fact
that they came up with great solutions for the examples!

When my child tries to use their problem solving plan, they get really frustrated
and upset. Sometimes problem solving can feel really overwhelming! Feeling
upset is okay. Your child’s emotions are giving you both a message that they are
having a tough time and need support. Tell them to take a break to do
something relaxing or fun, then try again. Remind them that they can ask a you
or a teacher for support using the problem solving plan if they need it. If they
are still having a hard time using problem solving skills, check in with your
child’s primary care provider. They can connect you to a behavioral health
specialist who can help.
PARENT HANDOUT:
REMEMBERING THINGS I NEED TO DO
ADHD Skill 5

WHAT IS REMEMBERING THINGS I NEED TO DO?

Remembering Things I Need to Do is a skill that helps with your child’s memory and planning. It involves
making “to do lists” that help them remember what they need to do and when they need to do it.

By developing a system for tracking tasks, assignments, and due dates, your child will improve their memory
and get things done on time. Follow the instructions below to help your child make lists of what they need to
do today, this week, and this weekend.

HERE’S HOW TO REMEMBER THINGS YOU NEED TO DO

You can introduce this skill by saying, “We are going to try a new way to keep track of the things you need to do and
when you need to do them. This will help improve your memory and planning skills. Your goal is to make checklists
of the things you need to do today, this week, and this weekend. As you make your lists, be specific about each task
so you know exactly what you need to do. After you complete a task, be sure to check it off.

11 First, pull out a copy of these three worksheets:


Things I Need to Do Today
Things I Need to Do This Week
Things I Need to Do This Weekend
22 Start by filling in the “Things I Need to Do Today” worksheet. Include tasks that are time-sensitive or must
be done today. Look at George’s list for an example.

33 Next, use the “Things I Need to Do This Week” worksheet to make a list of the things you have to do this
week. Include tasks you have to complete on a regular basis, such as making your bed or bringing your
homework assignments home. Look at Molly’s list for an example.

44 Now, use the “Things I Need to Do This Weekend” worksheet to make a list of the things you need to do
over the weekend. It can be harder to remember weekend tasks when you’re not in the usual routine of a
school day. Making a list for these days can be just as important. Look at Sam’s list for an example.

55 Set reminders to check your lists a few times a day. Set reminders to see what you still need to do. You can
set alarms on your phone or watch, ask parents/teachers to remind you, and/or stick a note where you will
see it, like in your locker or planner.

66 Keep copies of your lists where you will see them. For example, having copies in your backpack and on
your refrigerator will give you multiple reminders. You can also keep these lists in a planner, notebook, or on
your phone. Be sure to put the lists where you can easily access them and look at them throughout the day.

77 If it’s hard to remember everything you need to do, ask for help. If you’re not sure what to include on your
list or are having a hard time using the worksheets, ask your caregivers, teachers, or friends/classmates for
support.

88 Notice when you’re doing a good job. Take a moment to feel proud of your effort to stay on top of what
you need to do. Give yourself a pat on the back for getting things done!

The next worksheet shows you some examples of To Do Lists. Go over the examples together and then have your
child make their own lists.
Things I Need to Do Today: George
Done?

To Do Lists Turn in English paper


ADHD Skill 5 Give book back to Hannah

Turn in Math homework

Submit field trip permission slip

Find out where track tryouts are

Go to band practice

Things I Need to Do This Week: Molly


Mon Tues Wed Thurs Fri
Make my bed

Eat breakfast

Put homework in backpack

Get lunch out of fridge

Bring homework assignments home

Eat snack after school

Things I Need to Do This Weekend: Sam


Saturday Sunday
Make my bed

Eat breakfast

Do chores (take out trash, sweep up kitchen)

Work on History project

Do Science homework

Get baseball equipment for practice (Saturday at 11)

Movies with John and Hector (Saturday at 7)


Things I Need to Do Today
Done?
To Do Lists
ADHD Skill 5

Things I Need to Do This Week


Mon Tues Wed Thurs Fri

Things I Need to Do This Weekend


Saturday Sunday
PARENT HANDOUT:
REMEMBERING THINGS I NEED TO DO TIPS
ADHD Skill 5

HOW CAN REMEMBERING THINGS I NEED TO DO HELP MY FAMILY?


When your child has symptoms of ADHD, it can be harder for them to keep track of important information,
such as what they need to do to get ready for school or the due dates for their assignments.

This makes it challenging for them to do things when they’re supposed to. They may notice that adults are
frequently reminding them what they need to do, or asking them if they’ve completed different tasks. This can
feel discouraging and be frustrating for everyone.

Remembering Things I Need to Do helps your child make a system to stay on top of their daily and weekly
tasks. Over time, they will need fewer reminders from other people, and you will all feel good about them
staying more on top of things.

COMMON PARENT CONCERNS


My child isn’t sure what to put on their list.
If you child is having a hard time remembering what they need to do, aren’t sure what to put on their list, or finds it
challenging to use the worksheets, review our examples and/or get some extra support. Your child’s teachers and
friends/classmates may have some good ideas based on what they know your child needs to do. Remind your child that
the more they practice, the easier it will get!

My child makes all of their lists, but then forgets to look at them.
At first it can be challenging for your child to remember they made lists and need to refer back to them! It can help for
them to set reminders to look at their lists and see what they still need to do. They can set alarms on their phone or
watch, ask parents or teachers to remind them, and/or leave reminder notes for themself somewhere they will see
them, like in their locker or planner.
It also helps if they make copies of their lists and keep them somewhere they tend to go to or look during the day. For
instance, they can keep a copy in their backpack, on their phone, and in their notebook.

My child looks at their lists and can’t figure out what to do first.
One method your child can try is to start with the easiest task. Another is to start with the one with the earliest deadline.
Remind them that Tasks on the What I Need to Do Today checklist usually have to be completed before those on the
What I Need to Do This Week or Weekend checklists.

My child complains that I’m always bugging them about making lists and checking things off. They say that I’m
annoying, but I’m trying to help! Sometimes family members’ eagerness to participate in skill-building can be
frustrating to children. See if you can have a calm discussion about the best ways to support their use of this new
memory tool. For example, you can see if your child is comfortable with you offering some encouragement in the
mornings before the school rush, or checking in with them once or twice during homework time, but not asking them
about the lists repeatedly or throughout the day. Decide together what will help your child get the support they need
without being overwhelmed. Kindly remind your child that as they successfully make and complete their “to do lists”,
they will show you they need fewer reminders to do this on their own.

Even after my child makes their lists, it’s hard for them to follow through on doing their tasks.
Many kids with ADHD feel this way. Take a look at the handouts on How to Get Things Done (ADHD Skill 6), How to
Organize My Stuff (ADHD Skill 7), and How to Manage My Time (ADHD Skill 8) together, and see if practicing these skills
helps your child improve their ability to start and complete tasks, get organized, and meet deadlines. If their difficulty
with memory and organization gets in the way at school, home, or with friends, your child may need additional support.
Check in with your child’s primary care provider. They can connect you to a behavioral health specialist who can help.
PARENT HANDOUT:
HOW TO GET THINGS DONE
ADHD Skill 6

WHAT IS HOW TO GET THINGS DONE?

How to Get Things Done is a skill that helps your child plan, start, and finish assignments and tasks. It involves
looking over their “to do” list(s), choosing a task, making a schedule, and overcoming obstacles to reach their
goals.

By making a careful plan to tackle a task, your child can improve their organization, attention, and follow
through skills. Use the guide below to help your child make their plan and get things done!

This skill is most useful for older children.

HERE’S HOW TO GET THINGS DONE

You can introduce this skill by saying, “We are going to try a new way to help you get things done. Your goal here is to
make a plan to complete a task and then follow your roadmap to finish it. As you do each of the steps below, fill in the
Roadmap to Getting Things Done worksheet. Let’s try it together.” Go through the steps below to help your child make
their own Roadmap, and create your own examples that fit your child’s school and social activities.

First, look at your “to do” list(s) and pick a specific task to complete. If you need help making a
1 “to-do” list, see ADHD Skill 5 (How to Remember What I Need to Do) to make checklists of your daily
and weekly tasks.

If possible, break your task up into “mini tasks.” Many goals can feel less difficult or overwhelming if you
approach them one step at a time. Think of all the steps you need to take to reach your goal, then split your
task up into smaller, more manageable “mini tasks”. Be sure to decide what order the steps go in.
2
Example: Alicia split her math homework up into 5 steps: reading the assignment, reading the textbook
chapter, and then doing 5 problems at a time.

Calculate how long it will take you to complete each step. Be sure to consider how much time you have. If you
have trouble paying attention, it can help to take short breaks (5 minutes or less) after you complete each step.

3 Example: Between arriving home after school and dinnertime, Lucas had 2 hours to do homework.
With homework in 3 subjects, he split his time into 35 minutes/subject. He took a 5-minute stretching break in
between the subjects, leaving him 40 minutes per subject. He used any extra time at the end to finish up
assignments that needed more time.

Based on this, choose what time you plan to start and stop each step. Be sure to leave wiggle room and set
realistic deadlines so you don’t get discouraged.
4
Example: It usually takes Olivia at least 30 minutes to practice the piano, so she schedules 40 minutes to
complete the task just in case she needs more time.
Identify what materials you need. Use a timer to stay on schedule and keep track of time.
5 Example: Alex needs her textbook, assignment outline, paper, pencil, and calculator to do her math
homework. She also sets up a kitchen timer.

Think of where you will do this task. Choose a place where you can think clearly and focus.
6 Example: Jordan finds that when he has music or the TV on in the background, it takes him twice as long to finish
his homework. He also puts his phone away so texts and social media don’t distract him.

Choose when you will do your tasks. Think about your schedule and when you’ll fit this in. If possible, it helps to do
7 harder tasks during the time of day when you’re most alert and clear-headed.

Example: Lily does her homework as soon as she gets home from school, before she gets too tired or hungry.

Plan how to get help if you need it. Identify who can provide extra support if you’re not sure what to do or get stuck.
The goal is to keep moving until you finish a task, so reach out for help if you’re not sure what to do. Family, friends,
8 teachers, and classmates can provide useful advice
Example: Ben finds homework easiest to do if he does it at his after school program, where there are tutors available.

Pick a reward you will get for finishing this task. Choose something that you can get easily; it doesn’t have to be
9 big, fancy, or expensive. Something like a tasty treat, spending time outside, or watching a favorite show can feel
great after reaching a goal. Ask your parents for ideas if you’re not sure what to choose or what is allowed.

Follow your roadmap. Now that you’ve made a great plan, be sure to follow it. Keep your Roadmap worksheet
10 where you will see it, then follow it until you’ve completed your task. Make notes on what went well, or any
adjustments you want to make so your next task goes even more smoothly.

11 Pat yourself on the back for getting something done. Be sure to take a moment to notice how hard you’re working!
3 Budget
Time

1 Choose
Task

5 Overcome
Obstacles

Define
Steps 2
4 Create
Schedule

NOAH’S ROADMAP TO GETTING THINGS DONE


ADHD Skill 6

1 Choose Task Task/Goal Studying for Friday’s spelling test

2 Define Steps 3 Budget Time

What steps do I have to take? Write them in order. How much time do I have? 2 hrs
How much time to I have 2 hrs/4 tasks =
Step 1 Review word list per step/task? ~40 min/task

Time I need for step 1 15 min


Step 2 Practice with flash cards
Time I need for step 2 25 min
Step 3 Take practice test #1 Time I need for step 3 25 min
Step 4 Take practice test #2 Time I need for step 4 25 min
Total Time 90 min
4 Create Schedule Time Left Over 30 min

Day Start Time Stop Time Short Break?

Step 1 Monday 3:00 3:30 10 min if needed

Step 2 Tuesday 3:00 3:30 5 min if needed

Step 3 Wednesday 3:00 3:30 Test without break

Step 4 Thursday 3:00 3:30 Test without break

5 Overcome Obstacles

What materials do I need? Word list, practice tests, pencil, timer

Where will I do it? Dining room table after school

What distractions can I eliminate? Put away electronics

What will I do if I need help? Ask mom or dad, check in with Mrs. Young

What is my reward for working hard? One episode of TV show on M/W; ice cream sandwich on T; game with family Th

Notes for next time It was helpful to take more than one practice test
3 Budget
Time

1 Choose
Task

5 Overcome
Obstacles

Define
Steps 2
4 Create
Schedule

CHILD ROADMAP TO GETTING THINGS DONE


ADHD Skill 6

1 Choose Task Task/Goal

2 Define Steps 3 Budget Time

What steps do I have to take? Write them in order. How much time do I have?

How much time to I have


Step 1 per step/task?

Time I need for step 1


Step 2
Time I need for step 2
Step 3
Time I need for step 3

Step 4 Time I need for step 4

Total Time

4 Create Schedule Time Left Over

Day Start Time Stop Time Short Break?

Step 1
Step 2
Step 3
Step 4

5 Overcome Obstacles

What materials do I need?

Where will I do it?

What distractions can I eliminate?

What will I do if I need help?

What is my reward for working hard?

Notes for next time


PARENT HANDOUT:
HOW TO GET THINGS DONE TIPS
ADHD Skill 6

HOW CAN GETTING THINGS DONE HELP MY FAMILY?


When your child has ADHD, it can be challenging to get things done. For example, they may have a hard time
getting started on a task, figuring out what to focus on, or staying on track once they get going. Your child may
notice that they miss important deadlines, or take a long time to complete an assignment, only to do things
partway.

This makes it difficult to check tasks off their “to do lists”, even when they know what they need to do. This can
be frustrating and make it harder for them to enjoy school and feel good about themself.

How to Get Things Done helps your child make a plan to complete a task and then follow that plan. By
practicing this skill, they can develop better habits, get things done more easily, and feel proud of reaching
their goals.

COMMON PARENT CONCERNS


My child has a hard time figuring out how to break a task into smaller steps.
Encourage your child to ask themself, what do I need to do first? Help them think about what absolutely has to
happen so that they can get started. Then ask, what do you need to do next to keep moving toward your goal of
completing the task? Your child can also try thinking of all the steps they need to take, then going through and putting
them in order. If they’re still having a hard time, see if help from you, a teacher, or a friend gets them going.

It always takes my child longer than they expect to finish something, so it’s hard to stick to their plan.
Many tasks take longer to complete than we think! It can be challenging at first to know how much time your child
needs to do a task, so their time estimates may be inaccurate. If they have multiple tasks to complete, it may help if
they split the time evenly between them, then use any extra time to finish any incomplete tasks. Use the tips in How to
Manage My Time (ADHD Skill 8) to get a better sense of how much time your child needs to do things. This will help
them make a more realistic schedule.

My child knows what they need to do and made their plan, but then they said they don’t have all the materials they
need. Many kids with ADHD have trouble keeping track of their things, especially school assignments and papers. It
helps if they can think ahead of time about what they will need to do a task. You can offer to double check that they’ve
thought of everything. Have your child write the required materials down on their Roadmap to Getting Things Done
worksheet. If they need extra help with organization, the worksheets in ADHD Skill 7 (How to Organize My Stuff) can
help too.

My child gets distracted while trying to get things done.


Try to limit your child’s distractions (e.g., TV, phone, etc.) and help create an environment that maximizes their focus
and productivity. You or teachers can offer suggestions based on what you’ve seen work well for your child at home or
school.

My child made a plan but then forgot to follow it.


Be sure to tell your child, “Good job making a plan!”. Remind them to keep a copy of their Roadmap to Getting Things
Done worksheet somewhere they’ll easily see it. They can try setting a timer or alarm for the start times they chose, or
ask you to give them a friendly reminder. Your child can also brush up on their memory skills (ADHD Skill 5, How to
Remember What I Need to Do) and time management (ADHD Skill 8, How to Manage My Time) and see if using these
skills together helps them reach their goals.

If your child’s difficulty with planning and organization gets in their way at school, home, or with friends, they may
need additional support. Check in with your primary care provider. They can connect you to a behavioral health
specialist who can help
PARENT HANDOUT:
HOW TO ORGANIZE MY STUFF
ADHD Skill 7

study
study for
for
history
history test
test

WHAT IS HOW TO
3pm-4pm
3pm-4pm

ORGANIZE MY STUFF? To
ToDo
Do

How to Organize My Stuff is a set of strategies to help your child 11 22 33 44 55 66 77

arrange their belongings and environment in a orderly way. This


can help them do everyday things more easily like keep their
room clean, organize their backpack or desk, and keep track of organize
desk after
school
their homework assignments and school papers.

By practicing this skill, your child will get better at staying


organized in their daily life and spend less time looking for 7 8 9 ÷ ON

things or playing “catch up”. Being organized can help your child 4 5 6 x
_
%
1 2 3
do better at school and home and feel good about themself. 0 00 . +
=

HERE’S HOW TO ORGANIZE YOUR STUFF

You can introduce this skill by saying, “We are going to try a new way to help you organize your stuff. Let’s read through
this list of strategies together and pick a few for you to try.” Go through the ideas below to help your child get more
organized. Depending on your child’s age, some strategies may work better than others.

Give everything a home.


If you find that your room or belongings are usually messy or your things end up in piles, give each item a
specific storage spot or “home” (e.g., clothes in closet or dresser, toys on shelf, backpack on hook). Use
organizational tools if you can, such as boxes/bins, drawers, files, trays, or shelves. If possible, label your spaces
1 so you remember where things go (e.g., drawer labeled “school supplies”). After you use an object, put it back
in its “home” so you don’t create clutter.
Example: When she gets home from school, Annie puts her shoes and coat in the hallway closet and her lunch
bag on the kitchen counter. Before bed, she places her backpack by the front door so she remembers to take it
to school.

Use a planner or agenda.


If you forget what homework you have or tend to turn assignments in late, using a planner can help. Keep track
2 of important dates, homework assignments, social events, and extracurricular activities by writing them down in
one place.
Example: At the end of each class, Jacob writes his homework assignment and its due date down in his planner.

Try color-coding.
If it’s hard to distinguish between different groups of belongings, try sorting them by color. You can use
different color notebooks and folders for each subject, or write assignments for each subject in a different
3 color pen.
Example: Sophia always puts new/unfinished homework assignments in her red folder, completed homework
in her blue folder, and papers for her parents in her green folder.
Set a deadline for getting tasks done.
If tasks often feel rushed or “last minute”, set deadlines to reduce your stress. You can use due dates (e.g.,
school assignment due on Monday), a deadline you or your parents choose (e.g., clean room by
dinnertime), or blocks of time (e.g., do task A for 20 minutes, then move on to task B for 10 minutes).
4 Being creative can help: for instance, try putting away as many clothes as you can before 3 songs are
over.
Example: Jeff set a timer for 15 minutes, then put away as many of his toys as he could before the timer
buzzed. He took a 5-minute break, then used the same strategy to sort his art supplies for another 15
minutes.

Schedule “clean up time”.


If your backpack, desk, or locker are often full and it’s hard to find what you need, work with your parents
and teachers to set regular times to clean out those spaces so they don’t get too cluttered or
5 Example: Every Friday, Kiera’s teacher spends a few minutes helping her clear out her desk by throwing
away unnecessary papers and trash. Every Sunday, her parents help her clean out her backpack to get
ready for the next week.

Ask your parents or teachers to support you.


When first trying these strategies, share them with your parent and teacher so they can help you
practice. For example, a parent can go through your backpack with you and check that everything
you need is in there (and also help you clear out whatever you no longer need!). Similarly, your teacher
6 can remind you to write assignments in your planner, check that you wrote them down correctly, and
ensure that you are taking home everything you need that day. Your parents and teachers can also give
you suggestions for new strategies, help you improve ones that aren’t working, and support you in
becoming more independent.

Reward yourself.
If you’re working hard to stay organized, choose how you will treat yourself. If you’re not sure what is
7 allowed or appropriate, ask your parents. Be sure to give yourself a pat on the back for working hard
and doing more on your own!

Here’s an example of how Felix organizes his room:


toys on
shelf
backback
February
on hook
1 2 3 4 5 6 7

8 9 10 11 12 13 14

papers for mom and dad 15 16 17 18 19 20 21

unfinished homework
completed homework
clothes in 22 23 24 25 26 27 28

dresser

shoes next
to door
PARENT HANDOUT:
HOW TO ORGANIZE MY STUFF TIPS
ADHD Skill 7

HOW CAN ORGANIZING MY STUFF HELP MY FAMILY?


When your child has ADHD, it can be harder to stay organized. For instance, your child may have a messy
bedroom, lose track of assignments or belongings, or forget to bring home important papers. You may find
that there are piles of clothes around their room, their backpack is full of papers, or it’s hard for them to find a
pen or notebook to use in class.

This can mean they take a long time to complete easy tasks, or it is challenging to do the things they need to
do, like homework or chores. Your child, your family, and/or your child’s teachers may find this frustrating or
annoying.

How to Organize My Stuff gives your child helpful strategies to improve their organization. By practicing this
skill, your child can establish better routines and feel successful at home and school.

COMMON PARENT CONCERNS


Organizing is hard, and everything usually turns out okay in the end. They want to know why they should bother?
It can take hard work and time to become more organized. Encourage your child to think about their goals and how
disorganization may make it harder to achieve them. For example, do they wish they didn’t lose as many papers or
possessions? Would it feel good to turn things in on time? What would it be like to know where their things are when
they need them? Is there any benefit to you nagging them less about their messy room or losing things? See if your
child can identify whether there are advantages to trying a new strategy or two. Then see if these new strategies help
them to do well and feel better!

My child starts to organize their stuff, and then they get distracted. It’s hard for them to finish anything.
Think about when your child will best be able to try new organizational strategies. For example, pick a time of day
when they have the most energy or focus. Try to limit their distractions by turning off the TV and putting away their
phone. They can start with a smaller task, like cleaning out one drawer, one section of their backpack, or one side of
their desk. Check in on them in case they need help, and encourage them to take breaks as needed so they don’t get
overwhelmed. You and your child’s teachers can offer more suggestions based on what you’ve seen work well for
them at home or school.

When I ask my child to organize their things, they say it’s too hard to do a big task like cleaning their room. It’s so
messy, they don’t know where to start! When tackling a big task, help your child think of ways to break it down so it
feels less overwhelming (see ADHD Skill 6 on How to Get Things Done for tips). For example, they can split their
bedroom into four sections and clean one at a time. Once their room is clean, have them save a little time each day
to straighten up. For example, each day they can spend five minutes putting things away, put away at least five things,
or clean off one area, such as their nightstand. Remind them to reward themself for their hard work!

These strategies sound helpful, but it’s hard to know which ones my child should use.
Learning new skills can be challenging for any child! Remember they don’t need to do all of these at once. Your child
can start by trying one of these strategies and seeing how it goes. If possible, you or your child’s teachers can try the
new skills out with them the first few times. Kindly offer helpful ideas about which techniques are best for your child
and ways to improve their process.

If your child’s difficulty with organization gets in the way at school, home, or with friends, they may need additional
support. Check in with your primary care provider. They can connect you to a behavioral health specialist who can
help.
PARENT HANDOUT:
HOW TO MANAGE MY TIME ADHD Skill 8

WHAT IS HOW TO MANAGE MY TIME?

How to Manage My Time helps you make calculate how much time you need to do tasks and do them on
time. Practicing this skill can help you stay on schedule, complete your daily routines, and meet your goals.

The strategies below help you 1) figure out how long it takes you to complete tasks, and 2) organize your
time in order to get them done. Try them out to improve your time management!

Depending on your child’s age, some strategies may work better than others. Try them out to improve your
child’s time management!

HERE’S HOW TO MANAGE YOUR TIME

You can introduce this skill by saying, “It can be hard to know how much time we need to do things. Let’s read
through this list of strategies together and see if they help you manage your time.”

11 Understand Your Timing. To manage your time, you first need to know how long it takes you to do different tasks.
a If you’re unsure or find that your guesses are usually wrong, play our Check Your Time game. Using our list
of quick activities, write down how long you think each task will take, time yourself doing each one, and
then compare your predicted time with your actual time. Add your own activity ideas to the game, focusing
on those tasks where you often need more time than you expect, or where you find yourself running out of
time to finish.
b As you do tasks in the future, time yourself to continue improving your awareness of how long it takes you
to do things.

22 Plan for Homework. Before starting your homework, do some quick calculations to plan your time.

a For example, if you have 3 hours to complete your homework after dinner and 3 classes with homework
assignments, you have about 1 hour to spend on each subject. If you finish any assignments ahead of
schedule, you can use your extra time to check your work or start the next one.
b If you have trouble paying attention or doing a task for a long time, remember to schedule in short breaks
(e.g., a 5-minute break after completing each homework assignment).

33 Make Schedules. Use a calendar to keep track of your homework assignments, extracurricular activities, and
social events. You can color code to match each type of activity or use separate calendars.
a At the beginning of each school year, write important dates in your calendar (e.g., first and last day of school,
breaks and vacations, school dance, etc.). Review these with your parents and/or teachers so you’re all on
the same page.

b Make a weekly schedule at the beginning of each week. Include the times you have to wake up, leave for
school, get home, and go to bed. Add that week’s appointments, activities, and social commitments. Review
your schedule every day to see what’s coming next. See our example and fill in the blank one for yourself.
44 Increase Your Motivation. Identify a small way to reward yourself for managing your time well. This can be a
challenging skill to master, so be sure to acknowledge your hard work.
a You can also increase your motivation to stay on schedule by considering the consequences of not
managing time well. For instance, if you fall behind in the morning, you may end up getting marked tardy,
which can lead to getting a detention!

55 Anticipate Challenges. Think about obstacles that may keep you from following your schedule or plan. For
example, if you tend to forget your planner at home, you may need a reminder to put it in your backpack at
night. Or, if you have the hardest time staying on schedule in the morning, you may need to leave extra time to
complete your tasks before school. Your parents and teachers may have ideas too, so talk this over with them.

a Set reminders to help you stick to your schedule. You can set alarms on your phone or watch, ask others to
help you, or use a calendar app that sends automatic reminders when something is coming up in your
schedule. Some families find that sharing their calendars makes it easier to keep track of everyone’s activities.

b At the end of the day, review your schedule and cross off everything you were able to do. Notice where you
successfully managed your time, and give yourself a pat on the back! For those things you weren’t able to do,
try to identify why. See if there is anything you can change to get them done next time.

c Don’t be shy about asking for help when you need it. Everyone can use support with challenging tasks. Your
family, teachers, or friends can play an important role in helping you practice the strategies above. Together,
you can work hard to improve your time management and reach your goals.

You can do it! Let’s review the 5 simple steps to Managing Your Time:
1. Understand your timing
2. Plan for homework
3. Make schedules
4. Increase your motivation
5. Anticipate challenges

CHECK YOUR TIME GAME


Predict how long it will take you to do each of these short tasks, then time yourself doing them.
To make it more fun, you can also ask others what their predictions are. Add your own activity ideas too!

Task How long do I think this will take? How long did it actually take?
Brush your teeth
Read 2 pages in a textbook
Choose clothes for tomorrow
Eat breakfast
Write your address 5 times
Take a shower
Put on your shoes
Do 10 jumping jacks
Vacuum a room
Sing the alphabet
Pack your lunch
Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Wake Up 6:30 6:30 6:30 6:30 6:30 8:30 8:30

Leave for
7:30 7:30 7:30 7:30 7:30
school

Get home 3:00 4:30 3:00 4:30 3:00

Bedtime 9:30 9:30 9:30 9:30 9:30

dentist at
Appointments
11:00

band tryouts softball softball dinner at


Activities grandma’s
4th period practice 3-5 practice 3-5
6-8

movies with
Fun melissa and
Alicia 1-3

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Wake Up

Leave for
school

Get home

Bedtime

Appointments

Activities

Fun
PARENT HANDOUT:
HOW TO MANAGE MY TIME TIPS
ADHD Skill 8

HOW CAN MANAGING MY TIME HELP MY FAMILY?


When your child has ADHD, it can be challenging for them to pay
attention, focus on one task at a time, and keep track of their time.
Assignments or chores may take longer than they expect, it may
be hard to get things done when they’re supposed to, or they may
find that they’re always behind schedule, even if they wear a
watch.

This can lead your child to feel frustrated at school, get into
arguments at home, or miss out on fun activities. Using the
strategies on these worksheets, they can become better at using
and controlling their time, which will help them be more
independent. Over time, practicing these skills can help your child
stress less and succeed more!

COMMON PARENT CONCERNS


My child tries to set aside enough time, but it always takes them longer than they expect to do things.
This happens to many people with ADHD, so your child is not alone! Have them play the Check Your Time game to
learn how much time they need for small tasks, and then have them time themself completing a task that usually
takes them longer than they predict. This will give you both valuable information about how accurate their time
estimates are. You can also offer guidance or ask their teachers for ideas based on how much time you’ve seen your
child need to do things. Your child can use this information to improve their future planning.

Some of the other strategies in this packet can also help your child get better at managing time, such as How to Get
Things Done (ADHD Skill 6) and How to Organize My Stuff (ADHD Skill 7). If these ideas are new to your family, they
may be challenging for your child at first, but with practice children find that these skills become easier and easier to
use!

My child says they have no idea how long it takes them to do things, and nothing ever feels urgent. But, we are
always fighting about them taking too long or not taking things seriously.
It can be frustrating to have trouble keeping track of time. Many people, even those without ADHD, find this hard to
do. See if your child is willing to try some of the strategies we suggest here. Encourage them to notice if changing
the way they manage their time helps them understand how long it takes to do things, follow a schedule, and
complete tasks.

My child now sets up their schedule and plans their time well, but they aren’t motivated to get any of it done.
It can be hard to stay motivated to do hard or boring things! Help your child identify what they’ll gain from being
better at time management. For example, can it help them get their homework done faster so they have more time
for fun? Will it decrease how often they argue with you about your schedule? It can also help to identify the reward
they’ll earn when they’re able to follow their schedule (step 4, reward yourself). Even a short break to do something
they enjoy can feel great after working hard!
PARENT HANDOUT:
HOW TO FEEL GOOD ABOUT MYSELF
ADHD Skill 9

WHAT IS HOW TO FEEL GOOD ABOUT MYSELF?

The challenges children with ADHD experience can make it easy for them to get down on themselves. How
to Feel Good About Myself is a set of strategies to help your child be their own cheerleader, feel better about
tackling difficult tasks, and remember that everyone faces challenges. These techniques also help your child
notice if they are being hard on themselves and then take steps to feel better.

By practicing this skill, your child will remember what makes them wonderful and special, even when they’re
having a hard time.

HERE’S HOW TO FEEL GOOD ABOUT YOURSELF

You can introduce this skill by saying, “All kids have times when they feel down on themselves. When that happens,
it’s important to remember what makes you special. Feeling good about yourself can help you do better at school,
home, and with friends! Let’s go through this list of strategies together and see if they help you feel better.”

1 Make a list of your special qualities. Each person has traits that make them unique. Make a list of 10 talents,
skills, or characteristics that make you great. Ask your parents, teachers, and friends for more ideas based on
what they like about you. Look at this list when you’re feeling down or having a hard time remembering what’s
great about you.
2 Be kind to yourself. If you find yourself feeling annoyed or frustrated, remember that having a positive attitude
can make a big difference. Remind yourself that you can try to solve problems, improve the way you do things,
and give your best effort each day. Everyone has things they are good at and things they find challenging. Try
to focus on your strengths and treat yourself like you would treat a good friend.

3 Remember that your thoughts, feelings, and actions are connected. How you think about a situation impacts
how you feel about it, and how you feel about it effects how you act in that situation. You may not be able to
control the way your brain works sometimes or change a challenging situation, but you can decide how you
think about it in order to feel better and do better.
4 Give yourself a pep talk before starting a hard task. When preparing to do something challenging, give
yourself an encouraging pep talk. Follow the strategies in these worksheets, then remind yourself how hard
you’re working. Visualize yourself successfully completing your hard task. (E.g., Before Leah studies for her
math tests, she tells herself, “I can do it! If I put my mind to it, I can do my best on this test!”.)
5 If a task feels too challenging, take a break. Taking a short break from a difficult task can make it feel less
frustrating or overwhelming. Take a few minutes to stretch, listen to some music, take some deep breaths, or
have a light snack. See if you feel better and are ready to try again.

6 If you feel unsure or stuck, ask for help. Remember you don’t have to go it alone. Make a short list of caring
people you can talk to when you’re feeling down or overwhelmed. This can include parents, teachers, friends,
and other supportive people in your life. Turn to them for understanding and encouragement when things feel
hard.

7 Don’t give up! Sometimes the first strategy we try doesn’t work. If that happens, try another one (such as the
other skills in this guide). Remind yourself not everyone gets it on the first try!

8 Track your progress. . As you work through the skills in this guide, be sure to notice if you are feeling and doing
better. If so, give yourself credit for your effort and be proud of your hard work!
CHILD WORKSHEET:
HOW TO FEEL GOOD ABOUT MYSELF ADHD Skill 9

I’m a good older sister I’m good at science!

I love my family I’m great at Minecraft

I take care of my dog I try hard at soccer

Use this space to make a list of your special qualities. These can be talents, skills, or characteristics that
make you great. Ask your caregivers, teachers, and friends for more ideas based on what they like about you!

1 6

2 7

3 8

4 9

5 10

Use this space to brainstorm a list of caring people you can talk to when you’re feeling down or overwhelmed.
PARENT HANDOUT:
HOW TO FEEL GOOD ABOUT MYSELF TIPS
ADHD Skill 9

HOW CAN FEELING GOOD ABOUT MYSELF HELP MY FAMILY?


Sometimes children with ADHD get frustrated with themselves for having a hard time paying atten-
tion, sitting still, doing homework, or getting along with others. This can lead them to think negative
thoughts about themselves, avoid important tasks, or argue with family, friends, or teachers.

Feeling Good About Myself provides strategies to increase your child’s self-esteem and help them
use coping strategies when they’re feeling badly.

COMMON PARENT CONCERNS


When a task is hard, my child gets overwhelmed and wants to give up.
Completing difficult tasks can be challenging! When a task feels hard, encourage them to give themselves credit for
the effort they’ve made so far. Then, they can take a short break to do something enjoyable, such as doing some light
stretching, watching a short video, or getting a snack. They can also practice relaxation skills, which can help them
calm both their body and their mind. See if these strategies help your child get back on track and ready to try again. If
you find that your child is avoiding their work because it feels too hard, offer more help or talk to their teachers to
get extra support.

Sometimes when my child thinks negative thoughts about themself, they get “stuck” feeling badly.
This happens to almost everyone at some point. Children with ADHD can find it even harder to control their
thoughts. Remind them that instead of beating themselves up, they can try to focus on their strengths and reset.
Have them to read over their list of 10 special qualities, do something fun or soothing, or talk to someone supportive
to get a new perspective. If you notice that they are thinking the same negative thoughts over and over, encourage
them to remember that they’re working hard and trying their best.

My child says they hate having ADHD! Everything feels harder for them.
Remember that there are many kids and adults with ADHD, so your child is not alone. A lot of people with ADHD are
successful at reaching their goals. Using the strategies in this guide can make things easier and more manageable for
your child at school and home. The more they practice them, the easier the skills will be to use on a daily basis and
the better they will feel!

School can be especially challenging for those with ADHD, but


school is not the only thing one can be great at doing. Remind
your child that they can take steps to do better in school and
that they also have your own special talents and skills.

If you child is feeling badly about needing extra support,


remind them that getting help means they are doing
everything they can to improve and succeed. This means they
are committed to being the best “them” that they can be!

If feeling down about themself gets in the way at school,


home, or with friends, your child may need additional support.
Check in with your primary care provider. They can connect
you to a behavioral health specialist who can help.
» AUTHORS
Erica Lee, PhD* (Clinical Psychology) Keneisha Sinclair-McBride, PhD* (Clinical Psychology)
Boston Children’s Hospital Boston Children’s Hospital
Harvard Medical School Harvard Medical School
*Equal Author with Keneisha Sinclair-McBride, PhD *Equal Author with Erica Lee, PhD

» GRAPHIC DESIGNER
Zoë Judd
Boston Children’s Hospital

» REVIEWERS
Heather J Walter, MD, MPH (Child & Adolescent Psychiatry)
Boston Children’s Hospital
Harvard Medical School
Pediatric Physicians’ Organization at Children’s
Massachusetts Child Psychiatry Access Program

David R DeMaso, MD (Child & Adolescent Psychiatry)


Boston Children’s Hospital
Harvard Medical School

Eugene D’Angelo, PhD (Clinical Psychology)


Boston Children’s Hospital
Harvard Medical School

Louis Vernacchio, MD (Pediatrics)


Pediatric Physicians’ Organization at Children’s
Boston Children’s Hospital
Harvard medical School

Jonas Bromberg, PsyD (Clinical Psychology)


Pediatric Physicians’ Organization at Children’s
Boston Children’s Hospital
Harvard Medical School

Betsy Brooks, MD, MPH (Pediatrics)


Pediatric Physicians’ Organization at Children‘s
Boston Children’s Hospital

Bhavana Arora, MD, MBA (Pediatrics)


Children’s Hospital Los Angeles Health Network
Children’s Hospital Los Angeles
CREDENTIALS
Dr. Lee is an Attending Psychologist at Boston Children’s Hospital and an Instructor in Psychology,
Department of Psychiatry at Harvard Medical School. She earned her BA in Psychology from Cornell
University and her MA and PhD in Clinical Psychology from the University of California, Berkeley. Dr.
Lee completed her internship in Clinical Psychology at Boston Children’s Hospital and post-doctoral
fellowship at Harvard University. She has extensive training and experience in the dissemination,
implementation, and testing of evidence-based interventions for youth presenting with a wide variety
of mental health problems. She is a licensed clinical psychologist in the state of Massachusetts who
provides clinical care to children, adolescents, and families in Boston Children’s Hospital Outpatient
Psychiatry Service, with an emphasis on delivering evidence-based and culturally responsive services
and increasing access to mental health care in underserved communities. In addition, Dr. Lee engages
in research focused on decreasing barriers to mental health care and has published numerous papers
on risk and protective factors for diverse youth. She also provides supervision and teaching on the
treatment of youth depression, anxiety, disruptive behavior, and traumatic stress to trainees and staff in
outpatient, primary care, and school settings. She has led clinical trainings in the United States and
abroad and won multiple awards for her teaching.

Dr. Sinclair-McBride is an Attending Psychologist at Boston Children’s Hospital and an Assistant


Professor of Psychology, Department of Psychiatry at Harvard Medical School. She received a BA in
Psychology from Yale University and her MS and PhD in Clinical Psychology from Vanderbilt University.
She completed her internship in Clinical Psychology at Boston Children’s Hospital and post-doctoral
fellowship at Boston Medical Center and Boston Children's Hospital. She is a licensed clinical
psychologist in the state of Massachusetts who provides evidence-based clinical care to children,
adolescents, and families in Boston Children’s Hospital Primary Care Center and Outpatient Psychiatry
Service. She also engages in the supervision and teaching of trainees in these settings. She conducts
research on the assessment, treatment, and development of internalizing disorders in children and
adolescents with a special focus on integrated behavioral healthcare. The goal of her program
development and program evaluation work is to provide evidence-based integrated behavioral
healthcare to at-risk and minority youth. Dr. Sinclair-McBride is the author of multiple articles on these
topics and a contributing author to chapters in the Handbook of Pediatric Psychological Screening
and Assessment in Primary Care and the Nelson Textbook of Pediatrics.

Ms. Judd is the Graphic Designer for the Behavioral Health Education in Pediatric Primary Care
program in the Department of Psychiatry at Boston Children’s Hospital. Ms. Judd has a background in
early childhood education with degrees from the University of Massachusetts Amherst in
Communication Disorders and Psychology, with a concentration in Education. She studied graphic
design at the University of Massachusetts Lowell. Ms. Judd has a special interest in designing health
and wellness educational materials for pediatric patients and their families.

Dr. Walter is the Medical Director for Behavioral Health, Pediatric Physicians' Organization at
Children's, the Medical Co-Director, Massachusetts Child Psychiatry Access Program, Senior Attending
Psychiatrist, Boston Children's Hospital, and Senior Lecturer on Psychiatry, Harvard Medical School. Dr.
Walter completed her general psychiatry training at New York University Medical Center/Bellevue
Hospital and her child and adolescent psychiatry training at Columbia University Medical Center/The
New York State Psychiatric Institute. She also completed training in preventive medicine at ULCA
Medical Center and earned her MPH degree in epidemiology at the UCLA School of Public Health. Dr.
Walter has achieved board certification in General Psychiatry, Child and Adolescent Psychiatry, General
Preventive Medicine, and Public Health and has practiced child and adolescent psychiatry in New York,
Chicago, and Boston for over 30 years. In addition to clinical work, Dr. Walter’s career has
encompassed research, education, clinical administration, and advocacy. Dr. Walter has nearly 150
papers and chapters reporting the findings from her research and educational innovations, including
more than 25 national clinical practice guidelines for child and adolescent psychiatry and multiple
chapters on pediatric behavioral health in leading child and adolescent psychiatry and pediatric
textbooks, including Dulcan’s Textbook of Child and Adolescent Psychiatry, the Nelson Textbook of
Pediatrics, and Mental Health Care of Children and Adolescents – A Guide for Primary Care Clinicians.
Dr. Walter has held major administrative positions at multiple academic medical centers, including
Director of School Psychiatry at Columbia University Medical Center, Director of Outpatient Child and
Adolescent Psychiatry at Northwestern University/Children’s Memorial Hospital, and Chief of Child and
Adolescent Psychiatry at Boston Medical Center. She has held leadership positions at the American
Academy of Child and Adolescent Psychiatry (AACAP) and has been honored with the AACAP Simon
Wile Award for Leadership in Pediatric Consultation Psychiatry and the designation of Distinguished
Life Fellow. Prior to coming to HMS, Dr. Walter achieved the rank of Professor of Psychiatry and
Behavioral Sciences at Northwestern University Feinberg School of Medicine and Professor of
Psychiatry and Pediatrics and Vice-Chair of Psychiatry at Boston University School of Medicine.

Dr. DeMaso is the Psychiatrist-in-Chief and Leon Eisenberg Chair in Psychiatry, Boston Children’s
Hospital and George P. Gardner – Olga E. Monks Professor of Child Psychiatry and Professor of
Pediatrics at Harvard Medical School. Dr. DeMaso completed his pediatric internship at Massachusetts
General Hospital, his general psychiatry training at Duke University Medical Center and his child and
adolescent psychiatry training at Boston Children’s Hospital/Judge Baker Guidance Center. He also
completed training in pediatric consultation liaison psychiatry at Boston Children’s Hospital. Dr.
DeMaso has board certification in General Psychiatry and Child and Adolescent Psychiatry and has
practiced child and adolescent psychiatry in Boston for nearly 40 years. In addition to clinical work, Dr.
DeMaso’s career has encompassed research, administration, and advocacy. Dr. DeMaso has over 200
papers and chapters reporting the findings from his clinical and research innovations, including
multiple chapters on pediatric behavioral health in the Nelson Textbook of Pediatrics and Mental
Health Care of Children and Adolescents – A Guide for Primary Care Clinicians. He also co-edited the
genre-leading Textbook on Pediatric Psychosomatic Medicine and co-authored the genre-leading
Clinical Manual of Pediatric Psychosomatic Medicine (now re-titled the Clinical Manual of Pediatric
Consultation-Liaison Psychiatry). Dr. DeMaso has held top leadership positions at the American
Academy of Child and Adolescent Psychiatry, and has earned multiple awards from AACAP, including
the Simon Wile Award for Leadership in Pediatric Consultation Psychiatry, the Klingenstein Third
Generation Foundation Award for Research in Depression or Suicide, the Catchers in the Rye
Advocacy Award, the Outstanding Mentor Award, and Distinguished Life Fellow.

Dr. D’Angelo is the Chief of the Division of Psychology, Director of Training in Psychology, and Linda
and Timothy O’Neill Chair in Psychology at Boston Children’s Hospital and Associate Professor of
Psychology at Harvard Medical School. He was the Director of the Outpatient Psychiatry Service at
BCH for approximately 20 years. He earned his PhD from the Joint Program in Social Work and
Clinical Psychology at the University of Michigan in 1980. He completed his internship in Clinical
Psychology at Boston Children’s Hospital and a post-doctoral fellowship at the Boston Children's
Hospital/Judge Baker Children’s Center. He is board certified in Clinical Psychology by the American
Board of Professional Psychology. Dr. D’Angelo has received the Karl Heiser Presidential Award from
the American Psychological Association, the Career Contribution Award from the Massachusetts
Psychological Association, and the Connie Hersey Distinguished Service Award for Contributions to
Education and Training from the Association of Psychology Postdoctoral and Internship Centers. He is
the past President of the American Academy of Clinical Psychology and also of the Massachusetts
Psychological Association. He is also Past Chair of the Association of Psychology Postdoctoral and
Internship Centers. He is a Fellow and a Commissioner in the Commission on Accreditation, American
Psychological Association. He holds numerous appointments to both state and federal advocacy
committees where he focuses on prevention, access to care, and education and training in mental
health. He has published numerous papers and book chapters on education and training in
psychology, adaptations of evidence-based interventions for youth from diverse backgrounds, suicide
risk, and investigations of both clinical high risk and first episode psychosis.
Dr. Bromberg is Manager of the Behavioral Health Integration Program (BHIP), Pediatric Physicians’
Organization at Children’s, Attending Psychologist, Boston Children’s Hospital, and Instructor in
Psychology, Harvard Medical School. Dr. Bromberg also practices clinical psychology at a private,
non-profit health agency in Wellesley, Massachusetts. Dr. Bromberg earned his BA in Psychology and
Sociology from Macalester College, his MA in Counseling Psychology from Tufts University, and his
PsyD in Health Psychology from the Massachusetts School of Professional Psychology (now William
James College). Dr. Bromberg completed his internship in Clinical Psychology in a combined program
at Boston Children’s Hospital, Dana Farber Cancer Institute, and Judge Baker Children's Center. He
completed post-doctoral fellowships in health psychology at Boston Children's Hospital, and the Linda
Pollin Institute at Harvard Medical School. Dr. Bromberg is a licensed clinical psychologist in the
Commonwealth of Massachusetts. He has extensive training and experience in the development,
dissemination, implementation, and testing of programs that integrate behavioral health and medicine
to improve patient care and clinical outcomes. As a Senior Research Scientist at Inflexxion (Newton,
MA), Dr. Bromberg was the Principal Investigator on multiple grants from the National Institutes of
Health developing multi-media and web-based tools for the self-management of medical and
behavioral health problems. He currently is a Co-Investigator on a grant from the Substance Abuse
and Mental Health Services Administration to integrate clinicians trained in substance use and
addiction into the pediatric medical home. As Manager of BHIP, Dr. Bromberg has overseen the
integration of over 70 behavioral health therapy providers into more than 40 pediatric practices in
Massachusetts. Dr. Bromberg has been an author and co-author on multiple publications about
behavioral health integration in primary and specialty care and has been an invited presenter on these
topics at numerous national, regional, and local conferences.

Dr. Brooks is Associate Medical Director, Pediatric Physicians’ Organization at Children’s (PPOC). She
has practiced for more than 30 years as a primary care pediatrician at a large independent private
practice serving a diverse population in Holyoke, Massachusetts. After receiving her BA from Harvard
College and her MD from Harvard Medical School, she completed an internship at Johns Hopkins and
a residency at the University of Massachusetts Medical School. She also completed her MPH at the
Columbia University Mailman School of Public Health. Dr. Brooks is a Fellow of the American Academy
of Pediatrics, and has been an Assistant Clinical Professor of Pediatrics at Tufts Medical School. She has
served in various advocacy positions in her community and through the Massachusetts Academy of
Pediatrics. Dr. Brooks is interested in primary care approaches to improving health care quality for
common pediatric conditions including obesity, asthma, and behavioral health problems. She chaired
her practice’s Quality Improvement committee and has implemented projects to improve primary care
delivery of behavioral health services, including projects to screen, evaluate and treat adolescent
depression and to improve the diagnosis and treatment of attention-deficit/hyperactivity disorder
(ADHD). She served as a consultant on the implementation of systematic behavioral health screening
for the Massachusetts Children’s Behavioral Health Initiative, as clinical faculty for the revision of the
National Institute for Children’s Health Quality (NIHQ)/American Academy of Pediatrics (AAP) ADHD
toolkit, and as a collaborator in a pilot to implement the Guidelines for Adolescent Depression in
Primary Care (GLAD-PC).

Dr. Arora is the Chief Medical Officer of the Children’s Hospital Los Angeles Health Network, a
clinically integrated network of independent pediatric practices. Dr. Arora is committed to supporting
affiliated pediatricians in providing high quality patient- and family-centered care in the communities
they serve. Dr. Arora has championed a special focus in training and education for the network in
mental health, expanding capacity for pediatricians to treat conditions in their practice and develop a
set of resources and community partners to create an ecosystem around mental and behavioral health
care. This is in addition to spearheading numerous other quality programs including but not limited to
obesity, asthma and sports medicine. Prior to her current role at Children’s Hospital Los Angeles, Dr.
Arora served as Assistant Utilization Management Director and Chair of the Department of Pediatrics
for the Providence Health System. She also served on the board of Providence Health Network and as
the Quality Director for Providence Health Network. Dr. Arora is Board-certified in General Pediatrics
and completed her residency training at Mattel Children’s Hospital, University of California Los
Angeles. She also has a Master’s in Business Administration from University of Massachusetts, Amherst.

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