Saturday, November 15, 2008

CEC conference workshop sessions

Time: November 7-8
Place: Verona, NY
Discussion led by: Various presenters
Amount of hours: 3 hours

This past weekend, I attended the New York State CEC Conference in Verona, NY, where an array of valuable workshops and information were available. Two of my favorite ones that reflected some of the things we've been talking about with regards to social justice education were: "Knowledge, Attitude, and Behaviors of African Americans Towards ADHD" by Satasha Green and Holly Quicksey, and a poster session including a poster by Susan J. Salmon and Sherry Schwartz, both of SUNY Geneseo entitled "Education Candidates, Communities and Social Justice: More Data."

The first workshop about ADHD focused on the possible reasons why there is an overrepresentation of African American students in the E/BD category and an underrepresentation in the OHI (including ADHD) category (28% to 16%). Both categories have "similar behavioral characteristics, such as hyperactivity, inability to build interpersonal relationships, inappropriate types of behaviors under normal circumstances," quoted from their powerpoint presentation.

Their main argument was the differece in the way a child is diagnosed. With E/BD, the child is referred, and then a diagnostician (usually school psychologist) determines eligibility. The child then receives services relatively quickly if he/she is considered E/BD and given an IEP, under IDEA. For ADHD, a child is referred, evaluated by a primary care doctor, and then eligilibity is determined. If a child is found to have ADHD, his/her services come from section 504, since the disorder is considered a physical medical condition.

Problems with this method:

[53% of parents believed their child would be negatively labeled if he/she was diagnosed ADHD, and 47% said getting information on ADHD was an important factor (since they did not receive any from the health care provider), 64% of African Americans reported not knowing were to go for assistance, and 52% citedcosts as a berrier to seeking health care.]

1) Cost/economics: Seeing the school psychologist is free, seeing the primary care doctor depends on if a family even has a primary care doctor, if a parent can get off of work to take a child to the doctor (a number of visits, potentially), if a family can physically get to the doctor, if a family has health insurance, if a famliy can afford the co-pays.

2) Cultural beliefs: African American males may be seen as hyperactive when they are really displaying culturally appropriate behaviors. The presenters discussed "verve" (or as they affectionally called it, "swagger") and a study that was done on teachers on the movement of African American males, and how they are perceived as "troublemakers" simply by the way they walk (Webb-Johnson, 2002)

3) Distrust of Health Care Providers & Services: Numerous historical episodes of exploitation of medical experimentation on uninformed African American groups were cited: The Tuskegee Syphilis study, Agent Orange, and the theories of HIV/AIDS and Crack cocaine as being developed by the govenment and used to eradicate African American populations. Also, informed consent is seen as a document that allows the patient to sign away his/her right to sue a doctor or hospital if malpractice occurs.

4) Levels of Knowledge, Literacy, and Technology's Influence: 66% of US adults ages 60+ have low to marginal reading skills, 50% of welfare recipients read below the 5th rgade level, 40% of African Americans have reading difficulties, 75% of those surveyed reported having long-term illnesses of 6 months or more & limited reading skills (all statistics are taken from the National Adult Literacy Survey).

The presenters also conducted a survey on African Americans about their knowledge on ADHD (relatively high), attitudes towards the diagnosis (pessimistic), and desire to have knowledge about a diagnosis (high, but may be impeded by reading skills and levels).

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The poster session focused on a study done by the presenters at SUNY Geneseo on different education majors (childhood, CH/SE, early childhood, social studies, literacy, and adolescent development). With an attitudinal survey, the researchers found that the education majors largely agreed with the need for social justice and did not agree with statements about discrimination, racism, and inequality. However, on the question "We, as teachers, have no right to indoctrinate our students," the students overwhelmingly agreed.

After I read the poster, I wound up having a long discussion with the woman about the results and what they meant precisely. She felt that the results showed a fear of initiating social justice education curriculum with students because it is wrong to "indoctrinate them." I had a problem with this question, since I feel the word indoctrinate is negatively connotated and carries a lot of baggage. No offense to anyone here, but I was thinking while I read this, that many of the undergraduates surveyed may not have even known what the word meant, or thought of it as having a negative connotation. From this, I can see a possible point where the data could have been skewed.

In an unrelated note, she told me she persoanlly knows Obama's educational advisor, LInda Darling-Hammond, and expects that should she become the secretary of education, she will do a fantastic job in the way of social justice education and curriculum. How exciting!

3 comments:

Sara Sepulveda said...

I'm particularly drawn to the first segment of the workshop that focused on the misdiagnosis or overrepresentation of Emotional/behavior disorders and ADHD. I think that a factor that is often overlooked that you mentioned was access to healthcare. The healthcare and attention offered at public hospitals does not compare to the attention you would receive at a private clinic. Many of the public hospitals have a large amount of patients they have to meet which may cause them no spend the necessary time to explain a child's behavior and whether there is any medical contributing factors triggering that behavior.
I am still shocked that when it comes to diagnosing a child a parent has the power to choose what 'label' the child is diagnosed with in order to receive IEP services. I understand that there are social implications but I would think that the appropriate diagnosis of my child's need and its appropriate course of services would be more important than what others may think of my child. I think that at a certain point, the power a parent has on labeling the child should be proven medically or scientifically before it is officially recognized as such.

Sarah North said...

The part of your post, Katrina, that really stood out to me was the many problems with diagnosing children as having ADHD, especially because of cultural differences. Many people make assumptions based on how someone walks, dresses, or talks, even though it may be done subconsciously. As teachers we really have to be aware of this tendency to make assumptions, not just about our students but also parents, colleagues, etc. I think it's also really telling that many African Americans want more information about ADHD but may have trouble reading it. It is not lack of desire that is preventing them from learning more, but from lack of accessibility of information. This perpetuates the lack of knowledge and stereotypes associated with that.

pork dumpling said...

I was very interested in this post, Katrina, because when I was in Minnesota, the ONLY EBD children I worked with were African American. I was very interested to read the different factors that cause over-representation for EBD and the underrepresentation for ADD. It also seems that different symptoms could be applied to either ADD or EBD and are construed for EBD in the case of African American (males) in some cases instead.