Download here - Kentuckiana Children`s Center

A Chiropractic Foundation and
Multidirectional Approach in
Treating Children
on the Autism Spectrum
Eric C. Epstein, Ms.T., D.C.
Vice Chair
Kentuckiana Children’s Center
Palmer Lyceum
August 8, 2003
Presentation Designed by:
Eric Epstein, Ms. T., D.C.
Sharon A. Vallone, D.C., D.I.C.C.P.
Jean Elizabeth, Director, Kentuckiana Children’s Center
©2003
A Chiropractic Foundation and
Multidirectional Approach in
Treating Children
on the Autism Spectrum
Eric C. Epstein, Ms.T., D.C.
Vice Chair
Kentuckiana Children’s Center
Kentuckiana Children’s Center
• Founded in 1957 by:
Dr. Lorraine M. Golden
“Our basic philosophy
will continue to be
that no child will be denied
the healthcare needed just
because the family cannot
afford the services.”
Dr. Lorraine M. Golden (1918 -1998)
Dr. Lorraine M. Golden, D.C. Founder,
1942 Palmer College Graduate
The Mission of
Kentuckiana Children’s Center
is to improve the lives of children
by providing a foundation for healing
through integrative chiropractic care.
Our Vision is BIG!
Healing All
Children…
Hope for
the Whole
Child
DID YOU KNOW?
Over 1.5 million Americans are affected by autism.
U.S. rate of growth over the last decade:
•Population: 13%
•Non-autism-related disabilities: 16%
•Autism: 173%
Today 50 families in America will find out that
their child has autism. (2001 F.E.A.T)
"Children are one-third of our population and all of our future."
Select Panel for the Promotion of Child Health, 1981
What in the world are Autism
Spectrum Disorders?
•
•
•
•
•
•
•
•
•
•
•
Angleman Syndrome
Apraxia
Asperger’s Syndrome
Attention Deficit Hyperactivity
Disorder
Fragile X Syndrome
Hyperlexia
Landau-Kleffner Syndrome
Pervasive Developmental Disorder
(PDD)
Prader-Willi Syndrome
Rett Syndrome
William’s Syndrome
Incidence and Demographics
• Prior to 1985, epidemiologic studies within the US suggested an
incidence of autism of 4 per 10,000 children. (Prevalence of Autism in
Metro Atlanta in 1996, M. Yeargin-Allsopp, et al, Nat’l Center on Birth
Defects and Developmental Disabilities, CDC, Atlanta, GA 1996)
• From Sept. 12, 2001 to Dec. 13, 2001, 600-700 new cases of autism
diagnosed in California alone, representing 7-8 new cases per day.
(Autism 2001: The Silent Epidemic, F. Edward Yazbak, M.D.,
F.A.A.P., Dec. 13, 2001)
• In California, autism has surpassed mental retardation, CP, Epilepsy,
and all other conditions similar to mental retardation as the #1
disability entering California’s Developmental Services System.
• 1 in 250 to 1 in 1000 children in the United States (Nat’l Inst of Mental
Health, January 2003)
• Boys are 3-4 times more likely to become autistic than girls.
• If a family has one child with autism, there is a 5-10 percent chance
that the family will have another child with autism vs. the 0.1-0.2
percent chance of a family that does not have a child with autism.
“Is Your Child At Risk For Autism?”
Does your 18-month-old child's language development seem slow?
Has he lost words that he had once mastered?
Is he unable to follow simple commands such as
"Bring me your shoes?"
When you speak to him does he look away rather than meet your gaze?
Does he answer to his name?
Do you or others suspect hearing loss?
Does he have an unusually long attention span?
Does he often seem to be in his own world?
At 18 months old, a child will typically do the following:
* Point to objects
* Interact with his siblings
* Bring you items to look at
* Look directly at you when you speak to him
* Follow your gaze to locate an object when you point across the room
 Engage in "pretend play" such as feeding a doll or making a toy dog bark
Autism is a developmental disability that impairs social and language development. It occurs in families from every class, culture
and ethnic background. It is not a mental illness and it is not caused by trauma - it is neurobiological and its symptoms can be
greatly reduced by early diagnosis and treatment.
If you are concerned about your answers to some of the above
questions, speak to your pediatrician about an autism screening.
An Early Diagnosis Provides the Best Chance for Success.
Excerpted from Unraveling the Mystery of Autism and Pervasive Developmental Disorder:
A Mother's Story of Research and Recovery, by Karyn Seroussi, published by Simon & Schuster in February 2000.
The diagnosis is NOT the child
RESOURCES
– DAN: Defeat Autism Now!
www.defeatautismnow.com
– CAN: Cure Autism Now
www.canfoundation.org
– ARI: Autism Research Institute
www.autism.com/ari
– GF/CF Kids:
www.gfcfdiet.com
– NVIC: The National Vaccine Information Center
www.909shot.com
Theoretic Etiologies
Genetic Predisposition
• Some immunologic
assault occurs to an
otherwise normally
developing child
between 1 to 2 ½
years of age
Environmental Influences
Theoretic Etiologies
Autoimmunity
• Once activated, the genetic predisposition triggers
an autoimmune response.
• Gut inadequacy
• Allergy
• Yeast and Pathologic bacterial overgrowth
• Inability of the Metalothionine system to eliminate
metals (mercury, lead, aluminum, etc.).
• Frequent antibiotic use
Theoretic Etiologies
Vaccine Reaction
• MMR (Andrew Wakefield)
• Vaccines containing
Thimerosol (removed from
childhood vaccines as of
2001)
• Vaccinating a sick child
• Vaccinating a child who is
also on an antibiotic
• Use of multiple vaccines in
one shot
Seek the wisdom of the ages,
but look at the world through
the eyes of a child.
-Ron Wild
Autism Treatment
methodologies are intended to:
• Engage the
Central Nervous
System
• Heal the gut first
• Provide for
nutrient
absorption
• Remove allergens
Autism Treatment
methodologies are intended to:
• Reduce
autoimmunity
• Improve social
interactions
• Improve focusing
• Allow for the
highest expression
of life possible
Chiropractic Care
• Engages the Central
Nervous System
• Enhances all other
treatment options for
ASD
• Encourages better
social interactions
• Is the foundation of all
treatment rendered by
Kentuckiana
Children’s Center
Pharmaceutical Intervention
• Chemically controls
behavior
• Utilize SSRI’s and other
potentially harmful drugs
• Serve to suppress behavior,
not encourage normal function
• Sometimes necessary when behavior is
dangerous and limits exposure to other
treatment modalities
Nutrition
• Assists in controlling
Leaky Gut Syndrome
• Removal of potential
allergens
• The GF/CF diet
• Salicylates
• Artificial additives
and colorings
(excitotoxins)
Nutritional Supplementation
• Necessary since Leaky Gut
reduces absorption of nutrients
• Needed for removal of mercury
and other toxic metals
• Helps to improve behavior
• Helps to rebuild a brain ravaged by autoimmune
reactions
• Supplements are prescribed in an organized fashion,
never all at once, and always with attention to
potential side effects
Occupational, Physical, &
BehavioralTherapies
• Help to develop delayed
functional skills
• Develop the greatest level of
daily functioning
• Repetitive Therapies increase
the ability to focus
• Strengthen physical experience
of movement and speech
• Develop coordination &
flexibility
Behavioral/Physical
Intervention
• Social
Services
• Sensory
Integration
• Movement
Therapy
• Dance
Therapy
• Art/Play
Therapy
CranioSacral Therapy
• Compliments chiropractic care
• Assists normal pressure dynamics
of the cranium
– Clenching and bruxing is
predominant in ASD
• Allows for relaxation
• Normalizes the autonomic
nervous system’s function
• Helps improve behavior
• Necessarily accompanies all
treatments as a synergist
Our Patients
• 75% fall somewhere on
the Autism Spectrum
• The balance of kids we
see have allergies,
asthma, CP, Down’s
Syndrome, Tourette’s
Syndrome, microcephaly,
traumatic brain injury, &
other neurological
challenges
• Wellness care
• Children subluxate too!
Challenges we face…
• Many of our children have no spoken “language” as
we recognize it or do not speak English
• This requires the development of alternative skills
for communication
– Reading body language
– Interpreting sounds
• Does that noise mean pain?
• Stim? Conversation? Need?
– Using dolls or stuffed animals
so they can indicate with their
hands what hurts, etc.
– Toys, games and child
appropriate equipment
Challenges we face…
• The Chiropractor may
adjust or the Therapist
may treat the children
sitting on the floor or
climbing over tables or
chairs
• It is important to
meet the child
WHERE THEY ARE!
"The potential possibilities of any child
are the most intriguing and stimulating
in all creation." Ray L. Wilbur
Extensive Intake Evaluation
• Information is gathered
regarding all aspects of a
child’s history, from
prenatal environment,
through the childbirth and
throughout life.
• Records of any clinical
nature are reviewed.
• Collaboration with outside
practitioners.
• Orientation with social
services.
Initial Examination
• Age appropriate pediatric physical
• Laboratory studies such as: Trace Mineral
Analysis, Comprehensive Digestive Stool
Analysis, DMSA Mercury Challenge,
IgG/IgE Antibody Test, others.
• X-ray studies when necessary
• Nutritional Evaluation
– 7-Day Diet Diary
Report of Findings
A written report delivered to caregivers
• Methods
• Measurable Goals
and Outcomes
• Timelines
• Follow up
Treatment Plans
• Designed to meet measurable goals
and outcomes.
• Founded on chiropractic care.
• Include physical support therapies:
–
–
–
–
CranioSacral Therapy
Massage Therapy
Neurodynamic Therapies
Orthotic Therapy
• Emergencies
Treatment Plans
• Orthotic Therapy
– FOOTLEVELERS continues to provide
orthotics for children at KCC
• Nutritional Therapy and Supplementation
– Nutritional counseling: GF/CF Diet, SCD, Feingold Diet
– BODY BALANCE donated by Life Force International
– Additional supplementation as recommended
Kentuckiana Children’s Center Clinic Correlation Schemata
502-366-3090
Child’s Name: _______________________________ Age: _______ Formal or Working Diagnosis: __________________
CCHH: __________
New Patient Exam / Re-evaluation____________Report of Findings________
Treatment Plan: Date
Current Outside Therapies : Physical, ABA, Speech,
Occupational, Psychiatrist, Social Counseling
Other: ____________________________________
Chiropractic ___________________that reflects measurable goals and outcomes.
Dr. Report Due: ________________________
Documented Measurable Outcomes With Timeline
Begin Treatment Date
Re-Evaluation Date
This treatment plan is reviewed and explained to parent or guardian
Social Services
Physical Therapies
Client/ Sibling/Family Therapy
Massage
_______________
Play Therapy
_______
CranioSacral
__________
Art Therapy
_______
Nutrition Therapies
TMA & Other Labs
_________
Movement/Dance Therapy
__________
Physiotherapy
__________
Consultation GFCF
________
Supplements
____________
Reports Due:_______
Reports Due:________
____________
Reports Due: ________
Documented Evaluation
Meeting with all therapists and Doctor to document outcomes and objectives attained
Date:
Dr. and Therapists meet with parents to discuss outcomes Date:___________________
Update on documented progress, evaluate outcomes, and formulate new objectives
What changes have the Parents noticed_____________________________________________________________________________________
____________________________________________________________________________________
Date for Re-Exam/Re-evaluation:_____________Type________________
New Treatment Plan Begins Cycle of New Measurable Health Outcomes Documented
Initials and date of all therapists and Doctors___________________________________________________________________________________________
CCHH: Child’s Clinical Health History, NP: New Patient Exam, GFCF: Gluten Free/Casein Free
KCC/je/7/2003
Treatment Plans
• Typical frequency of treatment over the first
6-8 weeks consists of:
–
–
–
–
–
Chiropractic: 2x week
CranioSacral*: 2x week
Sensory Integration Therapy
Social/Behavioral Therapy
Movement/Dance/Art/Play Therapy*: 2x week
• *Choice of modality and duration of visit for
supportive care dictated by specific need and
condition and often based on child’s tolerance
• Re-evaluation at 6-8 weeks
Treatment Plans
• Continued Care Plan depends on
– Response of the child and outcomes of
previous 6-8 weeks plan
– May include continuation of original treatment
plan with an addition or change in supportive
therapeutic modality(ies)
• May recommend an “INTENSIVE”
• May reduce the treatment plan
– Frequency or modalities
• May refer out for concurrent care
No children are considered ...
MAINTENANCE patients at KCC
• Each child has an optimum potential
• An ongoing assessment is based on careful observation
and constant input from children, parents, staff, other
health care providers
• It is our responsibility to scrutinize each child’s
progress and “RAISE THE BAR”
• This responsibility to the child has led us to
“THE INTENSIVE”
Intensive Care Plan
• An Intensive Care Plan may be created based on
– Referral
– Child’s initial evaluation merits intensive
– Child’s response to care
• Has the child’s progress reached a plateau?
• An Intensive Care Plan consists of a daily
protocol of chiropractic and supportive therapies
administered in ½ day sessions over the course
of 2 weeks with a graduated continuum of up to
4 weeks
Therapeutic Support Services
include:
•
•
•
•
•
•
•
•
•
CranioSacral Therapy
Pediatric Massage Therapy
Social/Behavioral Therapy
Sensory Integration Therapy
Movement Therapy
Dance Therapy
Nutritional Therapy
Art/Play Therapy
Parenting and Family Relations
Education
Follow Through & Collaboration
•
•
•
•
Staff Clinical Case Correlation conferences
Re-evaluations to date
Concurrent care with outside professionals
Frequent reporting to parents to inform
them about their child’s current status,
treatment plan, measurable goals and
outcomes
Hayley– age 9
Reason child came to KCC – “Alternative treatment
for her Autism and Cerebral Palsy, one that involves
no psychotic drugs, which the pediatrician is always
quick to prescribe.” Michelle(mother)
What does Kentuckiana Children’s Center
mean to you and your family? KCC Questionnaire
“HOPE”
– Michelle (mother)
EDUCATION
• Many families come to
Kentuckiana Children’s Center…
AFTER…“having tried everything else”
• Our goal is to move Kentuckiana Children’s
Center from it’s place as “the last resort”
to one of the top choices of facilities
providing services for the care of children
with special needs
EDUCATION
• Many parents who bring their
children to Kentuckiana Children’s
Center have NEVER experienced
chiropractic themselves
• New families bring their children because
- they have been referred by other enthusiastic
parents whose children have noticeably benefited
from our care
-other health professionals who may not
understand what we do, but have seen the results
with their patients who have been treated at the
Center
EDUCATE…
parents and children about
– Anatomy
– Neuroanatomy
– Philosophy of Chiropractic and
Kentuckiana’s Integrative
Approach
• Optimum potential
• The Wellness model
EDUCATION
Promotes…
–Compliance
from parent
and child
–Improves
outcomes
–Creates
Referrals
HOPE happens because
of… EDUCATION,
RESEARCH & OUTREACH
• Kentuckiana Children’s Center’s
goal is to provide a forum for
education and research for the
community and for the profession
OUTREACH
• It is critical for Kentuckiana Children’s Center’s
staff and doctors to be involved in organizations
and events that are important to our parents:
– Health fairs and school scoliosis screenings – Eric (vol
staff/board)
– Upledger ShareCare – Pam (staff), Dona (board),
Eric (vol staff/board)
– FEAT – Jean Elizabeth (staff )
– Prader Willi Friends – Jean Elizabeth (staff)
– BirthCare Network – Pam (staff)
– YMCA – Jean Elizabeth (staff)
– Play Therapy Association - Desiree (staff )
COMMUNITY
OUTREACH
Kentuckiana Children’s Center
provides a community meeting
room for organizations such
– FEAT (Families for Effective Autism Treatment)
– Play Therapy Association
– Prader Willi Alliance
for
Research
– BirthCare Network
OUTREACH
KCC Conducts Upledger CranioSacral
ShareCare Workshops for parents,
caregivers and professionals
EDUCATION
• Kentuckiana Children’s Center educates
community groups about the importance of
beginning chiropractic healthcare early in
the child’s life by showing the video
Hands of Love
Witnessing the Miracle of Birth
Dr. Carol J. Phillips
www.newdawnpublish.com
This video is shown to:
– BirthCare Network
– Upledger CranioSacral ShareCare
– Prader Willi Alliance for Research
EDUCATION
• Collaboration with
Chiropractic
Colleges through
Preceptorships
• Guest lectures and
seminars for
colleges and state
associations
• The annual
Golden Conference
• In-House trainings
• IMAGINE IF…
– We were able to treat these
children earlier? Younger?
• IMAGINE…
– The benefits
of beginning
treatment
before birth…
OUTREACH
• Kentuckiana Children’s Center provides
services in the community
– Lake Dreamland Project
OUTREACH
– Scoliosis screening
• Schools
• Health Fairs
• Community Events
RESEARCH
Non-Traditional Interventions in Behavior Management
July 29, 2003 – September 17, 2003
Client Base:
Sex: Male
Ages: 13 - 18
Ten Boys in each house
Some parents have terminated rights
Physical Abuse, Sexual Abuse, Neglect, Auto Immune Challenges,
Behavioral Challenges (ADHD), Educational Challenges
* Dietitian on staff at house
Control Group:
Sex: Male
Ages: 13 – 18
Ten Boys in each house
Some parents have terminated rights
Physical Abuse, Sexual Abuse, Neglect, Auto Immune Challenges,
Behavioral Challenges (ADHD), Educational Challenges
* Dietitian on staff at house
What KCC offers:
On-site Chiropractic
On-site Physical Rehabilitation
On-site CranioSacral
On-site Behavioral Management
Time involvement:
Minimum Eight Weeks from Completed Exam
Tuesdays at KCC 5pm – 7pm
Initial Exam and Intake July 15, 2003
July 29, 2003 begin project
07/15/2003je
RESEARCH
Treatment Interventions:
Chiropractic Method: High Velocity Low Force Thrust
Physical Rehabilitation: Determined by Doctor
CranioSacral: Determined by Doctor and CranioSacral Therapist
Behavioral Management: Determined by Social Worker
KCC Staff:
Dr. Eric C. Epstein
Pam Yenawine, CST
Katherine Williams, NCTMB
Desiree Brown-Daughtry, MSSW
Dona J. Airey, LCSW, ACSW
Jean Elizabeth, Director
Physical and Behavioral Measurable Goals and Outcomes
Initial Exam, Report of Findings, Treatment Plan
Group Home Daily Evaluations of Boys to form base line measurement
Group Home Boys Daily Self Evaluations to form base line measurement
Evaluations by House Staff on W, F, M
Evaluations done by boys on W
KCC Staff Case Correlation Tuesdays 7-8pm
Who is ultimately responsible for these children?
Program Coordinator will acquire consent for exams & routine health care
Two to Three Staff will be at KCC with the boys at all times
One Group Home Staff will be with Dr. Epstein
One Group Home Staff will be with CranioSacral Therapist
One Group Home Staff/KCC staff will be with CranioSacral Therapist
07/15/2003je
Non-Traditional Interventions in Behavior Management
Initial Behavior Intake/Information
To be completed by Group Home Staff for each boy on _____ July 25, 2003
Name:
DOB/Age:
Sex:
Male
Date:
Overall Mood
1
2
3
4
5
Depressed
Happy/Stable
Changeable Moods
Consistent
Comments:__________________________________________________________________________
Anger
1
2
Daily Outbursts
3
4
Occasional Outbursts
5
No Significant Outbursts
Comments: __________________________________________________________________________
Sleep
1
2
Insomnia
3
4
Interrupted
5
Sound
Comments: __________________________________________________________________________
Physical Activity
1
Sedentary
2
3
Moderate
4
5
Excessive
Comments: __________________________________________________________________________
Medications:
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Limitations:
Measurable Goals and Outcomes:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Involvement with Birth Parents and siblings
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Involvement with extended family:
___________________________________________________________________________________________________________
Reason why and how long in this group home?
___________________________________________________________________________________________________________
07/15/2003 je
___________________________________________________________________________________________________________
Non-Traditional Interventions in Behavior Management
Baseline Measurement
To be completed by Group Home Staff for each Boy on _____ July 26, 2003
_____ July 27, 2003
Name:
DOB/Age:
Sex:
Male
Date:
Overall Mood
1
2
3
4
5
Depressed
Happy/Stable
Changeable Moods
Consistent
Comments:__________________________________________________________________________
Anger
1
2
Daily Outbursts
3
4
Occasional Outbursts
5
No Significant Outbursts
Comments: __________________________________________________________________________
Sleep
1
2
Insomnia
3
4
Interrupted
5
Sound
Comments: __________________________________________________________________________
Physical Activity
1
Sedentary
2
3
Moderate
4
5
Excessive
Comments: __________________________________________________________________________
07/15/2003 je
Questions for Boys to Answer
Baseline Measurement
Name:
__________________________
To be completed by each boy on
_____ July 25, 2003
DOB/Age: __________________________
_____ July 26, 2003
Sex:
Male
_____ July 27, 2003
Date:
___________________________
___________________________________________________________________________________
Overall Mood
1
2
3
4
5
Sad
Fine
Happy
___________________________________________________________________________________
Anger
1
2
3
4
5
Mad
Occasional Outbursts
Feeling Good
___________________________________________________________________________________
Sleep
1
2
3
4
5
Trouble Falling Asleep
Wake Up More Than
Sleep Through
Three Times a Night
The Night
___________________________________________________________________________________
Physical Activity
1
2
3
4
5
Couch Potato
Some
A lot
___________________________________________________________________________________________________________
What's new or different
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
07/15/2003 je
Non-Traditional Interventions in Behavioral Management
To be Completed by Group Home Staff for each Boy on
_____ Wednesday
_____ Friday
_____ Monday
Beginning July 30, 2003 through September 17, 2003
Home Points
Name:
___________________________
DOB/Age: ___________________________
Sex:
___________________________
Date:
__________________
1
2
3
4
5
500
600
700
800
900
__________________________________________________________________________________
Non School Days
Evaluation Scale
Home Behavior
1)
2)
3)
4)
5)
6)
75% on Task
Positive
Responsible
Honest & Open
Follow R & R
Public Behavior
5: Meets Expectations
3: Needs Work
0: Fails To Meet Expectations
( 30 points available per day)
0
0
0
0
0
0
3
3
3
3
3
3
5
5
5
5
5
5
TOTAL: ___________
Treatment Behavior ( 20 points available per day)
1) Meets w/ Staff Leader
0
2) Attend & Participate
in All Groups
0
3) Meal Time
0
4) Treatment Team
Feedback
0
3
5
3
3
5
5
3
5
TOTAL: ___________
07/15/2003 je
House Staff Chart on Wednesday, Friday, Monday Beginning July 30, 2003 for eight weeks
Overall Mood
1
2
Depressed
3
4
Flat/Numb
Changeable Moods
Anger
1
Consistent
2
Daily Outbursts
Sleep
1
1
Sedentary
3
2
2
Moderate
3
3
Appropriate
Behaviors Exacerbated or Improved
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
5
No Significant Outbursts
4
Interrupted
Behaviors not Exhibited Previously: Positive and Undesirable
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
07/15/2003 je
4
Occasional Outbursts
Insomnia
Physical Activity
5
Happy/Stable
5
Sound
4
Heavy
5
Excessive
Non-Traditional Interventions in Behavior Management
To be Completed by Group Home Staff for each Boy on
_____ Wednesday
_____ Friday
_____Monday
Beginning July 30, 2003 through September 17, 2003
Home Points
Name:
___________________________
DOB/Age: ___________________________
Sex:
___________________________
Date:
__________________
1
2
3
4
5
500
600
700
800
900
__________________________________________________________________________________
School Days
School Evaluation Code Guide:
School Behavior
1)
2)
3)
4)
5)
6)
98% on Task
Positive
Responsibility
Honest & Open
Follow R & R
Bus Behavior
5: Meets Expectations
3: Needs Work
0: Fails To Meet Expectations
( 30 points available per day)
0
0
0
0
0
0
3
3
3
3
3
3
5
5
5
5
5
5
TOTAL: ___________
School Academic ( 45 points available per day )
1)
2)
3)
4)
5)
6)
7)
8)
9)
English
Math
Reading/Computer
Science
Social Studies
P.E.
Lunch
Group Activity
Point time
0
0
0
0
0
0
0
0
0
3
3
3
3
3
3
3
3
3
5
5
5
5
5
5
5
5
5
TOTAL: ___________
07/15/2003 je
House Staff Chart on Wednesday, Friday, Monday Beginning July 30, 2003 for eight weeks
Overall Mood
1
2
Depressed
3
4
Flat/Numb
Happy/Stable
Changeable Moods
Anger
1
Consistent
2
Daily Outbursts
Sleep
1
1
Sedentary
3
2
2
Moderate
3
3
Appropriate
Behaviors Exacerbated or Improved
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
5
No Significant Outbursts
4
Interrupted
Behaviors not Exhibited Previously: Positive and Undesirable
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
07/15/2003 je
4
Occasional Outbursts
Insomnia
Physical Activity
5
5
Sound
4
Heavy
5
Excessive
Questions for Boys to Answer
Name:
To be completed by each boy on Wednesdays
July 30 - September 17, 2003
__________________________
DOB/Age: __________________________
Sex:
Male
Date:
___________________________
___________________________________________________________________________________
Overall Mood
1
2
3
4
5
Sad
Fine
Happy
___________________________________________________________________________________
Anger
1
2
3
4
5
Mad
Occasional Outbursts
Feeling Good
___________________________________________________________________________________
Sleep
1
2
3
4
5
Trouble Falling Asleep
Wake Up More Than
Sleep Through
Three Times a Night
The Night
___________________________________________________________________________________
Physical Activity
1
2
3
4
5
Couch Potato
Some
A lot
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What's new or different
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07/15/2003 je
We can imagine…
the difference chiropractic can
make in the lives of this group of
young men who are burdened with
so much anger in their young
bodies before they become men
who will enter the world and
partner in parenting the next
generation of children.
Can You?
We create HOPE!
• hope: n. a desire
for the future to
be as good as
you want it to
be.
– Cambridge
International
Dictionary
How do we do it?
• National and Local
VOLUNTEERS
–
–
–
–
Our Board
Parent Volunteers
Doctor and Staff Volunteers
ICA Council on Chiropractic
Pediatrics
– ICA
– ACA
How do we do it?
Those who donate their
services to Kentuckiana’s
Annual Golden Conference:
Dr.Dan Murphy (L), Dr. Eric Plasker (R)
•
•
•
•
•
•
•
Dr. Dan Murphy
Dr. Eric Plasker
Dr. Sharon Vallone
Dr. Eric Epstein
Noreen Wallace, OTR/L
Brenda Aufderhar, RN, CST
Dr. Carol Phillips
Dr. Eric Epstein
Brenda Aufderhar, RN, CST
Dr. Sharon Vallone
Dr. Carol Phillips
How do we do it?
• Your valuable
support!
• The Golf Mini
Marathon
• The Golden
Conference
• Grants and Gifts
How do we do it?
• Quarterly Newsletter
• Other documents available
on website:
– Newsletters
– Annual Golf Mini Marathon
– Annual Golden Conference
www.kentuckiana.org
KCC’s Giving Levels
•
•
•
•
•
•
Golden Light of Hope Leadership
Guardian of Hope Leadership
Heart of Hope Leadership
Light of Hope
Hope
Other gift
“The best investment
you can ever make
is in the children.” JE
$5000
$2500
$1000
$ 500
$ 100
Kentuckiana Children’s Center
1810 Brownsboro Rd.
Louisville, KY 40206
502.366.3090
We can't form our children
on our own concepts;
we must take them and love them
as God gives them to us."
Goethe
Presentation Designed By:
EE/JE/SV 2003
To obtain additional copies of this presentation please call 502-366-3090.