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  • Lauren Kenworthy | Unstuck and On Target

    Lauren Kenworthy Lauren Kenworthy, PhD, is Professor of Neurology, Pediatrics, and Psychiatry at the George Washington University School of Medicine, and Director of the Center for Autism Spectrum Disorders at Children’s National Health System. Dr. Kenworthy received her BA from Yale University and PhD from the University of Maryland. Her research interests are in describing the cognitive strengths and supporting the cognitive weaknesses seen in autism ADHD and other developmental disabilities. She is an author of more than 90 peer-reviewed publications, and of the Behavior Rating Inventory of Executive Function (BRIEF), as well as the Unstuck and On-Target curricula. She has completed two trials of Unstuck and On-Target in schools for children with ADHD or ASD.

  • Research | Unstuck and On Target

    RESEARCH ON UNSTUCK Peer reviewed papers Kenworthy, L.*, Anthony, L. G.*, Naiman, D.Q., Cannon, L., Wills, M.C., Werner, M.A., Alexander, K., Strang, J., Bal, E., Sokoloff, J.L., & Wallace, G.L. (2014). Randomized Controlled Effectiveness Trial of Executive Function Invention for Children on the Autism Spectrum. Journal of Child Psychology and Psychiatry 55:374-83. doi: 10.1111/jcpp.12161 *Joint first authors ​ Ratto, A.B., Anthony, B.J., Pugliese, C., Mendez, R., Safer-Lichtenstein, J., Dudley, K.M., Kahn, N.F., Kenworthy, L., Biel, M., Martucci, J.L., & Anthony, L.G. (2017). Lessons learned: Engaging culturally diverse families in neurodevelopmental disorders intervention research. Autism, 21(5):622-34. DOI: 10.1177/1362361316650394. ​ Uddin, L.Q. Cognitive and behavioural flexibility: neural mechanisms and clinical considerations. Nat Rev Neurosci 22, 167–179 (2021). ​ Elias R, Murphy HG, Turner KA, White SW. Feasibility and Preliminary Efficacy of an Adapted Transdiagnostic Treatment for Children With Executive Function Deficits. J Cogn Psychother. 2019 Nov 1;33(4):343-356. doi: 10.1891/0889-8391.33.4.343. PMID: 32746396. ​ Rothschild, L.B., Ratto, A.B., Kenworthy, L., Hardy, K.K., Verbalis, A., Pugliese, C., Strang, J.F., Safer-Lichtenstein, J., Anthony, B.J., Anthony, L.G., Guter, M.M. and Haaga, D.F. (In press, 12/21/21). Parents Matter: Parent Acceptance of School-based Executive Functions Interventions Relates to Improved Child Outcomes. Journal of Clinical Psychology. ​ Swain, D., Troxel, M., Anthony, L.G., Kenworthy, L., Verbalis, A., Hardy, K.K., Ratto, A., Myrick, Y., & Anthony, B. (2021). School-based executive function interventions reduce caregiver strain. International Review of Research in Developmental Disorders, 60:187-211. DOI: 10.1016/bs.irrdd.2021.08.001 ​ Weitlauf AS, McPheeters ML, Peters B, Sathe N, Travis R, Aiello R, Williamson E, Veenstra-VanderWeele J, Krishnaswami S, Jerome R, Warren Z. Therapies for Children With Autism Spectrum Disorder: Behavioral Interventions Update. Comparative Effectiveness Review No. 137. (Prepared by the Vanderbilt Evidence-based Practice Center under Contract No. 290-2012-00009-I.) AHRQ Publication No. 14-EHC036-EF. Rockville, MD: Agency for Healthcare Research and Quality; August 2014. Peer reviewed presentations Kenworthy, L., *Pugliese, C., Hardy, K.K., *Strang, J., *Ratto, A.B., *Safer-Lichtenstein, J. Biel, M., *Seese, S., *Kraper, C., *Wills, M. C., *Luong-Tran, C., Cannon., Sharber, A.C., Anthony, B., and Anthony, L.G. (2018 February). Evidence for Cross-Diagnosis Efficacy of School-Based Unstuck and On Target Executive Function Intervention in Low Income Communities. In L. Kenworthy (Chair), Bringing Neuropsychology to the People: Transforming Our Knowledge of Executive Function (EF) Phenotypes into Effective Community-Based Interventions for Children.Symposium conducted at the Annual Meeting of the International Neuropsychological Society, Washington, DC. Hardy KK,*Pugliese C, *Strang JF, *Ratto A, *Seese S, *Safer-Lichtenstein J, Sharber AC, *Luong-Tran C, Cannon L, *Wills M, Biel M, Anthony B, Anthony L, Kenworthy L. (2018, February). Applying contingency-based behavioral management strategies to treat cognitive inflexibility in children with ADHD and ASD: Development and efficacy of a school-based intervention in low-income communities. In L Kenworthy (Chair) Bringing Neuropsychology to the People: Transforming our Knowledge of Executive Function (EF) Phenotypes into Effective Community-Based Interventions for Children. Oral symposium presented at the International Neuropsychological Society 2018 Annual Meeting, Washington, DC. *Ratto, A.B., Anthony, L.G., *Powers, M., Verbalis, A., *Seese, S., & Kenworthy, L. (2018, May). Effects of Dual-Language Exposure on Language and Executive Function in Children with ASD and ADHD. Presentation at an oral session at the Annual Meeting of the International Society for Autism Research, Rotterdam, Netherlands. Anthony, L.G., Anthony, B., Verbalis, A., Naiman, D., *Ratto, A.B., *Seese, S., Safer-Lichtenstein, J., Skapek, M., *Powers, M., Troxel, M., Kenworthy, L. (2018, May). An Exploration of Possible Moderators in an Addressing Disparities Comparative Effectiveness Trial for Elementary Students with ASD or ADHD. In A. Gruber (Chair) Psychosocial and Demographic Moderators of Intervention Outcomes for Youth and Young Adults with ASD. Panel presentation at the Annual Meeting of the International Society for Autism Research, Rotterdam, Netherlands. Anthony, L.G., Verbalis, A., *Pugliese C, Hardy KK,*Strang JF, Anthony, B., *Ratto, A.B., *Seese, S., Safer-Lichtenstein, J., Armour, A.C., Troxel, M., Myrick, Y., Limon, D., Kenworthy, L. (2018, May). What Matters?: An Examination of Implementation Factors in the Effectiveness of Two Tier 2 School-based Interventions. In L. Kenworthy (Chair) Reaching Children Where They Are: The Promise and Challenge of School-Based Intervention for Autism.Panel presentation at the Annual Meeting of the International Society for Autism Research, Rotterdam, Netherlands. Kenworthy, L., Anthony, L.G., Hardy, K., Safer-Lichtenstein, J., Verbalis, A., Biel, M., Seese, S., Strang, J., Ratto, A., Pugliese, C., & Anthony, B. (May, 2017) Addressing Disparities Comparative Effectiveness Trial of Community-Based Executive Function Treatments in ASD & ADHD, International Meeting for Autism Research, San Francisco. Kenworthy, L., Anthony, L.G., Myrick, Y. (November 2016) A Community-Based Executive Function Intervention for Low- Income Children with ADHD and ASD Patient Centered Outcomes Research Institute Annual Meeting, Washington, DC. Kenworthy, L. Luong-Tran, C., Werner, M.A., Strang, J. F., Dudley, K., Sharber, A. C., Wallace, G. L., & Anthony, L. G. (2014). Longitudinal Outcomes of Unstuck and On Target Executive Function Intervention Trial in Children with ASD. Paper presented at the annual meeting of the International Meeting for Autism Research (IMFAR), Atlanta, Georgia. Kenworthy, L., Luong-Tran, C., Dudley, K., Naiman, D. Q., Strang, J. F., Werner, M.A., Alexander, K. C., Cannon, L., & Anthony, L. G. (2014). Randomized Controlled Effectiveness Trial of Executive Function Invention for Children on the Autism Spectrum. Poster at the 42nd annual meeting of the International Neuropsychology Society, Seattle, Washington. Recent National and International talks ​ March, 2017, 17th NationalAutism Congress, Rotterdam, Netherlands: Solving Executive Function Challenges in Children with Autism: Guiding Principles December, 2016, Centre Integre Universitare de Sante et de Services Sociaux, Montreal, Quebec: Improving Executive Function, On-Task, and Flexible Behavior November, 2016, Florida Association of School Psychologists, Tampa, Florida: Unstuck and On Target: Improving Executive Function, On-Task, and Flexible Behavior. October, 2016, 15th Annual Conference, Center for Autism And Related Disabilities, Albany, New York: Keynote Address: Executive Functioning in Children with Autism and How to Enhance It October, 2016, Georgia Association of School Psychologists, Savannah, Georgia: Unstuck and On Target: An Executive Function Elementary School Curriculum September, 2016, Texas Region 13 Education Service Center: Unstuck and On Target: Tools for increasing independence, flexibility, and self-control April 2016, Invited Keynote, Second Annual SE Autism Conference: Unstuck and On Target: Tools for increasing independence, flexibility, and self-control August, 2015, Invited Talk, 2015 National Autism Conference, Penn State: Getting Unstuck and On Target: Practical Solutions for Building Executive Function Skills May, 2015: Independent Educational Consultants Association National Meeting, Baltimore, MD, Executive Dysfunction in Bright Students with ASD: Why It Matters and What To Do About It Continuing Education and Trainings Kenworthy, L. (February, 2020) University of Alabama 19th Annual Alabama Autism Conference: Unstuck and On Target: Improving On-Task and flexible behavior in Elementary School Kenworthy, L. (October, 2019), Invited Workshop: 19th Annual Autism Conference Kennedy Krieger Institute: Improving Executive Function, On-Task and Flexible Behavior in Elementary School Age Children Kenworthy, L. (August, 2019), Invited Keynote: Virginia Commonwealth University Austin Center of Excellence, Communities of Leaders in Autism: Increasing Inclusion and Independence for School and Life with Evidence-based Executive Function Curricula Kenworthy, L. (August, 2019,) Invited Workshop: Virginia Commonwealth University Austin Center of Excellence, Communities of Leaders in Autism: Unstuck and On Target: Improving Executive Function, On-Task and Flexible Behavior in school-age Students with Autism without ID Anthony, L. G. (April 23, 2018). Unstuck and On Target. Invited CE presentation for the Littleton Public Schools, Littleton, CO. Werner, MA (September 15, 2018). Unstuck and On Target. Invited CE presentation for parents and teachers in Fredrick County.

  • Resources | Unstuck and On Target

    RESOURCES This self paced interactive e-learning course will : Empower parents to use Unstuck strategies promoting generalization Provide parents with an individualized set of insights and recommendations for their child,, including things to share with other caregivers, teachers, and community members ​ These short videos provide: Quick easy tips for supporting children Parent-parent tips, wisdom and experiences Experts answering common parent questions Estos videos cortos proporcionan: Padres que comparten su sabiduría y experiencias. Expertos que responden preguntas comunes de los padres Find Downloadable Resources for: Handouts for teachers Visuals for Parents Infographics Posters

  • Unstuck and On Target | Executive Function

    Developed by a multidisciplinary team, Unstuck is more than an intervention; it is a way of thinking, a shared language and a suite of supports that helps children be more successful at school and at home. Group Intervention What is Unstuck? ​​​An executive function curriculum that uses proven cognitive-behavioral techniques to improve flexibility, emotion regulation, planning and organization. A set of fun activities that cue larger concepts, resulting in a shared language and approach for learning to be flexible, set goals and make plans. An adaptable set of lessons d esigned for use in schools by any school staff, but also used in clinic settings. Unstuck m eets Tier 2 Intervention requirements for IEP's and 504's, but has been used in mainstream classrooms and in Tier 3 educational settings as well. A suite of resources that includes: Manual of 21 small group lessons Companion book for parents teachers, and therapists to support generalization of Unstuck Online training modules with CE credits for teachers Brief videos and an accessible online training platform for parents to learn the language and strategies of Unstuck . Who is Unstuck for and Does it Work? Unstuck is designed for 8- to 11- year-olds with average IQ who have challenges with flexibility , organization and planning. It was originally developed for children with autism who have strong cognitive and language skills. However, it targets executive function abilities that are essential for all children to thrive at home and at school, and research has shown that is effective for children with ADHD as well as autism. Research has documented that Unstuck helps children: Become more flexible problem solvers Improve classroom behaviors for following directions, making transitions, and avoiding meltdowns and negativity. How Can I Learn Unstuck? Use the small group curriculum manual : complete lesson plans with explicit, step by step directions. Parents, teachers and therapists can read Solving Executive Function Challenges to learn strategies to generalize Unstuck skills. Parents and teachers can watch these short videos in English and Spanish, which provide simple, practical ideas parent can use immediately. Parents can complete e-Unstuck o n-line training. A How To Book For Parents How can you help kids with autism be flexible, get organized, and work toward goals—not just in school but in everyday life? It's all about executive function, and this quick problem-solving guide helps you explicitly teach these critical skills to high-functioning children with autism (Grades K-8). Buy Now The Unstuck Intervention Buy Now e-Unstuck and on Target Program: An online Training Program for Parents The e-Unstuck and on Target Program is an interactive e-­learning course for parents to teach them to support executive functioning and behavior regulation in children with Autism Spectrum Disorder. The dynamic e-learning platform systematically intermixes didactic instruction with hands-on interactive exercises. While designed for parents, teachers and interventionists love it too! Learn More Unstuck and On Target is an intervention available as a kit that includes all the elements needed to implement the intervention in your school or clinic. The box includes the direct instruction curriculum, links to download parent and teacher handouts, game board, and posters. TESTIMONIALS "Unstuck has changed the way our family interacts. We now all use the scripts and we have a common language that we really try to use in both good and bad times. You know it's working when your child tells you stuck and you are!" ​"We went through the Unstuck and On Target curriculum and parent training and couldn't believe how much we learned. For the first time, things made sense and we actually knew what to do. We give the Solving Executive Functions book to everyone who works with our child- and as baby presents for new parents!" ​ "Our child is the Unstuck poster child. He really struggles with transitions or changes, hates when people break the rules and is haphazard about his schoolwork. But Unstuck brings us to the table together. We are able to systematically preview things for him and he is really learning that there is always a Plan B. Thank you for helping us see our son was more flexible than we realized and for teaching us how to support him in his growth."

  • Nearpod Lessons for Elementary | UnstuckandOnTarget

    Nearpod Lessons for Elementary Unstuck During the pandemic we created some lessons for Unstuck to be delivered on line. It uses the Nearpod Platform --you can access these lessons either as a teacher or a student by clicking on the links below. To effectively use the lesson you must be very familiar with the Unstuck curriculum as written. The twelve lessons below cover the key scripts and activities but are modified to be more engaging on line. In addition you will find videos with activities embedded--a real crowd pleaser that many teachers are using to enhance their in person lessons. Embedded in every lesson are the key concepts of the importance of making a Plan B to be flexible, using coping strategies to stay on target (at a 1-3 where you can make plans e.g. be flexible), and that flexibility and problem solving helps kids reach their goals--or at least get part of what they want (which is better than nothing.) Lesson 1 Introduction to Rules, Each Other, Goals and Plans Lesson 2 Introduction to Goal, Why, Plan, Do Check (GWPDC) and the elements of a good PLAN Lesson 3 Introduction to the Feelings Target This lesson includes a Jamboard that you can copy for each student. Lesson 4 Flexibility is Fun! This lesson uses another Jamboard for students to look for flexible and rigid objects. ​ ​ Lesson 5 Using the Feelings Chain and learning Flexible is Faster. This lesson uses a Jamboard for students to see how using the feelings chain helps them reach THEIR GOALS. Lesson 6 Students learn that there is always a Plan B--from the Pink Panther (Think Before You Pink). Lesson 7 Compromise or How to Make a Plan B with Someone Else This lesson teaches a key concept. Download the COMPROMISE visual here . ​ Lesson 8 Using the Feelings Chain and learning Flexible is Faster. This lesson uses a Jamboard for students to see how using the feelings chain helps them reach THEIR GOALS. Lesson 9 This lesson is two big concepts: Big Deal/Little Deal and Choice/No Choice. Students think about how to TURN a big deal into little deal (with a PLAN of course), and learn that NO CHOICE situations are when health, safety, or the law are involved. Lesson 10 This lesson revisits Choice/No Choice (sometimes what you want is impossible, and that is disappointing) and adds in the idea that sometimes we need to Expect the Unexpected. But we can do that by...making a Plan! Lesson 11 Students learn more benefits of being flexible and review key concepts using this fun on line game. Lesson 12 Students wrap up by thinking about how distractions (Distractor Goals) get in the way of their Target Goals. Fun videos make the point that it's hard to stay focused on the Target Goal, but you can do it with a good Plan!

  • Downloadable Resources | Unstuck and On Target

    Download FREE Unstuck Companion Materials downloadable resources When you buy the Unstuck book don't miss the downloadable resources! Go to Brookes Download Hub, register, and put in code found on page ix of your Unstuck manual or click here ! Click here to download Unstuck Parent Workbook in English Haga clic aqui para Un Libro de Trabajo para padres (Parent Workbook in Spanish) Click here to download a poster on 3 Ways to Compromising Click here to download Unstuck Snapshot summarizing the approach and research base for this EF intervention. Click here to download an interactive PDF with links to parent videos on YouTube Haga clic para descargar una hoja informativa con informacion sobre videos en Esapanol. Play a flexibility game on line! Students roll the dice and click on the i on the space to draw a card. If someone lands on the same space, move forward one. Click here to download fillable PDF's and Posters to teach the Unstuck Curriculum

  • Teacher Training Videos | Unstuck and On Target

    If you are in the states of Colorado or Virginia , click on your state to learn about accessing the full online Unstuck training. Join our mailing list to learn when they are available everywhere. Interventionist Training Preview! These self-paced modules will allow Unstuck implementors to earn CEU's! Click below to view portions of the training and stay tuned for more information on when the entire training will be available! Module 1 provides an overview of the training and previews the resources and activities that are available to you as you complete the training. ​ View all of Module 1 here. In the following slides from Module 7: Watch Teachers Put Unstuck Into Action, you will see examples of the interactive slides, how we use the student case studies, and a teacher using Unstuck principles in their classroom.​ ​ View slides from Module 7 here. Resources to Support Teaching Unstuck on YouTube Individualize and spice up your lessons with fun videos that the Unstuck community has found on YouTube. ​ There are individual playlists by topic or script, so you can find videos to support teaching Plan A/Plan B or the Feelings Target! ​ One cartoon series that we have found almost always brings smiles and an Unstuck "theme" (Stuck, Plan B, Feelings Target) is the Pink Panther. They can be used also as a wrap up or as a "prize" as they are generally short and well liked. ​ ​ Would you Like Nearpod Modules for Online Unstuck Learning? If you are interested in these modules, please indicate that by signing up for the mailing list below.

  • Laura Gutermuth Anthony | Unstuck and On Target

    Laura Gutermuth Anthony Laura Gutermuth Anthony, PhD, Professor, Division of Child and Adolescent Psychiatry, Department of Psychiatry, University of Colorado School of Medicine, and the Pediatric Mental Health Institute at the Children’s Hospital Colorado. Dr. Anthony completed a dual degree PhD program in clinical and developmental psychology at the University of Illinois, Chicago in 1997. Since then, she has focused her most of her research and clinical work on children with neurodevelopmental disabilities and intervention development and implementation. She has also received funding for 11 federally-funded and 7 foundation research grants including several to study the Unstuck and On Target suite of interventions.

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  • Parent Training Videos | Unstuck and On Target

    Básicos del Funcionamiento Ejecutivo Si su hijo(a) tiene problemas con el funcionamiento ejecutivo, tales como atascarse o sentirse sobrecargado o dificultades en seguir instrucciones, estos videos ofrecen estrategias que son fácil de usar inmediatamente. Estos videos y animaciones, que son cortos y divertidos, presentan situaciones de la vida real, consejos prácticos de expertos, y padres compartiedo su sabiduría y experiencia, todos hecho en una forma fácil de entender. (Haga clic en cada imagen para ser llevado a ese video). Este animación explica a padres que es el funcionamiento ejecutivo y como parecen problemas del funcionamiento ejecutivo. Presenta estrategias faciles que padres pueden usar para ayudar sus hijos. En esta entrevisa, Claudia (madre) habla de como a veces parece que un niño no quiere hacer algo, pero en realidad no lo puede hacer. Explica como padres pueden abordar conflictos y ayudar a sus hijos a tener éxito. Este animación demuestra como padres pueden ayudar sus hijos a lidiar con la decepción cuando las cosas no salen como anticipado, usando la estrategia de “anticipar lo inesperado.” Este animación ofrece consejos que padres pueden usar para prevenir su hijo de sobrecargarse – por ejemplo, identificar desencadenantes y prepararse por adelantado. A veces lo que queremos no es possible. Este video presenta una experta quien explica que se puede hacer en estas situaciones con su hijo (a). Contact Like what you see? Get in touch to learn more. First Name Last Name Email Message Send Thanks for submitting!