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Tic-related school problems: impact on functioning, accommodations, and interventions.

Leslie E Packer¹

¹lpacker@tourettesyndrome.net

Behavior Modification

|October 6, 2005

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Children with Tourette's syndrome (TS) experience significant academic and peer challenges impacting education. Positive reinforcement for tic modification showed some success, unlike aversive consequences.

Area of Science:

Neuroscience
Pediatric Psychology
Special Education

Background:

Tourette's syndrome (TS) is associated with higher special education placement rates.
The specific contribution of tics to educational challenges remains unclear.

Purpose of the Study:

To investigate the impact of tics on academic performance and peer relationships in children with TS.
To evaluate the effectiveness of behavioral interventions for tics in educational settings.

Main Methods:

Survey of parents/guardians of 71 children and adolescents diagnosed with TS.
Analysis of reported tic-related academic and peer impacts.
Review of behavioral intervention outcomes for tic modification.

Main Results:

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50% of respondents reported moderate to significant tic-related academic impact.
48% reported moderate to significant tic-related peer problems.
Peer education and in-school counseling were rarely provided.

Conclusions:

Tics significantly impact academic and social functioning for students with TS.
Positive reinforcement for tic modification shows promise; aversive methods are ineffective.
Academic accommodations and school psychologist involvement are crucial supports.