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Going the Extra MILE: A Math Tutoring Program for Alcohol
Affected Kids
By Claire D. Coles, Ph.D.
Children with fetal alcohol syndrome (FAS)
and other disorders on the fetal alcohol spectrum (FASD) have a
number of learning issues, but the most common academic problem is
with Math. Many studies in different parts of the country report
that both children and adults have a weakness in this area (e.g.,
Howell, et al., 2006). It is likely that prenatal alcohol
exposure affects some of the brain systems that support the
development of early math skills. These systems include motor
skills and processing of visual/spatial information. Difficulties
with working memory and planning are also believed to be
important.
The Fetal Alcohol and Drug Clinic at the Marcus Institute
in Atlanta, with the support of the
Centers for Disease Control and Prevention (CDC),
has developed a model program suitable for children, ages 3 to 9 years old, who
are at risk for math problems. The first 4-year phase of this project has just
ended. During that phase, the Clinic developed a model for educating parents
and teachers about FAS and for tutoring children. This involved creating
teaching methods and manuals for caregivers, teachers and tutors focusing on FAS
facts, Caregiver Advocacy, Behavior Management, and Mathematics. The
investigators found that children who received the 6-week intervention showed
significant improvement in math skills and in graphomotor (handwriting) skills
in comparison to a randomly assigned group who did not. Parents who
participated in the program were well satisfied with it and reported that their
children’s behavior had improved significantly.
The second 4-year phase of the program, which is called
MILE (Math Interactive Learning Experience), will make the materials and
activities of the intervention more accessible to families and other
professionals. While services will continue to be provided at the Marcus
Institute, in this second phase, WEB-based learning materials are being
developed to allow parents and teachers to learn skills over the internet that
will help in promoting learning in alcohol-affected children. Tutors at remote
sites will have access to learning material to guide their interactions with
students. Materials will be available at www.do2learn.com, a website dedicated
to the education of children with disabilities, including those with FASD.
You can learn more about this program or volunteer to be a
participant or a tutor by calling Kristen Mitchener, Ph.D. at 404-419-4253.
References
Howell, KK, Lynch, ME, Platzman, KA, Smith, GH, &
Coles, CD (2006) Prenatal alcohol exposure and ability, academic achievement,
and school functioning in adolescence: A longitudinal follow-up. Journal of
Pediatric Psychology, 31(1), 116-126.
The Maternal Substance Abuse and Child Development Project is
funded in part by the Georgia Department of Human Resources Division
of Mental Health, Developmental Disabilities and Addictive Diseases.

The Maternal Substance Abuse and Child Development
Study is under the direction of Claire D. Coles Ph.D., with the
Department of Psychiatry and Behavioral Science, Emory University
School of Medicine. For more information, please contact: Claire
D. Coles: ccoles@emory.edu
Karen K. Howell: khowell@emory.edu
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