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This is copied from the website: Executive Functioning Deficits (askjan.org) on June 2, 2023. Please click the link for the orginal and thank you to JAN for creating this!
As the name suggests, executive functions are high-level mental processes or abilities that influence and direct more basic abilities like attention and memory. The term executive function describes a set of cognitive abilities that include the ability to plan, organize and strategize, pay attention to and remember details, start and stop actions, and form concepts and think abstractly.
Executive functions also keep us from behaving in inappropriate ways. People with poor executive functions have difficulty monitoring and regulating their behaviors. These difficulties can include monitoring and changing behavior as needed, planning future behavior when faced with new tasks and situations, and anticipating outcomes and adapting to changing situations. People with poor executive functions will often have problems interacting with others and fitting in socially.
Executive function deficits can be found in individuals with mental health impairments including depression, obsessive-compulsive disorder, post-traumatic stress disorder, and schizophrenia, as well as individuals with attention deficit disorder, attention deficit/hyperactivity disorder, intellectual and learning disabilities, autism, and brain injuries.
The following is an overview of some of the job accommodations that might be useful for individuals with executive functioning deficits. More information can be found at JAN's A to Z of Disabilities and Accommodations page. For individualized accommodation consultation, contact JAN directly.
Time Management: Individuals may experience difficulty managing time, which can affect their ability to mark time as it passes incrementally by minutes and hours. It can also affect their ability to gauge the proper amount of time to set aside for certain tasks. As a result, it may be difficult to prepare for, or remember, work activities that occur later in the week, month, or year.
Divide large assignments into several small tasks or chunks
Set a timer to sound an alarm after assigning ample time to complete a task
Provide a checklist of assignments
Plan and structure times of transition and shifts in activities
Supply an electronic or handheld organizer and train on how to use it effectively
Use a wall calendar to emphasize due dates
Develop a color-coded system (each color represents a task, or event, or level of importance)
Allow co-worker or supervisor to add entries on the calendar or to double-check entries added by the employee
Memory: Individuals may experience memory deficits, which can affect their ability to complete tasks, remember job duties, or recall daily actions or activities.
Provide written instructions and checklists
Allow use of a recorder
Allow additional training time for new tasks
Offer training refreshers
Provide minutes of meetings and trainings
Use flow-chart to indicate steps in a task
Provide verbal or pictorial cues
Use a color-coding scheme to prioritize tasks
Use notebooks, planners, or sticky notes to record information
Use sticky notes as reminders of important dates or tasks
Provide labels or bulletin board cues to assist in location of items
Concentration: Individuals may experience decreased concentration, which can be attributed to auditory distractions and/or visual distractions. Distractions such as office traffic and employee chatter, opening and closing of elevator doors, and common office noises can be problematic.
To reduce auditory distractions:
Provide a noise canceling headset
Hang sound absorption panels
Provide a white noise machine
Relocate employee’s office space away from audible distractions
Redesign employee’s office space to minimize audible distractions
To reduce visual distractions:
Install space enclosures (cubicle walls)
Reduce clutter in the employee's work environment
Redesign employee’s office space to minimize visual distractions
Relocate employee’s office space away from visual distractions
Breaks for mental fatigue, including short walks, getting up for a drink of water, and rotating through varied tasks
Job restructuring so the most difficult tasks are performed at the time of day the employee has the most mental energy or stamina
Organization and Prioritization: Individuals may have difficulty getting or staying organized, or have difficulty prioritizing tasks at work.
Develop color-coded system for files, projects, or activities
Use a color-coding scheme to prioritize tasks
Use weekly chart to identify daily work activities
Use a job coach to teach/reinforce organization skills
Assign a mentor to help employee
Allow supervisor to assign prioritization of tasks
Use electronic organizers, mobile devices, and e-mail reminders
Assign new project only when previous project is complete, when possible
Provide a “cheat sheet” of high-priority activities, projects, people, etc.
Organize work space to reduce clutter
Provide separate work areas with complete sets of supplies for differing tasks
Schedule a weekly time to clean/organize work space
Take time at the end of each day to organize and set up for the next day
Multi-tasking: Individuals may experience difficulty performing many tasks at one time. This difficulty could occur regardless of the similarity of tasks or the frequency of performing the tasks.
Separate tasks so that each can be completed one at a time
Create a flow-chart of tasks that must be performed at the same time, carefully labeling or color-coding each task in sequential or preferential order
Provide individualized/specialized training to help the employee learn techniques for multi-tasking (e.g., typing on a computer while talking on the phone)
Identify tasks that must be performed simultaneously and tasks that can be performed individually
Provide specific feedback to help the employee target areas of improvement
Remove or reduce distractions from work area
Supply ergonomic equipment to facilitate multi-tasking
Clearly represent performance standards such as completion time or accuracy rates
Paperwork: Individuals may experience difficulty completing paperwork efficiently and effectively. This may be due in part to workplace distractions and difficulty with time management, disorganization, or prioritization.
Automate paperwork by creating electronic files when possible
Use speech recognition software to enter text or data into electronic files
Save time filling out paper forms by completing information in advance, using pre-filled forms, or adhering pre-printed stickers
Use checklists in place of writing text
Provide templates of letters or e-mails
Color-code forms for easy identification
Re-design commonly used forms
Use large font
Double space or triple space
Provide adequate space for hand-written response
Social Skills: Individuals may have limitations in exhibiting appropriate social skills. This might manifest itself as interrupting others when working or talking, demonstrating poor listening skills, and inability to communicate effectively.
Provide a job coach to help understand different social cues
Identify areas of improvement for employee in a fair and consistent manner
Encourage employees to minimize personal conversation, or move personal conversation away from work areas
Provide sensitivity training (disability awareness) to all employees
Encourage all employees to model appropriate social skills
Adjust the supervisory method to better fit the employee’s needs
Adjust method of communication to best suit the employee’s needs
Allow the employee to work from home
Attendance: Individuals may have difficulty getting to work promptly because of the varied activities, processes, and interruptions they may experience while preparing to leave their home and/or during their commute.
Allow flexible work environment:
Modified break schedule
Work from home/Flexi-place
Getting to Work on Time: Employers can have time and attendance standards for all employees. Because getting to work on time is the responsibility of the employee, the following ideas are for employees who are having trouble getting to work on time because of executive function deficits:
Have a routine of putting and keeping things in their place (keys, phone, glasses)
Prepare for the next day’s work the night before
Create a checklist for yourself and others
Place sticky notes on the door, dashboard, or wherever you will see them
Turn off distractions – including cell phones
Set a timer or a programmable watch to pace yourself
To Learn More About ADHD...
Helpful locations online that provide credible, up-to-date information concerning ADHD include:
Children and Adults with Attention Deficit Disorders [CHADD]
How to ADHD – Site run by Jessica McCabe with excellent YouTube videos and resources for people with ADHD.