Attention Deficit Disorder
What Parents Should Know
Attention Deficit Disorder
What Parents Should Know
If you believe your child shows signs of Attention Deficit Disorder - short attention span, impulsive behavior, and hyperactivity - there are several steps you can take. Since most children occasionally show some of these signs, ask yourself if the behavior you are concerned about is persistent and if your child consistently exhibits such behavior in most settings.
If so, you should first consult with others who know the child well, such as relatives and family friends. Talk to them about the ADD behaviors and have them indicate the ones they see your child regularly exhibit. You also may want to keep notes on your child's behavior.
Next, speak to your child's teachers, as many behaviors characteristic of ADD are most visible in the classroom. Your child's teachers may want to compete a checklist on ADD signs, or use their own experience with other children with ADD to help you reach some conclusions of your own. In many cases, teachers may be the first to suspect a child has ADD and notify the parent(s). Keep in mind that some children show behaviors similar to children with ADD when they have learning problems stemming from other causes.
In addition, you should consult with a physician or other health car provider. A doctor will know the medical signs of ADD and can recommend local sources of information or a psychologist for your child to see. The physician should give your child a general medical exam and perhaps recommend a neurological evaluation, if he believes it necessary.
Your Child with ADD in School
There are two primary Federal laws applying to the education of children with ADD, the Individuals with Disabilities Education Act (IDEA) and Section 504 of the Rehabilitation Act of 1973. These laws are discussed in "Attention Deficit Disorder: Adding Up The Facts," which is also in this information kit.
If you believe that your child has a disability whether resulting from ADD or any other impairment, and the school district believes that your child may need special education or related services, the school district must evaluate your child. If the school district does not evaluate a child, it must notify the parents of their due process rights. According to federal law, a school is responsible for providing an educational diagnosis of a child. To determine a child's level of disability and best treatment, a multi-disciplinary team is formed that includes teachers, parents, and someone with training in child psychopathology (usually the school psychologist or school social worker).
At the meeting with these professionals, you should have your notes on your child's behaviors with you; and you also should bring report cards and any comments about your child made by teachers. Later, you may have the opportunity to fill out a standardized rating scale that compares your child's behaviors to those of children already diagnosed with ADD. Ideally, the team should follow a two-tiered approach to first determine the presence of ADD symptoms and then to determine its adverse effect on academic performance.
Once your child is evaluated and determined to have ADD, the school and the teacher may design modifications in your child's classroom and schoolwork based on his or her needs and abilities. The school may provide assistance and training in study skills, classroom management, and organization. A student should have access to a continuum of services, from pull-out programs that give the student individualized attention in a resource room related aids and services provided in the classroom. Teachers have found that in order to help children with ADD they frequently need to make modifications in the lesson, its presentation, and its organization as well as specialized behavioral management.
Parents and teachers should work together and communicate frequently with one another to form a complete picture of a child and to note changes in his or her behavior. If your child is taking medication, you should request notes on his or her progress and notify the school of any changes in medication. Since children with ADD have difficulty ian obeying two different sets of rules, parents and teachers should agree on the same rules and the same management system. If your child's teachers do not have much knowledge about ADD, you should meet with them, explain your child's problems, and give them copies of this information sheet and other sources of information on ADD.
Medication: Pros and Cons
Medication of children with ADD remains controversial. Medication is not a cure and should not be used as the only treatment strategy for ADD. While doctors, psychiatrists, and other health care professionals should be consulted for advice, ultimately you must make the final decision about whether or not to medicate your child.
The short-term benefits of medication include a decrease in impulsive behavior, in hyperactivity, in aggressive behavior, and in inappropriate social interaction; and an increase in concentration, in academic productivity, and in effort directed toward a goal.
However, studies show that the long-term benefits of medication on social adjustment, thinking skills, and academic achievement are very limited. If you do choose to use medication, you should observe your child for possible side effects. Some children loose weight, lose their appetite, or have problems falling asleep. Less common side effects include slowed growth, a tic disorder, and problems with thinking or with thinking or with social interaction. These effects usually can be eliminated by reducing the dosage or changing to a different medication.
Strategies for the Home
Children with ADD can learn to control some aspects of their behavior and to succeed in school and at home. When parents establish and enforce a few rules and maintain a system of rewards, children incorporate such rules into their daily routine. Remember that every child, with or without ADD, has individual strengths, and weaknesses. Once you identify your child's strengths, you can use them to build your child's self-esteem and help to provide the confidence your child needs to tackle whatever he or she finds difficult.
Preparation for Adulthood
Children with ADD may require additional help in managing the transition to independent adulthood. They may need help learning how to structure their time and how to prioritize what they have to do. As children grow older, you can give them more responsibility so they can learn from their own decisions.
The hard work of children with ADD, their parents, and their teachers helps them develop their abilities and prepares them for success in their adult lives. With assistance, children with ADD can develop strategies that allow them to work around their ADD and the problems it causes.
Division of Innovation and Development
Office of Special Education Programs
Office of Special Education and Rehabilitative Services
U.S. Department of Education