Like most other developed countries, the majority of our U.S. culture is now accustomed and drawn to the idea of “quick-fixes.” In this busy society, one is typically most intrigued by the option that is the easiest to implement and can provide the fastest results, such as a pain pill for a headache. However, in the world of mental health and its’ disorders, a “quick-fix” is usually not the best approach. Attention-deficit hyperactivity disorder (ADHD) is among these mental health disorders that should not be resorting only to a “quick-fix”, such as a stimulant medication, to effectively manage the disorder. This is especially true for ADHD among the pediatric population, as this is a time of rapid behavior and personality growth, as well …show more content…
According to the Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD) resource center (2017), “combination treatment provides the best results in improving ADHD and oppositional symptoms and in other areas of functioning, such as parenting and academic outcomes.” Therefore, more and more providers are coming to believe that stimulant medications should not be the only treatment patients should be receiving for ADHD and should be combined with behavioral therapy (CHADD, 2017). It is the provider’s responsibility to ensure patients and their families are receiving the proper education regarding the recommended treatments for children diagnosed with ADHD, so they may choose the most effective treatment plan for their child. The purpose of this DNP project is to improve the education of patients and their families on the most effective treatments options for children with ADHD, with a goal to increase the use of behavioral therapy among all children with ADHD. One of Healthy People 2020’s developmental objectives is to “increase the proportion of children aged 4-5 years diagnosed with ADHD who receive the recommended behavioral treatment.” This same objective has been made for children aged 6-17 years; however, the goal is to increase the treatment by medication, behavioral therapy, or both. According to the CDC (2017), less
Attention deficit hyperactivity disorder (ADHD) is classified as a syndrome that is comprised of a variety of behaviors that often arises in early childhood and is characterized by extremely high levels of motor activity, difficulties with attention span and concentrating, and/or impulsive behaviors (Cook & Cash, 2011). It has been estimated in the United States that approximately 20% of children and adolescents display signs of a psychological or behavioral disorder according to Luthy, David, Macintosh, Eden, and Beckstrand (2015). ADHD is considered one of the more prevalent psychological disorders in children, with approximately 3-7% of school-age children with an ADHD diagnosis as mentioned by Luthy et al. (2015).
“ADHD is the most extensively studied pediatric mental health disorder, yet controversy and public debate over the diagnosis and medication treatment of the disorder continue to exist.” (Connor D., P.1, 2011) Attention-deficit/hyperactivity disorder (ADHD) is often a debated subject when the method of treatment is being discussed because it has become a trending issue to over medicate children with ADHD. A fitting label for the trend is the anesthetization of our youth, caused by government agency expansion and pharmaceutical allowances, and blame parents not advocating for their child better.
With treatment of ADHD people, more than not, choose the medication instead of the therapy for the easy fix. "The combination of medication and behavioral intervention, known as multimodal treatment, is the best treatment strategy for ADHD, however, stimulant medication is the most efficacious, single treatment for reducing symptoms of ADHD" (Lesesne, 2007). Evidence of medication being a much more used source of treatment shows how people want the easiest and quickest fix for unwanted behaviors and also shows how people might be motivated to become diagnosed which ADHD to get the medication that will help their standing abilities to focus and function. "Using national survey data, we recently found that medication rates among boys and girls
Attention-Deficit Hyperactivity Disorder is affecting children and adults at vast numbers. The growing numbers of people affected by Attention-Deficit Hyperactivity Disorder (ADHD), made the Center for Disease Control and Prevention (CDC) recognize the importance of educating the public. The CDC discusses the signs and symptoms, different types of ADHD, causes of ADHD, diagnosis process, treatments, and resources with the public. The CDC is a trusted agency. The CDC’s website is credible because the writers use effective appeal to logos, ethos, and pathos to educate their audience.
The CDC webpage has many details and facts about ADHD, and the focus is pointed towards children with ADHD, but does not tell us or discuss any ways to treat the disorder. The stated facts are credible and accurate as a government service, if those parents that read that information would think there are limited resources available to help treat their children with ADHD, and that is with a combination of behavior therapy, medication, or with the two together(CDC,2016). According to the physician Sir George Frederick ADHD was called a “defect of moral control.” Even to this day doctors still believe this defect to be true; before any child is diagnosed with ADHD or given medication testing needs to be done. The treatment for ADHD should be individualized (overview of
In 2005, the CDC estimated the annual cost of ADHD to the United States to be between thirty-six to fifty-two billion dollars. This estimate takes into account not only medication costs, but those doctor’s visits and lost productivity. Cost of medication is the most significant factor, however, productivity lost by adults with the condition, or having to take off work to address a child’s behavioral incidences account for nearly four billion dollars (CDC 2015). The state of Indiana alone has more than eighty percent of youth diagnosed with the condition on pharmaceutical stimulants (CDC 2015). This provides evidence that a therapeutic approach that reduces the use of these costly stimulants and teaches individuals with the condition a viable, sustainable coping mechanism for their disorder is again a worthwhile pursuit.
Once a comprehensive assessment has been conducted, a clinician can begin to develop an individualized treatment plan to target the child’s specific symptomology. Behavioral modifications are considered to be a first line of treatment for young children with ADHD. When parenting techniques are proven to be ineffective or the symptoms are too severe to be corrected with behavioral modifications alone, pharmacological interventions may take precedence (Connor, 2002). Contrarily, multimodal treatment packages have been a main focus for the last decade (Mash & Barkley, 2006; Hinshaw, Klein, & Abikoff, 2007). The Multimodal Treatment of ADHD (MTA) study is arguably the most influential study regarding evidence-based treatment for ADHD. The MTA study evaluated the effectiveness of four different treatment groups: medication management, intensive behavioral treatment, combination of medication and behavior treatment, and routine community care (control) (Jensen et al., 2001; MTA Cooperative Group, 1999). Initially, combination treatment and medication alone were found to be superior to behavior treatment and routine community care and yielded no significant difference for managing ADHD symptoms (MTA Cooperative Group, 1999). After secondary analyses, the combination treatment group was shown to have the greatest incremental effects and was also effective in managing comorbid symptoms (Jensen et al., 2001).
One of the strongest arguments against the use of stimulants and amphetamines as a method for treating ADHD is connected to the belief that we as a society are overprescribing medications for the
Attention Deficit Hyperactivity Disorder is a well-known problem across the world. The most controversial topics when it comes to ADHD are the drugs used to treat the disorder. It is commonly known that ADHD represents something along the lines of “one is too hyper and cannot pay attention”, but that doesn’t mean they should be forced to take a medication that will potentially affect their well-being for the rest of their life. The mind of a human being is a beautiful and fragile thing, drugs should not be used for those who struggle with ADHD. The school system does not treat those with ADHD in learning environments correctly. Those who have been
Attention deficit/hyperactivity disorder has a complicated and interesting history and because of that it is important to understands this disorders implications and comorbidity to better treat and diagnose it. Research done by the Centers of Disease Control and Prevention (CDC) shows that 11% of the US population between the ages of 4-17 are affected with ADHD; that’s 6.4 million children and the prevalence of diagnosis is only increasing (2016). It was generally assumed that ADHD was something children would grow out of but new studies show that approximately 4% of the adult population in the US are still suffering from ADHD or have developed ADHD (Breyer, J. L., Lee, S., Winters, K. C., August, G. J., & Realmuto, G. M. 2014). ADHD is
Over the past couple of decades there has been a huge increase in the diagnosis and prescriptions given out for Attention Deficit Hyperactivity Disorder. According to a news report done by USA Today over the past five years use of ADHD medications have risen 40% totaling 39.5 million individual prescriptions ("New findings," 2009). When statistics like this are seen it is only normal for someone to ask questions. People are becoming curious about the legitimacy of the disorder, and whether or not the treatments being given to individuals are appropriate. The argument seems to be strong on both sides of the fence, but the extensive research done on ADHD leaves it hard for one to believe that it is a made up disorder.
Attention-deficit/hyperactivity disorder (ADHD) can be described as a disorder that affects the central nervous system (CNS). At the current time, the cause of ADHD is still unknown (Mohammadi & Akhondzadeh, 2007). It is considered one of the greatest prevalent chronic health disorders that affect children (ages less than or equal to 17) and rates continue to rise (Mohammadi & Akhondzadeh, 2007). Presently, ADHD has been medically managed by two categories of medications which can be classified as stimulants or nonstimulants. According to the Texas Children’s Medication Algorithm Project (CMAP) (2007) and the Centers for Disease Control and Prevention (CDC) (2015), stimulants continue to be first line choice in treating ADHD and show a
The purpose of this research was to describe and understand Attention-Deficit Hyperactivity Disorder (ADHD) and the most effective treatment options that are available today. ADHD is a mental health disorder that affects 3-9% of the population in ways that, if left untreated, can wreak havoc on the mind of the sufferer. It makes concentration difficult, large tasks seem insurmountable, and causes impulsive and hyperactive tendencies. Fortunately, research and experiments have led to new and effective treatments to help those who suffer from this disorder (Dupaul 8). This research examined journal articles and internet sources on the topic to help unlock the complexities of the disorder through scientific research. It also was a way to
The increase of ADHD diagnosis has raised many concerns among doctors in the United States. In 2013, the Centers for Disease Control and Prevention reported new data that showed the number of children diagnosed with ADHD grew by 22 percent in a four-year period Brown University, (2013). The information from the Center for Disease Control & Prevention (CDC) raised questions and concerns about the growth of ADHD diagnosis. The Centers for Disease Control and Prevention (CDC) also stated that the percentage of children with a diagnosis of ADHD continue to increase in the United States. This information was provided by the Centers for Disease Control & Prevention (CDC) to inform the public and raise awareness for ADHD. Researching the growth of
Children today are affected by a number of developmental and behavioral disorders. One that has become very common over the years is Attention Deficit Hyperactivity Disorder, or ADHD. This disorder is diagnosed to individuals who cannot focus well and have apparent restless behavior. Those who are diagnosed with this disorder seem to be young or adolescent, and the numbers are continuing to increase. Due to the increase in numbers, many alarmed parents are quick to jump to giving their kids medication. This method is quite controversial and has some advantages and disadvantages to it. Some believe that today’s physicians will over-diagnose children with ADHD, leading to normal kids receiving unneeded prescriptions of powerful stimulants. However, there is still a large need of medication for children who are truly suffering from this mental disorder. When one is properly diagnosed with ADHD, there are many advantages to treating with medication.