Child & Youth Care Forum

, Volume 42, Issue 2, pp 87–99 | Cite as

Elementary and Middle School Teacher Perceptions of Attention-Deficit/Hyperactivity Disorder Prevalence

  • Gregory A. Fabiano
  • William E. PelhamJr.
  • Antara Majumdar
  • Steven W. Evans
  • Michael J. Manos
  • Donald Caserta
  • Erin L. Girio-Herrera
  • Stewart Pisecco
  • Jane N. Hannah
  • Randy L. Carter
Original Paper



Estimates of ADHD diagnosis and stimulant medication use vary across studies. Few studies ascertain the teacher perspective on these rates.


To ascertain teachers’ perceptions of ADHD prevalence and medication treatment within their classrooms.


The present school survey collected teacher report of identified children with ADHD as well as unidentified but suspected children with ADHD in an effort to determine the occurrence of ADHD and related behaviors in elementary and middle school classrooms. The number of children treated with stimulant medication was also collected. Results are grouped by elementary/middle school level.


Results indicated 5.58 % of elementary and 3.53 % of middle school students were identified to the teacher as diagnosed with ADHD. A comparable number were suspected to have ADHD, but were not formally identified. Three-quarters of identified elementary school, and two-thirds of middle school students, received medication treatment. Few moderators of prevalence rates were identified.


Teacher perceptions suggest an under-identification of children with ADHD in elementary and middle school classrooms. Stimulant medication treatment wanes as children progress to middle school, per teachers’ reports.


Attention-deficit/hyperactivity disorder Prevalence Stimulant medication Diagnosis 



This project was supported by an unrestricted educational grant from the Alza Corporation, a member of the Johnson & Johnson family of companies.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Gregory A. Fabiano
    • 1
  • William E. PelhamJr.
    • 1
    • 2
  • Antara Majumdar
    • 1
    • 3
  • Steven W. Evans
    • 4
  • Michael J. Manos
    • 6
  • Donald Caserta
    • 6
  • Erin L. Girio-Herrera
    • 4
    • 5
  • Stewart Pisecco
    • 7
    • 8
  • Jane N. Hannah
    • 9
    • 10
  • Randy L. Carter
    • 11
  1. 1.University at Buffalo, State University of New YorkBuffaloUSA
  2. 2.Department of PsychologyFlorida International UniversityMiamiUSA
  3. 3.Bristol-Myers SquibbNew YorkUSA
  4. 4.Ohio UniversityAthensUSA
  5. 5.Department of PsychologyUniversity of MiamiCoral GablesUSA
  6. 6.Cleveland Clinic Children’s HospitalClevelandUSA
  7. 7.University at HoustonHoustonUSA
  8. 8.Pearson Education, IncUpper Saddle RiverUSA
  9. 9.Vanderbilt UniversityNashvilleUSA
  10. 10.Currey Ingram AcademyBrentwoodUSA
  11. 11.University at BuffaloBuffaloUSA

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