Elementary and Middle School Teacher Perceptions of Attention-Deficit/Hyperactivity Disorder Prevalence
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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.
KeywordsAttention-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.
- American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders-TR (4th Ed., TR). Washington, D.C.: Author.Google Scholar
- DuPaul, G. J., & Stoner, G. (2003). ADHD in the schools, assessment and intervention strategies (2nd ed.). New York: The Guilford Press.Google Scholar
- Epstein, M., Atkins, M., Cullinan, D., Kutash, K., & Weaver, R. (2008). Reducing behavior problems in the elementary school classroom: a practice guide (NCEE #2008-012). Washington DC: National Center for Educational Evaluation and Regional Assistance.Google Scholar
- Froehlich, T. E., Lanphear, B. P., Epstein, J. N., Barbaresi, W. J., Katusic, S. K., & Kahn, R. S. (2007). Prevalence, recognition, and treatment of attention-deficit/hyperactivity disorder in a national sample of US children. Archives of Pediatric and Adolescent Medicine, 161, 857–864.CrossRefGoogle Scholar
- Glass, C. S., & Wegar, K. (2000). Teacher perceptions of the incidence and management of attention-deficit hyperactivity disorder. Education, 121, 412–420.Google Scholar
- Gresham, F. M., MacMillan, D. L., & Bocian, K. M. (1997). Teachers as “tests”: Differential validity of teacher judgements in identifying students at-risk for learning difficulties. School Psychology Review, 26, 47–60.Google Scholar
- Lane, K. (2003). Identifying young students at risk for antisocial behavior: The utility of “teachers as tests”. Behavioral Disorders, 28, 360–389.Google Scholar
- Lane, K., Menzies, H. M., Oakes, W. P., & Kalberg, J. R. (2012). Systematic screenings of behavior to support instruction. New York, NY: The Guilford Press.Google Scholar
- Rowland, A. S., Umbach, D. M., Stallone, L., Naftel, J., Bohlig, M., & Sandler, D. P. (2002b). Prevalence of medication treatment for attention-deficit/hyperactivity disorder among elementary school children in Johnston County, North Carolina. American Journal of Public Health, 92, 231–234.PubMedCrossRefGoogle Scholar
- Schnoes, C., Reid, R., Wagner, M., & Marder, C. (2006). ADHD among students receiving special education services: A national survey. Exceptional Children, 72, 483–496.Google Scholar
- U.S. Department of Commerce, Economics and Statistics Administration, Bureau of the Census. (1994). Geographic areas reference manual. Washington, D.C.: U.S. Department of Commerce.Google Scholar
- Visser, S. N., & Lesesne, C. A. (2005). Mental health in the United States: Prevalence of diagnosis and medication treatment for attention-deficit/hyperactivity disorder—United States, 2003. Morbidity and Mortality Weekly Report, 54, 842–847.Google Scholar
- Visser, S. N., Bitsko, R. H., Danielson, M. L., Perou, R., & Blumberg, S. J. (2010). Increasing prevalence of parent-reported attention-deficit/hyperactivity disorder among children—United States, 2003 and 2007. Morbidity and Mortality Weekly Report, 59, 1439–1443.Google Scholar
- Walker, H. M., Ramsey, E., & Gresham, F. M. (2003). Heading off disruptive behavior: How early intervention can reduce defiant behavior-and win back teaching time. American Educator, Winter, 2003–2004, 6–21.Google Scholar
- Waschbusch, D. A., Pelham, W. E., Massetti, G. M., & Northern Partners In Action for Children and Youth. (2005). The Behavior Education Support and Treatment (BEST) school intervention program: Pilot project data examining school-wide, targeted-school, and targeted-home approaches. Journal of Attention Disorders, 9, 313–322.PubMedCrossRefGoogle Scholar