We recommend
a comprehensive, interdisciplinary approach and study
to this condition providing the following:
Educational assessment and planning;
Developmental assessment and planning;
Medical and mental health assessment
and planning;
Family based assessment and planning
identifying paradoxical parenting;
Assessment of various stressors in
the life of the child-adolescent;
Adjunctive prescriptive assessment
and planning;
Advocacy based interdisciplinary assessment
and planning for all children and adolescents;
Use of medications (i.e. stimulants)
for cognitive/perceptual/sensory motor impairment and
learning disability and emotional reaction must be
titrated as it relates to each condition;
Eliminate the three symptom based references
of inattentiveness, impulsivity, and hyperactivity
as recommended by the DSM-IV and the Connor Questionnaires
as primary diagnostic factors of ADHD These symptoms
are present in fourteen (14) other psychiatric conditions;
Revise, change, and/or eliminate the
diagnosis and terminology of ADHD/ADD;
Embrace the foundation of C.H.A.P.P.C.S.
(CHildren-Adolescents with Primary Perceptual-Cognitive
and Sensory motor impairment) an Advocacy Group established
in each school district to support and reinforce pro-active
appropriate assessment and planning;
Avoid Medicalization of the condition
and forego rapid application of medication without
comprehensive assessment;
Cognitive/ Perceptual/ Sensory Motor
based coordinated remediation, tutorials and educational
services in basic reading, reading comprehension, handwriting,
mathematics and other cognitive functions are essential;
and
Support family based educational services
and parenting to replace the demeaning approaches that
compromise the integrity of the child.
Research-study reference on the Three
Faces of Attention Deficit Hyperactivity Disorder is
available by request from New Oakland Child-Adolescent
and Family Center.