Evaluating the Need for Separate ADHD Schools and Knowing Your Child’s Legal Rights

March 18, 2006

by Tess Thompson

When a child has ADD ADHD, it is not uncommon for the first person to recognize the symptoms to be the child’s teacher. Many of the symptoms of ADHD can seem more pronounced in a structured classroom setting, when a child is forced to sit still and focus on something specific. Of course, a teacher’s suspicion is not grounds for assumption that your child has the condition. A diagnosis of ADHD should come only after valid ADHD assessment tests and extensive professional evaluation that includes such factors as his or her behavior at school, at home and at play, and that eliminates the possibility that your child is suffering from other conditions, such as depression or anxiety, that can produce similar symptoms.

If you do determine that your child has ADHD and needs special child ADHD treatment, you should be aware of the legal rights your child has to an education that accomodates his or her needs. ADHD children can have difficulty performing well in school and teachers can become frustrated with students who have behavioral problems or who require constant attention. Although you can weigh the benefits of private tutors, homeschooling or “ADHD schools” — special schools for children with learning disabilities (ADHD is not technically a learning disability, but some schools have programs that include instruction for ADHD children), there are laws which mandate that your child receive specialized education within the confines of the public school system as well.

The Individuals with Disabilities Education Act (IDEA) is a federal statute that requires schools to identify children who have ADHD or other learning disorders and to provide special education or provide other services to qualifying students. In order to qualify under IDEA, a child’s ADHD must be found to be severe enough to impair the child’s education. Children who suffer from ADHD may also qualify under IDEA if they have simultaneously been diagnosed with a learning disablity or with emotional problems.

Chidren who don’t qualify for specialized education under IDEA can still find help under Section 504 of the Rehabilitation Act of 1973, which is an anti-discrimination provision designed to protect people with disabilities. It prohibits programs that are federally funded, such as public schools, from discriminating against people with disabilities, and requires schools to accomodate them. Accomodations can include things such as altering test-taking rules or providing help with note-taking.

The Americans with Disabilities Act also prohibits discrimination on the basis of disability, but includes organizations which recieve no federal funding. Under this provision, children with ADHD qualify for special help at public and at private schools.

Although these statutes must be legally upheld by schools, some school systems do not accurately train teachers and administrators to recognize the symptoms of ADHD, and they are often unaware of their legal obligations to accomodate children who suffer from it. Your child does have a legal right to these provisions, and you have the right to request them. In rare cases, when a school has been found to lack in sufficient accomodation, the state has paid for children to attend specialized private schools. Many public schools, however, have excellent systems in place, and more and more frequently, teachers are being trained to teach all kinds of students, including those with ADHD.

ADD Stimulant Medications: Are They the Best ADD Treatments?

by Tess Thompson

Although there is controversy surrounding them, stimulants are still the most commonly prescribed type of medication for children with ADD and ADHD. The Drug Enforcement Agency says that stimulant drug production has increased 500 percent since 1991, and over half of the prescriptions for them are written by pediatricians. Stimulants are often effective in treating many of the symptoms of ADD — but are they the best ADD treatment for your child? Many parents are concerned about the side effects stimulants can produce and choose to investigate other options like behavioral therapy and herbal supplements as well. When it comes to making a decision that affects your child’s health, having the facts is essential.

ADD stimulant medications work by increasing the levels of the chemicals epinephrine and norepinephrine in the brain, which helps the brain to transmit signals between nerves. This improves a child’s (or adult’s) ability to pay attention for extended periods of time. But these medications also come with a risk of mild and serious side effects. Some of the most common side effects include headaches, upset stomach and increased blood pressure, all of which may diminish as the body adjusts after the first few weeks of treatment. Other common side effects include decreased appetite (80% of stimulant users report this), nervousness and sleeplessness. Research has also shown that stimulants can stunt growth during treatment, but have not been proven to affect final height. Less common but more serious side effects include hallucinations and feelings of suspicion or paranoia, Tourette’s Syndrome, and suicidal thoughts.

Children on stimulants (Ritalin, Adderall and Concerta are the best-known brands) should be watched closely and their dosages should be evaluated regularly. These medications are most effective when they are administered in the correct dosage for each individual and when they are combined with additional ADD treatments like behavioral therapy and practical and emotional support. Non-stimulant drugs, such as Strattera, can also be effective, but carry a risk of similar side effects.

In light of the risks that prescription medications carry, many parents are interested in exploring an herbal remedy for ADD. There is more than one herb that has been shown to be an effective ADD or ADHD child treatment, and there are a variety of natural remedies on the market that combine many of them. Ginko Biloba, Green Oats, Brahmi, Gotu Kola and Panax Ginseng are some of the best ingredients, and the positive effects of some of them (like Ginko) can become permanent even after discontinuing use.

While stimulant medication is often successful in treating ADD, it can sometimes cause its own set of problems. Weigh the risks and the benefits carefully, and make the decision that is right for your own child. Just as each child exhibits symptoms of ADD differently, each child will react differently to medication and treatment. Patience and thorough research should lead you to a healthy solution for your child.

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