The authors of a new book entitled "The ADHD Explosion" have made a rather startling discovery:
Using Centers for Disease Control surveys, Hinshaw and Sheffler found that when rates of ADHD diagnoses are broken down by state, it turns out that there are dramatic discrepancies. Based on the most recent survey, from 2011, a child in Kentucky is three times as likely to be diagnosed with ADHD as a child in Nevada. And a child in Louisiana is five times as likely to take medication for ADHD as a child in Nevada.
And these states aren’t just outliers. The five states that have the highest rate of diagnoses — Kentucky, Arkansas, Louisiana, Indiana and North Carolina — are all over 10 percent of school age children. The five states with the lowest percent diagnosed — Nevada, New Jersey, Colorado, Utah and California — are all under 5 percent. The disparity is even greater for kids prescribed ADHD medication. The same five states are at the top of the list, all of them with over 8 percent of kids getting medication. The states at the bottom of the list for medication — Nevada, Hawaii, California, Alaska and New Jersey — are all under 3.1 percent.
The authors set out to look for factors that could account for those sharp discrepancies.
“We thought it might have to do with the supply of providers — how many pediatricians or child psychiatrists in a given region — or the ways states supplement Medicaid,” explains Hinshaw. “It might have to do with advertising. But it doesn’t take a genius to figure out that most kids first get noticed for ADHD in a classroom setting. So we wondered, are there policies about schooling that might be relevant?”
What the team found was that high rates of ADHD diagnoses correlated closely with state laws that penalize schools when students fail. Nationally, this approach to education was enacted into law in 2001 with No Child Left Behind, which makes funding contingent on the number of students who pass standardized tests. In more recent years, similar testing-based strategies have been championed by education reformers such as Michelle Rhee. But many states passed these accountability laws as early as the 1980s, and within a few years of passage, ADHD diagnoses started going up in those states, the authors found, especially for kids near the poverty line.
ADHD diagnoses of public school students within 200 percent of the federal poverty level jumped 59 percent after accountability legislation passed, Hinshaw reports, compared with less than 10 percent for middle- and high-income children. They saw no comparable trend in private schools, which are not subject to legislation like this.
I absolutely believe this to be true. In fact I have seen it in action.
Focus on the test, and stress placed on teachers to make sure each child can finish the test within the time allotted, have resulted in these medical shortcuts which will see children with perfectly normal attention spans sent to pediatricians with teacher recommendations to be evaluated for ADHD or ADD.
And believe me many pediatricians have no problem simply prescribing the medications, even for kids who fall outside of the spectrum. What I don't think many realize, and I have seen many examples of this, is that children who take medications their entire lives have no problem turning to Oxycontin or PCP, or other mood altering drugs as teenagers or young adults.
In fact many of the prescription medications for ADHD have a very high street value, and kids have been known to shop them around in exchange for beer or pot money, or for something quite a bit stronger.
Just another way that George Bush has negatively impacted a generation of young Americans.
When my son (now in college) was in kindergarten, the teacher insisted he had ADHD and needed to be medicated. We refused. The real problem was that there were 30 kids and one teacher in the 2-hour-and-15-minute (half-day) kindergarten class and No Child Left Untested had just kicked in. The teacher was trying all alone to get the low-performing kids up to the minimum standard. My child could read Dr. Seuss books on his own, could count up to 100, knew his colors and shapes, and was bored out of his mind sitting around while the teacher tried to get kids who weren't even toilet trained up to testing standards.
ReplyDeleteI blame the parents on the debacle your smart child had to go through. 100%. No child who is not toilet trained needs to be in ANY school setting.
DeleteAnd now I know why there is a heroin epidemic in my small community of Batesville, IN. Yep good old Hillenbrand, Batesville Casket, HillRom center has a nice fat heroin problem amongst their younger set, the kids who went through the first of the No Child Left Behind crap. I wonder how many of those addicted, many under the poverty range, had ADHD meds shoveled into their mouths by brain washed parents and over eager for the test scores admin and teacher.
Exactly, 5:10 a.m. I am in one of those 5 states. Education in Indiana sucks the life out of an intelligent, curious kid. this is why we homeschooled (as a home with two graduate- degreed individuals who are professional educators, we were more than qualified.) this is also why I take Gryphen to task when he and posters lump all homeschoolers together. NCLB was particularly destructive for higher IQ kids. Mine are currently in the public system fr high school - I spend more time fighting the school to place them appropriately (and it is much more draining and far less enjoyable) than it was homeschooling them.
Delete7:25 am; we ended up homeschooling for the same reason you did; the principal's response to our demand for an academically-appropriate education for our bright child was, "He aces all the tests--what more do you want?" BTW, have you looked into dual-enrollment (high school and community college)? We found it particularly helpful--college classes where appropriate, high school classes where appropriate. I am deeply worried about Common Core; once again the school system has to coddle those who are incapable of learning or unwilling to learn, and the bright kids have to sit around, bored. Then everyone is shocked--SHOCKED!-- when bored children act up, and demand they be put on Ritalin.
Delete@11:06
DeleteYour opinion of Common Core reflects a very poor understanding of what it is. You are repeating memes you have heard somewhere.
I can't speak for all schools or school districts, but as an educator, I can tell you that none of these comments reflect actions in our school district in California. The remark about Common Core is also false.
DeleteCommon Core = the same education for all, across the country. That means the top-performers will be kept back from learning up to their potential as the perpetually-underfunded schools try to get the never-gonna-get-there under-performers up to the minimum standard.
DeleteWhen my oldest child (lots of energy) was in the 5th grade there was a spate of ADHD diagnosises in CA. The school sent him to a Psychiatrist to be tested. Of course, we were told he did have ADHD, they put him on medication which we later found out was highly addictive. When we heard that, we immediately took him off of it and consulted our very sharp Pediatrician who had a fit over what had been done to him. He's been high energy all his life, but certainly never had ADHD.
ReplyDeleteHe did well all through school and is still high energy. His next teacher was thrilled to death over the change in him when he was off the medication. It had turned him into a zombie. CA learned quickly & that practice stopped. I am pleased to see that they are among the lowest. Not surprised about the Red states who are the highest.
Ritalin is a gateway drug.
ReplyDeleteIt can be. That isn't always the case. It depends an awful lot on how the parents deal with the entire situation.
DeleteGeorge Walker Bush.
ReplyDeleteWorst president EVER.
I've been saying for years that if a parent solves any sort of problem with drugs, they are increasing the likelihood of the child deciding to self-medicate. If the parents use drugs to get certain reactions, then it seems logical to me that the kid's reasoning would be why not use the "fun" or "feel good" drugs.
ReplyDeleteBit overgeneralizing there, aren't you 7:08 a.m. there are many "drugs" that help - start with the polio vaccine. What about asthma - no parent can "solve" the pollution problems alone.
DeleteA bit of hyperoble @7:08. It is always important to consider the side-affects especially if it involves addiction. However, you can't paint all medicated problems with the same brush. What I tell parents who are considering medicating an ADD or ADHD child is that unless it makes a dramatic improvement in a child's life, look for other options.
DeleteI'd like to see some actual research findings on that, 7:08, instead of a gut reaction.
DeleteStandardized tests tell us how good a child is at taking tests. That includes whether the child actually cares about doing well on the test. Many children realize that they get absolutely diddle squat for doing well on the test. So test results mostly tell us whether the child has been temporarily brain washed into concentrating on a meaningless test. Obviously drugs help!
ReplyDeleteGryphen,
ReplyDeleteThat's a real stretch to make those connections. ADD and ADHD are very complicated issues caused by a variety of reasons. So why are we seeing such an explosion, because you are absolutely right that there is one? A few things being looked at currently are gluten, GMOs, and our widespread use of pesticides. GMOs are a real smoking gun. Why are we seeing such an "explosion" in gluten intolerance and nut allergies? It is suspected that GMO food is much more intense genetically thereby hitting us with more intense potential allergens. Second, GMOs are specifically modified to withstand drenching crops with Round-up. I seriously doubt that we can get all that off with washing. You want to blame someone, blame Monsanto.
I would love to see you write a more comprehensive article on ADD, ADHD, and the current research into the origins of it. My experience as a teacher and as a parent and grandparent of ADHD children has shown me that most people, doctors included, are woefully ignorant of the causes and options for treatment. Medication isn't always the answer, but sometimes it is unavoidable. When a child has made almost no progress in school, is counting butterflies on the ceiling, has no impulse control, is going to be retained, AND is in a great school with 12:1 teacher ratio, you just might want to look at medication options. That otherwise very bright child, my granddaughter, was able to learn to read in three days and no longer considered for retention within a week. She has progressed incredibly fast ever since. The other granddaughter, a cousin the same age at the same school, is also very ADHD. However, only her hyperactivity is controlled with Tenex (a non-narcotic and non-addicting). She has an incredible memory, so she can compensate very well for her inattention if her hyperactivity is controlled. Both girls improved dramatically after putting them on gluten-free diets. In the case of the granddaughters, the ADHD has a very strong gender-tied genetic component that affects only females (some) in the family. We also discovered that the one on Ritalin is making more than 4x the normal amount of dopamine in her brain. As that converts to adrenaline, the effect was that she had so much energy that she felt like she was coming out of skin.
In summary, ADD and ADHD have a variety of causes and a variety of options for treatment. All should be carefully explored before deciding how to treat. The opinion of the teacher is very important, but certainly should not be the only opinion considered.
Meantime, what is Obama doing nominating Ted Mitchel to the Education Dept.?
ReplyDeletehttp://www.thenation.com/blog/177675/ted-mitchell-education-dept-nominee-has-strong-ties-pearson-privatization-movement#
I haven't read the comments, and I don't mean to offend anyone who believes they're doing their best for their kids by keeping them drugged, but this is one of my pet peeves that makes my blood boil.
ReplyDeleteThey're not drugging a lot of these kids to help them, they're drugging them to keep them numb and non disruptive to the teacher and the rest of the class. One of my sister's students had dyslexia and a curable vision problem that prescription lenses and a little extra help/patience was needed to cure, not ritalin etc etc. She caught it in third grade, spoke to the teachers who believed the diagnosis and kept him medicated to the point that the mother considered quitting her job and on line homeschooling him.
Long miserable story short, they set up help with a behaviorist, got him glasses, weaned him off the ADD/ADHD meds, and the kid caught up with his peers and graduated with his class. It made a world of difference.
The difference between a teacher and an educator, among other things, is that educators look for signs of problems and work at finding solutions.
Can we stop grading schools with standardized test scores, and start grading them by what really matters- students' success rates after graduation?
ReplyDeleteIt wouldn't be that hard to quantify. Let's say "Ascention to Middle Class" rate within 10 years? One could easily adjust to income disparity between districts, and instead of penalize them, send in advisers to bring schools up to par and more heavily invest in "fixing" the school?