Deficits in Diagnosis, Treatment and Continuity of Care in African-American Children and Adolescents with ADHD

Treatment and Continuity of Care in African-American Children

Attention-deficit/hyperactivity disorder (ADHD) is a syndrome of childhood onset characterized by symptoms of inattention, hyperactivity and impulsiveness. There is no one defining test used for ADHD—rather the diagnosis comes through a comprehensive history from patient, parents, other caregivers and teachers. Family history of ADHD can be a valuable contribution in helping to differentiate ADHD from other diagnoses.

Methods of assessment are frequently not validated with culturally diverse children. In 1998, Reid reported that teachers more often rated African-American students as having symptoms of ADHD across all age groups. Teachers’ assessments may seem too perfectionistic to parents or they may not perceive symptoms as that problematic. Some worry that racial bias and negative thinking could lead to excessive referrals. Nonetheless, Cuccaro found that professionals reviewing written vignettes are less influenced by ethnicity than socioeconomic level, but whether or not this is consistent with real practice remains a question. African-American families more often than Caucasians may hesitate to accept both the ADHD diagnosis and pharmacological recommendations if school-based programs recommending them are not perceived as helpful. Suffer no more! Buy cialis professional canada online at a price you can afford.


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