Center for ADHD Connection

Transcription

1 Center for ADHD Connection A newsletter for parents of children with ADHD, our collaborators and community partners Spring The Center for ADHD brings nationally recognized ADHD Summer Treatment Program for children to Cincinnati Are you looking for something more than medication to help improve your child s behavior this summer? The Center for ADHD is proud to begin offering the nationally recognized Summer Treatment Program (STP) for children with ADHD this summer at Xavier University. The STP in Cincinnati will be one of only thirteen awardwinning comprehensive treatment programs in the US to address children s behavioral, emotional and learning problems. Designed for children 8 to 12 years old with a primary diagnosis of ADHD, this program uses evidence-based treatments as part of a 7-week therapeutic summer day camp. INSIDE From the director 2 Center for ADHD clinical services 3 Study links ADHD and conduct disorder to alcohol and tobacco use in young teens 3 Join an ADHD research study 4 & 8 Tips for giving effective commands to children and teens with ADHD 5 Upcoming Center for ADHD group program schedules 6 & 7 The STP provides treatment tailored to each child s behavioral, emotional, and learning difficulties. The program is implemented by our highly trained staff with no more than 2 children per staff member. In the context of a camp-like setting, both group and individually designed treatment plans are implemented by our staff who are supervised daily by licensed clinical psychologists specializing in ADHD. In addition to the program being therapeutic, the STP is filled with summer fun activities such as swimming, sports, crafts, and computer-based activities. The program is overwhelmingly appreciated by parents and children. Over 95% of parents rated the program as being beneficial and reported that they would send their child to the program again if given the opportunity. Parents also benefit by participating in weekly group evening sessions. Parent sessions are designed to help parents develop skills to reduce problem behaviors, to improve their child s task skills and relationships with parents and peers, and to maintain and to continue the progress made in the STP at home. Availability is limited to 24 children to ensure each child receives the individualized care and attention they deserve. Summer Treatment Program Details: When: Monday, June 15, 2015 to Friday, July 31, :30 am to 4:30 pm Monday through Friday Where: Xavier University Cost: $5,000 for the 7-week treatment program For more information or to reserve a spot for your child: Contact ADHD Summer Treatment Program at or ADHDSTP@cchmc.org

2 Center for ADHD Connection A newsletter for parents of children with ADHD, our collaborators and community partners Spring The Center for ADHD brings nationally recognized ADHD Summer Treatment Program for children to Cincinnati Are you looking for something more than medication to help improve your child s behavior this summer? The Center for ADHD is proud to begin offering the nationally recognized Summer Treatment Program (STP) for children with ADHD this summer at Xavier University. The STP in Cincinnati will be one of only thirteen awardwinning comprehensive treatment programs in the US to address children s behavioral, emotional and learning problems. Designed for children 8 to 12 years old with a primary diagnosis of ADHD, this program uses evidence-based treatments as part of a 7-week therapeutic summer day camp. INSIDE From the director 2 Center for ADHD clinical services 3 Study links ADHD and conduct disorder to alcohol and tobacco use in young teens 3 Join an ADHD research study 4 & 8 Tips for giving effective commands to children and teens with ADHD 5 Upcoming Center for ADHD group program schedules 6 & 7 The STP provides treatment tailored to each child s behavioral, emotional, and learning difficulties. The program is implemented by our highly trained staff with no more than 2 children per staff member. In the context of a camp-like setting, both group and individually designed treatment plans are implemented by our staff who are supervised daily by licensed clinical psychologists specializing in ADHD. In addition to the program being therapeutic, the STP is filled with summer fun activities such as swimming, sports, crafts, and computer-based activities. The program is overwhelmingly appreciated by parents and children. Over 95% of parents rated the program as being beneficial and reported that they would send their child to the program again if given the opportunity. Parents also benefit by participating in weekly group evening sessions. Parent sessions are designed to help parents develop skills to reduce problem behaviors, to improve their child s task skills and relationships with parents and peers, and to maintain and to continue the progress made in the STP at home. Availability is limited to 24 children to ensure each child receives the individualized care and attention they deserve. Summer Treatment Program Details: When: Monday, June 15, 2015 to Friday, July 31, :30 am to 4:30 pm Monday through Friday Where: Xavier University Cost: $5,000 for the 7-week treatment program For more information or to reserve a spot for your child: Contact ADHD Summer Treatment Program at or ADHDSTP@cchmc.org

3 Center for ADHD Faculty and Staff Jeff Epstein, PhD, director Richard Loren, PhD, clinical director Julia Anixt, MD Stephen Becker, PhD Bill Brinkman, MD Heather Ciesielski, PhD Jessica Cyran, PhD Tanya Froehlich, MD Josh Langberg, PhD Phil Lichtenstein, MD Nicholas Newman, DO S. Rachelle Plummer, PsyD Leanne Tamm, PhD Aaron Vaughn, PhD Contact Information For more information about Cincinnati Children s Center for ADHD, please contact the Division of Behavioral Medicine and Clinical Psychology Intake Line at , and press #. The center is located on our Oak Campus at: 2800 Winslow Avenue Fifth Floor, Suite 5200 MLC Cincinnati, OH About this Newsletter The Center for ADHD Connection newsletter is published two times each year. To be added or removed from the mailing list for this newsletter, us at ADHD@cchmc.org. To give feedback about the newsletter or if you have a story idea, us at ADHD@cchmc.org. To see previous newsletters, please go to our website From the director Jeff N. Epstein, PhD In the last newsletter, I wrote that we were looking into offering a summer camp for children with ADHD. I m very happy to report that we are moving forward with this effort and will have a camp for children 8 to 12 years old this coming summer. About our summer camp for children with ADHD The summer camp model we will use is called a Summer Treatment Program (STP) and was developed by Dr. William Pelham, currently at Florida International University. The STP has been deemed a model treatment program by the American Psychological Association and by the national Children and Adults with Attention/ Deficit Hyperactivity Disorder (CHADD) organization, the national parent advocacy group for children with ADHD. The STP has also been listed in the Substance Abuse and Mental Health Services Administration s National Registry of Evidence-based Programs and Practices. The STP is an intensive seven-week program that focuses on helping children with Attention Deficit Hyperactivity Disorder (ADHD) improve their problemsolving skills, academic skills, sports skills and peer relationships. There is one counselor for every two children. Children participate in a variety of classroombased and recreational activities. The behavior modification program includes feedback and associated consequences for positive and negative behaviors, daily and weekly rewards for appropriate behavior, social praise and attention, appropriate commands, and age-appropriate removal from positive reinforcement. Counselors will also be responsible for recording, tracking, and entering daily records of children s behavior and response to the treatment. Counselors will work under the supervision of experienced faculty and staff members and will receive regular feedback about their performance. Weekly training sessions are also provided for the participants parents to learn strategies for coping with their child s behavior and promoting their child s progress. For the initial year, we will only be enrolling 24 students, to ensure that each child receives individualized care and attention. The STP will be held on the Xavier University campus from June 15to July 31. Currently, STPs are offered in approximately 12 locations around the US. We are very excited to be able to bring this innovative program to Cincinnati. Ideas for future newsletters and the Center We would like to hear from you. If you have suggestions for features that you d like to see in future newsletters, or if you have suggestions for our Center, please us at ADHD@cchmc.org. 2

4 Cincinnati Children s Hospital Medical Center Center for ADHD Center for ADHD clinical services The Center for ADHD currently provides the following evidence-based services for the families of children and adolescents with ADHD: n ADHD Evaluations n Individual/Family Therapy Services n Parent Training Groups (schedule on page 6) n Managing Frustration Groups (schedule on page 7) n Academic Success Groups for Teens (schedule on page 7) To learn more, visit or call the Division of Behavioral Medicine and Clinical Psychology Intake Line at , and press #. Cincinnati Children s study links ADHD and conduct disorder with increased alcohol and tobacco use in young teens A new study conducted by Cincinnati Children s and published in the journal Drug and Alcohol Dependence is among the first to link ADHD and conduct disorder in young adolescents who use alcohol and tobacco. Conduct disorder, often referred to as CD, is a behavioral and emotional disorder marked by aggressive, destructive or deceitful behavior. William Brinkman, MD, a Cincinnati Children s pediatrician, and his colleagues studied data on more than 2,500 teens between the ages of 12 and 15. The data came from the 2000 to 2004 National Health and Nutrition Examination Survey (NHANES), a nationally representative sample of the United State population designed to collect information about health. Teens with a diagnosis of ADHD and CD had a three- to five-times increased likelihood of using tobacco and alcohol and initiated use at a younger age than those who had neither disorder. A diagnosis of ADHD alone was associated with an increased likelihood of tobacco use, but not alcohol use. However, each additional symptom of inattention increased the likelihood of tobacco and alcohol use by 8-10% for that child. Although participants with a diagnosis of CD alone did not have a higher likelihood of tobacco or alcohol use, for every additional symptom of CD, the odds of tobacco use increased by 31%. Early onset of substance abuse is a significant public health concern, said Dr, Brinkman. Adolescents who use substances before the mid-teen years are more likely to develop dependence on them than those who start later. This is why prevention is so important. 3

5 Join an ADHD research study Our researchers conduct studies to learn more about and work to find treatments for ADHD. Parents and kids can help by joining a research study. Current research studies include: Needed: Children Who Daydream, Are Slow Moving and/or Seem to be In a Fog Children s Attention Problems Study What This is a research study to learn more about how children with specific attentional difficulties differ from other children, in their cognitive and sleep functioning. Do You Have a Child with Attention/Hyperactivity Problems and are Seeking Alternatives to Medication? Participants Needed for an ADHD Research Study What This research study is aimed at looking at how omega-3 fatty acid supplements affect brain function in children with ADHD. This 10-week study includes a psychiatric interview and two MRI scans. Why Omega-3 fatty acids are natural substances found in food (mostly fish and seafood), and have been found to reduce symptoms of ADHD. Omega-3 fatty acid supplements are not FDA-approved to treat ADHD, and more research is needed to test their effects. Who Right-handed male children, 8 to 12 years old, who are diagnosed with ADHD and have never received psychostimulant medications may be eligible for participation. Pay Participants may receive up to $160 for their time and travel. Contact Lauren Miller at lauren.miller@uc.edu or Who Children 8 to 12 years old who daydream, are slow moving, and/or seem to be in a fog may be eligible. Pay Families may receive up to $100 for time and effort. Contact The study coordinator at CTADHD@cchmc.org or Teens 16 to 18 Years Old With ADD or ADHD Needed for Research Study ADD/ADHD and Driving Study What This research study will test 3 types of training programs to see if they help teens with ADD/ADHD become safer drivers. Who Teenagers 16 to 18 years old with a history of ADD or ADHD, and one of their parents may be eligible to participate. Pay Families will receive $50 for this 2-visit study (lasting up to 2 hours each). Contact Annie Garner at annie.garner@cchmc.org or Continued on the back cover 4

6 Cincinnati Children s Hospital Medical Center Center for ADHD Tips for giving effective commands to children and teens with ADHD Richard E. A. Loren, PhD Difficulties with starting or following through with doing what they are told to do is common among children and adolescents who have ADHD. The first step parents can take to increase their child s compliance is to give clear, direct commands that leave no doubt in the child s mind that they are being told (not asked) to do something, and what they are being told to do is described in a simple, clear way. Following these six tips will increase the chances of children doing what you ask: 1. Make sure you mean it! Do not tell your child to do something, unless you intend to see to it that your child actually does what he was told to do. When you tell your child to do something, you must back it up with appropriate consequences both positive and negative to show that you mean what you say. 2. Reduce all distractions before giving a command. Failing to do this is a very common mistake made by parents. We often try to give a command while a television, stereo, video game, or computer is on. We as parents cannot expect children to attend to us, when something more entertaining is going on right in front of them! Turn off these distractions before giving your child a command. Important: Try to be courteous about when you turn off the distracter. For example, if your child is watching television, wait until the commercial break begins to turn the television off. After all, would you feel more inclined to comply with an instruction from someone who turned your favorite program off in the middle of a scene or someone who waited for a commercial break? 3. Make sure that your child is paying attention to you. Be sure that you have eye contact with your child. If necessary, get up and go where the child is and gently turn their face toward yours to ensure that they are listening and watching you before telling them to do something. 4. Give direct rather than indirect commands. Direct commands leave no question in your child s mind that you are telling them to do something. Indirect commands, on the other hand, give the child an illusion of choice. Commands that are expressed in question form are almost always indirect commands. Examples: Please hand me the block. (direct command) Will you please hand me the block? (indirect command) Put the train in the box. (direct command) Okay, l think it s time to put the train back in its box. (indirect command) 5. Make sure your commands are specific and positively stated. That is, tell your child specifically what to do. Avoid being vague or telling your child what not to do. Avoid Don t commands as much as possible. Examples: Johnny, come sit beside me. (positively stated & specific) Don t run around the room! (negatively stated) Get down off the chair. (positively stated & specific) Be careful! (vague) 6. Give commands one at a time. Most children, particularly those with ADHD, cannot follow more than one command at a time. Try giving only one specific command and have your child complete it first before giving another command. If a task you want your child to do requires many different behaviors (for example, cleaning their room), break it down into a series of simple commands that are given one at a time until the entire task is completed. Examples: Please put your shoes in the closet. (simple) Please put your shoes in the closet, wash your hands, get your brother, and come to the dinner table. (too many things at once!) Please put your dirty clothes in the basket. (simple) Clean your room. (too general and contains lots of commands) If you follow these six steps each and every time you tell your child to do something, you will find that your child s compliance with your instructions will increase noticeably. 5

7 Upcoming Center for ADHD group program schedules Understanding and Managing ADHD in Preschoolers Parent Group Program* This program is for parents of children ages 3.5 to 5 years who have been or are at risk for being diagnosed with ADHD. In addition to up-to-date information about ADHD and how it affects their child s behavior, parents learn specific evidence-based techniques for providing the structure and guidance that a preschool-aged child with ADHD needs in order to succeed both at home and at preschool/kindergarten. Sessions are held on the same day each week for a total of 8 group sessions, with each session lasting 90 minutes. The material in each session builds on that covered in prior sessions, so it is important that parents attend all 8 sessions in order to get the greatest benefit from the program. A pre-group interview with the parent(s) is typically required. Day/Dates Time CCHMC Location Therapist Mon 03/23/15 to 05/11/15 5:00 pm 6:30 pm Oak Campus Heather A. Ciesielski, PhD Wed 05/20/15 to 07/08/15 4:30 pm 6:00 pm Oak Campus Heather A. Ciesielski, PhD Mon 08/17/15 to 10/12/15 a 5:00 pm 6:30 pm Oak Campus Heather A. Ciesielski, PhD Wed 10/14/15 to 12/09/15 b 12:00 pm 1:30 pm Liberty Campus Beverly H. Smolyansky, PhD a Skips 09/07 b Skips 11/25 (Wednesday before Thanksgiving) Understanding and Managing ADHD in Children ages 6-12 Parent Group Program* This program is for parents of children ages 6 to 12 years with a primary diagnosis of ADHD. Parents obtain an up-to-date understanding of ADHD and how it affects their child s behavior. They also receive training in the use of specific evidence-based techniques for providing the structure and guidance that a child with ADHD needs to succeed behaviorally, academically, and socially. Sessions are held on the same day each week for a total of 8 group sessions. Each session is 90 minutes, except for the first session which may run up to 2 hours. The material in each session builds on that covered in prior sessions, so it is important that parents plan to attend all 8 sessions in order to get the greatest benefit from the program. Day/Dates (Start-End) Time (Start-End) CCHMC Location Therapist Mon 02/16/15 to 04/06/15 6:00 pm 7:30 pm Mason Campus Sanford Chertock, PhD Wed 02/25/15 to 04/15/15 12:00 pm 1:30 pm Oak Campus S. Rachelle Plummer, PsyD Wed 03/04/15 to 04/22/15 4:00 pm 5:30 pm Fairfield Kristine Huiet, PhD Mon 03/09/15 to 05/04/15 a 5:30 pm 7:00 pm Green Township F. Lynne Merk, PhD Thu 03/12/15 to 04/30/15 5:00 pm 6:30 pm Eastgate James Brewer, EdD Tue 03/17/15 to 05/05/15 4:30 pm 6:00 pm Oak Campus Jessica E. M. Cyran, PhD Thu 04/16/15 to 06/04/15 4:30 pm 6:00 pm Liberty Campus Richard E. A. Loren, PhD Tue 04/28/15 to 06/16/15 5:00 pm 6:30 pm Fairfield William Sirbu, PhD Thu 05/07/15 to 06/25/15 5:00 pm 6:30 pm Oak Campus Heather A. Ciesielski, PhD Thu 06/11/15 to 08/06/15 b 4:00 pm 5:30 pm Mason Campus Teri Caudill, PhD Wed 07/08/15 to 08/26/15 12:30 pm 2:00 pm Oak Campus S. Rachelle Plummer, PsyD Wed 08/26/15 to 10/14/15 4:00 pm 5:30 pm Fairfield Kristine Huiet, PhD Wed 09/09/15 to 10/28/15 4:30 pm 6:00 pm Oak Campus Richard E. A. Loren, PhD Mon 09/14/15 to 11/02/15 5:30 pm 7:00 pm Green Township Grace Shelby, PhD WMon 09/21/15 to 11/09/15 4:00 pm 5:30 pm Mason Campus Tara Proano-Raps, PsyD Wed 09/23/15 to 11/11/15 6:00 pm 7:30 pm Eastgate James D. Myers, PhD Wed 09/30/15 to 11/18/15 12:00 pm 1:30 pm Oak Campus Jessica E. M. Cyran, PhD Tue 10/20/15 to 12/08/15 5:00 pm 6:30 pm Fairfield William Sirbu, PhD Thu 10/22/15 to 12/17/15 c 5:00 pm 6:30 pm Oak Campus Heather A. Ciesielski, PhD Tue 10/27/15 to 12/15/15 4:30 pm 6:00 pm Liberty Campus Richard E. A. Loren, PhD a Skips 04/06/15 (Easter Monday) b Skips 07/02 c Skips 11/26/15 (Thanksgiving) * These behavior therapy group programs are covered by most insurance policies which provide coverage for group psychotherapy and multifamily group therapy services, with families responsible for any deductibles and co-pays. To enroll in any of our behavior therapy group programs, please call the Cincinnati Children s Behavioral Medicine & Clinical Psychology Intake Office at (513) , option # (hash key) 6

8 Cincinnati Children s Hospital Medical Center Center for ADHD Managing Frustration for Children with ADHD Group Program* This program is designed to address the problems some children with ADHD have with managing their frustration. It is not an alternative treatment for the core problems with attention regulation and/or impulse control associated with ADHD. The program is most effective for children whose core symptoms of ADHD are under reasonably good control via ongoing medication and environmental management. To participate in this group, a child must be between the ages of 9 and 11 and be in third through fifth grades at the time of the group. This group is only offered at the Center for ADHD on Monday afternoons, starting at 4:30 pm during the school year and 3:30 pm during the summer. There is a required pre-group interview with the parent(s) and child that will be scheduled in the weeks preceding the start of a new group that lasts minutes. There are a total of 12 group sessions, each lasting approximately 90 minutes. Children will attend all sessions except for the 1st and 7th sessions which are attended by parents without their children. As the material in each session builds on what is covered in earlier sessions, it is important that participants plan to attend all 12 sessions. Day/Dates Time CCHMC Location Therapist Mon 02/23/15 to 05/18/15 a 4:30 pm 6:00 pm Oak Campus Richard E. A. Loren, PhD Mon 06/01/15 to 08/24/15 b 3:30 pm 5:00 pm Oak Campus Richard E. A. Loren, PhD Mon 09/28/15 to 12/14/15 4:30 pm 6:00 pm Oak Campus Richard E. A. Loren, PhD a Skips 04/06/15 (Easter Monday) b Skips 07/06/15 Academic Success for Young Adolescents with ADHD Group Program* This program is designed for young adolescents in sixth through eighth grades who are experiencing academic difficulties as a result of ADHD. It teaches adolescents and their parents proven strategies to improve organization, time management, and study skills. This program is held only at the Center for ADHD. There are a total of 7 group sessions, each lasting 90 minutes, which the adolescent and their parent attend together. As the material in each session builds on what is covered in earlier sessions, it is important that participants plan to attend all 7 sessions. In addition, a pregroup interview with the parent(s) is also required. Day/Dates Time CCHMC Location Therapist Tue 01/20/15 to 03/03/15 4:30 pm 6:00 pm Oak Campus Jessica E. M. Cyran, PhD Mon 02/02/15 to 03/16/15 5:30 pm 7:00 pm Oak Campus Heather A. Ciesielski, PhD Thu 02/12/15 to 03/26/15 5:00 pm 6:30 pm Oak Campus Heather A. Ciesielski, PhD Tue 08/18/15 to 09/29/15 4:30 pm 6:00 pm Oak Campus Jessica E. M. Cyran, PhD Thu 09/03/15 to 10/15/15 5:00 pm 6:30 pm Oak Campus Heather A. Ciesielski, PhD Academic Success for High Schoolers with ADHD Group Program* This program is designed for freshman and sophomores in high school who are experiencing academic difficulties as a result of ADHD. It teaches adolescents and their parents proven strategies that improve organization, study skills, and academic performance with fewer arguments, less frustration, and reduced conflict between parents and their high school student who has ADHD. This program is held only at the Center for ADHD. There are a total of 8 group sessions, each lasting 90 minutes, which the parent and their adolescent attend together. As the material in each session builds on what is covered in earlier sessions, it is important that participants attend all 8 sessions. In addition, a pre-group interview with the parent(s) is also required. Day/Dates Time CCHMC Location Therapist Thu 02/05/15 to 03/26/15 4:00 pm 5:30 pm Oak Campus Aaron J. Vaughn, PhD Wed 02/11/15 to 04/01/15 4:00 pm 5:30 pm Oak Campus Aaron J. Vaughn, PhD Thu 09/03/15 to 10/22/15 4:00 pm 5:30 pm Oak Campus Aaron J. Vaughn, PhD Wed 09/16/15 to 11/04/15 4:00 pm 5:30 pm Oak Campus Aaron J. Vaughn, PhD * These behavior therapy group programs are covered by most insurance policies which provide coverage for group psychotherapy and multifamily group therapy services, with families responsible for any deductibles and co-pays. To enroll in any of our behavior therapy group programs, please call the Cincinnati Children s Behavioral Medicine & Clinical Psychology Intake Office at (513) , option # (hash key) 7

9 MLC Burnet Avenue Cincinnati, OH Nonprofit Org. US Postage PAID Cincinnati, Ohio Permit No Return Service Requested Join an ADHD research study continued Cincinnati Children s Hospital Medical Center Center for ADHD A Study for Children 7 to 11 Years Old Who Have or May Have ADHD The Effects of ADHD Medication (TEAM) Study What This research study will look at how children with attention deficit hyperactivity disorder (ADHD) respond to medication. Children will have a full diagnostic evaluation for ADHD, as part of this study. Who Children 7 to 11 years old who: Have been diagnosed with ADHD and have not previously taken medication for ADHD OR Have ADHD symptoms including: short attention span for age, difficulty listening to others, easily distracted, excessive fidgeting and/or talking, or often interrupting others Pay Families may receive up to $310 for time and effort. Contact Study staff at adhdteam@cchmc.org or Make a Donation to the Center for ADHD As a nonprofit hospital and research center, Cincinnati Children s depends on donations from the generous people who support us. If you would like to give back, go to and designate your gift to the Center for ADHD.

10 Center for ADHD Faculty and Staff Jeff Epstein, PhD, director Richard Loren, PhD, clinical director Julia Anixt, MD Stephen Becker, PhD Bill Brinkman, MD Heather Ciesielski, PhD Jessica Cyran, PhD Tanya Froehlich, MD Josh Langberg, PhD Phil Lichtenstein, MD Nicholas Newman, DO S. Rachelle Plummer, PsyD Leanne Tamm, PhD Aaron Vaughn, PhD Contact Information For more information about Cincinnati Children s Center for ADHD, please contact the Division of Behavioral Medicine and Clinical Psychology Intake Line at , and press #. The center is located on our Oak Campus at: 2800 Winslow Avenue Fifth Floor, Suite 5200 MLC Cincinnati, OH About this Newsletter The Center for ADHD Connection newsletter is published two times each year. To be added or removed from the mailing list for this newsletter, us at ADHD@cchmc.org. To give feedback about the newsletter or if you have a story idea, us at ADHD@cchmc.org. To see previous newsletters, please go to our website From the director Jeff N. Epstein, PhD In the last newsletter, I wrote that we were looking into offering a summer camp for children with ADHD. I m very happy to report that we are moving forward with this effort and will have a camp for children 8 to 12 years old this coming summer. About our summer camp for children with ADHD The summer camp model we will use is called a Summer Treatment Program (STP) and was developed by Dr. William Pelham, currently at Florida International University. The STP has been deemed a model treatment program by the American Psychological Association and by the national Children and Adults with Attention/ Deficit Hyperactivity Disorder (CHADD) organization, the national parent advocacy group for children with ADHD. The STP has also been listed in the Substance Abuse and Mental Health Services Administration s National Registry of Evidence-based Programs and Practices. The STP is an intensive seven-week program that focuses on helping children with Attention Deficit Hyperactivity Disorder (ADHD) improve their problemsolving skills, academic skills, sports skills and peer relationships. There is one counselor for every two children. Children participate in a variety of classroombased and recreational activities. The behavior modification program includes feedback and associated consequences for positive and negative behaviors, daily and weekly rewards for appropriate behavior, social praise and attention, appropriate commands, and age-appropriate removal from positive reinforcement. Counselors will also be responsible for recording, tracking, and entering daily records of children s behavior and response to the treatment. Counselors will work under the supervision of experienced faculty and staff members and will receive regular feedback about their performance. Weekly training sessions are also provided for the participants parents to learn strategies for coping with their child s behavior and promoting their child s progress. For the initial year, we will only be enrolling 24 students, to ensure that each child receives individualized care and attention. The STP will be held on the Xavier University campus from June 15to July 31. Currently, STPs are offered in approximately 12 locations around the US. We are very excited to be able to bring this innovative program to Cincinnati. Ideas for future newsletters and the Center We would like to hear from you. If you have suggestions for features that you d like to see in future newsletters, or if you have suggestions for our Center, please us at ADHD@cchmc.org. 2

11 Cincinnati Children s Hospital Medical Center Center for ADHD Center for ADHD clinical services The Center for ADHD currently provides the following evidence-based services for the families of children and adolescents with ADHD: n ADHD Evaluations n Individual/Family Therapy Services n Parent Training Groups (schedule on page 6) n Managing Frustration Groups (schedule on page 7) n Academic Success Groups for Teens (schedule on page 7) To learn more, visit or call the Division of Behavioral Medicine and Clinical Psychology Intake Line at , and press #. Cincinnati Children s study links ADHD and conduct disorder with increased alcohol and tobacco use in young teens A new study conducted by Cincinnati Children s and published in the journal Drug and Alcohol Dependence is among the first to link ADHD and conduct disorder in young adolescents who use alcohol and tobacco. Conduct disorder, often referred to as CD, is a behavioral and emotional disorder marked by aggressive, destructive or deceitful behavior. William Brinkman, MD, a Cincinnati Children s pediatrician, and his colleagues studied data on more than 2,500 teens between the ages of 12 and 15. The data came from the 2000 to 2004 National Health and Nutrition Examination Survey (NHANES), a nationally representative sample of the United State population designed to collect information about health. Teens with a diagnosis of ADHD and CD had a three- to five-times increased likelihood of using tobacco and alcohol and initiated use at a younger age than those who had neither disorder. A diagnosis of ADHD alone was associated with an increased likelihood of tobacco use, but not alcohol use. However, each additional symptom of inattention increased the likelihood of tobacco and alcohol use by 8-10% for that child. Although participants with a diagnosis of CD alone did not have a higher likelihood of tobacco or alcohol use, for every additional symptom of CD, the odds of tobacco use increased by 31%. Early onset of substance abuse is a significant public health concern, said Dr, Brinkman. Adolescents who use substances before the mid-teen years are more likely to develop dependence on them than those who start later. This is why prevention is so important. 3

12 Join an ADHD research study Our researchers conduct studies to learn more about and work to find treatments for ADHD. Parents and kids can help by joining a research study. Current research studies include: Needed: Children Who Daydream, Are Slow Moving and/or Seem to be In a Fog Children s Attention Problems Study What This is a research study to learn more about how children with specific attentional difficulties differ from other children, in their cognitive and sleep functioning. Do You Have a Child with Attention/Hyperactivity Problems and are Seeking Alternatives to Medication? Participants Needed for an ADHD Research Study What This research study is aimed at looking at how omega-3 fatty acid supplements affect brain function in children with ADHD. This 10-week study includes a psychiatric interview and two MRI scans. Why Omega-3 fatty acids are natural substances found in food (mostly fish and seafood), and have been found to reduce symptoms of ADHD. Omega-3 fatty acid supplements are not FDA-approved to treat ADHD, and more research is needed to test their effects. Who Right-handed male children, 8 to 12 years old, who are diagnosed with ADHD and have never received psychostimulant medications may be eligible for participation. Pay Participants may receive up to $160 for their time and travel. Contact Lauren Miller at lauren.miller@uc.edu or Who Children 8 to 12 years old who daydream, are slow moving, and/or seem to be in a fog may be eligible. Pay Families may receive up to $100 for time and effort. Contact The study coordinator at CTADHD@cchmc.org or Teens 16 to 18 Years Old With ADD or ADHD Needed for Research Study ADD/ADHD and Driving Study What This research study will test 3 types of training programs to see if they help teens with ADD/ADHD become safer drivers. Who Teenagers 16 to 18 years old with a history of ADD or ADHD, and one of their parents may be eligible to participate. Pay Families will receive $50 for this 2-visit study (lasting up to 2 hours each). Contact Annie Garner at annie.garner@cchmc.org or Continued on the back cover 4

13 Cincinnati Children s Hospital Medical Center Center for ADHD Tips for giving effective commands to children and teens with ADHD Richard E. A. Loren, PhD Difficulties with starting or following through with doing what they are told to do is common among children and adolescents who have ADHD. The first step parents can take to increase their child s compliance is to give clear, direct commands that leave no doubt in the child s mind that they are being told (not asked) to do something, and what they are being told to do is described in a simple, clear way. Following these six tips will increase the chances of children doing what you ask: 1. Make sure you mean it! Do not tell your child to do something, unless you intend to see to it that your child actually does what he was told to do. When you tell your child to do something, you must back it up with appropriate consequences both positive and negative to show that you mean what you say. 2. Reduce all distractions before giving a command. Failing to do this is a very common mistake made by parents. We often try to give a command while a television, stereo, video game, or computer is on. We as parents cannot expect children to attend to us, when something more entertaining is going on right in front of them! Turn off these distractions before giving your child a command. Important: Try to be courteous about when you turn off the distracter. For example, if your child is watching television, wait until the commercial break begins to turn the television off. After all, would you feel more inclined to comply with an instruction from someone who turned your favorite program off in the middle of a scene or someone who waited for a commercial break? 3. Make sure that your child is paying attention to you. Be sure that you have eye contact with your child. If necessary, get up and go where the child is and gently turn their face toward yours to ensure that they are listening and watching you before telling them to do something. 4. Give direct rather than indirect commands. Direct commands leave no question in your child s mind that you are telling them to do something. Indirect commands, on the other hand, give the child an illusion of choice. Commands that are expressed in question form are almost always indirect commands. Examples: Please hand me the block. (direct command) Will you please hand me the block? (indirect command) Put the train in the box. (direct command) Okay, l think it s time to put the train back in its box. (indirect command) 5. Make sure your commands are specific and positively stated. That is, tell your child specifically what to do. Avoid being vague or telling your child what not to do. Avoid Don t commands as much as possible. Examples: Johnny, come sit beside me. (positively stated & specific) Don t run around the room! (negatively stated) Get down off the chair. (positively stated & specific) Be careful! (vague) 6. Give commands one at a time. Most children, particularly those with ADHD, cannot follow more than one command at a time. Try giving only one specific command and have your child complete it first before giving another command. If a task you want your child to do requires many different behaviors (for example, cleaning their room), break it down into a series of simple commands that are given one at a time until the entire task is completed. Examples: Please put your shoes in the closet. (simple) Please put your shoes in the closet, wash your hands, get your brother, and come to the dinner table. (too many things at once!) Please put your dirty clothes in the basket. (simple) Clean your room. (too general and contains lots of commands) If you follow these six steps each and every time you tell your child to do something, you will find that your child s compliance with your instructions will increase noticeably. 5

14 Upcoming Center for ADHD group program schedules Understanding and Managing ADHD in Preschoolers Parent Group Program* This program is for parents of children ages 3.5 to 5 years who have been or are at risk for being diagnosed with ADHD. In addition to up-to-date information about ADHD and how it affects their child s behavior, parents learn specific evidence-based techniques for providing the structure and guidance that a preschool-aged child with ADHD needs in order to succeed both at home and at preschool/kindergarten. Sessions are held on the same day each week for a total of 8 group sessions, with each session lasting 90 minutes. The material in each session builds on that covered in prior sessions, so it is important that parents attend all 8 sessions in order to get the greatest benefit from the program. A pre-group interview with the parent(s) is typically required. Day/Dates Time CCHMC Location Therapist Mon 03/23/15 to 05/11/15 5:00 pm 6:30 pm Oak Campus Heather A. Ciesielski, PhD Wed 05/20/15 to 07/08/15 4:30 pm 6:00 pm Oak Campus Heather A. Ciesielski, PhD Mon 08/17/15 to 10/12/15 a 5:00 pm 6:30 pm Oak Campus Heather A. Ciesielski, PhD Wed 10/14/15 to 12/09/15 b 12:00 pm 1:30 pm Liberty Campus Beverly H. Smolyansky, PhD a Skips 09/07 b Skips 11/25 (Wednesday before Thanksgiving) Understanding and Managing ADHD in Children ages 6-12 Parent Group Program* This program is for parents of children ages 6 to 12 years with a primary diagnosis of ADHD. Parents obtain an up-to-date understanding of ADHD and how it affects their child s behavior. They also receive training in the use of specific evidence-based techniques for providing the structure and guidance that a child with ADHD needs to succeed behaviorally, academically, and socially. Sessions are held on the same day each week for a total of 8 group sessions. Each session is 90 minutes, except for the first session which may run up to 2 hours. The material in each session builds on that covered in prior sessions, so it is important that parents plan to attend all 8 sessions in order to get the greatest benefit from the program. Day/Dates (Start-End) Time (Start-End) CCHMC Location Therapist Mon 02/16/15 to 04/06/15 6:00 pm 7:30 pm Mason Campus Sanford Chertock, PhD Wed 02/25/15 to 04/15/15 12:00 pm 1:30 pm Oak Campus S. Rachelle Plummer, PsyD Wed 03/04/15 to 04/22/15 4:00 pm 5:30 pm Fairfield Kristine Huiet, PhD Mon 03/09/15 to 05/04/15 a 5:30 pm 7:00 pm Green Township F. Lynne Merk, PhD Thu 03/12/15 to 04/30/15 5:00 pm 6:30 pm Eastgate James Brewer, EdD Tue 03/17/15 to 05/05/15 4:30 pm 6:00 pm Oak Campus Jessica E. M. Cyran, PhD Thu 04/16/15 to 06/04/15 4:30 pm 6:00 pm Liberty Campus Richard E. A. Loren, PhD Tue 04/28/15 to 06/16/15 5:00 pm 6:30 pm Fairfield William Sirbu, PhD Thu 05/07/15 to 06/25/15 5:00 pm 6:30 pm Oak Campus Heather A. Ciesielski, PhD Thu 06/11/15 to 08/06/15 b 4:00 pm 5:30 pm Mason Campus Teri Caudill, PhD Wed 07/08/15 to 08/26/15 12:30 pm 2:00 pm Oak Campus S. Rachelle Plummer, PsyD Wed 08/26/15 to 10/14/15 4:00 pm 5:30 pm Fairfield Kristine Huiet, PhD Wed 09/09/15 to 10/28/15 4:30 pm 6:00 pm Oak Campus Richard E. A. Loren, PhD Mon 09/14/15 to 11/02/15 5:30 pm 7:00 pm Green Township Grace Shelby, PhD WMon 09/21/15 to 11/09/15 4:00 pm 5:30 pm Mason Campus Tara Proano-Raps, PsyD Wed 09/23/15 to 11/11/15 6:00 pm 7:30 pm Eastgate James D. Myers, PhD Wed 09/30/15 to 11/18/15 12:00 pm 1:30 pm Oak Campus Jessica E. M. Cyran, PhD Tue 10/20/15 to 12/08/15 5:00 pm 6:30 pm Fairfield William Sirbu, PhD Thu 10/22/15 to 12/17/15 c 5:00 pm 6:30 pm Oak Campus Heather A. Ciesielski, PhD Tue 10/27/15 to 12/15/15 4:30 pm 6:00 pm Liberty Campus Richard E. A. Loren, PhD a Skips 04/06/15 (Easter Monday) b Skips 07/02 c Skips 11/26/15 (Thanksgiving) * These behavior therapy group programs are covered by most insurance policies which provide coverage for group psychotherapy and multifamily group therapy services, with families responsible for any deductibles and co-pays. To enroll in any of our behavior therapy group programs, please call the Cincinnati Children s Behavioral Medicine & Clinical Psychology Intake Office at (513) , option # (hash key) 6

15 Cincinnati Children s Hospital Medical Center Center for ADHD Managing Frustration for Children with ADHD Group Program* This program is designed to address the problems some children with ADHD have with managing their frustration. It is not an alternative treatment for the core problems with attention regulation and/or impulse control associated with ADHD. The program is most effective for children whose core symptoms of ADHD are under reasonably good control via ongoing medication and environmental management. To participate in this group, a child must be between the ages of 9 and 11 and be in third through fifth grades at the time of the group. This group is only offered at the Center for ADHD on Monday afternoons, starting at 4:30 pm during the school year and 3:30 pm during the summer. There is a required pre-group interview with the parent(s) and child that will be scheduled in the weeks preceding the start of a new group that lasts minutes. There are a total of 12 group sessions, each lasting approximately 90 minutes. Children will attend all sessions except for the 1st and 7th sessions which are attended by parents without their children. As the material in each session builds on what is covered in earlier sessions, it is important that participants plan to attend all 12 sessions. Day/Dates Time CCHMC Location Therapist Mon 02/23/15 to 05/18/15 a 4:30 pm 6:00 pm Oak Campus Richard E. A. Loren, PhD Mon 06/01/15 to 08/24/15 b 3:30 pm 5:00 pm Oak Campus Richard E. A. Loren, PhD Mon 09/28/15 to 12/14/15 4:30 pm 6:00 pm Oak Campus Richard E. A. Loren, PhD a Skips 04/06/15 (Easter Monday) b Skips 07/06/15 Academic Success for Young Adolescents with ADHD Group Program* This program is designed for young adolescents in sixth through eighth grades who are experiencing academic difficulties as a result of ADHD. It teaches adolescents and their parents proven strategies to improve organization, time management, and study skills. This program is held only at the Center for ADHD. There are a total of 7 group sessions, each lasting 90 minutes, which the adolescent and their parent attend together. As the material in each session builds on what is covered in earlier sessions, it is important that participants plan to attend all 7 sessions. In addition, a pregroup interview with the parent(s) is also required. Day/Dates Time CCHMC Location Therapist Tue 01/20/15 to 03/03/15 4:30 pm 6:00 pm Oak Campus Jessica E. M. Cyran, PhD Mon 02/02/15 to 03/16/15 5:30 pm 7:00 pm Oak Campus Heather A. Ciesielski, PhD Thu 02/12/15 to 03/26/15 5:00 pm 6:30 pm Oak Campus Heather A. Ciesielski, PhD Tue 08/18/15 to 09/29/15 4:30 pm 6:00 pm Oak Campus Jessica E. M. Cyran, PhD Thu 09/03/15 to 10/15/15 5:00 pm 6:30 pm Oak Campus Heather A. Ciesielski, PhD Academic Success for High Schoolers with ADHD Group Program* This program is designed for freshman and sophomores in high school who are experiencing academic difficulties as a result of ADHD. It teaches adolescents and their parents proven strategies that improve organization, study skills, and academic performance with fewer arguments, less frustration, and reduced conflict between parents and their high school student who has ADHD. This program is held only at the Center for ADHD. There are a total of 8 group sessions, each lasting 90 minutes, which the parent and their adolescent attend together. As the material in each session builds on what is covered in earlier sessions, it is important that participants attend all 8 sessions. In addition, a pre-group interview with the parent(s) is also required. Day/Dates Time CCHMC Location Therapist Thu 02/05/15 to 03/26/15 4:00 pm 5:30 pm Oak Campus Aaron J. Vaughn, PhD Wed 02/11/15 to 04/01/15 4:00 pm 5:30 pm Oak Campus Aaron J. Vaughn, PhD Thu 09/03/15 to 10/22/15 4:00 pm 5:30 pm Oak Campus Aaron J. Vaughn, PhD Wed 09/16/15 to 11/04/15 4:00 pm 5:30 pm Oak Campus Aaron J. Vaughn, PhD * These behavior therapy group programs are covered by most insurance policies which provide coverage for group psychotherapy and multifamily group therapy services, with families responsible for any deductibles and co-pays. To enroll in any of our behavior therapy group programs, please call the Cincinnati Children s Behavioral Medicine & Clinical Psychology Intake Office at (513) , option # (hash key) 7

16 MLC Burnet Avenue Cincinnati, OH Nonprofit Org. US Postage PAID Cincinnati, Ohio Permit No Return Service Requested Join an ADHD research study continued Cincinnati Children s Hospital Medical Center Center for ADHD A Study for Children 7 to 11 Years Old Who Have or May Have ADHD The Effects of ADHD Medication (TEAM) Study What This research study will look at how children with attention deficit hyperactivity disorder (ADHD) respond to medication. Children will have a full diagnostic evaluation for ADHD, as part of this study. Who Children 7 to 11 years old who: Have been diagnosed with ADHD and have not previously taken medication for ADHD OR Have ADHD symptoms including: short attention span for age, difficulty listening to others, easily distracted, excessive fidgeting and/or talking, or often interrupting others Pay Families may receive up to $310 for time and effort. Contact Study staff at adhdteam@cchmc.org or Make a Donation to the Center for ADHD As a nonprofit hospital and research center, Cincinnati Children s depends on donations from the generous people who support us. If you would like to give back, go to and designate your gift to the Center for ADHD.