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1 (800) Ask the Expert Educator Edition Recognizing challenging behaviors in young children: Could it be ADHD? George DuPaul, Ph.D. School Psychology Program Lehigh University The National Resource Center on ADHD: A Program of CHADD is the nation s clearinghouse for evidence-based information on ADHD. This Ask the Expert webcast is supported by Cooperative Agreement Number NU38DD from the Centers for Disease Control and Prevention (CDC) and does not necessarily represent the official views of the CDC. The National Resource Center on ADHD, CHADD and the CDC do not endorse, support, represent or guarantee the accuracy of any content presented or endorse any opinions expressed in this webcast.
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6 (800) Ask the Expert Educator Edition Recognizing challenging behaviors in young children: Could it be ADHD? George DuPaul, Ph.D. School Psychology Program Lehigh University The National Resource Center on ADHD: A Program of CHADD is the nation s clearinghouse for evidence-based information on ADHD. This Ask the Expert webcast is supported by Cooperative Agreement Number NU38DD from the Centers for Disease Control and Prevention (CDC) and does not necessarily represent the official views of the CDC. The National Resource Center on ADHD, CHADD and the CDC do not endorse, support, represent or guarantee the accuracy of any content presented or endorse any opinions expressed in this webcast.
7 ADHD in Young Children Significant problems with inattention and/or hyperactivity/impulsivity (APA, 2013) ADHD tends to be chronic for at least 50% of young children with early symptoms Approx. 2% of 3-4 year-olds are diagnosed with ADHD Symptoms in young children associated with significant behavioral and academic impairment (DuPaul et al., 2001; Lahey et al., 1998)
8 Diagnosis of ADHD in Preschoolers Diagnostic interview with parents re: DSM-5 criteria for ADHD and other disorders Parent rating scales (e.g., BASC & Conners) Preschool teacher rating scales (e.g., BASC & Conners) Direct observation of child behavior, if possible Rule out developmental disorders including autism DuPaul & Kern (2011)
9 Challenges of Diagnosis in Early Childhood Symptomatic behaviors (inattention, impulsivity, high activity) relatively common Wide variability in behavior among children in this age group Critical to establish High frequency relative to age & gender norms Chronicity of behavior for at least 6 mos. (some suggest 1 yr) Association with social, academic, or behavioral impairment Symptoms not related to other disorders and/or developmental delays DuPaul & Kern (2011)
10 Roles in Assessment Process Teachers Observe child behavior relative to peers, over time, and across settings/activities Discuss concerns with parents in descriptive terms Encourage assessment if behavior is severe and associated with impairment Complete behavior ratings
11 Roles in Assessment Process Parents Meet with teachers to discuss concerns Observe child behavior over time and across settings/activities Follow up on teacher referral Complete interview and behavior ratings Health professionals Discuss referral concerns with parent & teacher Conduct comprehensive assessment
12 Potential Organizational & Legal Constraints Limited opportunity to observe child behavior based on schedule Educators do not diagnose ADHD but rather provide descriptions of behavior and related concerns Do not recommend medication but rather refer for evaluation HIPAA restrictions regarding communication
13 References American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5 th ed.). Washington, DC: Author. DuPaul, G.J., & Kern, L. (2011). Young children with ADHD: Early identification and intervention. Washington, DC: American Psychological Association. DuPaul, G. J., McGoey, K. E., Eckert, T. L., & VanBrakle, J. (2001). Preschool children with attention-deficit/hyperactivity disorder: Impairments in behavioral, social, and school functioning. Journal of the American Academy of Child and Adolescent Psychiatry, 40, Lahey, B. B., Pelham, W. E., Stein, M. A., Loney, J., Trapani, C., Nugent, K., Kipp, H., Schmidt, E., Lee, S., Cale, M., Gold, E., Hartung, C. M., Willcutt, E., & Baumann, B. (1998). Validity of DSM-IV attentiondeficit/hyperactivity disorder for younger children. Journal of the American Academy of Child and Adolescent Psychiatry, 37,
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15 (800) Ask the Expert Educator Edition Recognizing challenging behaviors in young children: Could it be ADHD? George DuPaul, Ph.D. School Psychology Program Lehigh University The National Resource Center on ADHD: A Program of CHADD is the nation s clearinghouse for evidence-based information on ADHD. This Ask the Expert webcast is supported by Cooperative Agreement Number NU38DD from the Centers for Disease Control and Prevention (CDC) and does not necessarily represent the official views of the CDC. The National Resource Center on ADHD, CHADD and the CDC do not endorse, support, represent or guarantee the accuracy of any content presented or endorse any opinions expressed in this webcast.
16 Upcoming Webcasts Ask the Expert Educator Edition Classroom management supports for ADHD behaviors in early childhood education settings Tuesday August 2, 2016 at 2pm ET Guest expert: Desiree Murray, Ph.D. Tailoring learning settings to engage young children with ADHD Tuesday August 16, 2016 at 2pm ET Guest expert: Mary Wonderlick Building partnerships with parents and caregivers Tuesday August 30, 2016 at 2pm ET Guest expert: Lee Kern, Ph.D. Register Now at
17 This is a presentation of the Provide feedback for the Ask the Expert webcast series! Your opinion helps evaluate and improve these presentations
18 The information provided in this episode of Ask the Expert is supported by Cooperative Agreement Number NU38DD from the Centers for Disease Control and Prevention (CDC). The Ask the Expert webinars contents are solely the responsibility of the invited guest Expert and do not necessarily represent the official views of CDC. Neither CHADD and the National Resource Center on ADHD, nor the CDC endorses, supports, represents or guarantees the accuracy of any material or content presented in the Ask the Expert webinars, nor endorses any opinions expressed in any material or content of the webinars. CHADD and the National Resource Center on ADHD offer webinars for educational purposes only; the information presented should not be regarded as medical advice or treatment information.
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See Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: Reference Number: AZ.CP.PHAR.10.11.8 Effective Date: 07.2016 Last Review Date: 09.12.18 Line of Business: Arizona Medicaid Revision Log See Important Reminder at the end of this policy
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D5 NICHQ Vanderbilt Assessment Follow-up PARENT Informant Today s Date: Child s Name: Date of Birth: Parent s Name: Parent s Phone Number: Directions: Each rating should be considered in the context of