View Full Version : Schools Can't Require ADHD Drugs


Andrew
11-17-05, 03:07 PM
Congress Passes Bill That Says Schools Can't Make Drug Treatment Mandatory

By Todd Zwillich
WebMD Medical News Reviewed By Louise Chang, MD
on Wednesday, November 16, 2005

Nov. 16, 2005 -- The U.S. House overwhelmingly passed a bill Wednesday barring schools from requiring hyperactive children to use drug treatments as a condition for attending classes.

Backers say the bill was designed to curb anecdotal but troubling reports of officials telling parents that disruptive kids must begin drug treatment for attention deficit hyperactivity disorder (ADHD) in order to stay in school.

Doctors routinely rely on teachers to identify troubling behavior that can be a sign of ADHD. But some schools have overstepped their bounds and coerced parents into starting children on medication.

"Sometimes officials even attempt to force parents into choosing between medicating their child and allowing that child to remain in the classroom. This is unconscionable," says Rep. John Kline (R-Minn.), the bill's main sponsor.

Nearly 4 million U.S. children under age 17 had been diagnosed with ADHD by 2004, according to the CDC.

Doctors wrote more than 5.6 million prescriptions of Adderall -- a drug used to treat ADHD -- during the first six months of 2005. That's a 15% increase over the same period a year before, according to IMS Health, a pharmaceutical information and consulting company.

Complaints From Parents

It remains unclear how often schools have tried to make medication a condition of attending class.

Rep. John Boehner (R-Ohio) says the House Education and Workforce Committee, which he leads, has received "a number of complaints" from parents.

The bill easily passed 407-12, with one member voting "present," but drew criticism from some lawmakers.

Rep. Jim McDermott (D-Wash.), who is a psychiatrist, tells WebMD that the measure was "a bad bill."

"Local school boards and districts are the ones who have to deal with these issues, not Congress," he says.

Chilling Effect?

Lance Clawson, MD, an assistant clinical professor of psychiatry at Uniformed Services University of the Health Sciences in Washington, says schools don't have the power to force medications on parents. He says the bill could have a chilling effect on teachers who identify potentially pathological behavior in students.

"Putting a gag order on schools is not going to get us anywhere. It's only going to scare teachers," Clawson tells WebMD.

Kline says his bill is not designed to discourage appropriate treatment. "This bill is not antischool, antiteacher, or antimedication."

A similar bill passed the House in 2003 but the Senate never acted.

SOURCES: Rep. John Kline (R-Minn.). IMS Health. CDC. Rep. John Boehner (R-Ohio). Rep. Jim McDermott (D-Wash.). Lance Clawson, MD, assistant clinical professor of psychiatry, Uniformed Services University of the Health Sciences.

http://www.webmd.com/content/Article/115/111728.htm?printing=true

scuro
11-17-05, 03:49 PM
I work with ADHD kids everyday some medicated some not. I reccommend meds in certain situations although they don't have to listen to what I have to say. The simple truth though, is a good percentage of kids who have very significant adhd will simply drop out of school earlier instead of possibly getting their diploma. Meds will make that much of a diference to ADHD kids.

sgolden5374
11-17-05, 05:28 PM
I agree with Scuro. Meds can make an extremely dramatic difference for the ADHD child. BUT-- it is and should be the parents right to choose that course of action. I happen to be pro-med, but only after we had tried diet and behavior modification by themselves. Given that the levels of hyperactivity present in children vary greatly sometimes meds can be avoided or eliminated with other accomodations in place. So, yes, I am in favor of a rule that keeps educators from bullying parents into making a decision that is already hard enough to make.

scuro
11-17-05, 09:14 PM
You never bully parents. You show them respect and take the time to truly understand their child. Then they will listen to your suggestions.

Tara
11-17-05, 09:44 PM
As both a person with AD/HD and somebody who has worked in the public schools I don't think it's at all the taachers place or the schools place to even reccomend medication. They are not medical professionals and have no idea what other medical conditions students might possibly have.

Also there are way to many diagnoticians who do not thorougly evalute for AD/HD. Far too many say yep sounds like AD/HD and write out a prescription. There are many conditions which mimic AD/HD or even co-exist. When medications like stimulants are prescribed to students with other conditions it can make their behaviors even worse. There are also about 30% of those with AD/HD who do not get a positive results from AD/HD medication.

This should not be black and white thing either. There are appropriate ways of educators informing parents that their children show signs and symptoms of AD/HD. But I think it's just plain wrong for those in the education system to push for a medical treatment that far too many of them just do not know enough about.

scuro
11-17-05, 09:57 PM
As both a person with AD/HD and somebody who has worked in the public schools I don't think it's at all the taachers place or the schools place to even reccomend medication. They are not medical professionals and have no idea what other medical conditions students might possibly have.

When you have a full Psych-ed report that states the student has ADHD and other possible comorbid conditions, the student presents as ADHD, they are failing, plus one of the recommendations of the report is a trial run of medication...then I think I am safe to recommend that they go to a Pediatrican for a trial run of meds. Al least thats how it's done in this neck of the woods.

Everything I do is based on documentation. I can sit on my hands but I figure I get paid for a reason and that is to let every student achieve success. If the recommendation will help get us there, then I have no problems speaking out. Roughly 50% of ADHD students do not get a diploma. If you are combo or Hyperactive ADHD and you are unmedicated the percentage drops down to 20%.

Tara
11-17-05, 10:06 PM
Well, many of the schools here in the US don't have that much of a work up done when they go and reccomend medical treatments as non-medical professionals. But I still don't think it's the place of the school to reccomend a specific medical treatment. Reccomending that they speak to a medical professional about possible treatment options yes but I don't think it's ethical to reccomend a specific treatment.

scuro
11-17-05, 10:11 PM
Is it ethical to watch someone fall on their face and do nothing?

Tara
11-17-05, 10:12 PM
I am an an ADD Coach and am very well versed on AD/HD medication. Even if a client of mine presents me with detailed documentation they they have AD/HD, because I am not a medical professional it's not my place to reccomend medication. Helping educate my clients on what the different treatment options are is one things but reccomending a specific treament would be very unethical of me and I'm sure legally I could get into trouble too.

Tara
11-17-05, 10:16 PM
It depends on whether we are looking at ethics in the sense of professionalism or personaly. But professionalyl unless somebody has medical qualifcations then yes it probably is professionally ethical to as you say do nothing. But we aren't talking about doing nothing we are talking about be very careful on the words used and the specific reccomedations. Reccomending that parents talk to a qualified medical professonal about treatment options isn't doing nothing.



Is it ethical to watch someone fall on their face and do nothing?

Tara
11-17-05, 10:32 PM
Scuro,

I'm not telling you to stop doing what you are doing. You live in a different country and things may be very different in Canada than they are here.

Johna
11-18-05, 08:37 PM
Last year the third grade team and me (special teacher) met with a parent who's child was having both behavioral and acadmic problems in school. All of us expressed our opinion that she might want to take him to a doctor and have him tested for being adhd. It was her decision to make, and thank God she listened to us because the child was diagnoised with adhd. In the states I would not recommend suggesting a parent put a child on ahhd meds because it might mean LawSuit.
When my students don't take their meds I can't teach because I am trying to get he/she to gain control of their behavior.
Everyone's different and has their own opinion :)

addusin
02-09-06, 11:41 PM
You never bully parents. You show them respect and take the time to truly understand their child. Then they will listen to your suggestions.

Unfortunatly, I don't think teachers have the time to understand a "misunderstood" child. Teachers often complain that they have to spend time on the rest of the class or that it isn't fair to the rest of the students.