VOLUME 32 NUMBER 4 DECEMBER 1999
Attention Deficit Hyperactivity Disorder:
Effective Methods for the Classroom
Robert Reid
Attention deficit hyperactivity disorder (ADHD) is estimated to affect from 3 to 5
percent of school-age children (APA, 1994). ADHD currently is conceptualized as a neu-
ropsychological disorder that has a strong genetic component but that also is affected by
environmental factors (Barkley, 1998). Although a number of promising lines of research
are emerging, at present the cause(s) of ADHD remains uncertain (Barkley, 1998). Chil-
dren who exhibit the behaviors characteristic of ADHD often have difficulty attending to
tasks, remaining seated, and resisting distractions, and they often act impulsively (APA,
1994). In addition, children with ADHD may be noncompliant or aggressive, or may
exhibit other disruptive behaviors.
Children with ADHD also are more likely than their peers to have academic prob-
lems. Research suggests that, in school-based samples, around 50% of children with
ADHD will qualify for special education, the majority of whom qualify under either the
Learning Disability or Behavioral Disorders category (Reid, Maag, Vasa, & Wright , 1994),
and most children with ADHD also should qualify for service under Section 504 (Reid &
Katsiyannis, 1995). ADHD, however, is not strictly a special education problem. Most
children with ADHD will spend most of their time in the general education classroom
(Reid, Maag , Vasa, & Wright, 1994). Thus, effectively working with children with ADHD
demands attention to both the general education and special education environments.
At present, a multimodal approach to ADHD treatment is the most widely accepted
approach (e.g., Barkley, 1998; DuPaul & Stoner, 1994). The model includes four major
areas in which intervention may be addressed: (a) educational accommodations, (b) pro-
moting appropriate behavior, (c) medical management, and (d) ancillary support services
for children and parents (e.g. counseling, parental support groups). This article will focus
on two facets of ADHD treatment: educational accommodations and interventions for pro-
moting appropriate behavior. These areas are the ones in which the teacher, whether special
education or general education, will be directly involved. The purpose of this article is to
present a compendium of best practices recommended by research and practical experience.
Robert Reid is affiliated with the Department of Special Education and Communication Disorders, Univer-
sity of Nebraska at Lincoln.
© Love Publishing Company, 1999