Objective: To follow up on a three-site, 24-week randomized clinical trial (N = 124) comparing antipsychotic medication alone (MED) with antipsychotic medication plus parent training in the behavior management (COMB) of children with autism spectrum disorders and severe behavior problems. The COMB treatment had shown a significant advantage for…

The Research Units on Pediatric Psychopharmacology-Autism Network reported additional benefit when adding parent training (PT) to antipsychotic medication in children with autism spectrum disorders and serious behavior problems. The intent-to-treat analyses were rerun with putative predictors and moderators. The "Home Situations…

Objective: To review the primary and secondary findings from the Multimodal Treatment study of ADHD (MTA) published over the past decade as three sets of articles. Method: In a two-part article--Part I: Executive Summary (without distracting details) and Part II: Supporting Details (with additional background and detail required by the complexity…

Objective: To review and provide details about the primary and secondary findings from the Multimodal Treatment study of ADHD (MTA) published during the past decade as three sets of articles. Method: In the second of a two part article, we provide additional background and detail required by the complexity of the MTA to address confusion and…

One-hundred nine mothers of 5- to 12-year-old boys with attention-deficit/hyperactivity disorder (ADHD) participated. Mothers read case descriptions of boys with ADHD and of boys with both ADHD and oppositional defiant disorder (ODD). Half of the mothers were randomly assigned to read descriptions of behavioral parent training and half to read…

Objective: To investigate the effectiveness of behavioral parent training (BPT) as adjunct to routine clinical care (RCC). Method: After a first phase of RCC, 94 children with attention-deficit/hyperactivity disorder (ADHD) ages 4-12, all referred to a Dutch outpatient mental health clinic, were randomly assigned to 5 months of BPT plus concurrent…

This article reports on how integrated services can provide coordinated support for children with AD/HD and their families. The author reports on the effectiveness of a problem-based approach to interagency working by exploring the use of two models of good practice from education, health and social care to provide a framework for working across…

A review of research comparing behavior therapy with stimulant medication as treatment for hyperactive children is presented. It is concluded that behavior therapy seems to be a reasonable alternative or adjunct to medication for treating the social behavior problems of hyperactive children, although medication is noted to be slightly superior.…

Eight hyperactive children (6 to 11 years old) were treated with a behavioral intervention focusing on teacher and parent training over a period of 5 months. The results suggested that the combination of psychostimulant medication and behavior therapy may be more effective in the short term than either treatment alone. (Author)

A study examined sensitivity to reinforcement in two boys (ages 7-10) with attention deficit hyperactivity using the matching law and evaluated effects of methylphenidate. In the medicated condition, the matching function for both subjects resulted in higher asymptotic values, indicating an overall elevation of behavior rate under these…

A descriptive study of 22 students (K-10th grade) with emotional and behavioral disabilities (EBD) who were referred for functional behavioral assessment (FBA) revealed less on-task and more avoidant and inappropriate behaviors in comparison to classroom peers without EBD. Students who had been diagnosed as having attention-deficit/hyperactivity…

The combined effects of methylphenidate (Ritalin) and a token reinforcement program in controlling the classroom behavior of 16 hyperactive, institutionalized retarded youngsters (9- to 15-years-old) was investigated. (Author)

A study of three elementary school boys (ages 8-11) with attention deficit hyperactivity disorder, who were already receiving pharmacological treatment, investigated the effects of using a self-monitoring procedure to enhance their on-task behavior. Results found all three subjects increased in on-task behaviors when self-monitoring was used.…

This article provides information and guidelines for the effective use of medication in treating attention deficit hyperactivity disorder (ADHD). Basic principles of psychopharmacology, different types of medications that have been used successfully to treat ADHD, and best practices for assessing the effects of medication in children with ADHD are…

Forty-three hyperactive children (5 to 9 years old) and their families were assessed and followed during a 3 month intervention program. Families were randomly assigned to one of three groups: parent training in behavior modification while the child was administered a placebo, parent training plus methylphenidate, and methylphenidate only. All…