ADHD in Preschool Children: Assessment and Treatment

by Jaswinder Ghuman (Editor), Harinder Ghuman (Editor)

Overview

Attention Deficit Hyperactivity Disorder (ADHD) is one of the most frequently diagnosed psychiatric disorders in children and adolescents. Clinically referred preschool children with ADHD are significantly impaired, are at-risk for poor school outcome, and are frequent users of the healthcare system. Behavior problems in preschool children with ADHD persist to school-age years resulting in considerable stress for the entire family and staggering socio-economic burden to schools and society at large. This book provides the most comprehensive and up-to-date information regarding assessment-including diagnostic interview, neuropsychological testing, comorbidity and differential diagnosis, sleep problems-and treatment interventions including psychosocial, pharmacological and complementary and alternative treatments. All the chapters have a clinical focus and practical case examples are used to increase competency in clinical settings. ADHD in Preschool Children serves as a guide for experienced practitioners of child and adolescent mental health care as well as trainees in child and adolescent psychiatry, psychology, social work, pediatrics, family medicine and nursing. The chapter authors are national leaders with significant experience in assessing and treating preschool children with ADHD and behavioral disorders.

Product Details

ISBN-13:	9780199322572
Publisher:	Oxford University Press
Publication date:	11/20/2013
Sold by:	Barnes & Noble
Format:	eBook
Pages:	224
File size:	2 MB

About the Author

Jaswinder K. Ghuman, M.D. is Clinical Associate Professor of Psychiatry, University of Arizona College of Medicine, Tucson, AZ, and Associate Medical Director at Community Care Behavioral Health, University of Pittsburgh Medical Center, Pittsburgh, PA. She has 25 years clinical, research and teaching experience in evaluating and treating preschool children with mental health problems including ADHD and developmental disorders. She developed and directed the Infant and Preschool Psychiatry Clinic both at the Kennedy Krieger Institute, Baltimore, Maryland and at the University of Arizona Child and Adolescent Psychiatry Program. Dr. J. Ghuman was appointed by the Governor of Maryland to the Maryland Advisory Council on Attention Deficit Hyperactivity Disorder. She participated in the NIMH-sponsored Preschool ADHD Treatment Study (PATS) at the Johns Hopkins University School of Medicine site. She developed the Ghuman-Folstein Screen for Social Interaction to screen for autism in at-risk preschoolers. She has authored and co-authored 55 publications. Harinder S. Ghuman, M.D. is Clinical Professor of Psychiatry, University of Arizona College of Medicine, Tucson, AZ, and in private practice in Pittsburgh, PA. He has over 30 years of clinical, research, teaching and administrative experience in the practice of child and adolescent psychiatry. He has held various administrative positions including Director of Child and Adolescent Psychiatry and Program Director for Child and Adolescent Psychiatry Residency Training at the University of Arizona (2003-2013), Medical Director, Child and Adolescent Psychiatry, Walter P Carter Center, University of Maryland, Baltimore, Maryland (1994-2002), and Senior Psychiatrist/Service Chief, The Sheppard and Enoch Pratt hospital, Towson, Maryland (1982-1993). Dr. H. Ghuman is a Distinguished Life Fellow of APA and Fellow of AACAP. He has written number of scientific articles and book chapters and co-edited three books titled, Handbook of Adolescent Inpatient Psychiatric Treatment, Handbook of Child and Adolescent Outpatient, Day Treatment and Community Psychiatry, and Providing Mental Health Services to Youth Where They Are.

Table of Contents

Table of Contents Chapter 1 ADHD in Preschool Children: Overview and Diagnostic Considerations Jaswinder Kaur Ghuman, M.D. and Harinder Singh Ghuman, M.D. Child and Adolescent Psychiatry, College of Medicine, University of Arizona Chapter 2 Evaluation Process and Essentials of Clinical Assessment Jaswinder Kaur Ghuman, M.D. and Harinder Singh Ghuman, M.D. Child and Adolescent Psychiatry, College of Medicine, University of Arizona Chapter 3 Neuropsychological Assessment of ADHD in Preschoolers: Performance-based Measures, Rating Scales, and Structured Interviews Mahone, E.M.,&Pritchard, A.E. Kennedy Krieger Institute and Johns Hopkins University School of Medicine, Baltimore, MD Chapter 4 Differential Diagnosis and Comorbidity: Primary Health Care Provider Perspective Sydney A. Rice and William N. Marshall, Jr. Department of Pediatrics, College of Medicine, The University of Arizona, Tucson Chapter 5 Psychosocial and Behavioral Interventions with a Focus on Parent Child Interaction Therapy: Theory and Clinical Practice Regina Bussing, M.D. and Desiree Murray, Ph.D. Chapter 6 Parent, Teacher and Child Interventions: Tailoring the Incredible Years for Young Children with ADHD Carolyn Webster-Stratton, Ph. D. and M. Jamila Reid, Ph.D. University of Washington School of Nursing, Seattle, WA Chapter 7 Psychopharmacological Interventions in Preschool Children with ADHD: General Considerations and Evidence Jaswinder Kaur Ghuman, M.D. and Harinder Singh Ghuman, M.D. Child and Adolescent Psychiatry, College of Medicine, University of Arizona Chapter 8 Psychopharmacological Interventions in Clinical Practice Jaswinder Kaur Ghuman, M.D. and Harinder Singh Ghuman, M.D. Child and Adolescent Psychiatry, College of Medicine, University of Arizona Chapter 9 Complementary and Alternative Treatments for Preschool Children with Attention-Deficit/Hyperactivity Disorder Nicholas Lofthouse, Ph.D., Elizabeth Hurt, Ph.D. The Ohio State University, Columbus, Ohio Chapter 10 Sleep Problems and Interventions in Preschoolers with ADHD Mark Stein, Ph.D., Seattle Children's Hospital, University of Washington Margaret Weiss, M.D., Ph.D, University of British Columbia West Vancouver, British Columbia

Editorial Reviews

Reviewer: Soo Lee, MD (Rush University Medical Center)
Description: Attention-deficit/hyperactivity disorder (ADHD) is an impairing disorder commonly seen in preschool children with growing referrals to mental health providers. However, there is controversy surrounding the diagnosis and treatment of preschool children with ADHD and available expert clinicians are few. This book reviews up-to-date information about the psychopathology, assessment, and treatment of these children.
Purpose: The intent is to provide practice guidelines to clinicians for the evaluation and treatment of preschool children with ADHD. Clear practice guidelines are much needed to appropriately assess, diagnose, and treat very young children. This book does an excellent job of providing up-to-date research and practice guidelines.
Audience: The audience includes mental health and primary healthcare providers, child and adolescent psychiatry trainees, psychologists, pediatricians, social workers, and nurses working with very young children.
Features: The book reviews the psychopathology, clinical presentation, assessment, and treatment specific to ADHD in preschool children. It also integrates relevant research findings into clinical practice guidelines. Early chapters review the pathophysiology, developmental considerations, clinical presentation, diagnostic dilemmas, assessment, neuropsychological assessment measures, rating scales, differential diagnosis, comorbid disorders, and prognostic factors. Later chapters provide detailed treatment guidelines including psychosocial and behavioral interventions, medications, and alternative treatments. The book also describes in detail nonpharmacological interventions including methods, protocol, treatment duration, and level of evidence. It reviews medications including stimulants and nonstimulants along with research findings, pharmacodynamics, pharmacokinetics, dosage recommendations, side effects, safety monitoring, and unique findings in very young children. It reviews ingestible and noningestible alternative treatment/exercises and available research evidence. Lastly, it reviews sleep disturbances found in children with ADHD, possible etiologies, assessment guidelines, and treatment guidelines. There are many strengths to this book. In every chapter, the authors address unique findings and barriers in assessment and treatment. The book provides specific considerations and detailed practice guidelines tailored to very young children and compares clinical differences between preschool children and school-aged children.
Assessment: As a child psychiatry trainee, I found this book immensely valuable. The detailed instructions on clinical considerations, assessments, and treatment are very helpful. I particularly appreciate the detailed instructions on medication and safety concerns. Finally, this book is very readable for busy clinicians.

Doody's Review Service

"This book is wise, eminently readable, and a valuable resource for anyone working with young children — parents, educators, and counselors. It spells out the challenges in identifying young children with ADHD while providing expert guidance in how to assess and treat these children. A powerful addition to the literature, the book provides an understandable integration of psychopathology, assessment, and treatment strategies." — Paramjit T. Joshi, MD, Professor of Psychiatry, Behavioral Sciences & Pediatrics,
George Washington University School of Medicine and President-Elect, AACAP

"This exceptional book, full of compelling clinical wisdom and thoughtful integration of relevant research, provides a much-needed and authoritative resource for the rapidly growing field of ADHD in preschool children. Written by outstanding experts in their respective fields, the chapters are clear, informative, and comprehensive and cover every important aspect of assessment and treatment. ADHD in Preschool Children: Assessment and Treatment will be a welcome addition to the personal libraries of students new to the field and experts in need of a definitive resource." — Mark Riddle, MD, Professor of Psychiatry and Pediatrics, Johns Hopkins University School of Medicine

"ADHD in Preschool Children: Assessment and Treatment is a well-written, timely book that will help pediatric, mental health, and primary care practitioners provide quality care for families who have young children with ADHD. Drs. Jaswinder and Harinder Ghuman address the sometimes confusing and often controversial issues about how and when to identify and treat ADHD in preschool children. The chapters offer a thoughtful approach to developing rapport with parents and child, reviewing best practices for diagnosis, and helping families examine treatment options, both mainstream and alternative." — Alice Charach, MD, Associate Professor of Psychiatry, University of Toronto Faculty of Medicine

"As a child psychiatry trainee, I found this book immensely valuable. The detailed instructions on clinical considerations, assessments, and treatment are very helpful. I particularly appreciate the detailed instructions on medication and safety concerns. Finally, this book is very readable for busy clinicians." -Soo Lee, Doody's Health Science Book Review

From the Publisher