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Culturally Responsive Approaches for Addressing ADHD Within Multi-tiered Systems of Support.
Current Psychiatry Reports ( IF 5.5 ) Pub Date : 2020-05-07 , DOI: 10.1007/s11920-020-01154-3
Quennie Dong 1 , Byron Garcia 1 , Andy V Pham 1 , Michelle Cumming 2
Affiliation  

PURPOSE OF REVIEW Limited work has emphasized cultural responsiveness when working with families and children with attention-deficit/hyperactivity disorder (ADHD) from diverse backgrounds. We present a primer for psychiatrists, psychologists, and other mental health professionals on the implementation of culturally responsive practices within a multi-tiered system of support (MTSS) framework when collaborating with schools. RECENT FINDINGS Individuals with ADHD demonstrate unique behavioral challenges that affect school and home functioning. As a framework to address the needs of all children with academic and behavioral issues, many public schools have adopted MTSS. Emerging findings on cultural adaptations of evidence-based interventions for ADHD within MTSS are promising. Through a comprehensive tiered approach, this review focuses on (1) initial behavior screening and prevention, (2) implementation of evidence-based interventions tailored to the child's development and family culture, and (3) collaboration between psychiatrists, psychologists, school personnel, and families regarding evaluation of outcomes for children with ADHD, particularly when pharmacological treatment is considered. Engaging in these approaches can promote culturally responsive practices and improve the quality of services provided to children with ADHD.

中文翻译:

在多层支持系统中解决多动症的文化响应方法。

审查的目的有限的工作强调了与来自不同背景的患有注意力缺陷/多动症(ADHD)的家庭和儿童一起工作时的文化响应能力。我们为精神科医生,心理学家和其他心理健康专业人员提供了与学校合作时在多层支持系统(MTSS)框架内实施文化响应性实践的入门指南。最近的发现患有多动症的人表现出独特的行为挑战,这些挑战影响着学校和家庭的运作。作为解决所有有学业和行为问题儿童需求的框架,许多公立学校都采用了MTSS。关于MTSS内对ADHD的循证干预的文化适应的新发现是有希望的。通过全面的分层方法,这项审查的重点是(1)初步行为筛查和预防;(2)实施针对儿童发育和家庭文化的循证干预措施;以及(3)精神科医生,心理学家,学校人员和家庭之间在评估结果方面的合作适用于患有多动症的儿童,尤其是在考虑药物治疗的情况下。参与这些方法可以促进对文化敏感的做法,并提高为多动症儿童提供的服务质量。特别是在考虑药物治疗时。参与这些方法可以促进对文化敏感的做法,并提高为多动症儿童提供的服务质量。特别是在考虑药物治疗时。参与这些方法可以促进对文化敏感的做法,并提高为多动症儿童提供的服务质量。
更新日期:2020-05-07
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