The Multimodal Treatment Of Adhd

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Once a comprehensive assessment has been conducted, a clinician can begin to develop an individualized treatment plan to target the child’s specific symptomology. Behavioral modifications are considered to be a first line of treatment for young children with ADHD. When parenting techniques are proven to be ineffective or the symptoms are too severe to be corrected with behavioral modifications alone, pharmacological interventions may take precedence (Connor, 2002). Contrarily, multimodal treatment packages have been a main focus for the last decade (Mash & Barkley, 2006; Hinshaw, Klein, & Abikoff, 2007). The Multimodal Treatment of ADHD (MTA) study is arguably the most influential study regarding evidence-based treatment for ADHD. The MTA study evaluated the effectiveness of four different treatment groups: medication management, intensive behavioral treatment, combination of medication and behavior treatment, and routine community care (control) (Jensen et al., 2001; MTA Cooperative Group, 1999). Initially, combination treatment and medication alone were found to be superior to behavior treatment and routine community care and yielded no significant difference for managing ADHD symptoms (MTA Cooperative Group, 1999). After secondary analyses, the combination treatment group was shown to have the greatest incremental effects and was also effective in managing comorbid symptoms (Jensen et al., 2001).
In addition to the MTA study, researchers have assessed the effectiveness
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