Summary of Paper 1 Findings
This proposal is based on a research report that was based on the topic “The correlation between Attention Deficit Hypersensitivity Disorder (ADHD) and parental interaction.” This paper is going to provide a proposal to the Base Commander of Joint Air Base Pearl Harbor that all parents of children attending the base child development centre with ADHD to go through 20 hours online or equivalent classroom parental behavior training (BPT). This paper will begin by highlighting a brief summary of the findings of the research report on paper one. It will further give a detailed proposal of policy change with supporting reasons. This paper will also highlight the anticipated objections and then appropriately address them. It will finally give a conclusion of the paper (Papoušek, 2016).
Summary of paper 1 findings
The previous research assignment sought to understand the correlation that exists between Attention Deficit Hypersensitivity Disorder (ADHD) and parental interaction. According to the Oxford Concise Medical Dictionary, ADHD is a mental disorder, usually of children, characterized by the grossly excessive level of activity and a marked impairment of the ability to attend (Singh, & Zimmerman, 2015). The behavior may be predominantly hyperactive-impulsive, predominantly inattentive, or combined. Interaction is a key factor in childhood development and the lack of parental interaction could negatively impact a child’s social, emotional, and behavioral development, consequentially leading to behavioral problems and poor academies (Bulanda, & Lippmann, 2009).
There are different methods used in addressing the challenge of ADHD. Medical treatment is one of the way methods but it is often associated with long-term side effects (Jones, Dawson & Webb, 2018). The other method is psychosocial interventions which include behavioral parental training. This paper will present a proposal for a policy change to the Joint Air Base commander to ensure that the challenge of ADHD at the Joint Air Base Pearl Harbor is effectively addressed.
According to a 2016 report by the Center for Disease Control and Prevention (CDC), out of 6.1 million children diagnosed with ADHD, around 9.4% are children between the age of 2 and 17. Though ADHD is treatable, it is often associated with many long-term side effects. Apart from medical treatment, other treatment such as parental behavioral training can be used by parents to manage the diagnoses of their children. The study noted that different medical scholars have advocated for use of psychotherapies in form of parents and behavior training (Kilincaslan et al. 2017).
It was also noted that CDC is urging medical professionals to prioritize the use of psychotherapies before they can resort to medical treatment. This move can be attributed to the fact that psychotherapies do not have any side effect. Basically, it can be seen that CDC and the medical professionals understand that the parent plays a very crucial role in the management of children with ADHD (Ly, Bottelier, Hoekstra, Vasquez, Buitelaar & Rommelse, 2017).
Handling of children with ADHD can be very challenging to parents. Handling of these children requires parents to have special skills. Unfortunately, many parents lack effective skills for interacting with their children. Reacting negatively to children with ADHD may attract an unfriendly reaction from the children. For successful parental interaction, behavioral training for parent handling ADHD child is very crucial and has resulted in positive results. The study conducted noted that trained parents were sometimes overwhelmed with stress and found it hard to apply what they had learned in coping with children with ADHD (Tong, Ye, & Yan, 2018)
Mandatory Behavioral Parental Training
Parental interaction cannot be avoided. Children with ADHD condition spend most of their time with parents. Parents need to be equipped with the necessary skills of handling children with ADHD. The intent of training parents is to provide an ADHD education-based environment which promotes growth, understanding, and situational management for parents with children diagnosed with ADHD (Bolea-Alamañac et al. 2014). It is believed that early intervention holds the key to positive outcomes for children diagnosed with ADHD. “The point is not that the child’s behavior is the parent’s fault, but that it is also important to pay attention to, and support the parents of children with disabilities, especially since often the focus has always been solely on the child and his or her problems (Wiwe Lipsker, von Heijne, Bölte, & Wicksell, 2018).
On the question of whether there exists a correlation between ADHD and parental interaction, it was found that there exists a very strong correlation between the two. This is because parents cannot be separated from children and ADHD is a condition that has to do with the behavior of the children (Strom, Fishbein, Paller & Silverberg, 2016).
Mandatory behavioral parental training
Attention Deficit Hypersensitivity Disorder (ADHD) is a great problem in the USA. Statistics indicate that the condition is threatening the lives of young children. It has also been seen to affect the school life of young children. The families of Joint Air Base Pearl Harbor (JABPL) are not an exception in facing the challenges associated with ADHD. Though there is documented proven evidence of the treatment of ADHD, many people are worried about the long-term side effects of the medical treatments. CDC has always advocated for use of alternative measures to address the challenge of ADHD. This move has also gained immense support from different medical professional. Many medical scholars have published a lot of literature supporting the use of alternative medication of ADHD (Stevenson et al. 2014).
Handling of children with ADHD can be very challenging to parents. This mostly affects parents who lack proper knowledge and skills of interacting and handling children with ADHD. Parents of children suffering from ADHD need to be equipped with relevant skills that will enable them to cope well with their children. Behavioral parental training (BPT) has been described as an effective measure of handling ADHD. BPT equips parents with relevant skills of handling their children who may be suffering from ADHD (Barragán, Breuer & Döpfner, 2017).
Presence of this condition in a family affects the life of the parents not only at home but also at the workplace. Many people, who have children suffering from ADHD, have been proved to be less productive at work. They are in most cases stressed with the condition of their children. Providing support to these parents is very important. Helping them overcome the challenge is immeasurable noble. It is also more important to help them address the stressing issue at the early stages before it advances to depression. Employees who are provided with psychological support will be more productive at work (Wigal et al. 2018).
The Base Commander of Joint Air Base Pearl Harbor can attest that there are many cases of children suffering from ADHD within the families of employees working in the harbor. It is worthwhile noting that the management under the leadership of the Base Commander has done a lot in ensuring that families of children suffering from ADHD are provided with necessary support. Such support services include the establishment of the Exceptional Family Member Program (EFMP). This program is meant to provide support to family members with special needs.
The support includes an education program. Despite all these efforts, it has been observed that many parents with children suffering from ADHD do not attend these training. It seems that many parents underestimate the value of the training and therefore willfully absconds the training (Valeri, Holsti & Linhares, 2015).
In order to achieve the objective of training parents, it is important for the Base Commander to consider the organization’s stand on training. I would like to propose to the Base Commander that training for parents with children suffering from DHD be made mandatory. By making it mandatory, all the parents with children suffering from ADHD will attend the training and will get the skills required to handle their children in the right way. The complete training requires the attendance of six to eight sessions of three hours each (Laurent, Prizant & Gorman, 2018).
The training program is provided both on the online platform and in-class setting. This will enable employees to take their classes from their place work. The Base Commander is requested to create time for employees to participate in the training either by attending class or taking the online program (Tong et al. 2015).
There are so many benefits that will be accrued when the training will be made to be mandatory. To begin with, EFMP is established to ensure that families with special needs get the required support. One of their objectives is to ensure that the required training is provided. Mandatory training will ensure that EFMP has achieved their objective. Achievement of this goal is beneficial to all the parties, that is, parents; EFMP and the Base harbor (McConachie et al 2018).
Secondly, among the most beneficiaries are the parents. As noted above, many parents who have children suffering from ADHD lack skills and knowledge of handling their children. Training imparts knowledge and skill required in handling these children (Aloi et al. 2018). Knowledge gained may include; effective communication with ADHD children, use of sound situational awareness among others (Mimouni-Bloch et al. 2018).
Since the behavior of ADHD children is unpredictable and often fluctuates, parents find it hard to handle such behavior. Some parents do not know how to effectively respond to a certain behavior exhibited by their child (Yang et al. 2018). It is also important to note that some studies have indicated that inappropriate reaction of the parent to the child’s behavior may lead to more rebellion from the child (Marchand-Krynski, Bélanger, Morin-Moncet, Beauchamp & Leonard, 2018).
Thirdly, training help parent to cope with stress. Handling children with ADHD can be very stressful at sometimes. This is because they usually behave differently depending on the circumstances in which they are. At times the ADHD child may be hyperactive and at some other time, the child may be very inactive. It is usually stressful for parents to help their children cope or get along with their peers. Parents also find it hard to manage the unpredictable behavior of their children. Parental training with help parents to learn how to cope with the situation of their children (Miyazaki et al. 2017).
The fourth benefit of parental training is that it improves the productivity of employees at work. Employees who have challenges at home may find it hard to concentrate at work. Studies indicate that families where there is a child suffering from ADHD often have a likelihood of having relationship problem within the spouses. The stress associated with caring of ADHD child may not allow an employee to concentrate at work. This will in most cases lead to poor performance of the employee. By providing parents with the parental training they are able to manage stress and take care of their child well. This will reduce stress and significantly improve the productivity of the employee (Verlaet et al. 2017)
Lastly, parental treatment has no side effects. Medical treatment has a long-term side effect to the patient. It is also costly to seek medication. With a community of well-trained parents who knows to handle their sick children, then there is no need of seeking medication that results in other problems to the patient (von Rhein et al. 2015).
The training program may be seen as a time-consuming activity. In the short run, it may be time-consuming. In the long run, the benefits to both the parents and the organization far much outweigh the time taken in the training. Some people may view the training as tasking and somehow engaging to parents. Yes, it may be so. But this view is short-sighted. The skills obtained in training are to be used in the lifetime of the parent (Uljarevi?, Labuschagne, Bobin, Atkinson & Hocking, 2018).
Nobody should fear to incur the cost associated with the training. All the cost is facilitated by EFMP. They provide the professional who facilitates the training. The training takes place at their offices.
Conclusion
The value of behavioral parental training (BPT) as a method of preventing and managing ADHD has in most cases been underestimated. CDC has been promoting the use of BPT to handle ADHD. Different medical scholars have also published many articles in favor of the use of BPT. Different studies have also indicated the tremendous success of using BPT. Unfortunately, many parents with children suffering from ADHD have not realized the benefit of ADHD. For this reason, the majority of them do not use BPT in taking care of their children. Maybe some are not aware of the existence of such training. Others may simply ignore. ADHD control is a national concern to all US citizens. Every person should support the prevention of ADHD.
Joint Air Base Pearl Harbor (JABPH) through the base commander has a role to play in helping the country to achieve its goal of controlling ADHD. By making it mandatory for employees with children suffering from ADHD to attend BPT classes, the base commander will facilitate the impartation of knowledge to employees. This knowledge will help them to have skills of handling their children effectively.
They are many benefits that can be realized through mandatory BPT. These benefits include; proper management of stress among parents of children with ADHD, proper child handling skills, improved output at work, helping EFMP in achieving their goals among others. The training is provided free of charge. It also takes a relatively short time to complete and the skills are useful in the entire life of an individual. Finally, it should be noted that employees who have peace in their homes will equally be at peace in the workplace while on the other hand if there is no peace at home, then there will be no peace at the workplace. Peace created allows employees to concentrate on their work and improve their output quality. It is therefore worthwhile for the base commander to support the proposal to the fullest as it seeks to improve the output of employees and have a healthy workforce.
References
Aloi, J., Blair, K. S., Crum, K. I., Meffert, H., White, S. F., Tyler, P. M., … & Filbey, F. (2018). Adolescents show differential dysfunctions related to Alcohol and Cannabis Use Disorder severity in emotion and executive attention neuro-circuitries. NeuroImage: Clinical.
Barragán, E., Breuer, D., & Döpfner, M. (2017). Efficacy and safety of omega-3/6 fatty acids, methylphenidate, and a combined treatment in children with ADHD. Journal of attention disorders, 21(5), 433-441.
Bolea-Alamañac, B., Nutt, D. J., Adamou, M., Asherson, P., Bazire, S., Coghill, D., … & Sayal, K. (2014). Evidence-based guidelines for the pharmacological management of attention deficit hyperactivity disorder: update on recommendations from the British Association for Psychopharmacology. Journal of Psychopharmacology, 28(3), 179-203.
Bulanda, R. E., & Lippmann, S. (2009). Wrinkles in parental time with children: Work, family structure, and gender. Michigan Family Review, 13(1).
Jones, E. J. H., Dawson, G., & Webb, S. J. (2018). Sensory hypersensitivity predicts enhanced attention capture by faces in the early development of ASD. Developmental cognitive neuroscience, 29, 11-20.
Kilincaslan, A., Kok, B. E., Tekturk, P., Yalcinkaya, C., Ozkara, C., & Yapici, Z. (2017). Beneficial effects of everolimus on autism and attention-deficit/hyperactivity disorder symptoms in a group of patients with tuberous sclerosis complex. Journal of child and adolescent psychopharmacology, 27(4), 383-388.
Kim, S. J., Shonka, S., French, W. P., Strickland, J., Miller, L., & Stein, M. A. (2017). Dose-response effects of long-acting liquid methylphenidate in children with Attention Deficit/Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD): a pilot study. Journal of autism and developmental disorders, 47(8), 2307-2313.
Laurent, A. C., Prizant, B. M., & Gorman, K. S. (2018). Supporting Parents to Promote Emotion Regulation Abilities in Young Children with Autism Spectrum Disorders: A SCERTS Model Perspective. In Handbook of Parent-Implemented Interventions for Very Young Children with Autism (pp. 301-320). Springer, Cham.
Ly, V., Bottelier, M., Hoekstra, P. J., Vasquez, A. A., Buitelaar, J. K., & Rommelse, N. N. (2017). Elimination diets’ efficacy and mechanisms in attention deficit hyperactivity disorder and autism spectrum disorder. European child & adolescent psychiatry, 26(9), 1067-1079.
Marchand-Krynski, M. È., Bélanger, A. M., Morin-Moncet, O., Beauchamp, M. H., & Leonard, G. (2018). Cognitive predictors of sequential motor impairments in children with dyslexia and/or attention deficit/hyperactivity disorder. Developmental neuropsychology, 1-24.
McConachie, H., Livingstone, N., Morris, C., Beresford, B., Le Couteur, A., Gringras, P., … & Parr, J. R. (2018). Parents suggest which indicators of progress and outcomes should be measured in young children with autism spectrum disorder. Journal of autism and developmental disorders, 48(4), 1041-1051.
Mimouni-Bloch, A., Offek, H., Rosenblum, S., Posener, I., Silman, Z., & Engel-Yeger, B. (2018). Association between sensory modulation and daily activity function of children with attention deficit/hyperactivity disorder and children with typical development. Research in developmental disabilities, 83, 69-76.
Miyazaki, C., Koyama, M., Ota, E., Swa, T., Mlunde, L. B., Amiya, R. M., … & Mori, R. (2017). Allergic diseases in children with attention deficit hyperactivity disorder: a systematic review and meta-analysis. BMC psychiatry, 17(1), 120.
Papoušek, M. (2016). Disinterest in Play in Infancy: Problems in the Regulation of Attention and Play. In Regulatory Disorders in Infants (pp. 161-180). Springer, Cham.
Singh, K., & Zimmerman, A. W. (2015, June). Sleep in autism spectrum disorder and attention deficit hyperactivity disorder. In Seminars in pediatric neurology (Vol. 22, No. 2, pp. 113-125). WB Saunders.
Stevenson, J., Buitelaar, J., Cortese, S., Ferrin, M., Konofal, E., Lecendreux, M., … & European ADHD Guidelines Group. (2014). Research Review: The role of diet in the treatment of attention?deficit/hyperactivity disorder–an appraisal of the evidence on efficacy and recommendations on the design of future studies. Journal of Child Psychology and Psychiatry, 55(5), 416-427.
Strom, M. A., Fishbein, A. B., Paller, A. S., & Silverberg, J. I. (2016). Association between atopic dermatitis and attention deficit hyperactivity disorder in US children and adults. British Journal of Dermatology, 175(5), 920-929.
Tong, J., McKinley, L. A., Cummins, T. D., Johnson, B., Matthews, N., Vance, A., … & Hawi, Z. (2015). Identification and functional characterisation of a novel dopamine beta hydroxylase gene variant associated with attention deficit hyperactivity disorder. The World Journal of Biological Psychiatry, 16(8), 610-618.
Tong, L., Ye, Y., & Yan, Q. (2018). The moderating roles of bedtime activities and anxiety/depression in the relationship between attention-deficit/hyperactivity disorder symptoms and sleep problems in children. BMC psychiatry, 18(1), 298.
Uljarevi?, M., Labuschagne, I., Bobin, R., Atkinson, A., & Hocking, D. R. (2018). Brief Report: The Impact of Sensory Hypersensitivity and Intolerance of Uncertainty on Anxiety in Williams Syndrome. Journal of Autism and Developmental Disorders, 1-7.
Valeri, B. O., Holsti, L., & Linhares, M. B. (2015). Neonatal pain and developmental outcomes in children born preterm: a systematic review. The Clinical journal of pain, 31(4), 355-362.
Verlaet, A. A., Ceulemans, B., Verhelst, H., Van West, D., De Bruyne, T., Pieters, L., … & Hermans, N. (2017). Effect of Pycnogenol® on attention-deficit hyperactivity disorder (ADHD): study protocol for a randomised controlled trial. Trials, 18(1), 145.
von Rhein, D., Cools, R., Zwiers, M. P., van der Schaaf, M., Franke, B., Luman, M., … & Faraone, S. V. (2015). Increased neural responses to reward in adolescents and young adults with attention-deficit/hyperactivity disorder and their unaffected siblings. Journal of the American Academy of Child & Adolescent Psychiatry, 54(5), 394-402.
Wigal, T. L., Newcorn, J. H., Handal, N., Wigal, S. B., Mulligan, I., Schmith, V., & Konofal, E. (2018). A Double-Blind, Placebo-Controlled, Phase II Study to Determine the Efficacy, Safety, Tolerability and Pharmacokinetics of a Controlled Release (CR) Formulation of Mazindol in Adults with DSM-5 Attention-Deficit/Hyperactivity Disorder (ADHD). CNS drugs, 32(3), 289-301.
Wiwe Lipsker, C., von Heijne, M., Bölte, S., & Wicksell, R. K. (2018). A case report and literature review of autism and attention deficit hyperactivity disorder in paediatric chronic pain. Acta Paediatrica, 107(5), 753-758.
Yang, L., Chang, S., Lu, Q., Zhang, Y., Wu, Z., Sun, X., … & Duan, Q. (2018). A new locus regulating MICALL2 expression was identified for association with executive inhibition in children with attention deficit hyperactivity disorder. Molecular psychiatry, 23(4), 1014.