Evaluating and Treating ADHD in African American Children: Guidance for Clinicians

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Racism, structural bias & individual discrimination are linked to adverse health outcomes for racial & ethnic minorities. This is a fact of American medicine. And it plays out every day in the assessment and treatment of ADHD in African American children.

fears about addiction and substance abuse Clinicians should engage in conversations with families about what the child’s diagnosis and the possibility of medication mean to them. Some families, for example, may bring up the difficulties surrounding being a Black person in a racist society, and having that compounded by mental illness and medication — both of which are still commonly stigmatized.

Families should also be aware that medication should be part of a larger treatment plan; it is not a cure-all. For example, an untreatedwill not catch up after taking ADHD medication. They may need medication, along with tutoring and other academic services. They may also need an evaluation to rule out other learning issues, and/or psychotherapy to address any trauma they’ve experienced.

 

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