The ADHD Toolkit

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Linda Wheeler

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  • Education at SAGE

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    Key to Icons

    • Chapter objectives
    • Case study
    • Points to remember
    • Questions for reflection and discussion
    • Electronic resource available from website

    List of Electronic Resource Materials

    Wherever you see the icon, downloadable material can be found at http://www.sagepub.co.uk/wheeler for use in your setting. A full list of materials follows.

    • 1.1 ADHD: Myth or fact? (sheet 1) 8
    • 1.2 ADHD: Myth or fact? (sheet 2) 9
    • 4.1 Instantaneous time sampling observation schedule 37
    • 4.2 Instantaneous time sampling instructions 38
    • 4.3 Fixed interval sampling observation schedule 40
    • 4.4 Fixed interval sampling instructions 41
    • 6.1 Classroom flashcards 73
    • 7.2 ‘Friendship’ worksheets 88
    • 7.3 ‘Feeling Good’ banners 92

    Acknowledgements

    The schools involved in the case studies remain anonymous, but a special thank you must go to the head teachers, staff and students who provided a warm welcome and offered every assistance with the research.

    I should like to acknowledge the assistance given by Wendy Quill and her colleagues in the undertaking of the school ADHD survey and the organisation of two ADHD study days.

    In supervising the research, the overwhelming support and encouragement received over six years from Peter Wakefield and Professor Peter Pumfrey have been invaluable.

    Many thanks to Jude Bowen and Amy Jarrold at Sage for all their help and encouragement.

    Finally, neither the completion of the research nor the writing of this book would have been possible without my husband, David, who has had faith in me over the years and supported me every step of the way.

    About the Author

    Linda Wheeler

    Linda Wheeler is an ex-teacher in mainstream primary and special schools who has developed an interest in exploring and understanding more about the nature of ADHD from an educational perspective. She has recently completed a PhD at the University of Worcester in association with Coventry University UK. So far two articles based on her research findings have been published in the journal Emotional and Behavioural Difficulties. Linda is a part-time lecturer in the Institute of Education, University of Worcester, Worcester, UK. She can be contacted at linda wheeler50@hotmail.com for further details of her research or advice on INSET training in schools.

    How to Use This Book

    This book is primarily based on the research undertaken for the author's PhD thesis and offers discussion of the theoretical issues surrounding the concept of ADHD as well as practical applications of the findings. The research was in two parts which ran concurrently. One part was based on detailed analyses of data from a questionnaire survey on ADHD in all schools in a local authority together with analyses of responses from delegates attending two ADHD study days at a university. The other part adopted a case study approach to gather in-depth data on situational and temporal variability in ADHD behaviour in school settings, enabling the identification of approaches and strategies for minimising such behaviour.

    Where appropriate, extracts from the PhD research data are used to illustrate particular features. Anonymity has been ensured by the use of pseudonyms throughout the research and the book. From the inclusion of the details and views of real students and real-life situations in schools in addition to theoretical considerations, readers will be able to relate some of their own experiences to the research findings and strategies presented here in order to gain a clearer understanding of the issues raised. The book may be read as a whole, but would also suit individual readers or school groups wishing to focus on particular chapters or sections. A glossary provides a list of ADHD-related terms, acronyms and abbreviations used in the book. PowerPoint presentations (Appendix A, B and C) offer a brief explanation of the contents of each section of the book and may be used to facilitate staff training, for example on school INSET days. A further PowerPoint presentation (Appendix D) is included for use with parents. All four presentations are available as downloadable materials.

    Throughout the book, and in Section 2 in particular, to avoid confusion, ‘he’ is used to describe a student with ADHD and ‘she’ for a teacher. This is obviously not always the case, but it reflects the higher number of boys with a diagnosis and the higher proportion of female teachers, particularly in early years and primary settings.

    Foreword

    At the time of writing it is approximately 16 years since the current version of the ADHD diagnosis was published. This version is of course only the most recent of a series of criteria published by the American Psychiatric Association dating back to the middle of the 20th century It is also important to note that the American Psychiatric Association diagnosis of ADHD has many close similarities (and is identical in some respects) with the World Health Organization diagnosis of Hyperkinetic Syndromes which has a similar lengthy history There are also claims that something very similar to these modern diagnoses can be traced back much further to the work of the appropriately named English physician George Still in the early 1900s (Barkley 1997), and the Scottish physician Alexander Crichton, who was working at the overlap between the 18th and 19th centuries (Palmer and Finger, 2001). Furthermore, the nature of ADHD and related conditions, and interventions for them have been the subject of more scientific research than any other biopsychosocial disorder which is highly prevalent among children and young people (Barkley, 2005).

    Given these uncontroversial facts, it is surprising that ADHD has been the subject of a sometimes heated debate, stimulated by individuals who question its legitimacy. A recent example of such a negative, anti-ADHD view is provided by Skidmore (2004), who writes:

    Given its long historical roots, and the undoubted existence of such psychological and medical conditions [as Down's syndrome and autism], it is likely that research into learning difficulties in the psycho-medical paradigm will continue to be conducted, that it will continue to exert an influence on the wider field, and that some of its findings will be found to be of use in the education of pupils who are affected by conditions which are generally recognised to have an organic basis. The difficulty arises when illicit attempts are made to apply this framework to an infinitely extensible set of putative syndromes or disorders for which reliable evidence of a neurological or organic base is lacking, and where ‘diagnosis’ rests on value laden, culturally-specific judgements about behavioural or cognitive norms. In the case of ADD [sic] it is arguable that the scientistic discourse of positivism and the rhetorical stance of authoritative objectivity which it engenders have been deployed to disseminate a biological determinist hypothesis for which empirical evidence is wanting, and to legitimise the practice of drugging defiant children into docility, using stimulants whose long-term side effects are unknown, in the service of a tacit project of social control.

    (Skidmore,2004, pp.3–4).

    Skidmore's distaste for ADHD is not unique, Slee (1995) wrote something similar almost ten years earlier, and twenty years before him Schrag and Divoky (1975) wrote a book entitled: The Myth of the Hyperactive Child, and Other Means of Child Control. For the reader who has engaged with the educational and psycho-medical literature on ADHD these negative views are baffling. To portray ADHD as a biological determinist construct which not only lacks scientific credibility, but acts as a tool for inflicting harm on children and young people, is, to put it politely, at odds with what the research and theoretical literature relating to ADHD actually says. Writers who promote these views have either not understood the literature which seeks to illuminate ADHD, or they have failed to engage with it in the first place. If they did they would realise that the most negative life outcomes associated with ADHD (such as educational failure, relationship difficulties, delinquency and mental health problems) are associated with a failure to identify and intervene with ADHD early in a person's life. Further, they would realise that far from being a ‘biological determinist hypothesis’ ADHD is best understood as a biopsychosocial condition (Barkley, 2005); that is, a phenomenon that is the product of the dynamic interaction between inherited (genetic) characteristics and the social environment.

    Fortunately, Linda Wheeler, whose book you are reading, has not only engaged with the literature on ADHD and understood it, she has contributed to it, both as an academic researcher and as a pedagogue. The ADHD Toolkit offers an extremely well researched guide to understanding and supporting students with ADHD in schools. One thing that any reader will be able to take from this text is that ADHD, far from being a bogus construct, is very real, both at the conceptual level and in terms of the day to day experience of the people who bear the diagnosis and those with whom they interact. This book will help the reader to understand the difference between the child who is disaffected, defiant and oppositional, and the child whose core difficulties reside in chronic problems of self regulation and concentration (ie. ADHD). It will also help the reader to understand how to translate these insights into practical strategies that will promote the positive social and educational engagement of students with ADHD. This is not to say that students with ADHD are not sometimes capable of being disaffected, defiant and oppositional. They can develop these characteristics when the core features of ADHD are ignored. Linda Wheeler's book will help the reader to realise that to adopt the view that ADHD is merely an excuse for mistreating ‘defiant children’ is not only ignorant, it is positively dangerous. Such an approach will promote defiance and disaffection, because it ignores the central cause of the initial difficulties.

    I hope you will enjoy reading Linda Wheeler's book as much as I have. More importantly, I hope you will take from it its central message of compassion for students who experience ADHD and their need for understanding and informed intervention.

    References
    Barkley, R (1997) ADHD and the Nature of Self Control. New York: Guilford.
    Barkley, R (2005) ADHD: A Handbook for Diagnosis and Treatment,
    3rd Edition
    . New York: Guilford.
    Palmer, E. and Finger, S. (2001) ‘An early description of AD/HD: Dr. Alexander Crichton and “mental restlessness”’, Child Psychology and Psychiatry Review, 6 (2): 66–73. http://dx.doi.org/10.1017/S1360641701002507
    Schrag, P and Divoky, D (1975) The Myth of the Hyperactive Child, and Other Means of Child Control. London: Pantheon.
    Skidmore, D (2004) Inclusion. Milton Keynes: Open University Press.
    Slee, R. (1995) Changing Theories and Practices of Discipline. London: Falmer.
  • Appendix A: Section 1: Background to ADHD

    Appendix B: Section 2: The School Setting

    Appendix C: Section 3: The Wider Context

    Appendix D: ADHD Information for Parents

    Appendix E: Instantaneous Time Sampling Observation Analysis

    Appendix F: Fixed Interval Sampling Observation Analysis

    Glossary and Abbreviations

    ABCAntecedents, behaviour and consequences approach
    ADDAttention deficit disorder
    ADDISSAttention Deficit Disorder Information and Support Service
    ADHDAttention deficit hyperactivity disorder
    AmphetamineType of stimulant drug
    APAAmerican Psychiatric Association
    ASDAutistic spectrum disorders
    AtomoxetineA non-stimulant drug (Strattera)
    BESDBehavioural, Emotional and Social Difficulty
    BIDBehavioural inhibition disorder
    Bio-psycho-socialInfluenced by biological, psychological and social factors
    BPSBritish Psychological Society
    CAMHSChild and Adolescent Mental Health Services
    CDConduct disorder
    ConcertaOnce-daily sustained release version of methylphenidate
    DAMPDeficits in Attention, Motor Control and Perception
    DCDDevelopment coordination disorder
    DCSFDepartment for Children, Schools and Families
    DexamphetamineType of stimulant drug (for example, Dexedrine, Adderall)
    DfESDepartment for Education and Skills
    DLADisability Living Allowance
    DopamineA neurotransmitter; a chemical compound occurring in the brain that aids selective attention
    DSM-IV (TR)Diagnostic and Statistical Manual of Mental Disorders (4th edn) text revision (APA, 2000)
    DTDesign and Technology
    DyscalculiaA condition associated with specific learning difficulties in mathematics
    EBDEmotional and behavioural difficulties
    FISFixed interval sampling – systematic observation in which behaviour is recorded over fixed intervals of time
    HyperactivityExcessive levels of activity
    HKDHyperkinetic disorder – persistent impaired attention and hyperactivity
    ICD-10International Classification of Diseases (10th edn) (WHO, 1990)
    ICTInformation and communication technology
    Impulsivity impulsivenessSuddenly saying or doing things without thinking, having little sense of danger
    InattentionDifficulty in concentrating, paying attention
    IEPIndividual Education Plan – a document which sets out what a student needs to achieve and how he will be helped to do so
    INSETIn-service education and training
    ITSInstantaneous time sampling – systematic observation in which behaviour is recorded at pre-determined moments in time
    LBSSLearning and Behaviour Support Service
    MethylphenidateStimulant drug (Ritalin is the most common form)
    NeurotransmitterA chemical messenger in the brain that carries information between nerve cells
    NHSNational Health Service
    NICENational Institute for Health and Clinical Excellence
    NoradrenalineA neurotransmitter that prompts ‘fight or flight’ reactions (also known as norepinephrine)
    OCDObsessive compulsive disorder
    ODDOppositional defiant disorder
    PEPhysical Education
    PGCEPostgraduate Certificate in Education
    PRUPupil referral unit
    PSHEPersonal, Social and Health Education
    SATStandard Assessment Task
    SEALSocial and Emotional Aspects of Learning
    SENSpecial Educational Needs
    SENCOSpecial Educational Needs Coordinator
    SIGNScottish Intercollegiate Guidelines Network
    SSASpecial support assistant
    StatementA document produced by the local authority outlining a student's needs and the support and additional provision necessary to meet those needs (known as a Record of Need in Scotland)
    TATeaching assistant
    TCATricyclic antidepressant medication
    TOADTalking out, Out of seat, Attention problems and Disruption
    WHOWorld Health Organisation

    Suggestions for Further Reading

    The following suggestions for further reading are in addition to the sources included in the References section.

    Parents

    Hoopmann, K. (2008) All Dogs Have ADHD. London: Jessica Kingsley.
    Munden, A. and Arcelus, J. (1999) The AD/HD Handbook: A Guide for Parents and Professionals on Attention Deficit/Hyperactivity Disorder. London: Jessica Kingsley.
    National Institute for Health and Clinical Excellence (NICE) (2008) Understanding NICE Guidance. London: NICE.
    Pentecost, D. (2000) Parenting the ADD Child: Can't Do? Won't Do?London: Jessica Kingsley.

    Books for children and adolescents

    GrindleyS. (2006) Hurricane Wills. London: Bloomsbury Publishing (also available as an audio book).
    HensbyC. and Braham, B. (1998) Hunter of the Past (downloaded from http://www.adders.org).
    Leigh, J. (2005) Zak has ADHD: A Doctor Spot Book. London: Red Kite.
    Pigache, P. (2008) Need to Know ADHD. Oxford: Heinemann Library.
    SpilsburyL. (2001) What Does It Mean to Have Attention Deficit Hyperactivity Disorder?Oxford: Heinemann Library.

    Self-esteem

    Collins, M. and Drakeford, P. (2002) Because I'm Special: A Take-home Programme to Enhance Self-Esteem in Children Aged 6–9. Bristol: Lucky Duck Publishing.
    Lawrence, D. (1996) Enhancing Self-Esteem in the Classroom,
    2nd edn
    . London: Paul Chapman Publishing.
    Plummer, D. (2007) Helping Children to Build Self-Esteem: A Photocopiable Activities Book,
    2nd edn
    . London: Jessica Kingsley.

    Alternative/complementary interventions

    Jacobs, J., Williams, A., Girard, C., Njike, V. Y. and Katz, D. (2005) ‘Homeopathy for attention deficit/hyperactivity disorder: a pilot randomised controlled trial’, Journal of Alternative and Complementary Medicine, 11 (5): 799–806. http://dx.doi.org/10.1089/acm.2005.11.799
    Jensen, P. S. and Kenny, D. T. (2004) ‘The effects of yoga on the attention and behaviour of boys with attention deficit/hyperactivity disorder’, Journal of Attention Disorders, 7 (4): 205–16. http://dx.doi.org/10.1177/108705470400700403
    Kinder, J. (1999a) ‘ADHD — a different viewpoint I: dietary factors’, in P.Cooper and K.Bilton (eds), Attention Deficit Hyperactivity Disorder (ADHD): Research, Practice and Opinion. London: Whurr Publishers, pp. 76–110.
    Kinder, J. (1999b) ‘ADHD — a different viewpoint II: holistic and other approaches’, in P.Cooper and K.Bilton (eds), Attention Deficit Hyperactivity Disorder (ADHD): Research, Practice and Opinion. London: Whurr Publishers, pp. 111–37.
    Sinha, D. and Efron, D. (2005) ‘Complementary and alternative medicine use in children with attention deficit hyperactivity disorder’, Journal of Paediatrics and Child Health, 41 (1–2): 23–6. http://dx.doi.org/10.1111/j.1440-1754.2005.00530.x

    List of Useful Organisations and Websites

    http://www.adders.orgAn ADD/ADHD non-profit-making support group based in Thanet, Kent, UK
    http://www.addiss.co.ukNational Attention Deficit Disorder Information and Support Service (UK)
    http://www.behaviour4learning.ac.ukWebsite supported by the Training and Development Agency includes research in behaviour management
    http://www.nasen.org.ukUK organisation for special educational needs
    http://www.ni.add.org/ukNorthern Ireland ADHD Support Centre
    http://www.SEBDA.orgMulti-professional social, emotional and behavioural difficulties association
    http://www.sign.ac.ukScottish Intercollegiate Guidelines Network
    http://www.sqa.org.ukScottish Qualifications Authority
    http://www.teachernet.gov.ukDeveloped by the Department for Children, Schools and Families (UK) as a resource to support the education profession
    http://www.teachers.tvProvides education programmes on TV and online, resources and support materials
    http://www.tda.gov.ukTraining and Development Agency for schools
    http://www.youngminds.org.ukUK charity which promotes child and adolescent mental health services

    References

    ADDISS (2003) ADHD: Parents, Provision and Policy: A Consultation with Parents. London: ADDISS.
    Alban-Metcalfe, J. and Alban-Metcalfe, J. (2001) Managing Attention Deficit/Hyperactivity Disorder in the Inclusive Classroom: Practical Strategies for Teachers. London: David Fulton.
    American Psychiatric Association (APA) (2000) Diagnostic and Statistical Manual of Mental Disorders,
    4th edn, text revision
    . Washington, DC: APA.
    Anderson, V. R. and Scott, L. J. (2006) ‘Methylphenidate transdermal system: in attention deficit hyperactivity disorder in children’, Drugs, 66 (8): 1117–26. http://dx.doi.org/10.2165/00003495-200666080-00007
    Antshel, K. M. (2005) ‘Social skills training reconsidered: what role should peers play?’, The ADHD Report, 13 (1): 1–5. http://dx.doi.org/10.1521/adhd.13.1.1.61562
    Ayers, H., Clarke, D. and Ross, A. (Support for Learning Service, London Borough of Tower Hamlets Children's Service) (1996) Assessing Individual Needs: A Practical Approach,
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    . London: David Fulton.
    Barkley, R. A. (2006) Attention-Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment,
    3rd edn
    . New York: Guilford Press.
    Barkley, R. A and 74 co-endorsers (2002) ‘International Consensus Statement on ADHD’, European Child and Adolescent Psychiatry, 11 (2): 96–8. http://dx.doi.org/10.1007/s007870200017
    Bennathan, M. and Boxall, M. (2000) Effective Intervention in Primary Schools: Nurture Groups,
    2nd edn
    . London: David Fulton.
    Brettingham, M. (2007) ‘Pupils' little helper at 50p a fix’, Times Educational Supplement, 8 June.
    British Psychological Society (BPS) (1996) Attention Deficit Hyperactivity Disorder: A Psychological Response to an Evolving Concept. Leicester: British Psychological Society.
    British Psychological Society (BPS) (2000) Attention Deficit Hyperactivity Disorder (ADHD): Guidelines and Principles for Successful Multi-agency Working. Leicester: British Psychological Society.
    CAMHS (2008) Children and Young People in Mind: The Final Report of the National CAMHS Review. Downloaded from http://www.dcsf.gov.uk/CAMHSreview.
    Chamberlain, S. and Sahakian, B. (2006) ‘Attention Deficit Hyperactivity Disorder has serious and immediate implications’, Educational Journal, 94 (4): 35–7.
    Coghill, D. (2005) ‘Attention deficit hyperactivity disorder: should we believe the mass media or peer-reviewed literature?’, Psychiatric Bulletin, 29: 288–91. http://dx.doi.org/10.1192/pb.29.8.288
    Connelly, G., Lockhart, E., Wilson, P., Furnivall, J., Bryce, G., Harbour, R. and Phin, L. (2008) ‘Teachers' responses to the emotional needs of children and young people. Results from the Scottish Needs Assessment Programme’, Emotional and Behavioural Difficulties, 13(1): 8–19. http://dx.doi.org/10.1080/13632750701814633
    Cooper, P. (2004) Nurturing Pupils with ADHD. Paper presented at the 5th World Congress on Dyslexia, Thessaloniki, Greece, August.
    Cooper, P. (2005) ‘AD/HD’, in A.Lewis and B.Norwich (eds), Special Teaching for Special Children? Pedagogies for Inclusion. Maidenhead: Open University Press, pp. 123–37.
    Cooper, P. (2006) ‘Assessing the social and educational value of AD/HD’, in M.Hunter-Carsh, Y.Tiknaz, P.Cooper and R.Sage (eds), The Handbook of Social, Emotional and Behavioural Difficulties. London: Continuum, pp. 248–63.
    Cooper, P. and Bilton, K. (2002) Attention Deficit/Hyperactivity Disorder: A Practical Guide for Teachers,
    2nd edn
    . London: David Fulton.
    Cooper, P. and O'Regan, F. J. (2001) Educating Children with AD/HD: A Teacher's Manual. Abingdon: RoutledgeFalmer.
    Cooper, P. and Shea, T. (1999) ‘ADHD from the inside: an empirical study of young people's perceptions of the experience of ADHD’, in P.Cooper and K.Bilton (eds), Attention Deficit Hyperactivity Disorder (ADHD): Research, Practice and Opinion. London: Whurr Publishers, pp. 223–45.
    Daniel, S. and Cooper, P. (1999) ‘Teachers' classroom strategies for dealing with students with ADHD: an empirical study’, in P.Cooper and K.Bilton (eds), ADHD: Research, Practice and Opinion. London: Whurr Publishers, pp. 203–22.
    Department for Children, Schools and Families (2007) The Children's Plan. London: DCSF.
    Department for Children, Schools and Families (2008) Promoting Achievement, Valuing Success: A Strategy for 14–19 Qualifications. London: DCSF.
    Department for Education and Skills (2001) Special Educational Needs Code of Practice. London: DfES.
    Department for Education and Skills (2003) Every Child Matters. London: DfES.
    Department for Education and Skills (2004) Removing Barriers to Achievement: The Government's Strategy for SEN. London: DfES.
    Department for Education and Skills (2005) Primary National Strategy. Excellence and Enjoyment: Social and Emotional Aspects of Learning. London: DfES.
    Department of Education (2005) Guidance for Schools: Recording Children with Special Educational Needs. Downloaded from http://www.deni.gov.uk.
    DuPaul, G. J. and Stoner, G. (1994) ADHD in the Schools: Assessment and Intervention Strategies. New York: Guilford Press.
    DuPaul, G. J. and Stoner, G. (2003) ADHD in the Schools: Assessment and Intervention Strategies,
    2nd edn
    . London: Guilford Press.
    DuPaul, G. J. and Weyandt, L. L. (2006) ‘School-based interventions for children and adolescents with attention-deficit hyperactivity disorder: enhancing academic and behavioural outcomes’, Education and Treatment of Children, 29 (2): 341–58.
    Gillberg, C. (2002) The Comorbidities of ADHD: An Underrated Problem. Paper presented at the Fifth International ADDISS Conference, London, November.
    Goldstein, S. (2006) ‘Is ADHD a growth industry?’, Journal of Attention Disorders, 9 (3): 461–4. http://dx.doi.org/10.1177/1087054705283678
    Goldstein, S. and Goldstein, M. (1998) Managing Attention Deficit Hyperactivity Disorder in Children,
    2nd edn
    . New York: John Wiley & Sons.
    Green, C. and Chee, K. (1997) Understanding Attention Deficit Disorder: A Parent's Guide to ADD in Children,
    2nd edn
    . London: Random House.
    Holowenko, H. (1999) Attention Deficit/Hyperactivity Disorder: A Multi-disciplinary Approach. London: Jessica Kingsley.
    Hughes, L. and Cooper, P. (2007) Understanding and Supporting Children with ADHD. London: Paul Chapman Publishing.
    Kendall, P. C. (2000) Childhood Disorders. East Sussex: Psychology Press.
    KewleyG.D. (1999) Attention Deficit Hyperactivity Disorder: Recognition, Reality and Resolution. London: David Fulton.
    Kewley, G. D. (2005) Attention Deficit Hyperactivity Disorder: What Can Teachers Do?,
    2nd edn
    . London: David Fulton.
    Kirby, A., Davies, R. and Bryant, A. (2005) ‘Do teachers know more about specific learning difficulties than general practitioners?’, British Journal of Special Education, 32 (3): 122–6. http://dx.doi.org/10.1111/j.0952-3383.2005.00384.x
    Lawrence, D. (1996) Enhancing Self-esteem in the Classroom,
    2nd edn
    . London: Paul Chapman Publishing.
    Lovey, J. (1999) ‘ADHD in the classroom: a teacher's account’, in P.Cooper and K.Bilton (eds), Attention Deficit Hyperactivity Disorder (ADHD): Research, Practice and Opinion. London: Whurr Publishers, pp. 1 70–84.
    Medcalf, R., Marshall, J. and Rhoden, C. (2006) ‘Exploring the relationship between physical education and enhancing behaviour in pupils with emotional behavioural difficulties’, Support for Learning, 21 (4): 169–74. http://dx.doi.org/10.1111/j.1467-9604.2006.00427.x
    Moline, S. and Frankenberger, W. (2001) ‘Use of stimulant medication for treatment of attention deficit hyperactivity disorder: a survey of middle and high school students' attitudes’, Psychology in the Schools, 38 (6): 569–84. http://dx.doi.org/10.1002/pits.1044
    Munden, A. and Arcelus, J. (1999) The AD/HD Handbook: A Guide for Parents and Professionals on Attention Deficit/Hyperactivity Disorder. London: Jessica Kingsley.
    National Institute for Clinical Excellence (NICE) (2000) Guidance on the Use of Methylphenidate (Ritalin, Equasym) for Attention Deficit/Hyperactivity Disorder (ADHD) in Childhood. London: NICE.
    National Institute for Clinical Excellence (NICE) (2006) Methylphenidate, Atomoxetine and Dexamfetamine for Attention Deficit Hyperactivity Disorder (ADHD) in Children and Adolescents. London: NICE.
    National Institute for Health and Clinical Excellence (NICE) (2008) Attention Deficit Hyperactivity Disorder: Diagnosis and Management of ADHD in Children, Young People and Adults. London: NICE.
    NHS Quality Improvement Scotland (2008) Attention Deficit and Hyperkinetic Disorders Services over Scotland: Report of the Implementation Review Exercise. Scotland: NHS.
    O'Regan, F. (2002) How to Teach and Manage Children with ADHD. Cambridge: LDA.
    O'Regan, F. (2005) ADHD. London: Continuum.
    Ratey, J. (2004) The Neurobiology of ADHD. Paper presented at the Sixth International ADDISS Conference, Liverpool, March.
    Robin, A. L. (1998) ADHD in Adolescents: Diagnosis and Treatment. New York: Guilford Press.
    Scottish Intercollegiate Guidelines Network (SIGN) (2001) Attention Deficit and Hyperkinetic Disorders in Children and Young People: A National Clinical Guideline. Edinburgh: SIGN.
    Shaw, R., Grayson, A. and Lewis, V. (2005) ‘Inhibition, ADHD and computer games: the inhibitory performance of children with ADHD on computerized tasks and games’, Journal of Attention Disorders, 8 (4): 160–8. http://dx.doi.org/10.1177/1087054705278771
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    Steyn, B. J., Schneider, J. and McArdle, P. (2002) ‘The role of Disability Living Allowance in the management of attention deficit/hyperactivity disorder’, Child: Care, Health and Development, 28 (6): 523–7. http://dx.doi.org/10.1046/j.1365-2214.2002.00305.x
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    Uniview (2003) Attention Difficulties: Practical Strategies for the Primary Classroom [Videotape]. Wirral: Uniview.
    Wheeler, L. (1996) ‘The Influence of Self-Esteem on the Learning Experiences of Children’. Unpublished MA thesis.
    Wheeler, L. (2007) Attention Deficit Hyperactivity Disorder (ADHD): Identification, Assessment, Contextual and Curricular Variability in Boys at KS1 and KS2 in Mainstream Schools. PhD thesis, University of Worcester.
    Wheeler, L, Pumfrey, P. and Wakefield, P. (2009) ‘Variability of ADHD symptoms across primary school contexts: an in-depth case study’, Emotional and Behavioural Difficulties, 14(1): 69–84. http://dx.doi.org/10.1080/13632750802655703
    Wheeler, L, Pumfrey, P., Wakefield, P. and Quill, W. (2008) ‘ADHD in schools: prevalence, multi-professional involvements and school training needs in an LEA’, Emotional and Behavioural Difficulties, 13 (3): 163–77. http://dx.doi.org/10.1080/13632750802253137
    World Health Organisation (1990) International Classification of Diseases,
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    . Geneva: WHO.

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