The Over-prescription of Ritalin for Suspected Cases of ADHD

Chan, Jason Y. C.; Dennis, Talisa A.; MacLeod, Melissa A.

doi:10.18192/riss-ijhs.v2i2.1519

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…The core question is how to best assist the needs of families and children with PSH in the community. As an example, in the context of ADHD, inattention, short- or long-term lack of focus and hypermotor-restlessness at day and/or night-time can have many etiologies and parents may describe these symptoms in their children’s lives and in their terms ( 21 , 22 ). Exploring daytime behaviors in association with PSH, in collaboration with the affected individual allows for a more mutually shared inclusive approach to behavioral sleep- and wake-medicine adding to the clinical gaze.…”

Section: The Ecological Aspects In Sleep Health: An Overviewmentioning

confidence: 99%

“…In behavioral medicine, e.g., for the treatment of ADHD, (cognitive) behavioral therapy has already been developed and evaluated, and is recommended as a first line measure (Subcommittee on Attention-Deficit/Hyperactivity Disorder) ( 7 ). However, it is time-consuming and requires involved parties to adopt the understanding of and therefore, lived culture to accept the recommendations ( 21 ). The challenge in embarking in this process might explain the upward trend in drug prescriptions, despite the fact that individual physicians are often not convinced of medication effects and/or see medication practices as controversial ( 21 , 35 , 36 ).…”

Section: The Ecological Aspects In Sleep Health: An Overviewmentioning

confidence: 99%

“…However, it is time-consuming and requires involved parties to adopt the understanding of and therefore, lived culture to accept the recommendations ( 21 ). The challenge in embarking in this process might explain the upward trend in drug prescriptions, despite the fact that individual physicians are often not convinced of medication effects and/or see medication practices as controversial ( 21 , 35 , 36 ). This trend, without adequate investigation of broader predictive and perpetuating factors, such as family culture and biopsychosocial factors or PSH, reflects an imminent crisis, which builds on solely medication based strategies ( 35 , 37 – 39 ).…”

Section: The Ecological Aspects In Sleep Health: An Overviewmentioning

confidence: 99%

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Social-ecological considerations informing a universal screening strategy for sleep health in the community

et al. 2023

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“Poor sleep health” (PSH), defined as reduced amount of sleep and non-restorative sleep, affects cognitive, social and emotional development. Evidence suggests an association of sleep deprivation and mental health problems; however, there are no universal concepts allowing a first-tier screening of PSH at a community level. The focus of this narrative review is to highlight the cultural context of the current medicalized approach to PSH and to suggest social ecological strategies informing new and holistic community-based screening concepts. We present two conceptual screening frameworks; a “medical” and a merged “social emotional wellbeing framework” and combine them utilizing the concept of “ecologies.” The first framework proposes the incorporation of “sleep” in the interpretation of “vigilance” and “inappropriate” labeled behaviors. In the first framework, we provide a logic model for screening the myriad of presentations and possible root causes of sleep disturbances as a tool to assess daytime behaviors in context with PSH. In the second framework, we provide evidence that informs screening for “social emotional wellbeing” in the context of predictive factors, perpetuating factors and predispositions through different cultural perspectives. The distinct goals of both frameworks are to overcome training-biased unidirectional thinking and a priori medicalization of challenging, disruptive and/or disobedient behaviors. The latter has been explicitly informed by the critical discourse on colonization and its consequences, spearheaded by First Nations. Our “transcultural, transdisciplinary and transdiagnostic screening framework” may serve as a starting point from which adaptations of medical models could be developed to suit the purposes of holistic screening, diagnosis, and treatment of complex childhood presentations in different cultural contexts.

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Section: The Ecological Aspects In Sleep Health: An Overviewmentioning

confidence: 99%

Section: The Ecological Aspects In Sleep Health: An Overviewmentioning

confidence: 99%

Section: The Ecological Aspects In Sleep Health: An Overviewmentioning

confidence: 99%

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Social-ecological considerations informing a universal screening strategy for sleep health in the community

et al. 2023

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Environmental sustainability and the carbon emissions of pharmaceuticals

Richie

2021

J Med Ethics

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The US healthcare industry emits an estimated 479 million tonnes of carbon dioxide each year; nearly 8% of the country’s total emissions. When assessed by sector, hospital care, clinical services, medical structures, and pharmaceuticals are the top emitters. For 15 years, research has been dedicated to the medical structures and equipment that contribute to carbon emissions. More recently, hospital care and clinical services have been examined. However, the carbon of pharmaceuticals is understudied. This article will focus on the carbon emissions of pharmaceuticals since they are consistently calculated to be among the top contributors to healthcare carbon and assess the factors that contribute to pharmaceutical carbon emissions. Specifically, overprescription, pharmaceutical waste, antibiotic resistance, routine prescriptions, non-adherence, drug dependency, lifestyle prescriptions, and drugs given due to a lack of preventive healthcare will be identified. Prescribing practices have environmental ramifications. Carbon reduction, when focused on pharmaceuticals, can lead to cleaner, more sustainable healthcare.

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Dance/movement interventions and students with disabilities: A critical review

Anderson,

Mathews

2024

RoutledgeOpenRes

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This critical narrative review presents findings of physical activity interventions involving dance/movement for students with disabilities. This review describes the status of dance/movement intervention research supporting students’ intersectional identities, including disability. Dance/movement research from 2013 to 2023 was reviewed to identify the extent to which research addresses dimensions of students’ identities. First, dance/movement research is situated within physical activity intervention research. Next, findings from 82 dance/movement research studies within education and disability categories, including autism, physical, and social emotional dimensions is summarized. Of those studies, five studies address participants’ intersectional identities including disability. Positive outcomes of dance/movement interventions for students with disabilities include relationship building, well-being, individualized education, and cultural identity. Specific intervention techniques of mirroring, rhythm matching, and social collaboration with teachers and peers are identified as efficacious for improving students’ social-emotional, cognitive, and motor skills. Dance/movement interventions are also related to teachers’ awareness and affirmation of dimensions of students’ backgrounds and interests through student-centered dance/movement techniques. While the social-emotional, cognitive, and motor benefits are widely documented in the research, only a handful of studies address aspects of participants’ identities other than disability category and age. The findings of this review have implications for teachers’ increased self-awareness and knowledge of dance/movement intervention techniques in support of students’ developmental skill outcomes and intersecting identities, as well as for dance/movement intervention research that addresses multiple dimensions of students’ identities.

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The Over-prescription of Ritalin for Suspected Cases of ADHD

Cited by 3 publications

References 12 publications

Social-ecological considerations informing a universal screening strategy for sleep health in the community

Social-ecological considerations informing a universal screening strategy for sleep health in the community

Environmental sustainability and the carbon emissions of pharmaceuticals

Dance/movement interventions and students with disabilities: A critical review

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