Abstract
Psychotropic drug treatment in learning-disabled (LD), educable mentally retarded (EMR), and seriously emotionally disturbed (ED) children and adolescents receiving public school special education services was examined. The findings indicated that while treatment prevalence rates for EMR and ED groups were comparable, the rate for LD students was much lower. In the LD sample, pharmacotherapy was associated with higher ratings of behavioral deviance, longer placement in special education, less social integration, and greater peer rejection, which suggests that symptom severity is an important determiner of pharmacotherapy in this population.
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Aman, M. G., Field, C. J., & Bridgman, G. D., (1985). City-wide survey of drug patterns among non-institutionalized retarded persons.Applied Research in Mental Retardation, 6, 159–171.
Conners, C. K. (1973). Rating scales for use in drug studies with children.Psychopharmacology Bulletin (Special issue,Pharmacotherapy of Children), 24–84.
Cullinan, D., & Epstein, M. H. (1985). Adjustment problems of mildly handicapped and nonhandicapped students.Remedial and Special Education, 6(2), 5–11.
Cullinan, D., Epstein, M. H., & Dembinski, R. J. (1979). Behavior problems of educationally handicapped and normal pupils.Journal of Abnormal Child Psychology, 7, 495–502.
Epstein, M. H., Cullinan, D., & Gadow, K. D. (1986). Teacher rating of hyperactivity in learning disabled, emotionally disturbed, and mentally retarded children.Journal of Special Education, 20, 219–229.
Gadow, K. D. (1976, April).Psychotropic and anticonvulsant drug usage in early childhood special education programs I. Phase One: A preliminary report: Prevalence, attitude, training and problems. Paper presented at the meeting of the Council for Exceptional Children, Chicago. (ERIC Document Reproduction Service No. ED 125 198).
Gadow, K. D. (1981). Prevalence of drug treatment for hyperactivity and other childhood behavior disorders. In K. D. Gadow & J. Loney (Eds.),Psychosocial aspects of drug treatment for hyperactivity (pp. 13–76). Boulder, Colorado: Westview Press.
Gadow, K. D. (1986).Children on medication (Vol 1):Hyperactivity, learning disabilities, and mental retardation. San Diego: College-Hill Press.
Gadow, K. D., & Kalachnik, J. (1981). Prevalence and pattern of drug treatment for behavior and seizure disorders of TMR students.American Journal of Mental Deficiency, 85, 588–595.
Gajar, A. (1979). Educable mentally retarded, learning disabled, emotionally disturbed: Similarities and differences.Exceptional Children, 45, 470–472.
Gerber, M. M. (1984). Is Congress getting the full story?Exceptional Children, 51, 209–224.
Hill, B. K., Balow, E. A., & Bruininks, R. H. (1983).A national study of prescribed drugs in institutions and community residential facilities for mentally retarded people (Brief No. 20). Minneapolis: University of Minnesota, Department of Educational Psychology.
Intagliata, J., & Rinck, C. (1985). Psychoactive drug use in public and community residential facilities for mentally retarded persons.Psychopharmacology Bulletin, 21, 268–278.
Kirman, B. (1975). Drug therapy in mental handicap.British Journal of Psychiatry, 127, 545–549.
Krager, J. M., Safer, D., & Earhart, J. (1979). Type and prevalence of medication used to treat hyperactive school children: Follow-up survey results.Journal of School Health, 49, 317–321.
Lipman, R. S. (1970). The use of psychopharmacological agents in residential facilities for the retarded. In F. J. Menolascino (Ed.),Psychiatric approach to mental retardation (pp. 387–398). New York: Basic Books.
Loney, J. (1987). Hyperactivity and aggression in the diagnosis of attention deficit disorder. In B. B. Lahey & A. E. Kazdin (Eds.),Advances in clinical child psychology (Vol. 10, pp. 99–135). New York: Plenum.
Martin, J., & Agran, M. (1985). Psychotropic and anticonvulsant drug use by mentally retarded adults across community residential and vocational placements.Applied Research in Mental Retardation, 6, 33–49.
McCarthy, J. M., & Paraskevopoulos, J. (1969). Behavior patterns of learning disabled, emotionally disturbed, and average children.Exceptional Children, 36, 69–74.
Ross, R. P. (1979). Drug therapy for hyperactivity: Existing practices in physician-school communication. In M. J. Cohen (Ed.),Drugs and the special child (pp. 99–109). New York: Gardner Press.
Safer, D. J., & Krager, J. M. (1984). Trends in medication treatment of hyperactive school children. In K. D. Gadow (Ed.),Advances in learning and behavioral disabilities (Vol. 3, pp. 125–149). Greenwich, Connecticut: JAI Press.
Schrag, P., & Divoky, D. (1975).The myth of the hyperactive child. New York: Pantheon Books.
Sewell, J., & Werry, J. S. (1976). Some studies in an institution for the mentally retarded.New Zealand Medical Journal, 84, 317–319.
Sleator, E. K., & von Neumann, A. (1974). Methylphenidate in the treatment of hyperkinetic children.Clinical Pediatrics, 13, 19–24.
Sprafkin, J., & Gadow, K. D. (1987). An observational study of emotionally disturbed and learning-disabled children in school settings.Journal of Abnormal Child Psychology, 15, 393–408.
Sprague, R. L. (1977). Overview of psychopharmacology for the retarded in the United States. In P. Mittler (Ed.),Research to practice in mental retardation (Vol. 3, pp. 199–202). Baltimore: University Park Press.
Sprague, R. L., Cohen, M., & Werry, J. S. (1974).Normative data on the Conners Teacher Rating Scale and Abbreviated Scale. Champaign: University of Illinois, Children's Research Center.
Tu, J. B. (1979). A survey of psychotropic medication in mental retardation facilities.Journal of Clinical Psychiatry, 40, 125–128.
Ullmann, R. K., Sleator, E. K., & Sprague, R. L. (1985). A change of mind: The Conners Abbreviated Rating Scales reconsidered.Journal of Abnormal Child Psychology, 13, 553–565.
U.S. Department of Education. (1985).Seventh annual report to Congress of the Implementation of P. L. 94-142: The Education for All Handicapped Childrens Act. Washington, D.C.: Author.
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Cullinan, D., Gadow, K.D. & Epstein, M.H. Psychotropic drug treatment among learning-disabled, educable mentally retarded, and seriously emotionally disturbed students. J Abnorm Child Psychol 15, 469–477 (1987). https://doi.org/10.1007/BF00917234
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DOI: https://doi.org/10.1007/BF00917234