Read the Two Treatment Plan ,Preview the document Case 16: Attention-Deficit/Hyperactivity Disorder in Gorenstein and Comer (2014), and Attention-Deficit/Hyperactivity Disorders in Hamblin and Gross (2012).
Assess the evidence-based practices implemented in this case study by addressing the following issues:
Explain the connection between each theoretical orientation used by Dr. Remoc and the four interventions utilized in the case.
Consider Dr. Remoc’s utilization of two theoretical frameworks to guide her treatment plan. Assess the efficacy of integrating two orientations based on the information presented in the case study. Describe some potential problems with prescribing medication as the only treatment option for children with ADHD.
Identify tasks and positive reinforcements that might be included in Billy’s token economy chart given the behavior issues described in the case. (There are articles in the recommended resources that may assist you in this portion of the assignment.)
Evaluate the effectiveness of the four treatment interventions implemented by Dr. Remoc and support your statements with information from the case and two to three peer-reviewed articles from the Ashford University Library.
Recommend three additional treatment interventions that would be appropriate in this case. Use information from the Hamblin and Gross “Attention-Deficit/Hyperactivity Disorders†chapter to help support your recommendations. Justify your selections with information from the case.
The Case Analysis
Must be 4 to 5 double-spaced pages in Hyperactivity Disorder in Gorenstein and Comer length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.).
Must include a separate title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Must use at least two peer-reviewed sources from the Ashford University Library.
Must document all sources in APA style as outlined in the Ashford Writing Center. (Links to an external site.)
Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center.
TO BE RE-WRITTEN FROM THE SCRATCH
ADHD treatment plan analysis
This paper analyzes the case of a treatment plan for Billy who is suffering from Attention-Deficit/Hyperactivity Disorder, Combined Form (ADHD-C). It looks at the theoretical framework informing the treatment plan, integrating medication and behavioral therapy, token economy, and treatment interventions.
Theoretical framework
As reflected in the long-term goal of the treatment which is to “demonstrate marked improvement in impulse control”, Dr Remoc leans towards psychological theories that focus on impulsiveness. This posit that the poor inhibition caused by brain’s inhibited activity leads to delay or failure to inhibit a behavioral response. Depending on the energetic level of the affected person, there is low inhibition in some situations. Inhibition or activation of a response mostly arises from environmental stimuli.
That Dr. Remoc adopts medication and behavioral interventions means that she also utilizes Barkley’s theory that recognizes the neurocognitive processes of a person with ADHD. It is a unifying theory of most ADHD theories positing that low inhibition in persons with ADHD affects effective operation of working memory, speech internalization, self-regulation of affect, motivation and arousal and reconstitution (Berlin, et al. 2004). This in turn negatively affects motor control or fluency syntax.
Integrating medication and behavioral therapy
Dr. Remoc integrates utilization of both medication and behavioral treatment as interventions in Billy’s case. This ensures that the patient is able to be treated faster since stimulant drugs act to slow down and focus the patient. He is hence able to profit more from the procedures and rewards of behavioral treatment. Indeed, combination of boththerapies has been proved to be more effective than utilization of one or the other treatment. If Dr. Remoc was to prescribe medication only, it may only treat the ADHD symptoms afflicting Billy without having any effect on his behavior. Moreover, prolonged use of the drugs, more than the prescribed period e.g. six months for methylphenidates, is likely due to slow effects in altering the situation, leading to drug dependency.
Billy will eventually receive medication holidays, gradually being weaned from the drugs to avoid dependency. In such a situation, it is important that behavioral therapy fully takes over. Further, parents also usually exhibit positive attitudes to behavioral treatment from the onset, as compared to their attitude towards medication, which various research has shown that it only manifests as positive therapy after completion of the dose.
Billy’s token economy
Some of the tasks that need to be included in Billy’s token economy chart include paying attention in class and at home, listening and following instructions, sitting still for several minutes, successfully completing classroom activity, waiting for their turn in class and play, and listening and appropriately responding to the teacher and friends. Some of the activities that Billy can be encouraged to achieve include completing their classwork and homework, listening to and obeying the teacher, being polite and friendly to other people, sharing an…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….. Hyperactivity Disorder in Gorenstein and Comer ….
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