Personalized Understanding of One’s Disability Supports the Occupational Performance of Young People With Learning Disabilities (LD) or Attention Deficit Hyperactivity Disorder (ADHD) Transitioning Through College

2020 ◽  
Vol 74 (4_Supplement_1) ◽  
pp. 7411505127p1
Author(s):  
Consuelo Kreider ◽  
Sharon Medina ◽  
Mackenzi Slamka ◽  
Jianne Apostol
Children ◽  
2019 ◽  
Vol 6 (2) ◽  
pp. 28
Author(s):  
Consuelo M. Kreider ◽  
Sharon Medina ◽  
Mackenzi R. Slamka

Learning disabilities (LD) and attention deficit hyperactivity disorder (ADHD) are characterized by neurological differences that result in difficulties meeting learning and productivity expectations. Young people with LD and ADHD experience difficulties in self-managing academic, social, daily living, and health/wellness demands. Students with LD/ADHD must work longer and harder than peers, which makes managing time and productivity a critical skill for school success. This study examined the strategies that college students with LD/ADHD used to overcome obstacles related to time and productivity within their everyday life contexts. A qualitative phenomenological design was used to examine the phenomenon of coping and productive-task performance through strategy use among 52 college students with LD/ADHD. Strategies classified as habit and routine use, reframing, and symptom-specific strategies were identified. Strategy use for addressing time-related and productivity challenges are multidimensional and entailed a mix of cognitive, behavioral, psychological, and socio-environmental strategies. Effective strategy use across life’s contexts was critical to self-managing as a young person with a chronic developmental condition within a college context. The findings provide a much-needed understanding of the multi-faceted challenges and solutions within young adult contexts that are important for guiding the development of interventions for young people with LD/ADHD.


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505198p1-7512505198p1
Author(s):  
Sharon Medina ◽  
Consuelo Kreider

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Students with learning disabilities and attention deficit hyperactivity disorder (LD–ADHD) face disability-related challenges that affect the ability to meet college challenges and everyday life demands. We examined the LD–ADHD-related knowledge needs of mentors in providing holistic support for undergraduate mentees with LD–ADHD. Findings illustrate specific areas of disability-related knowledge important for incorporation into the development of disability-informed mentorship interventions for supporting the occupational performance of undergraduates with LD–ADHD. Primary Author and Speaker: Sharon Medina Additional Authors and Speakers: Consuelo Kreider


2020 ◽  
pp. 030802262093763
Author(s):  
Consuelo M Kreider ◽  
Sharon Medina ◽  
Hannah M. Koedam

Introduction Students with learning disabilities and attention-deficit/hyperactivity disorder are well represented on college campuses. However, they experience challenges to meeting occupational and role expectations associated with being in college. Mentors serve as natural supports for young people within college environments. This study investigates the ways in which graduate-student mentors, who were supported in understanding learning disabilities and attention-deficit/hyperactivity disorder and their mentee’s strengths and challenges through an occupational lens, provided problem-solving supports for undergraduate mentees with learning disabilities and attention-deficit/hyperactivity disorder. Methods Thematic qualitative analysis was used to investigate problem-solving supports provided by mentors ( n = 57) of undergraduate mentees ( n = 52) with learning disabilities and attention-deficit/hyperactivity disorder. Results Three themes, executive functioning, adult life skills, and academics, represent areas in which mentors worked with mentees in guiding and co-creating strategies to address academic, social, and daily life challenges. Mentors’ understanding of their mentees’ disability-related challenges and strengths within everyday life situations was important for fostering the occupational performance of mentees. Conclusion The inclusion of biopsychosocial approaches is needed in the development of disability-related mentorship interventions where occupational therapists can leverage disciplinary understanding of disabilities and the fostering of occupational performance to support social functioning and participation in college.


BJPsych Open ◽  
2020 ◽  
Vol 6 (4) ◽  
Author(s):  
Anna Price ◽  
Astrid Janssens ◽  
Tamsin Newlove-Delgado ◽  
Helen Eke ◽  
Moli Paul ◽  
...  

Background UK clinical guidelines recommend treatment of attention-deficit hyperactivity disorder (ADHD) in adults by suitably qualified clinical teams. However, young people with ADHD attempting the transition from children's to adults’ services experience considerable difficulties in accessing care. Aims To map the mental health services in the UK for adults who have ADHD and compare the reports of key stakeholders (people with ADHD and their carers, health workers, service commissioners). Method A survey about the existence and extent of service provision for adults with ADHD was distributed online and via national organisations (e.g. Royal College of Psychiatrists, the ADHD Foundation). Freedom of information requests were sent to commissioners. Descriptive analysis was used to compare reports from the different stakeholders. Results A total of 294 unique services were identified by 2686 respondents. Of these, 44 (15%) were dedicated adult ADHD services and 99 (34%) were generic adult mental health services. Only 12 dedicated services (27%) provided the full range of treatments recommended by the National Institute for Health and Care Excellence. Only half of the dedicated services (55%) and a minority of other services (7%) were reported by all stakeholder groups (P < 0.001, Fisher's exact test). Conclusions There is geographical variation in the provision of NHS services for adults with ADHD across the UK, as well as limited availability of treatments in the available services. Differences between stakeholder reports raise questions about equitable access. With increasing numbers of young people with ADHD graduating from children's services, developing evidence-based accessible models of care for adults with ADHD remains an urgent policy and commissioning priority.


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