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JAMA Study Finds Preschoolers With ADHD Often Medicated Before Recommended Therapy

Limited access to parent-training programs is cited as a likely driver of early prescribing.

Overview

  • An analysis of electronic health records from eight U.S. pediatric networks (2016–2023) found 9,708 ADHD diagnoses among 712,478 children ages 3 to 5.
  • Within 30 days of diagnosis, 42.2% were prescribed medication, while only 14.1% began treatment more than six months later as guidelines advise.
  • About 68% of diagnosed children received medication before age seven, most commonly stimulants.
  • The study did not include data on referrals to or completion of behavioral therapy, limiting confirmation that guidelines were attempted first.
  • Researchers and clinicians warn young children experience more side effects from stimulants and urge broader access to evidence-based parent training, including low-cost online options.