Ethnic Disparities in Special Education Labeling Among Children With Attention-Deficit/Hyperactivity Disorder
- 1 March 2008
- journal article
- research article
- Published by SAGE Publications in Journal of Emotional and Behavioral Disorders
- Vol. 16 (1), 42-51
- https://doi.org/10.1177/1063426607310848
Abstract
The authors examined disparities in special education labeling among children diagnosed with attention-deficit/hyperactivity disorder (ADHD) by merging calendar year 2002 special education records and Medicaid mental health claims for 4,852 children who had been diagnosed with ADHD in Philadelphia, Pennsylvania. Thirty-eight percent were receiving special education services. In adjusted analyses, Black children were less likely than White children to receive these services (odds ratio [O.R.] = 0.78); among the children in special education, Black children were more likely to have the emotional disturbance (ED) label (O.R. = 1.40). There was a significant interaction between ethnicity and receipt of behavioral health and rehabilitation services (BHRS): White children with BHRS were more likely to be in special education than were White children without BHRS or Black children. Among the children in special education, White children with BHRS and Black children were more likely than White children without BHRS to be labeled ED. The results indicate ethnic disparities in special education labeling among children with similar clinical profiles and that mental health and education services are substituted for each other differently based on ethnicity. Possible reasons include undertreatment of ADHD, differential interpretation of associated behaviors, and differences in parents' ability to advocate for children's educational and mental health needs.Keywords
This publication has 46 references indexed in Scilit:
- Examining Educational Equity: Revisiting the Disproportionate Representation of Minority Students in Special EducationExceptional Children, 2006
- Delving Below the Surface. Understanding How Race and Ethnicity Influence Relationships in Health CareJournal of General Internal Medicine, 2006
- Attention-deficit hyperactivity disorderThe Lancet, 2005
- State Variation in Gender Disproportionality in Special EducationRemedial and Special Education, 2005
- Impact of Executive Function Deficits and Attention-Deficit/Hyperactivity Disorder (ADHD) on Academic Outcomes in Children.Journal of Consulting and Clinical Psychology, 2004
- What Is Special About Special Education?The Journal of Special Education, 2003
- Special Education's Changing Identity: Paradoxes and Dilemmas in Views of Culture and SpaceHarvard Educational Review, 2003
- Barriers to detection, help-seeking, and service use for children with ADHD symptomsThe Journal of Behavioral Health Services & Research, 2003
- A Comparison of the Academic Progress of Students with EBD and Students with LDJournal of Emotional and Behavioral Disorders, 2001
- Children in special education programs: attention deficit hyperactivity disorder, use of services, and unmet needs.American Journal of Public Health, 1998