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Research article
First published online December 6, 2012

Attention Deficit Hyperactivity Disorder in Offenders and the Need for Early Intervention

Abstract

Attention deficit hyperactivity disorder (ADHD) can be, for some people, a pathway to prison. Intervening at an early age may prevent delinquency. Generally, these interventions consist of a combination of medication, cognitive-behavioral therapy, family intervention, and educational support. Despite these interventions, some people with ADHD still develop antisocial and criminal behavior. This article examines the link between ADHD and delinquency, and reviews relevant treatments.

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References

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
Appelbaum K. L. (2009). Attention deficit hyperactivity disorder in prison: A treatment protocol. Journal of American Academy of Psychiatry and Law, 37, 45-49.
Belcher J. R., DeForge B. R. (2005). The longitudinal discharge planning and treatment model (LDPTM): Part I. Social Work in Mental Health, 3, 17-31.
Biderman J., Faraone S. V., Mounteaux M. C., Bober M., Cadogen E. (2004). Gender effects on attention deficit/hyperactivity disorders in adults revisited. Biological Psychiatry, 55, 692-700.
Burns K. A. (2009). The top ten reasons to limit prescription controlled substances in prisons. Journal of the American Academy of Psychiatry and Law, 37, 45-49.
Carbonaro W. (2005). Tracking students’ effort and academic achievement. Sociology of Education, 78, 27-49.
Catlin A. J. (2006). Adolescent mental health and the juvenile justice system. Pediatric Nursing, 32, 591-595.
Connor D. F., Glatt S. J., Lopez I. D., Jackson D., Melloni R. H. (2002). Psychopharmacology and aggression: A meta-analysis of stimulant effects on overt/covert aggression-related behaviors in ADHD. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 253-261.
Crowley T. J., Mikulich S. K., MacDonald M., Young S. E., Zerbe G. O. (1998). Substance-dependent, conduct-disordered adolescent males: Severity of diagnosis predicts 2-year outcome. Drug and Alcohol Dependence, 49, 225-237.
Daderman A. M., Lindgren M., Lidberg L. (2004). The prevalence of AD/HD in a sample of forensic rapists. Nordic Journal of Psychiatry, 58, 371-381.
Drinkwater J., Gudjonsson G. H. (1989). The nature of violence in psychiatric hospitals. In Howels K., Hollin C. R. (Eds.), Clinical approaches to violence (pp. 287-307). Chichester, UK: John Wiley.
Einat T., Einat A. (2008). Learning disabilities and delinquency: A study of Israeli Prison inmates. International Journal of Offender Therapy and Comparative Criminology, 52, 416-434.
Eisenberg N., Hofer C., Vaughn J. (2007). Effortful control and its socio-emotional consequences. In Gross J. J. (Ed.), Handbook of emotional regulation (pp. 287-306). New York, NY: Guilford.
Ellis B., Nigg J. (2009). Parenting practices and attention-deficit/hyperactivity disorder: New findings suggest partial specificity of effects. Journal of American Academy of Child & Adolescent Psychiatry, 48, 146-154.
Eme R. F. (2009). Attention-deficit/hyperactivity disorder and correctional health care. Journal of Correctional Health Care, 15, 5-18.
Emilsson B., Gudjonsson G., Sigurdsson J. F., Einarsson E., Baltursson G., Olahsdottir H., Young S. (2011). Cognitive behavior therapy in medication-treated adults with ADHD and persistent symptoms: A randomized trial. BMC Psychiatry, 11, 116. Retrieved from https://doi.org/10.1186/1471-244X-11-116
Evans S. W., Serpell Z. N., Schultz B. K., Pastor D. A. (2007). Cumulative benefits of secondary school-based treatment of students with attention deficit hyperactivity disorder. School Psychology Review, 36, 256-273.
Fabiano G. A., Pelham W. E., Gnagy E. M., Burrows-MacLean L., Coles E. K., Chacko A., Robb J. A. (2007). The single and combined effects of multiple intensities of behavior modification and methylphenidate for children with attention deficit hyperactivity disorder in a classroom setting. School Psychology Review, 36, 195-216.
Farrington D. P., West D. J. (1993). Criminal, penal and life histories of chronic offenders: Risk and protective factors and early identification. Criminal Behavior and Mental Health, 3, 492-523.
Firmin M. W., Phillips A. (2009). A qualitative study of families and children possessing diagnoses of ADHD. Journal of Family Issues, 30, 1155-1174.
Franke B., Neale B. M., Faraone S. V. (2009). Genome-wide association in studies in ADHD. Human Genetics, 126, 13-50.
Gebbie K., Larkin R. M., Klien S. J., Wright L., Satriano J., Culkin J., Devore B. S. (2008). Improving access to mental health services for New York State Prison inmates. Journal of Correctional Health Care, 14, 122-135.
Ginsberg Y., Hirvikoski T., Lindefors N. (2010). Attention deficit hyperactivity disorder (ADHD) among longer-term prison inmates is a prevalent, persistent and disabling disorder. BMC Psychiatry, 10, 1-13.
Ginsberg Y., Lindefors N. (2012). Methylphenidate treatment of adult male prison inmates with attention-deficit hyperactivity disorder: Randomized double-blind placebo-controlled trail with open-label extension. British Journal of Psychiatry, 20, 68-73.
Gomez R., Woodworth R., Waugh M., Corr P. J. (2012). Attention-deficit/hyperactivity disorder symptoms in an adult sample: Associations with Cloninger’s temperament and character dimensions. Personality and Individual Differences, 52, 290-294.
Graham-Day K. J. (2010). Increasing on task behaviors of high school students with ADHD: Is it enough. Education & Treatment of Children, 33, 205-221.
Greenhill L. L., Posner K., Vaughan B. S., Kratochvil C. J. (2008). Attention deficit hyperactivity disorder in preschool children. Child & Adolescent Psychiatric Clinic of North America, 17, 347-366.
Grisso T. (2008). Adolescent offenders with mental disorders. Future of Children, 18, 143-164.
Gudjonsson G. H., Sigurdsson J. F. (2007). Motivation for offending and personality: A study among young offenders on probation. Personality and Individual Differences, 43, 1243-1253.
Gudjonsson G. H., Sigurdsson J. F., Bragason O. O., Newton A. K., Eomarsson E. (2008). Interrogative suggestibility, compliance and false confessions among prisoners and their relationship with attention deficit hyperactivity disorder (ADHD) symptoms. Psychological Medicine, 38, 1037-1044.
Gudjonsson G. H., Young S. (2006). An overlooked vulnerability in a defendant: Attention deficit hyperactivity disorder and a miscarriage of justice. Legal and Criminology Psychology, 11, 211-218.
Gudjonsson G. H., Young S., Bramham J. (2007). Interrogative suggestibility in adults diagnosed with attention-deficit hyperactivity disorder (ADHD): A potential vulnerability during police questioning. Personality and Individual Differences, 43, 737-745.
Harty S. C., Miller C. J., Newcorn J. H., Halperin J. M. (2009). Adolescents with childhood ADHD and co-morbid disruptive behavior disorders: Aggression, anger, and hostility. Child Psychiatry & Human Development, 40, 85-97.
Harvard Mental Health Letter. (2011). Options for conduct disorder: Treatment works best when it involves and empowers parents. Harvard Mental Health Letter, 27, 1-3.
Heilbrun K., Cottle C., Lee R. (2000). Risk assessment for adolescents. Charlottesville: University of Virginia, Institute of Law, Psychiatry and Public Policy.
Hofvander B., Ossowski D., Lundström S., Anckarsäter H. (2009). Continuity of aggressive antisocial behavior from childhood to adulthood: The question of phenotype definition. International Journal of Law and Psychiatry, 32, 224-234.
Ivanov L., Schulz K. P., London E. D., Newcorn J. H. (2008). Inhibitory control deficits in childhood and risk for substance use disorders: A review. American Journal of Drug and Alcohol Abuse, 34, 239-258.
Jensen P. S., Hinshaw S. P., Swanson J. M. (2001). Findings from the NIMH multimodal treatment study of ADHD (MTA): Implications and applications for primary care providers. Journal of Developmental & Behavioral Pediatrics, 22, 60-73.
Jones D. E., Foster E. M. (2009). Service use patterns for adolescents with ADHD and comorbid conduct disorder. Journal of Behavioral Health Services & Research, 36, 436-449.
Jones S., Lynam D. R. (2009). In the eye of the impulsive beholder: The interaction between impulsivity and perceived informal social control on offending. Criminal Justice and Behavior, 36, 307-321.
Kleinman N. L., Durkin M., Melkonian A., Markosyan K. (2009). Incremental employee health benefit costs, absence days, and turnover among employees with ADHD and employees with children with ADHD. Journal of Occupational and Environmental Medicine, 51, 1247-1255.
Krueger R. F., Markon K. E., Patrick C. J., Benning S. D., Kramer M. D. (2007). Linking antisocial behavior, substance use, and personality: An integrative quantitative model of adult externalizing spectrum. Journal of Abnormal Psychology, 116, 645-666.
Lahey B. B., Applegate D., Chronis A. M., Jones H. A., Williams S. H., Looney J., Waldman I. D. (2008). Psychometric characteristics of a measure of emotional dispositions developed to test a developmental propensity model of conduct disorder. Journal of Child Clinical and Adolescent Psychology, 37, 794-807.
Latimer W. W., August G. J., Newcomb M. D., Realmuto G. M., Hektner J. M., Mathy R. M. (2003). Child and familial pathways to academic achievement and behavioral adjustment: A prospective six-year study of children with and without ADHD. Journal of Attention Disorders, 7, 101-116.
Lindqvist P. (2007). Mental disorder, substance misuse and violent behavior: The Swedish experience of caring for the triply troubled. Criminal Behavior and Mental Health, 17, 242-249.
Litner B. (2003). Teens with ADHD: The challenge of high school. Child & Youth Care Forum, 32, 137-158.
Loeber R., Pardini D. A., Stoouthammer-Loeber M., Raine A. (2007). Do cognitive, physiological, and psychosocial risk and promotive factors predict desistance from delinquency in males? Development and Psychopathology, 19, 867-887.
Lopez S. F., Masana M. A., Marti S. S., Acosta G. S., Gaviria G. (2011). The course of attention deficit/hyperactivity disorder in an outpatient sample. Annuals of Pediatrics, 76, 250-255.
Maggs J. L., Patrick M. E., Feinstein L. (2008). Childhood and adolescent predictors of alcohol use and problems in adolescence and adulthood in the National Child Development Study. Addiction, 103, 7-22.
Matza L., Paramore C., Prasad M. (2005). A review of the economic burden of ADHD. Cost Effectiveness and Resource Allocation, 3, 1-9.
Milkie M. A. (2008, May). The quality of schools and children’s mental health problems [Conference Papers]. American Sociological Association, 2008 Annual Meeting, Boston, MA.
Mitchell P., Shaw J. (2011). Factors affecting the recognition of mental health problems among adolescent offenders in custody. Journal of Forensic Psychiatry & Psychology, 22, 381-394.
Mukolo A., Hefilnger C. A. (2011). Factors associated with attributes about child health conditions and social distance preferences. Community Mental Health Journal, 47, 286-299.
Nadeem E., Jensen P. S. (2009). Teacher consultation research in attention deficit hyperactivity disorder: A cause for congratulation or consolation? School Psychology Review, 38, 38-44.
Pliszka S. R. (1998). Co-morbidity of attention deficit/hyperactivity disorder: An overview. Journal of Clinical Psychiatry, 59, 50-58.
Polderman T. J., Boomsma D. I., Bartels M., Verhulst F. C., Huizink A. C. (2010). A systematic review of prospective adults on attention problems and academic achievement. Acata Psychiatry Scandinavia, 122, 271-284.
Reid R., Trout A. L., Schartz M. (2005). Self-regulation interventions for children with attention deficit/hyperactivity disorder. Exceptional Children, 71, 361-377.
Rodriguez N. (2007). Juvenile court context and detention decisions: Reconsidering the role of race, ethnicity, and community characteristics in Juvenile court processes. Justice Quarterly, 24, 629-656.
Rosler M., Retz W., Retz-Junginger P., Hengesch G., Schneider M., Supprian T., Thome J. (2004). Prevalence of attention deficit/hyperactivity disorder (ADHD) and co-morbid disorders in young male prison inmates. European Archives of Psychiatry and Clinical Neuroscience, 254, 365-371.
Ryan A., Patrick H. (2001). The classroom social environment and changes in adolescents’ motivation and engagement during middle school. American Educational Research Journal, 38, 437-460.
Satterfield J. H., Faller K. J., Crinella F. M., Schell A. M., Swanson J. M., Homer L. D. (2007). A 30-year prospective follow-up study of hyperactive boys with conduct problems: Adult criminality. Journal of the American Academy of Child & Adolescent Psychiatry, 46, 601-610.
Satterfield J. H., Satterfield B. T., Schell A. M. (1987). Therapeutic interventions to prevent delinquency in hyperactive boys. Journal of the American Academy of Child & Adolescent Psychiatry, 26, 56-64.
Schachar R. (2009). Attention deficit hyperactivity disorder in children, adolescents and adults. Continuum of Life Long Learning Neurology, 15, 78-97.
Schultz B. K., Evans S. W., Serpell Z. N. (2009). Preventing failure among middle school students with attention deficit hyperactivity disorder: A survival analysis. School Psychology Review, 38, 14-27.
Shannon K. E., Sauder C., Beauchaine T. P., Gatzke-Koop L. M. (2009). Disrupted effective connectivity between the medial frontal cortex and the caudate in adolescent boys with externalizing behavior disorders. Criminal Justice Behavior, 36, 1131-1147.
Sibley M. H., Pelham W. E., Brooke W. E., Molina S. G., Gnagy E. M., Waschbusch D. A., Karch K. M. (2011). The delinquency outcomes of boys with ADHD and without co-morbidity. Journal of Abnormal Child Psychology, 39, 21-32.
Sobanski E., Banaschewski T., Asherson P., Buitelaar J., Chen W., Franke B., Faraone S. V. (2010). Emotional lability in children and adolescents with attention deficit/hyperactivity disorder (ADHD): Clinical correlates and familial prevalence. Journal of Child Psychology and Psychiatry, 51, 915-923.
Sonuga-Barke E. J. S., Daley D., Thompson M., Laver-Bradbury C., Weeks A. (2001). Parent-based therapies for preschool attention-deficit/hyperactivity disorder: A randomized controlled trial with a community sample. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 402-408.
Trentacosta C. J., Hyde L. W., Shaw D. S., Cheong J. W. (2009). Adolescent dispositions for antisocial behavior in context: The roles of neighborhood dangerousness and parental knowledge. Journal of Abnormal Psychology, 118, 564-575.
Walker J., Gudjonsson G. H. (2006). The Maudsley violence questionnaire: Relationship to personality and self-reported offending. Personality and Individual Differences, 40, 795-806.
Wigal S. B. (2009). Efficacy and safety limitations of attention-deficit hyperactivity disorder pharmacotherapy in children and adults. CNS Drugs, 23(Suppl. 1), 21-31.
Young S., Adamou M., Bolea B., Gudjonsson G., Muller U., Pitts M., Anderson P. (2011). The identification and management of ADHD offenders within the criminal justice system: A consensus statement from the UK Adult ADHD Network and criminal justice agencies. BMC Psychiatry, 11, 32. Retrieved from http://www.biomedcentral.com/1471-244X/11/32
Young S., Amarasinghe J. M. (2010). Practitioner review: Non-pharmacological treatments for ADHD: A lifespan approach. Journal of Child Psychology and Psychiatry, 51, 116-133.
Young S., Gudjonsson G. H., Wells J., Asherson P., Theobald D., Oliver B., Mooney A. (2009). Attention deficit hyperactivity disorder and critical incidents in a Scottish prison population. Personality and Individual Differences, 46, 265-269.
Young S., Hopkin G., Perkins D., Farr C., Doidge A., Gudjonsson G. H. (2012). A controlled trial of a cognitive skills program for personality disordered offenders. Journal of Attention Disorders. Retrieved from https://doi.org/10.1177/1087054711430333
Young S., Misch P., Collins P., Gudjonsson G. (2011). Predictors of institutional behavioral disturbance and offending in the community among young offenders. Journal of Forensic Psychiatry & Psychology, 22, 72-86.