Abstract
We have conducted an American summer treatment program (STP) for children with ADHD in Kurume City, and now, after 3 years, we have evaluated the efficacy of this program. The summer treatment program was based on methods established by Pelham of the State University of New York at Buffalo. A total of 89 children participated. The program was run in a day camp-like setting for 2 weeks in 2005, and for 3 weeks in 2006 and 2007. Many evidence-based techniques (e.g., point systems, positive reinforcement, daily report cards, and time out) were used. No child dropped out. All children showed positive behavioral changes in multiple domains of functioning. Each year, one of the children required an individualized program because of the staff's use of an excessive number of time outs. Scores on an ADHD rating scale and symptoms of oppositional defiant disorder evaluated by parents significantly improved after the summer treatment programs. Parental satisfaction was very high. The American summer treatment program was effective for Japanese children with ADHD. It also promoted collaboration among professionals and provided clinical training for students, as well as an opportunity for clinical research.
