![]() Although services can accept applicant waivers with less stringent restrictions (e.g., the Air Force will consider waivers for recruits stable off medications for 15 months), ADHD diagnosis is consistently a common disqualifier for military service. The last major change to DOD accession policy standards for ADHD occurred in 2010 and resulted in more restrictive requirements (no medications for more than 24 months cumulative after age 14 instead of the previous requirement of no medications within 12 months of enlistment). Although patients with ADHD are more likely to have comorbid mood, anxiety, and substance use disorders, 4,6–8 patients receiving ADHD medications may be protected from the development of these associated mental health conditions. 4 Unpublished data from an analysis conducted using Defense Medical Surveillance System (DMSS) data, demonstrated annual ADHD prevalence estimates ranging from 1.7–3.7% in the active component from 2000–2016 with a peak prevalence in 2011 (E. 5 Although symptoms can resolve after childhood, the most recent estimate of overall prevalence of adult ADHD in the U.S. surveillance data revealed that 62% of children diagnosed with ADHD currently take medication for the condition. children aged 2–17 is estimated to range from 9–11% with approximately two-thirds of children with ADHD having at least 1 other mental, emotional, or behavioral disorder. 2 Current DOD accession policy lists ADHD as disqualifying for military applicants if they meet any of the following conditions: ADHD medication prescribed in the previous 24 months, an educational plan or work accommodation after age 14, a history of comorbid mental health disorders, or documentation of adverse academic, occupational, or work performance. 1 Since ADHD is the most common pediatric neurodevelopmental disorder diagnosed in the U.S., this condition has readiness and force health importance to the Department of Defense (DOD), and its high prevalence in the adolescent and adult civilian population affects the pool of military applicants. ![]() Medical Surveillance Monthly Report BackgroundĪttention-deficit/hyperactivity disorder (ADHD) is a common diagnosis in childhood, characterized by persistent impairing inattention, hyperactivity, and impulsivity with symptoms recognized in patients before age 12.
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