School principals in central Wisconsin were also surveyed. Because of incomplete data, denominator ranges from 51 to 53. Monitoring prescription usage, periodic reassessment of efficacy, and continuing education of family and school staff should be part of the multimodal treatment for this disorder. School nurses should convince their principals that locked cabinets are essential. Ritalin and other controlled substances that are missing need to be reported to local police for investigation.
Many districts have procedures for a weekly accounting of all meds at each school.