A majority of children with ADHD identified outside of clinical settings may miss out on treatment. A recent study in the April JAMA Network Open found that among 1,206 children with parent-reported attention deficit-hyperactivity disorder (ADHD), only 26% ever received outpatient mental health care and a mere 13% were on ADHD medication. This contrasts with studies of children diagnosed in clinical settings, most of whom receive treatment, according to the Centers for Disease Control and Prevention and noted in the study. The study also confirmed previously identified disparities in treatment of ADHD: boys were more likely to receive medication than girls, and White children were more likely to be treated than Black children. Interestingly, higher education and higher income were both significantly associated with not receiving medication. The authors suggest this may be because parents in these groups may be less concerned with improving functioning and more concerned with possible adverse effects of medication. Parents with higher income may also be more apt to use nonmedical strategies, such as tutoring, sports programs, and nutritional approaches.