Attention deficit hyperactivity disorder (ADHD) is a condition that occurs in children and adults characterized by trouble paying attention, lack of impulse control, and hyperactivity. When the problem is predominantly an issue with attention span rather than hyperactivity and impulsivity, some call it attention deficit disorder, or ADD, but most doctors now use the term ADHD to refer to both types.
Children are more likely than adults to receive an ADHD or ADD diagnosis, and in many but not all cases, the condition improves with age.
If your family has low income and your child has been diagnosed with or exhibits the symptoms of ADHD or ADD, you might want to apply for disability benefits through the Supplemental Security Income (SSI) program. If approved, you'll receive a monthly check to help care for your child and pay living expenses.
But most children who have been diagnosed with ADHD or ADD will not be granted SSI disability benefits; only those with the most severe form of ADHD have any hopes of getting benefits.
If your family income and assets are low enough to qualify for SSI (see below), and if the severity of your child's ADHD meets the Social Security Administration's disability listing for neurodevelopmental disorders, your child will be granted benefits.
The disability listing used to evaluate ADHD is listing 112.11, which covers "neurodevelopmental disorders" in children. This listing requires that your child meet two sets of criteria.
First, your child must have one of the following ADHD symptoms:
Second, you must show that your child's ADHD causes them to have severe limitations in at least one area of functioning. Your child must have either an extreme limitation in one of the following areas or a "marked" (severe) limitation in two of the following areas:
Social Security will only approve your child's claim if his or her limitations are supported by solid medical and educational evidence.
To prove your child's ADHD meets the above standards, you need supporting documentation, such as:
Without a wealth of medical and educational evidence to support your child's limitations, your claim stands little chance of success.
Children can qualify for disability benefits only through the SSI program, which has strict income and assets limits. Children are not eligible for SSDI, or Social Security disability insurance benefits. (Learn about the difference between SSI and SSDI.)
A child's parents' income will be partly counted toward the SSI income limit. In addition, older children may not earn more than $1,310 per month at a job (as of 2021) and still qualify for SSI. For more information, see our section on SSI eligibility.
It's not easy to get disability benefits for a child with ADHD. Part of the problem has to do with the subjective nature of how the Social Security Administration evaluates the condition. Most medical consultants who decide mental disability claims at the application level rely on the subjective observations of others, mostly teachers, to determine whether a child has an impairment and how severe it is.
Observations of behavior, of course, are always open to interpretation. In actuality, the only objective standards for evaluating ADHD disability claims are a student's school records and the results of standardized psychological testing. As a result, whether or not a child is found eligible for disability benefits almost always depends on their academics; that is, how well they're doing in school.
Under the rules Social Security uses to determine disability, an applicant's actual diagnosis is much less important than how that condition impacts the applicant's ability to engage in certain activities. For children, this means being able to adequately perform age-appropriate activities, such as functioning in school.
Therefore, to win an ADHD disability claim, it's not enough to be given an ADHD diagnosis. A child must also have measurable functional deficits in the context of school performance. If a child has adequate (grade-level) performance at school but has severe ADHD symptoms at home, even with accompanying serious behavioral issues, the child is unlikely to qualify for benefits.
Applying for SSI disability benefits for your child is a two-step process. First, you should complete the online Child Disability Report, which asks how your child's condition affects his or her ability to function. (Before applying, be sure to review the SSI Child Disability Starter Kit on the SSA website.) If you don't feel comfortable filling the report out online, you can call Social Security at 800-772-1213 to set up an appointment, or simply walk into your local Social Security office.
After you've submitted the Child Disability Report, an SSA representative will call you to discuss the income and asset limits for the program and start the SSI application process.
You'll usually receive an initial decision on your application within three to five months. If denied, you have the right to appeal.
Social Security is flooded with SSI applications for children with ADHD, and most of them are denied. Only those with the most severe and well-documented cases of ADHD are awarded benefits. To tip the scales in your favor, read our article on factors that can affect the disability decision for ADHD.
To maximize your chances of success, you should consider hiring a disability representative. Those who hire a lawyer to appeal a denial of benefits for ADHD have a higher approval rate than those who don't, because disability lawyers know how the system works and what kind of evidence is most persuasive to Social Security. Disability advocates and lawyers generally offer free consultations and only get paid if you win your case.
Updated October 21, 2021