I have a 4th grade ds in AAP. He also has ADHD combined type. Academically, he is doing great. He still struggles with attention, organization, impulsivity, etc. Actually, I had hoped that the more advanced curriculum would make him have to stay more engaged due to being better suited to his academic level. What we found was that those areas he struggled with that I listed above were still there, and in some ways to a higher degree this year due to more responsibility to remember things on his own (perhaps that is a 4th grade thing). We have a 504 plan in place. In the end, I had a long discussion with the committee at his 504 on whether they felt I should pull him to make his ADHD easier to manage, and they unequivocally said no. He got straight A's all year (and 0's and G's for effort) in all of the areas on the upper portion of the report card (academics, art, music, PE, etc.) On the lower part(where the organization and such is listed), we started with N's, S's, and G's, and ended up with S's and G's. So, I guess in short, AAP was not the magic bullet with regard to making the ADHD symptoms go away, but my ds has certainly found his niche academically. The other areas, we just keep working on. Our teacher was pretty good about putting assignments on blackboard, which helped us keep things in check.