Attention-deficit/hyperactivity disorder is now widely conceptualized as a life course-persistent disorder, present from early childhood, and it results in pronounced impairment in functioning within educational settings, including high school. Current intervention approaches are briefly reviewed, and an approach to framing interventions within a developmental model are discussed. Treatment parameters in need of future study include treatment intensity, strategies for training in adaptive skills and reducing impairment, and the inclusion of multiple adults within intervention efforts.