This is something i am deeply bothered by.
My best friend and his wife were threatened by their sons grade school to get him on these drugs or he would be expelled. He was hyper active and a distraction in the class room, as was i as a kid. As are many young boys.
Young boys are often like puppies and if you do not give them outlets to burn energy constantly expecting them to sit still and learn and focus is just not going to happen for many and schools have been so changed to 'how young girls learn the best', while the things that benefit boys (intense and rough paly times) have been shut down.
Lucky for my best friend that his parents were rich and they just paid for the family to move to a new district with an All Boys private school.
The school told them his energy was great and they would use it. He was to get to school at least an hour early where they would numerous HIGH INTENSITY activities going, like basketball, hockey, etc. the day was filled with 'fun' extra curricular items to tax the body and brain.
HIs kid became a top hockey goalie (full ride Uni scholarship), a high level piano player (also provided at school), and a very good golfer (walk on to Uni team), and was a straight A student, all because they channeled that energy and did not drug it out of him.
Who knows how he would have developed on the drugs? Maybe he would be A student regardless but i doubt it. Likely a middle pack 'good kid getting ok grades' with everyone thinking the drugs should get credit for that.