There was a child in DS's class who didn't want to engage. He clearly needed help. He was unbelievably disruptive. The mother refused to pursue a diagnosis which made life difficult because it restricted the support school could give because without it it's difficult to get funding. She did not want to engage or work with school. Her solution was when he was difficult to give him a tablet to shut him up and expected school to do the same.
I spent time helping the class during this period. When this child was on one the rest of the class couldn't be taught due to him being so disruptive. How are you actually supposed to make reasonable adjustments for that? With no money or extra staffing?
The school did what they could without her engaging. It was only when he became violent, hurting, bullying, using coercive behaviour to get other children to attack other and started threatening to kill children that school has no choice by to flag it with social services that school had a way to force the issue. Even then it carried on for another year. Eventually mum relented and he's now on medication. The difference is night and day and his own life is so much better because some of the kids who were genuinely terrified of him are ok around him now.
Mum said he was a lovely boy who was just misunderstood, was young for his age and it was everyone else who was mean and nasty to him. Dad was just a complete wet weekend. Her total denial and total lack of parenting was staggering. There were incidents like one party where she was stood chatting to a friend watching, with a glass of wine in hand, whilst three of us stopped him hurling a chair across the room. On another occasion a close friend of mine said he once responded to her after he hurt her son right in front of her that "he could do what ever he liked and my mum will never tell me off". He was 8 at the time and had this awareness.
So when I see parents say they had a teacher who expected them to go away and 'insist' they medicate their child and didn't make adjustments in class, I always wonder what the real story is. I suspect it's more often than not a "their life and your life would be so much easier if you tried medication because in my experience it has proved transformative for several children I've taught who have really struggled" and this is taken as insistence rather than a educated piece of well meaning advice based on experience and knowing how limited resources are for any thing else.
And I really feel for all the other kids in the orbit of that child and what their story is. There always is one.