Variations in ADHD Treatment Among Special Education Students - 09/09/11
ABSTRACT |
Objective |
To examine variation in patient characteristics (case-mix) and treatment patterns for attention-deficit/hyperactivity disorder (ADHD) by provider type.
Method |
By means of a two-stage study design, 102 children were identified as receiving treatment for ADHD in the past year, among a school district-wide sample of second- through fourth-grade special education students. Parent and child interviews were conducted using standardized measures of need for treatment, service use, and process of care.
Result |
Nearly three fourths of the children received treatment for ADHD by a primary care provider, and of these, 68% did not have any contact with a mental health specialist. Children treated only by a primary care provider had fewer comorbid conditions, less impairment, and lower levels of family burden than children treated only by a mental health specialist. Treatment of ADHD solely by primary care providers was characterized by fewer sessions, less time with the patient, and less use of multimodal therapies.
Conclusion |
Future studies examining clinical outcomes for ADHD treatment should take into account variation in case-mix and treatment patterns by provider type.
Le texte complet de cet article est disponible en PDF.Key Words : attention-deficit/hyperactivity disorder, mental health service utilization, case-mix, process of care
| This research was supported by NIMH grants K12 MH00990 and R24 MH51846. The authors thank David Forney, Ph.D., for assistance with the statistical analysis; Kenneth B. Wells, M.D., M.P.H., for his outstanding mentorship; Amy Perwien, Elena Schuhmann, and Kathy McNaughton for their excellent research assistance; Jessica Oifer for editorial assistance; and school professionals and parents for their strong support that made this study possible. |
Vol 37 - N° 9
P. 968-976 - septembre 1998 Retour au numéro
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