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https://www.readbyqxmd.com/read/29137554/the-alternative-quality-contract-impact-on-service-use-and-spending-for-children-with-adhd
#1
Nina R Joyce, Haiden A Huskamp, Scott E Hadland, Julie M Donohue, Shelly F Greenfield, Elizabeth A Stuart, Colleen L Barry
In 2009, Blue Cross-Blue Shield of Massachusetts (BCBSMA) implemented the alternative quality contract (AQC), which pays provider organizations a global payment for all services used by enrollees. BCBSMA claims for 2006-2011 were used to compare youths enrolled in provider organizations participating in the AQC (7,407 person-years [PYs]) with those not participating (45,398 PYs). Difference-in-differences models estimated changes in mental health and substance abuse treatment service utilization and spending attributable to the AQC...
November 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29132817/a-national-description-of-treatment-among-united-states-children-and-adolescents-with-attention-deficit-hyperactivity-disorder
#2
Melissa L Danielson, Susanna N Visser, Andrea Chronis-Tuscano, George J DuPaul
OBJECTIVE: To characterize lifetime and current rates of attention-deficit/hyperactivity disorder (ADHD) treatments among US children and adolescents with current ADHD and describe the association of these treatments with demographic and clinical factors. STUDY DESIGN: Data are from the 2014 National Survey of the Diagnosis and Treatment of ADHD and Tourette Syndrome, a follow-back survey of parents from the 2011-2012 National Survey of Children's Health. Weighted analyses focused on receipt of ADHD treatment among children aged 4-17 years with current ADHD (n = 2495) by 4 treatment types: medication, school supports, psychosocial interventions, and alternative treatments...
November 10, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/29112530/the-prevalence-of-psychiatric-disorders-and-mental-health-services-utilization-by-parents-and-relatives-living-with-individuals-with-autism-spectrum-disorders-in-puerto-rico
#3
Ernesto Magallón-Neri, Dorilyz Vila, Katyana Santiago, Pedro García, Glorisa Canino
Knowledge about prevalence rates of psychiatric disorders and mental health services use among parents and relatives of persons with autism spectrum disorder (ASD) is limited, particularly when referring to epidemiologic samples. The current study is based on an island-wide probabilistic multistage cluster sample of adult individuals (N = 3062) living in Puerto Rico. Results showed a significantly higher rate of attention deficit hyperactivity disorder and serious mental illness in parents (n = 34) or relatives (n = 34) of ASD individuals, as compared with the Puerto Rico adult population as a whole...
November 4, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/29056086/prevalence-and-correlates-of-autism-spectrum-disorders-in-quebec
#4
Fatoumata Binta Diallo, Éric Fombonne, Steve Kisely, Louis Rochette, Helen-Maria Vasiliadis, Alain Vanasse, Manon Noiseux, Éric Pelletier, Johanne Renaud, Danielle St-Laurent, Alain Lesage
OBJECTIVE: To estimate the prevalence, comorbidities, and service use of people with autism spectrum disorders (ASDs) based on data from Quebec Integrated Chronic Diseases Surveillance System (QICDSS). METHODS: We included all residents up to age 24 eligible for health plan coverage who were in Quebec for at least 1 day from January 1, 1996, to March 31, 2015. To be considered as having an ASD, an individual had to have had at least 1 physician claim or hospital discharge abstract from 2000 to 2015 indicating one of the following ASD diagnosis codes: ICD-9 codes 299...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29046039/topical-review-transitional-services-for-teens-and-young-adults-with-attention-deficit-hyperactivity-disorder-a-process-map-and-proposed-model-to-overcoming-barriers-to-care
#5
Jason M Fogler, David Burke, James Lynch, William J Barbaresi, Eugenia Chan
Objective: To provide a topical review of the personal vulnerabilities and systemic barriers facing transitional age young adults with attention-deficit hyperactivity disorder (ADHD), followed by a proposed model for overcoming those barriers. Methods: Drawing from a growing, but limited, literature on the topic, we outline a process map for identifying and troubleshooting barriers to care in this at-risk population. Results: Young adults with ADHD frequently lack the organizational skills, time management, prioritization, and persistence to manage their health care at an expected level of adult independence...
November 1, 2017: Journal of Pediatric Psychology
https://www.readbyqxmd.com/read/29039373/disepi-compact-visualization-as-a-tool-for-applied-epidemiological-research
#6
Arriel Benis, Moshe Hoshen
Outcomes research and evidence-based medical practice is being positively impacted by proliferation of healthcare databases. Modern epidemiologic studies require complex data comprehension. A new tool, DisEpi, facilitates visual exploration of epidemiological data supporting Public Health Knowledge Discovery. It provides domain-experts a compact visualization of information at the population level. In this study, DisEpi is applied to Attention-Deficit/Hyperactivity Disorder (ADHD) patients within Clalit Health Services, analyzing the socio-demographic and ADHD filled prescription data between 2006 and 2016 of 1,605,800 children aged 6 to 17 years...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29033006/relative-age-within-the-school-year-and-diagnosis-of-attention-deficit-hyperactivity-disorder-a-nationwide-population-based-study
#7
Kapil Sayal, Roshan Chudal, Susanna Hinkka-Yli-Salomäki, Petteri Joelsson, Andre Sourander
BACKGROUND: Findings are mixed on the relationship between attention-deficit hyperactivity disorder (ADHD) and younger relative age in the school year. We aimed to investigate whether relative age is associated with ADHD diagnosis in a country where prescribing rates are low and whether any such association has changed over time or relates to comorbid disorders (eg, conduct disorder [CD], oppositional defiant disorder [ODD], or learning disorder [LD]). METHODS: We used nationwide population-based registers to identify all Finnish children born between Jan 1, 1991, and Dec 31, 2004, who were diagnosed with ADHD from age 7 years onwards (age of starting school)...
October 9, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/29033005/adhd-in-children-and-young-people-prevalence-care-pathways-and-service-provision
#8
REVIEW
Kapil Sayal, Vibhore Prasad, David Daley, Tamsin Ford, David Coghill
Attention-deficit hyperactivity disorder (ADHD) is a common childhood behavioural disorder. Systematic reviews indicate that the community prevalence globally is between 2% and 7%, with an average of around 5%. At least a further 5% of children have substantial difficulties with overactivity, inattention, and impulsivity that are just under the threshold to meet full diagnostic criteria for ADHD. Estimates of the administrative prevalence (clinically diagnosed or recorded) vary worldwide, and have been increasing over time...
October 9, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/29028463/assessing-adult-attention-deficit-hyperactivity-disorder-adhd-in-the-university-setting
#9
Julie Tinklenberg, Bina Patel, Kathryn Gelman, Ronald Albucher
OBJECTIVE: To address the increasing demand for assessments of Adult Attention Deficit Hyperactivity Disorder (ADHD), the primary author developed a protocol for Counseling and Psychological Services (CAPS) at Stanford University's Vaden Student Health Center to improve the efficiency of such evaluations. PARTICIPANTS: As part of quality assurance, we reviewed the charts of Stanford students who sought assessment for ADHD before the protocol was implemented (September 2011-June 2013) and after the protocol was established (October 2013-August 2014)...
October 13, 2017: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/28949337/investigating-the-genetic-underpinnings-of-early-life-irritability
#10
L Riglin, O Eyre, M Cooper, S Collishaw, J Martin, K Langley, E Leibenluft, A Stringaris, A K Thapar, B Maughan, M C O'Donovan, A Thapar
Severe irritability is one of the commonest reasons prompting referral to mental health services. It is frequently seen in neurodevelopmental disorders that manifest early in development, especially attention-deficit/hyperactivity disorder (ADHD). However, irritability can also be conceptualized as a mood problem because of its links with anxiety/depressive disorders; notably DSM-5 currently classifies severe, childhood-onset irritability as a mood disorder. Investigations into the genetic nature of irritability are lacking although twin studies suggest it shares genetic risks with both ADHD and depression...
September 26, 2017: Translational Psychiatry
https://www.readbyqxmd.com/read/28947693/-oral-healthcare-for-the-persons-with-special-needs
#11
Ichijiro Morisaki
The field of special care dentistry is rapidly gaining recognition as a service that should be provided to the persons with physical, mental or intellectual disabilities by general practitioner, pediatric or geriatric dentists as well as dental hygienists. Because the oral healthcare and dental treatments are given in the narrow space of oral cavity and also accompanying technical difficulties with high risk of injury, the special needs patients are treated under being controlled their behavior or body motion by applying psychological, physical or pharmacological techniques...
2017: Clinical Calcium
https://www.readbyqxmd.com/read/28940224/therapy-access-among-children-with-autism-spectrum-disorder-cerebral-palsy-and-attention-deficit-hyperactivity-disorder-a-population-based-study
#12
Teal W Benevides, Henry J Carretta, Carole K Ivey, Shelly J Lane
AIM: This study examined cross-sectional population-based rates in reported need and unmet need for occupational, physical, and speech therapy services in children with autism spectrum disorder (ASD) compared with children with attention-deficit-hyperactivity disorder (ADHD) and cerebral palsy (CP). METHOD: The 2005-2006 and 2009-2010 (USA) National Survey of Children with Special Health Care data sets were used to compare therapy need and unmet need among children younger than 18 years with ASD (n=5178), ADHD (n=20 566), and CP (n=1183)...
September 21, 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/28938881/prevalence-and-correlates-for-adhd-and-relation-with-social-and-academic-functioning-among-children-and-adolescents-with-hiv-aids-in-uganda
#13
Richard Stephen Mpango, Eugene Kinyanda, Godfrey Zari Rukundo, Jonathan Levin, Kenneth D Gadow, Vikram Patel
BACKGROUND: Aim of this study was to determine the prevalence of attention-deficit/hyperactivity disorder (ADHD), its associated correlates and relations with clinical and behavioural problems among children and adolescents with HIV/AIDS (CA-HIV) attending five HIV clinics in central and South Western Uganda. METHODS: This study used a quantitative design that involved a random sample of 1339 children and adolescents with HIV and their caregivers. The Participants completed an extensive battery of measures including a standardized DSM-5 referenced rating scale, the parent version (5-18 years) of the Child and Adolescent Symptom Inventory-5 (CASI-5)...
September 22, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28914082/characterizing-psychiatric-comorbidity-in-children-with-autism-spectrum-disorder-receiving-publicly-funded-mental-health-services
#14
Lauren Brookman-Frazee, Nicole Stadnick, Colby Chlebowski, Mary Baker-Ericzén, William Ganger
Publicly funded mental health programs play a significant role in serving children with autism spectrum disorder. Understanding patterns of psychiatric comorbidity for this population within mental health settings is important to implement appropriately tailored interventions. This study (1) describes patterns of psychiatric comorbidity in children with autism spectrum disorder who present to mental health services with challenging behaviors and (2) identifies child characteristics associated with comorbid conditions...
September 1, 2017: Autism: the International Journal of Research and Practice
https://www.readbyqxmd.com/read/28902066/latent-class-analysis-of-adhd-neurodevelopmental-and-mental-health-comorbidities
#15
Benjamin Zablotsky, Matthew D Bramlett, Susanna N Visser, Melissa L Danielson, Stephen J Blumberg
OBJECTIVE: Many children diagnosed with attention-deficit/hyperactivity disorder (ADHD) experience co-occurring neurodevelopmental and psychiatric disorders, and those who do often exhibit higher levels of impairment than children with ADHD alone. This study provides a latent class analysis (LCA) approach to categorizing children with ADHD into comorbidity groups, evaluating condition expression and treatment patterns in each group. METHODS: Parent-reported data from a large probability-based national sample of children diagnosed with ADHD (2014 National Survey of the Diagnosis and Treatment of ADHD and Tourette Syndrome) were used for an LCA to identify groups of children with similar groupings of neurodevelopmental and psychiatric comorbidities among children with current ADHD (n = 2495)...
September 8, 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/28888495/teachers-experiences-with-and-perceptions-of-students-with-attention-deficit-hyperactivity-disorder
#16
Kay Lawrence, Robin Dawson Estrada, Jessica McCormick
PURPOSE: The purpose of this research was to examine teacher experiences with and perceptions of students with attention deficit/hyperactivity disorder (ADHD). Teachers are integral in helping these children learn effectively and foster healthy relationships, yet little is known about their interactions with these children. DESIGN AND METHOD: Semi structured interviews were conducted with a purposive sample of fourteen currently practicing or retired elementary and middle schools teachers in North Carolina and South Carolina...
September 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/28875616/prescription-pattern-of-antidepressants-for-children-and-adolescents-in-korea-based-on-nationwide-data
#17
Myong Wuk Chon, Jungsun Lee, Seockhoon Chung, Yangsik Kim, Hyo Won Kim
Antidepressant prescription for youths has recently been on the increase. There is a growing concern over the increasing off-label usage of antidepressants. Current data on off-label antidepressant usage vary across countries and healthcare systems. Therefore, we examined the extent and pattern of antidepressant prescription for Korean children and adolescents using population-based data. Our data was retrieved from the Korean National Health Insurance Service National Sample Cohort of the year 2013. Among 0...
October 2017: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/28874238/-off-label-prescription-of-psychopharmacological-drugs-for-children-and-adolescents
#18
Anne Katrine Pagsberg, Per Hove Thomsen
Despite regulatory initiatives, psychopharmacological treatment of adolescents is challenged by missing trial data on efficacy and safety. In Denmark, an estimated mean off-label prescription rate of 30-40% in clinical child- and adolescent mental health services has been found in recent studies. The lowest rates were found for drugs treating ADHD (2-3%), and the highest for antipsychotics (96%) and melatonin (100%). The use of melatonin is growing, while the use of other psychopharmacological drugs appears to be stabilizing or decreasing, in spite of an increased number of adolescents treated in Danish mental health services...
August 28, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28873866/involving-users-in-the-evaluation-of-apps-for-specific-health-conditions
#19
Lauren Powell, Phil Joddrell, Jack Parker
With rapid growth of Internet accessibility over recent years, the way in which we engage with healthcare services and make decisions about our own healthcare has changed. One form of engagement with the Internet is through the use of mobile applications (apps) via mobile devices such as smartphones and tablets. As a result of this, many apps have been developed to target people with varying long term conditions. These apps may aim to help educate individuals about their condition or help them to manage it...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28791693/atypical-antipsychotics-for-disruptive-behaviour-disorders-in-children-and-youths
#20
REVIEW
Jik H Loy, Sally N Merry, Sarah E Hetrick, Karolina Stasiak
BACKGROUND: This is an update of the original Cochrane Review, last published in 2012 (Loy 2012). Children and youths with disruptive behaviour disorders may present to health services, where they may be treated with atypical antipsychotics. There is increasing usage of atypical antipsychotics in the treatment of disruptive behaviour disorders. OBJECTIVES: To evaluate the effect and safety of atypical antipsychotics, compared to placebo, for treating disruptive behaviour disorders in children and youths...
August 9, 2017: Cochrane Database of Systematic Reviews
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