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adhd services

Patricia N Pastor, Alan E Simon, Cynthia A Reuben
We describe mental health service use by insurance among children aged 4 to 17 with diagnosed attention-deficit/ hyperactivity disorder (ADHD). Using parent reports from 2010-2013 National Health Interview Survey, we estimate the percentage that received services for emotional and behavioral difficulties (EBD): medication, other nonmedication services, and none (neither medication nor other nonmedication services). Among children with diagnosed ADHD, 56.0% had used medication for EBD, 39.8% had contact with a mental health professional, 32...
October 13, 2016: Clinical Pediatrics
Jeffrey A Guy, Lisa M Knight, Yinding Wang, Jeanette M Jerrell
BACKGROUND: Musculoskeletal injuries may be associated with attention-deficit/hyperactivity disorder (ADHD) symptom severity, comorbid psychiatric or medical conditions, and the prescribed psychostimulant. METHODS: A population-based, retrospective cohort design was employed using South Carolina's Medicaid claims data set covering outpatient and inpatient medical services and medication prescriptions over an 11-year period (January 1, 1996, through December 31, 2006) for patients ≤ 17 years of age with ≥ 2 visits for ICD-9-CM diagnostic codes for ADHD...
2016: Primary Care Companion to CNS Disorders
Felice Carabellese, Donatella La Tegola, Lucia Margari, Francesco Craig, Alessio Ostuni, Ermenegilda Scardaccione, Francesca Perrini, Francesco Margari
OBJECTIVE: The aim of our study was to identify possible risk factors related to carrying out of illegal conducts by minors on their first offense, and any individual variables, family, economic and socio-cultural related to phenomenon also investigated. MATERIALS AND METHODS: The longitudinal study involved the acquisition of a series of biographical information, family, school, behavioral and clinical characteristics of children on their first crime recruited over a year in Puglia Region...
July 2016: Rivista di Psichiatria
Julia Huemer, Anita Riegler, Sabine Völkl-Kernstock, Alexander Wascher, Otto M Lesch, Henriette Walter, Katrin Skala
This study intended to determine whether former and current ADHD symptomatology is associated with suicidal ideation in a non-clinical sample of 18 year old males. We performed a cross sectional descriptive study of 3280 men during the examination for military service. The investigation included a screening for substance abuse, past (WURS) and current (ADHD symptom checklist) ADHD symptomatology and an interview about suicidal ideations. We found a correlation of suicidal ideations with a history of ADHD symptomatology...
September 2016: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
Susan dosReis, Wendy Camelo Castillo, Melissa Ross, Marcy Fitz-Randolph, Angela Vaughn-Lee, Beverly Butler
OBJECTIVES: To develop a methodological approach for selecting, validating, and prioritizing attributes for health care decision making. METHODS: Participants (n = 48) were recruited from community support groups if they had a child aged 26 years or younger diagnosed with a coexisting mental health condition and cognitive impairment. Six in-depth interviews eliciting care management experiences were transcribed and coded into themes following the principles of grounded theory and the constant comparative method...
September 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Charlotte L Hall, John A Taylor, Karen Newell, Laurence Baldwin, Kapil Sayal, Chris Hollis
BACKGROUND: The landmark US Multimodal Treatment of ADHD (MTA) study established the benefits of individualised medication titration and optimisation strategies to improve short- to medium-term outcomes in attention-deficit hyperactivity disorder (ADHD). This individualised medication management approach was subsequently incorporated into the National Institute for Health and Care Excellence (NICE) ADHD Clinical Guidelines (NICE CG78). However, little is known about clinicians' attitudes towards implementing these medication management strategies for ADHD in routine care...
January 2016: BJPsych Open
Alison S Poulton
OBJECTIVES: This paper reviews the importance of transition to adult services for young people with ADHD. METHOD: Different models are described and evidence sought for their effectiveness in clinical practice. RESULTS: Models of care for children with ADHD include specialised mental health services, individual paediatricians and child and adolescent psychiatrists. Although it might be expected that transition would be to equivalent adult teams or specialists, studies have shown that transition may not run smoothly, and the adult services are frequently inadequate...
September 30, 2016: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
Maria E Pagano, Christina M Delos-Reyes, Sherry Wasilow, Kathleen M Svala, Steven P Kurtz
Minors entering treatment for alcohol and other drug (AOD) use disorders tend to smoke at high rates, and many have comorbid attention deficit hyperactivity disorder (ADHD). Clear-air laws force patients to refrain from smoking on the premises of AOD treatment facilities, which may hinder the progress of treatment-seeking populations who smoke and struggle with ADHD comorbidity in particular. This study explores clinical characteristics associated with smoking among youths presenting for residential treatment, clinical characteristics associated with smoking cessation, and the impact of smoking cessation with ADHD comorbidity on AOD treatment response...
November 2016: Journal of Substance Abuse Treatment
Ester Camprodon-Rosanas, Santiago Batlle, Xavier Estrada-Prat, Marta Aceña-Díaz, Araitz Petrizan-Aleman, Elena Pujals, Luis M Martin-López, Víctor Pérez-Solá, Núria Ribas-Fitó
Sluggish cognitive tempo (SCT) symptoms have largely emerged from investigations of attention-deficit/hyperactivity disorder (ADHD). Recent research has demonstrated the relevance of SCT symptoms in the field of clinical child and adolescent psychiatry. The goal of this research was to study the symptoms of SCT in a clinical child and adolescent sample and to define its features and comorbid conditions. We reviewed 834 clinical records of patients referred to Child and Adolescent Mental Health Services and examined SCT symptoms and their relation with sociodemographic data, clinical diagnosis, comorbid conditions, Child Behavior Checklist dimensions, and intelligence quotient...
September 2016: Journal of Psychiatric Practice
Tammy D Barry, Raymond A Sturner, Karen Seymour, Barbara H Howard, Lucy McGoron, Paul Bergmann, Ronald Kent, Casey Sullivan, Theodore S Tomeny, Jessica S Pierce, Kristen L Coin, James K Goodlad, Nichole Werle
This report describes a school-based screening project to improve early identification of children at risk for attention-deficit/hyperactivity disorder (ADHD) and communicate these concerns to parents, recommending that they contact their child's primary care provider (PCP). Of 17,440 eligible children in first through fifth grades in five school districts, 47.0% of parents provided required written consent, and teachers completed 70.4% of the online screeners (using the Vanderbilt AD/HD Diagnostic Teacher Rating Scale)...
2016: Children's Health Care: Journal of the Association for the Care of Children's Health
Erin L Olufs, Rachel J Valleley, Kristen C Hembree, Joseph H Evans
INTRODUCTION: As behavioral health providers integrate into primary health care clinics, it is important to examine methods used to increase primary care providers' (PCPs) knowledge of behavioral health providers' areas of expertise and service provision. Attention-deficit/hyperactivity disorder (ADHD) has been identified as one of the most common behavioral health disorders PCPs diagnose and treat in children. METHOD: This study examined whether 2 brief educational "curbside consults," during which a psychologist provided information regarding the assessment and treatment of ADHD, had an impact on PCPs' referral practices...
September 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
Eugenia I Gorlin, Kristy Dalrymple, Iwona Chelminski, Mark Zimmerman
OBJECTIVE: Despite growing recognition that attention deficit/hyperactivity disorder (ADHD) is a highly prevalent, impairing, and comorbid disorder that persists into adulthood, reports on the nature and extent of its psychiatric comorbidities have been mixed to date. This study compared the prevalence rates of all major Axis I disorders as well as borderline personality disorder in an unselected sample of adult psychiatric outpatients with and without ADHD. METHODS: As part of the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project, we administered a DSM-IV-based semi-structured diagnostic interview assessing ADHD and other psychiatric disorders to 1134 patients presenting for initial evaluation at an outpatient psychiatric practice...
October 2016: Comprehensive Psychiatry
Mimi Tatlow-Golden, Lucia Prihodova, Blanaid Gavin, Walter Cullen, Fiona McNicholas
BACKGROUND: Attention Deficit Hyperactivity Disorder (ADHD) is a common childhood disorder with international prevalence estimates of 5 % in childhood, yet significant evidence exists that far fewer children receive ADHD services. In many countries, ADHD is assessed and diagnosed in specialist mental health or neuro-developmental paediatric clinics, to which referral by General (Family) Practitioners (GPs) is required. In such 'gatekeeper' settings, where GPs act as a filter to diagnosis and treatment, GPs may either not recognise potential ADHD cases, or may be reluctant to refer...
2016: BMC Family Practice
Mary Margaret Gleason, Kathryn L Humphreys
Severe hyperactivity and impulsivity are common reasons for referral to infant mental health services. Past versions of ZERO TO THREE's () diagnostic nosology, the Diagnostic Classification of Mental and Developmental Disorders in Infancy and Early Childhood (DC:0-3), did not address this clinical issue because it had been addressed in other nosologies. These general diagnostic nosologies describe attention deficit hyperactivity disorder (ADHD), but with little attention to developmentally specific aspects of the diagnosis in very young children...
September 2016: Infant Mental Health Journal
Marwan M Al-Sharbati, Yahya M Al-Farsi, Zena M Al-Sharbati, Fatima Al-Sulaimani, Allal Ouhtit, Samir Al-Adawi
OBJECTIVES: Early diagnosis and prompt treatment of mental and behavioral disorders in preschoolers is critical for a better prognosis, ultimately leading to improved quality of life for both the child and the family. Our study investigated the clinical profile of mental and behavioral disorders in children < 7 years of age, seeking consultation at Sultan Qaboos University Hospital, Muscat, Oman, between 1 June 2006 and 31 December 2010. The objective was to explore demographic variables, intervention types, and annual trends...
September 2016: Oman Medical Journal
Masaru Tateno, Alan R Teo, Tomohiro Shirasaka, Masaya Tayama, Motoki Watabe, Takahiro A Kato
AIM: Internet addiction (IA), also referred to as internet use disorder, is a serious problem all over the world, especially in Asian countries. Severe IA in students may be linked to academic failure, Attention Deficit Hyperactivity Disorder (ADHD), and forms of social withdrawal such as hikikomori. In this study, we performed a survey to investigate the relation between IA and ADHD symptoms among college students. METHODS: Severity of IA and ADHD traits were assessed by self-report scales...
August 30, 2016: Psychiatry and Clinical Neurosciences
Linda J Pfiffner, Mary Rooney, Lauren Haack, Miguel Villodas, Kevin Delucchi, Keith McBurnett
OBJECTIVE: This study evaluated the efficacy of a novel psychosocial intervention (Collaborative Life Skills [CLS]) for primary-school students with attention-deficit/hyperactivity disorder (ADHD) symptoms. CLS is a 12-week program consisting of integrated school, parent, and student treatments delivered by school-based mental health providers. Using a cluster randomized design, CLS was compared with usual school/community services on psychopathology and functional outcomes. METHOD: Schools within a large urban public school district were randomly assigned to CLS (12 schools) or usual services (11 schools)...
September 2016: Journal of the American Academy of Child and Adolescent Psychiatry
Susan Young, Marios Adamou, Philip Asherson, David Coghill, Bill Colley, Gisli Gudjonsson, Chris Hollis, Jane McCarthy, Ulrich Müller, Moli Paul, Mark Pitts, Muhammad Arif
The aim of this consensus statement was to discuss transition of patients with ADHD from child to adult healthcare services, and formulate recommendations to facilitate successful transition. An expert workshop was convened in June 2012 by the UK Adult ADHD Network (UKAAN), attended by a multidisciplinary team of mental health professionals, allied professionals and patients. It was concluded that transitions must be planned through joint meetings involving referring/receiving services, patients and their families...
2016: BMC Psychiatry
Tamás Treuer, Kwok Ling Phyllis Chan, Bung Nyun Kim, Ganesh Kunjithapatham, Dora Wynchank, Bengi Semerci, William Montgomery, Diego Novick, Héctor Dueñas
This review discusses the unmet needs of patients with attention deficit/hyperactivity disorder (ADHD) who are transitioning into adulthood. Although awareness and recognition of ADHD in children, adolescents, and adults have improved in recent years, there is often an interruption in management of the disorder when adolescent patients transition to adult health care services. This review has the following objectives: (1) to identify key issues patients with ADHD (with or without an early diagnosis) face during transition into adulthood; (2) to review the current clinical practice and country-specific approaches to the management of the transition into adulthood for patients with ADHD; (3) to discuss challenges facing clinicians and their patients when drug treatment for ADHD is initiated; (4) to review current ADHD guidelines on transition management in Hong Kong, Singapore, South Korea, Turkey, and Africa; and (5) to examine economic consequences associated with ADHD...
August 23, 2016: Asia-Pacific Psychiatry: Official Journal of the Pacific Rim College of Psychiatrists
Liz Webb, Jum Skingle
AIM: COPPS is a computerised outpatient prescription printing system for WP10 prescriptions. It aims to improve the quality and safety of service, as patients will be provided with a legible, complete prescription to take to a community pharmacy of their choice. Patients requiring specialist medicines will have their medicines dispensed more promptly by the hospital pharmacy or medicines home care provider. The software ensures prescriptions contain all the required information to allow safe dispensing, reducing frequency of delays...
September 2016: Archives of Disease in Childhood
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