Use of Health and School-Based Services in Australia by Young People With Attention-Deficit/Hyperactivity Disorder

Sawyer, Michael; Rey, Joseph M.; Arney, Fiona; Whitham, Justine N.; Clark, Jennifer J.; Baghurst, Peter

doi:10.1097/01.chi.0000138354.90981.5b

Cited by 52 publications

(77 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, in adjusted analyses, neither ADHD nor the presence of associated comorbid symptoms predicted service use. The lack of association with comorbid symptoms and parental perception of burden is in contrast to other literature [7,[22][23][24][25][26]28]. The main concurrent predictor of service use was a higher level of parental mental health problems.…”

Section: Discussioncontrasting

confidence: 54%

“…Although this proportion is lower than a 54% rate reported in another UK study [7], it is broadly in keeping with other international literature involving community samples suggesting that less than half of children with ADHD receive medication [23,[30][31][32].…”

Section: Discussionmentioning

confidence: 39%

“…This suggests that the more severely affected children (whose symptoms and impairment persisted between the ages of 5 to 10 years) were better able to access services. Severity of problems is an important determinant of service use [7,25,27,28]. However, in adjusted analyses, neither ADHD nor the presence of associated comorbid symptoms predicted service use.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Predictors of and barriers to service use for children at risk of ADHD: longitudinal study

Sayal

Mills

White

et al. 2014

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

(2015) 'Predictors of and barriers to service use for children at risk of ADHD : longitudinal study.', European child adolescent psychiatry., 24 (5).pp. 545-552. Further information on publisher's website:http://dx.doi.org/10.1007/s00787-014-0606-z Publisher's copyright statement:The nal publication is available at Springer via http://dx.doi.org/10.1007/s00787-014-0606-z. Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. MethodsThis is a five year follow-up study of children who participated in a cluster randomised controlled trial, which investigated school-level interventions (provision of books with evidence-based information and/or feedback of names of children) for children at risk of ADHD. 162 children who had high levels of ADHD symptoms at age 5 (baseline) were followed up at age 10 years. Using baseline data and follow-up information collected from parents and teachers, children who had and had not used specialist health services over the follow-up period were compared and predictors (symptom severity, comorbid problems, parental perception of burden, parental mental health, and socio-demographic factors) of specialist service use investigated. ResultsThe most common parent-reported barrier reflected lack of information about who could help. Amongst children using specialist health services who met criteria for ADHD at followup, 36% had been prescribed stimulant medication. Specialist health service use was associated with each one-point increase in teacher-rated symptoms at baseline (inattention symptoms (adjusted OR = 1.40; 95% CI 1.12-1.76) and hyperactivity/impulsivity symptoms (adjusted OR = 1.23; 95% CI 1.05-1.44)). Parental mental health problems were also independently associated with service use (for each one-point increase in symptoms, adjusted OR = 1.41; 95% CI 1.04-1.91). ConclusionsSeverity of teacher-rated ADHD symptoms in early school years is a determinant of subsequent service use. Clinicians and teachers should be aware that parental mental health problems are independently associated with service use for children at risk of ADHD.

show abstract

Section: Discussioncontrasting

confidence: 54%

Section: Discussionmentioning

confidence: 39%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Predictors of and barriers to service use for children at risk of ADHD: longitudinal study

Sayal

Mills

White

et al. 2014

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

show abstract

“…As parental concerns and perceptions of problems play a major role in determining presentations to services [16,18], these might influence how clinicians interpret parental accounts of symptoms including indirect reports about possible difficulties at school. However, this may be at the expense of accurate clinical identification.…”

Section: Introductionmentioning

confidence: 99%

Do parental reports of child hyperkinetic disorder symptoms at school predict teacher ratings?

Sayal

Goodman

2009

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

Background: Clinical practice guidelines for the evaluation of children with suspected hyperkinetic disorder or ADHD recommend that information is collected from teachers. Methods: Using the development and well-being assessment, parents of 5–16 year olds participating in the 1999 and 2004 British Child and Adolescent Mental Health Surveys were asked about symptoms relating to hyperkinetic disorder and reports of teacher complaints about these symptoms. We examined whether parental reports about symptoms at school reflect teacher ratings and can be relied upon by clinicians. Results: Parent reports about symptoms at school were moderately correlated with teacher ratings. If children potentially met criteria for hyperkinetic disorder based on parental ratings only, the positive predictive value (PPV) for a research diagnosis of hyperkinetic disorder was 47%. When parents reported high levels of symptoms at school in addition to sufficient parent-rated symptoms and impairment, the PPV for a diagnosis of hyperkinetic disorder increased to 59%. Conclusions: In a community sample, we found that parental reports about symptoms at school have limited utility in predicting teacher ratings. Our findings highlight that it is desirable and worthwhile for clinicians to obtain direct information from the teacher. If this is unavailable, clinicians and researchers should be aware that “second-hand” information about symptoms at school is second best

show abstract

“…Although researchers have reported that children living in single-parent 14,15 or step-parent 15,16 households are more likely than children in households with 2 biological parents to be prescribed methylphenidate, such findings do not reveal why living in a household without 2 biological parents is associated with an increased risk of methylphenidate use. The increased frequency of births outside of marriage in Western countries 17,18 makes it possible for children to live in singleor step-parent households without ever having experienced parental divorce.…”

Section: -13mentioning

confidence: 38%

Prevalence of methylphenidate use among Canadian children following parental divorce

Strohschein¹

2007

Canadian Medical Association Journal

View full text Add to dashboard Cite

show abstract

Use of Health and School-Based Services in Australia by Young People With Attention-Deficit/Hyperactivity Disorder

Cited by 52 publications

References 14 publications

Predictors of and barriers to service use for children at risk of ADHD: longitudinal study

Predictors of and barriers to service use for children at risk of ADHD: longitudinal study

Do parental reports of child hyperkinetic disorder symptoms at school predict teacher ratings?

Prevalence of methylphenidate use among Canadian children following parental divorce

Contact Info

Product

Resources

About