scholarly journals Pathways to care in children at risk of attention-deficit hyperactivity disorder

2002 ◽  
Vol 181 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Kapil Sayal ◽  
Eric Taylor ◽  
Jennifer Beecham ◽  
Patrick Byrne
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Help Seeking ◽  
Pathways To Care ◽  
Children At Risk ◽  
Hyperactivity Disorder ◽  
Specialist Services ◽  
Pathway To Care

BackgroundThere is underdiagnosis of and low use of specialist services for attention-deficit hyperactivity disorder (ADHD).AimsTo quantify the filters in the help-seeking pathway through primary care and to investigate factors influencing progress for children at risk of ADHD.MethodA total of 127 children (5–11 years old) with pervasive hyperactivity who passed each filter (primary care attendance and general practitioner (GP) recognition of disorder) were compared with those who had not.ResultsPrimary care attendance was only associated with parental perception of the behaviour as problematic (OR 2.11; 95% CI 1.11-4.03). However, GP recognition was related to both parent and child factors – parental request for referral (OR 20.83; 95% CI 3.05-142.08) and conduct problems (OR 1.48; 95% CI 1.04-2.12). GP non-recognition was the main barrier in the pathway to care; following recognition, most children were referred.ConclusionsParents can be regarded as the main gatekeepers for access to specialist services.

scholarly journals Attention-deficit/hyperactivity disorder: possibilities of early diagnostics

Medicina ◽  
2009 ◽  
Vol 45 (10) ◽  
pp. 764
Author(s):  
Rasa Barkauskienė ◽  
Asta Bongarzoni ◽  
Rasa Bieliauskaitė ◽  
Roma Jusienė ◽  
Saulė Raižienė
Keyword(s):  
At Risk ◽  
Attention Deficit Hyperactivity Disorder ◽  
Behavioral Problems ◽  
Attention Deficit ◽  
Child Behavior Checklist ◽  
Emotional And Behavioral Problems ◽  
Children At Risk ◽  
Early Diagnostics ◽  
Hyperactivity Disorder ◽  
Teacher Report Form

The present study aimed at analyzing the possibilities of early diagnostics of attention-deficit/ hyperactivity disorder in toddlers and preschool children. Parents and caregivers from children day care centers provided information about 863 children (mean age, 47.18 months; 410 girls and 453 boys). The methods used in the study were as follows: Child Behavior Checklist/1½-5 (CBCL), Caregiver-Teacher Report Form (C-TRF), and clinical questionnaire for evaluation of attention-deficit/hyperactivity disorder symptoms. The study consisted of two stages: 1) screening of the emotional and behavioral problems of children based on parental and caregiver-teachers’ reports; 2) clinical interview with parents of children at risk for attentiondeficit/ hyperactivity disorder as measured by empirical ratings of attention hyperactivity symptoms. Results revealed that according to parental ratings, attention and hyperactivity problems are related to children’s age. According to caregiver-teachers’ ratings, boys were rated as having more problems of attention and hyperactivity than girls. Based on the results from the first stage, children at risk for attention-deficit/hyperactivity disorder were analyzed further. Case study analysis showed attention-deficit/hyperactivity disorder symptoms in these children to be a part of overall pattern characterized by behavioral, emotional, and other problems. The quantitative as well as qualitative analysis provides the evidence for a high comorbidity of attention-deficit/ hyperactivity disorder and other emotional and behavioral problems in early childhood. Study showed that comprehensive clinical assessment is necessary for early diagnostics of ADHD.

scholarly journals Young people with attention deficit hyperactivity disorder in transition from child to adult services: a qualitative study of the experiences of general practitioners in the UK

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Tamsin Newlove-Delgado ◽  
Sharon Blake ◽  
Tamsin Ford ◽  
Astrid Janssens
Keyword(s):  
Primary Care ◽  
Attention Deficit Hyperactivity Disorder ◽  
Young People ◽  
Attention Deficit ◽  
Adult Life ◽  
Hyperactivity Disorder ◽  
Adult Services ◽  
Specialist Services ◽  
Qualitative Interview Study ◽  
The Uk

Abstract Background Many young people with Attention Deficit Hyperactivity Disorder (ADHD) have impairing symptoms that persist into adulthood, yet only a minority experience continuity of care into adult life. Despite growing emphasis on the primary care role in ADHD management in NICE ADHD and transition guidance, little is known about GPs’ perspectives, which could hamper efforts to improve outcomes for young people leaving children’s services. This study aimed to understand GPs’ experiences of involvement with this group and explore their views on the roles and responsibilities of primary and secondary care in transition, to inform recommendations for policy and practice. Method Qualitative interview study with GPs across the UK. Semi-structured telephone interviews were carried out with 14 GPs recruited through a linked mapping study, social media, and snowballing; data were analysed using thematic analysis. Results In the absence of a smooth transition from child to adult services, many GPs became involved ‘by default’. GPs reacted by trying to identify suitable specialist services, and were faced with the decision of whether to continue ADHD prescribing. Such decisions were strongly influenced by perceptions that prescribing carried risks, and concerns over responsibility, particularly where specialist services were lacking. Participants described variation in service availability, and some highlighted tensions around how shared care works in practice. Conclusion Implementation of NICE guidance is highly variable, with implications for GPs and patients. Risk and responsibility for primary care ADHD prescribing are central concerns that need to be addressed, as is the inclusion of GPs in a planned transition process.

Identification of children at risk of Attention Deficit/Hyperactivity Disorder

2006 ◽  
Vol 41 (10) ◽  
pp. 806-813 ◽  
Author(s):  
Kapil Sayal ◽  
Heatha Hornsey ◽  
Stephen Warren ◽  
Fiona MacDiarmid ◽  
Eric Taylor
Keyword(s):  
At Risk ◽  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Children At Risk ◽  
Hyperactivity Disorder
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