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Related Experiment Videos

ADHD service use patterns in youth.

Laurel K Leslie1, Mark L Wolraich

  • 1Child and Adolescent Services Research Center (CASRC), Pediatrics Department at the University of California San Diego, San Diego, CA 92123, USA. lleslie@casrc.org

Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association
|January 31, 2007
PubMed
Summary

Youth with attention-deficit/hyperactivity disorder (ADHD) utilize primary care, mental health, and educational services. Research indicates increased medication use and barriers to care coordination, highlighting needs for deeper service use understanding and evidence-based practice implementation.

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Area of Science:

  • Pediatric Health
  • Neurodevelopmental Disorders
  • Healthcare Services Research

Background:

  • Attention-deficit/hyperactivity disorder (ADHD) significantly impacts youth across multiple life domains.
  • Effective management of ADHD requires coordinated services across various sectors.

Purpose of the Study:

  • To synthesize current knowledge on service utilization by youth with ADHD.
  • To identify research and policy implications for improving ADHD care.

Main Methods:

  • A comprehensive literature review was conducted.
  • Analysis focused on service use patterns and care coordination.

Main Results:

  • Primary care, mental health, and educational services are crucial for youth with ADHD.

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  • Trends include increased stimulant and psychoactive medication use, decreased non-medication mental health visits, and significant care coordination barriers.
  • Barriers exist across primary care, mental health, and school systems.

    • Conclusions:

    • Future efforts should deepen understanding of current service use in ADHD.
    • Consideration of the service context and operationalization of evidence-based practices in real-world settings are vital.
    • Strategies to influence clinician and educator behavior are necessary for improved ADHD care.