Collaborative care for the treatment of Hispanic children diagnosed with attention-deficit hyperactivity disorder

Kathleen Myers1, Ann Vander Stoep, Kelly Thompson

  • 1University of Washington, Seattle Children's Hospital, Seattle, WA 98105, USA. kathleen.myers@seattlechildrens.org

General Hospital Psychiatry
|November 30, 2010
PubMed

Insights

The collaborative care model effectively treated attention-deficit hyperactivity disorder (ADHD) in Hispanic children from underserved areas. This approach showed preliminary effectiveness and was well-received by parents, indicating feasibility and acceptance.

Area of Science:

  • Child and Adolescent Psychiatry
  • Health Services Research
  • Behavioral Health

Background:

  • Attention-deficit hyperactivity disorder (ADHD) significantly impacts children's development.
  • Underserved Hispanic communities face barriers to accessing specialized pediatric mental healthcare.
  • The collaborative care model offers a potential solution for integrating mental health services into primary care.

Purpose of the Study:

  • To evaluate the implementation and effectiveness of the collaborative care model for treating ADHD in Hispanic children.
  • To assess ADHD symptom changes using standardized measures before and after intervention.
  • To gauge parent satisfaction and identify implementation challenges.

Main Methods:

  • A collaborative care model was implemented in rural and urban clinics.
  • Pediatricians managed treatment, guided by psychiatrist recommendations relayed through a care manager.
  • Standardized rating scales assessed ADHD symptom changes; psychoeducation was provided.

Main Results:

  • The collaborative care model was successfully implemented in both settings.
  • Comparable reductions in ADHD symptoms were observed in children across both rural and urban clinics.
  • Parents reported satisfaction, though staff noted a need for more administrative support.

Conclusions:

  • Collaborative care is a feasible and acceptable model for treating Hispanic children with ADHD.
  • Preliminary evidence suggests the model's effectiveness in reducing ADHD symptoms.
  • Further research and administrative support are recommended for wider implementation.
Abstract

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