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Published on: June 12, 2020
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
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.
Objective:
This study examined the use of the collaborative care model in treating Hispanic children diagnosed with attention-deficit hyperactivity disorder (ADHD) living in underserved communities.
Methods:
The study was implemented in two clinics, one in a rural and one in an urban setting. We evaluated model implementation and used standardized rating scales to assess pre/post-intervention changes in ADHD symptoms. All children were referred and treated by their pediatricians. A care manager conveyed medication recommendations from a child and adolescent psychiatrist to the pediatrician who in turn implemented recommendations. The care manager also provided psychoeducation regarding the causes and management of ADHD.
Results:
The model was successfully implemented. Differences were observed across the two clinics. The urban clinic provided more sessions in the first 2 months of treatment, collected more rating scales, provided more psychoeducation, made more medication adjustments, and prescribed higher medication doses. However, children at both sites showed comparable reductions in ADHD symptoms. Parents were satisfied with the collaborative care model. Staff expressed the need for more administrative support in implementing the model.
Conclusions:
Collaborative care appears feasible and acceptable for the treatment of Hispanic children with ADHD and shows preliminary evidence of effectiveness.
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