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Event Related Potentials (ERPs) and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder (ADHD)
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Event Related Potentials (ERPs) and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder (ADHD)

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The patient-centered medical home, practice patterns, and functional outcomes for children with attention

Sara L Toomey1, Eugenia Chan, Jessica A Ratner

  • 1Division of General Pediatrics, Children's Hospital Boston, 300 Longwood Avenue, Boston, Massachusetts 02115, USA. sara.toomey@childrens.harvard.edu

Academic Pediatrics
|October 5, 2011
PubMed

Insights

Children with attention deficit/hyperactivity disorder (ADHD) receiving care in a patient-centered medical home (PCMH) showed improved treatment and fewer functional difficulties. PCMH care is linked to better ADHD management and outcomes for children.

Area of Science:

  • Pediatric Health
  • Behavioral Health
  • Healthcare Delivery Systems

Background:

  • Attention deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children.
  • Effective management of ADHD is crucial for improving children's functional outcomes.
  • The patient-centered medical home (PCMH) model aims to provide coordinated, comprehensive care.

Purpose of the Study:

  • To investigate the prevalence of PCMH care among children with ADHD.
  • To examine the relationship between PCMH care and ADHD treatment.
  • To assess the impact of PCMH care on the functional outcomes of children with ADHD.

Main Methods:

  • Cross-sectional analysis of the 2007 National Survey for Children's Health (n=5169 children with ADHD aged 6-17).
  • Independent variable: care in a PCMH.
  • Outcome measures included ADHD medication, mental health specialist involvement, and functional outcomes.

Main Results:

  • Only 44% of children with ADHD received care in a PCMH.
  • PCMH care was associated with increased ADHD medication use (OR 1.4) and reduced mental health specialist involvement (OR 0.6).
  • Children in PCMHs experienced fewer difficulties with activities, friendships, and school attendance, fewer behavioral problems, fewer missed school days, and less frequent school contact.

Conclusions:

  • Care within a PCMH is linked to significant practice pattern changes for children with ADHD.
  • PCMH care is associated with improved functional outcomes for children with ADHD.
  • The PCMH model shows promise for enhancing the quality of care and outcomes for pediatric ADHD.
Abstract

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