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Parental Problem Recognition and Help-Seeking for Disruptive Behavior Disorders

Oliver G Johnston1, Jeffrey D Burke2

  • 1Department of Psychological Sciences, University of Connecticut, 406 Babbidge Road U-1020, Storrs, CT, 06269, USA. oliver.johnston@uconn.edu.

The Journal of Behavioral Health Services & Research
|January 5, 2019
PubMed

Insights

Many children with disruptive behavior disorders (DBDs) like ODD, CD, and ADHD lack needed mental health care. Parental recognition and engagement are key, but perceptual barriers often hinder treatment access for these conditions.

Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Public Health

Background:

  • Millions of US children face unmet mental health needs, particularly those with disruptive behavior disorders (DBDs).
  • DBDs, including oppositional defiant disorder (ODD), conduct disorder (CD), and attention-deficit/hyperactivity disorder (ADHD), carry significant long-term consequences.
  • Parents play a crucial role in the help-seeking process for children with DBDs.

Purpose of the Study:

  • To review research on problem recognition and help-seeking rates for DBDs in children.
  • To identify perceptual barriers affecting service engagement for DBDs.
  • To discuss implications for disseminating evidence-based information.

Main Methods:

  • Literature review of studies on DBDs, problem recognition, and help-seeking behaviors.
  • Analysis of factors influencing parental engagement with mental health services.
  • Examination of perceptual barriers to treatment for ODD, CD, and ADHD.

Main Results:

  • Most children with DBDs are not identified or treated, with ADHD potentially having higher engagement than ODD or CD.
  • Perceptual barriers include viewing behaviors as normative, interpreting symptoms as willful, and fear of blame.
  • Parental perception significantly impacts the likelihood of seeking professional help.

Conclusions:

  • Addressing parental perceptions and disseminating evidence-based information are critical for improving treatment access for childhood DBDs.
  • Interventions should focus on enhancing parental understanding and reducing stigma associated with ODD, CD, and ADHD.
  • Improving early identification and engagement is essential to mitigate long-term consequences of DBDs.

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