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Evaluation of Screening in Children Referred for an ADHD Assessment
Kapil Sayal1, Nicole Letch2, Samaa El Abd2
1Section of Developmental Psychiatry, University of Nottingham, NG7 2UH, UK.
Insights
Screening children for Attention Deficit Hyperactivity Disorder (ADHD) before assessment improves diagnosis rates but can lead to false positives. This helps optimize limited clinical resources for ADHD identification.
Area of Science:
- Child and Adolescent Psychiatry
- Neurodevelopmental Disorders
- Clinical Psychology
Background:
- National guidance recommends improved identification of children with Attention Deficit Hyperactivity Disorder (ADHD).
- Clinical resources for diagnosing ADHD are limited, necessitating efficient assessment strategies.
- Accurate identification of ADHD in children is crucial for timely intervention and support.
Purpose of the Study:
- To evaluate the utility of screening questionnaires in identifying children with ADHD prior to formal assessment.
- To determine if pre-assessment screening optimizes the use of specialist clinical resources for ADHD diagnosis.
- To assess the impact of screening on the proportion of referred children receiving an ADHD diagnosis.
Main Methods:
- A study was conducted on 119 children referred for ADHD assessment.
- Parent and teacher questionnaires were utilized for pre-assessment screening.
- The proportion of children receiving a clinical ADHD diagnosis before and after screening implementation was compared.
Main Results:
- The introduction of screening significantly increased the proportion of assessed children receiving an ADHD diagnosis.
- Screening helped optimize the use of specialist clinical resources in identifying children with ADHD.
- A notable proportion of false positives were identified through the screening process.
Conclusions:
- Pre-assessment screening using parent and teacher questionnaires is a useful tool for improving ADHD identification in children.
- Screening can enhance the efficiency of specialist clinical resource allocation for ADHD diagnosis.
- While effective, the screening method needs further refinement to reduce the rate of false positives in ADHD identification.
Abstract:
Although guidance from the National Institute for Clinical Excellence recommends the improved identification of children with ADHD, clinical resources are limited. Amongst children (n = 119) referred over the question of ADHD, we evaluated the utility of screening (using parent and teacher questionnaires) prior to offering an ADHD assessment. The introduction of screening contributed to an increase in the proportion of assessed children receiving a clinical diagnosis of ADHD. Although screening of referred children prior to assessment can optimise the use of specialist clinical resources in the identification of children with ADHD, false positives remain common.
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