Healthcare pathways and practitioners' knowledge about ADHD in children
Thiébaut-Noël Willig1, Marie Dajon2, Rémy Assathiany3
1Occitadys, 24, impasse de la Flambère, 31300 Toulouse, France; Consultation de pédiatrie, clinique Ambroise Paré, ELSAN, and Eventail31, Toulouse, France; Association française de pédiatrie ambulatoire (AFPA), zone de la Fouquetière, 155, rue Edouard-Branly, 44150 Ancenis Saint-Géron, France.
L'Encephale
|September 17, 2023
Summary
Medical doctors in France need more training on Attention Deficit Hyperactivity Disorder (ADHD) to improve child and adolescent care. This study highlights significant knowledge gaps and long wait times, emphasizing the need for a stepped-care approach.
Area of Science:
- Neuroscience
- Pediatrics
- Public Health
Background:
- Access to care for children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD) in France is suboptimal compared to other industrialized nations.
- This study addresses the need to improve ADHD care by assessing medical doctors' (MDs) knowledge and care pathways in France.
- Tools were developed to evaluate the impact of implementing a stepped-care pathway for ADHD.
Purpose of the Study:
- To assess the knowledge and training of medical doctors (MDs) regarding Attention Deficit Hyperactivity Disorder (ADHD) in children and adolescents.
- To describe current ADHD care pathways in two major French regions.
- To develop tools for assessing the regional impact of a stepped-care pathway for ADHD.
Main Methods:
- A SurveyMonkey® study was distributed to healthcare professionals in two French regions (14 million inhabitants).
- Participants described their role in child/adolescent ADHD, their knowledge, and attitudes towards the disorder.
- The study involved 9.4% of potentially involved MDs, assessing their training and involvement level.
Main Results:
- 34.9% of participating MDs felt untrained in ADHD; 40.5% provided first-tier care, and 19.6% provided second-tier care.
- Waiting times for second and third-tier ADHD services averaged 5.7 and 8.5 months, respectively.
- Initiation of stimulant therapy and dosage adjustments were primarily handled by specialists, with limited involvement from first-tier MDs.
Conclusions:
- The study identifies critical training needs for MDs to enhance ADHD healthcare pathways.
- Findings support the implementation of health policies, such as a stepped-care access model for ADHD.
- The validated study design and data will aid in updating official ADHD recommendations and improving care in France and internationally.
Keywords:
ADHDAttitudeAttitudesCare pathwayConnaissancesFormationFranceKnowledgeMedical doctorsMédecinParcours de santéTDAHTrainingMore Related Videos
05:48The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
5.8K
13:09Using Brain Activation nir-HEG/Q-EEG and Execution Measures CPTs in a ADHD Assessment Protocol
Published on: April 1, 2018
10.4K
Related Concept Videos
01:30Attention-Deficit/Hyperactivity Disorder
90
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
90
01:26Modeling in Therapy
116
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
116
01:24Treatment Strategies for Psychological Disorders
169
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
169
01:15Methods of Documentation VI: Case Management Model
597
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
597
01:21Interdisciplinary Care: The Health Care Team-I
1.7K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.7K
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K