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Attention-deficit hyperactivity disorder among homeless veterans
1Department of Veterans Affairs Medical Center, Cincinnati, Ohio 45220, USA.
Psychiatric Services (Washington, D.C.)
|November 5, 1997
Summary
Attention-deficit hyperactivity disorder (ADHD) is frequently undiagnosed in homeless veterans. This study found 50% screened positive, highlighting the need for better clinical recognition and training for staff.
Area of Science:
- Psychiatry
- Mental Health
- Veteran Affairs
Background:
- Homeless veterans with chronic mental illness often require psychiatric consultation.
- Attention-deficit hyperactivity disorder (ADHD) can present atypically in adults.
- Undiagnosed ADHD may complicate treatment for other mental health conditions.
Purpose of the Study:
- To screen homeless veterans in a VA program for undiagnosed ADHD.
- To assess the prevalence of ADHD symptoms in this population.
- To inform clinical practice regarding ADHD recognition in veterans.
Main Methods:
- A cohort of 100 veterans in a VA domiciliary program were assessed.
- 81 participants without psychosis or CNS damage were screened using a four-item ADHD questionnaire.
- Data were collected on screening results and prior awareness of ADHD.
Main Results:
- 50 out of 81 screened participants (61.7%) tested positive for ADHD.
- Neither the veterans nor their clinicians had previously considered ADHD as a factor.
- This suggests a significant underdiagnosis of ADHD in this population.
Conclusions:
- Adult ADHD is likely underrecognized among homeless veterans in VA programs.
- Clinical staff require enhanced training to identify diverse ADHD presentations.
- Improved screening and diagnostic practices are crucial for this vulnerable group.