49.2 NATIONAL TRENDS IN ATTENTION-DEFICIT/HYPERACTIVITY DISORDER CARE
Objectives: Closing the gap between evidence-based clinical practices and routine care for children with ADHD is an important public health goal. Methods: Medicaid enrollment, claims, and prescription drug disbursement data from the Medicaid Analytic Extract (MAX) from 20 states for 2001 to 2010 wer...
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| Veröffentlicht in: | Journal of the American Academy of Child and Adolescent Psychiatry 2016-10, Vol.55 (10), p.S337-S337 |
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| container_title | Journal of the American Academy of Child and Adolescent Psychiatry |
| container_volume | 55 |
| creator | Hoagwood, Kimberly, PhD Crystal, Stephen, PhD Bilder, Scott, PhD Zima, Bonnie T., MD, MPH Perrin, James H., MD Kelleher, Kelly J., MD |
| description | Objectives: Closing the gap between evidence-based clinical practices and routine care for children with ADHD is an important public health goal. Methods: Medicaid enrollment, claims, and prescription drug disbursement data from the Medicaid Analytic Extract (MAX) from 20 states for 2001 to 2010 were analyzed for children with ADHD (ages 3-17 years). Treatment services were analyzed to compare rates of medication, psychotherapy, and combined treatment services. Results: The proportion of children of low income who were diagnosed with ADHD rose by 83 percent. Rates of comorbidity were high (43.3 percent in 2010), an increase of 13 percent over the study period. There was a 74 percent increase in combined treatment; psychotherapy alone increased by 52 percent, and rates of medication alone decreased by 18 percent. Conclusions: More children received treatments that appeared to conform to clinical practice standards over the decade. |
| doi_str_mv | 10.1016/j.jaac.2016.07.410 |
| format | Article |
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Methods: Medicaid enrollment, claims, and prescription drug disbursement data from the Medicaid Analytic Extract (MAX) from 20 states for 2001 to 2010 were analyzed for children with ADHD (ages 3-17 years). Treatment services were analyzed to compare rates of medication, psychotherapy, and combined treatment services. Results: The proportion of children of low income who were diagnosed with ADHD rose by 83 percent. Rates of comorbidity were high (43.3 percent in 2010), an increase of 13 percent over the study period. There was a 74 percent increase in combined treatment; psychotherapy alone increased by 52 percent, and rates of medication alone decreased by 18 percent. Conclusions: More children received treatments that appeared to conform to clinical practice standards over the decade.</description><identifier>ISSN: 0890-8567</identifier><identifier>EISSN: 1527-5418</identifier><identifier>DOI: 10.1016/j.jaac.2016.07.410</identifier><identifier>CODEN: JAAPEE</identifier><language>eng</language><publisher>Baltimore: Elsevier Inc</publisher><subject>Attention deficit hyperactivity disorder ; Child & adolescent psychiatry ; Child poverty ; Children ; Clinical medicine ; Clinical standards ; Comorbidity ; Data processing ; Drugs ; Enrollments ; Evidence based ; Evidence-based medicine ; Hyperactivity ; Medicaid ; Medical treatment ; Pediatrics ; Psychiatry ; Psychotherapy ; Public health</subject><ispartof>Journal of the American Academy of Child and Adolescent Psychiatry, 2016-10, Vol.55 (10), p.S337-S337</ispartof><rights>2016</rights><rights>Copyright Lippincott Williams & Wilkins Oct 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jaac.2016.07.410$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids></links><search><creatorcontrib>Hoagwood, Kimberly, PhD</creatorcontrib><creatorcontrib>Crystal, Stephen, PhD</creatorcontrib><creatorcontrib>Bilder, Scott, PhD</creatorcontrib><creatorcontrib>Zima, Bonnie T., MD, MPH</creatorcontrib><creatorcontrib>Perrin, James H., MD</creatorcontrib><creatorcontrib>Kelleher, Kelly J., MD</creatorcontrib><title>49.2 NATIONAL TRENDS IN ATTENTION-DEFICIT/HYPERACTIVITY DISORDER CARE</title><title>Journal of the American Academy of Child and Adolescent Psychiatry</title><description>Objectives: Closing the gap between evidence-based clinical practices and routine care for children with ADHD is an important public health goal. 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Conclusions: More children received treatments that appeared to conform to clinical practice standards over the decade.</description><subject>Attention deficit hyperactivity disorder</subject><subject>Child & adolescent psychiatry</subject><subject>Child poverty</subject><subject>Children</subject><subject>Clinical medicine</subject><subject>Clinical standards</subject><subject>Comorbidity</subject><subject>Data processing</subject><subject>Drugs</subject><subject>Enrollments</subject><subject>Evidence based</subject><subject>Evidence-based medicine</subject><subject>Hyperactivity</subject><subject>Medicaid</subject><subject>Medical treatment</subject><subject>Pediatrics</subject><subject>Psychiatry</subject><subject>Psychotherapy</subject><subject>Public health</subject><issn>0890-8567</issn><issn>1527-5418</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kU9Lw0AQxRdRsFa_gKeAFy-JO_u_IEJIUw2UVNIo9LSk2w0kpo1mW8Fvb0IFwYOnGYbfG2beQ-gacAAYxF0d1EVhAtL3AZYBA3yCRsCJ9DkDdYpGWE2wr7iQ5-jCuRpjDFKpEYrZJCBeGubJIg3nXp7F6XTpJakX5nmcDlN_Gs-SKMnvnlbPcRZGefKa5CtvmiwX2TTOvCjM4kt0VhaNs1c_dYxeZnEePfnzxWMShXPfECDKV0wptrZqzYURTJB1qTBhtFDcEiyIYHZNOQdTcGoYsXwjuQFCN3JSipIpoGN0e9z73rUfB-v2els5Y5um2Nn24DQojqUklKgevfmD1u2h2_XX9RQDCSA57SlypEzXOtfZUr931bbovjRgPTiraz04qwdnNZa6d7YX3R9Ftn_1s7KddqayO2M3VWfNXm_a6n_5wx-5aapdZYrmzX5Z93umdkRjvRyiG5IDQbHkE0G_ATxqjPQ</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Hoagwood, Kimberly, PhD</creator><creator>Crystal, Stephen, PhD</creator><creator>Bilder, Scott, PhD</creator><creator>Zima, Bonnie T., MD, MPH</creator><creator>Perrin, James H., MD</creator><creator>Kelleher, Kelly J., MD</creator><general>Elsevier Inc</general><general>Elsevier BV</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>K9.</scope></search><sort><creationdate>20161001</creationdate><title>49.2 NATIONAL TRENDS IN ATTENTION-DEFICIT/HYPERACTIVITY DISORDER CARE</title><author>Hoagwood, Kimberly, PhD ; Crystal, Stephen, PhD ; Bilder, Scott, PhD ; Zima, Bonnie T., MD, MPH ; Perrin, James H., MD ; Kelleher, Kelly J., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2128-84884be8b56c6462bf80243a85e206264eb3551ca53c42e5d75c123d79f6f4813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Attention deficit hyperactivity disorder</topic><topic>Child & adolescent psychiatry</topic><topic>Child poverty</topic><topic>Children</topic><topic>Clinical medicine</topic><topic>Clinical standards</topic><topic>Comorbidity</topic><topic>Data processing</topic><topic>Drugs</topic><topic>Enrollments</topic><topic>Evidence based</topic><topic>Evidence-based medicine</topic><topic>Hyperactivity</topic><topic>Medicaid</topic><topic>Medical treatment</topic><topic>Pediatrics</topic><topic>Psychiatry</topic><topic>Psychotherapy</topic><topic>Public health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hoagwood, Kimberly, PhD</creatorcontrib><creatorcontrib>Crystal, Stephen, PhD</creatorcontrib><creatorcontrib>Bilder, Scott, PhD</creatorcontrib><creatorcontrib>Zima, Bonnie T., MD, MPH</creatorcontrib><creatorcontrib>Perrin, James H., MD</creatorcontrib><creatorcontrib>Kelleher, Kelly J., MD</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hoagwood, Kimberly, PhD</au><au>Crystal, Stephen, PhD</au><au>Bilder, Scott, PhD</au><au>Zima, Bonnie T., MD, MPH</au><au>Perrin, James H., MD</au><au>Kelleher, Kelly J., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>49.2 NATIONAL TRENDS IN ATTENTION-DEFICIT/HYPERACTIVITY DISORDER CARE</atitle><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle><date>2016-10-01</date><risdate>2016</risdate><volume>55</volume><issue>10</issue><spage>S337</spage><epage>S337</epage><pages>S337-S337</pages><issn>0890-8567</issn><eissn>1527-5418</eissn><coden>JAAPEE</coden><abstract>Objectives: Closing the gap between evidence-based clinical practices and routine care for children with ADHD is an important public health goal. Methods: Medicaid enrollment, claims, and prescription drug disbursement data from the Medicaid Analytic Extract (MAX) from 20 states for 2001 to 2010 were analyzed for children with ADHD (ages 3-17 years). Treatment services were analyzed to compare rates of medication, psychotherapy, and combined treatment services. Results: The proportion of children of low income who were diagnosed with ADHD rose by 83 percent. Rates of comorbidity were high (43.3 percent in 2010), an increase of 13 percent over the study period. There was a 74 percent increase in combined treatment; psychotherapy alone increased by 52 percent, and rates of medication alone decreased by 18 percent. Conclusions: More children received treatments that appeared to conform to clinical practice standards over the decade.</abstract><cop>Baltimore</cop><pub>Elsevier Inc</pub><doi>10.1016/j.jaac.2016.07.410</doi></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals (5 years ago - present) |
| subjects | Attention deficit hyperactivity disorder Child & adolescent psychiatry Child poverty Children Clinical medicine Clinical standards Comorbidity Data processing Drugs Enrollments Evidence based Evidence-based medicine Hyperactivity Medicaid Medical treatment Pediatrics Psychiatry Psychotherapy Public health |
| title | 49.2 NATIONAL TRENDS IN ATTENTION-DEFICIT/HYPERACTIVITY DISORDER CARE |
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