A Commercial Insurance Claims Analysis of Correlates of Behavioral Therapy Use Among Children With ADHD

Objective:The study examined factors associated with uptake of behavioral therapy among children with attention-deficit hyperactivity disorder (ADHD).Methods:Insurance claims data from 2008–2014 (MarketScan) were reviewed to examine associations between behavioral therapy use and demographic, patient, family, and provider factors. The association between ADHD medication use and future uptake of behavioral therapy was examined with logistic regression adjusted for covariates found to affect behavioral therapy use.Results:Among 827,396 youths with ADHD, under 50% received any billable behavioral therapy services over the 7 years. ADHD severity, gender, region of residence, assessment year, comorbid behavioral disorders, and behavioral therapy use by siblings were significantly associated with behavioral therapy use (p