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Pathways to care in children at risk of Attention Deficit/Hyperactivity Disorder

Sayal, Kapil, Taylor, Eric, Beecham, Jennifer and Byrne, Patrick (2002) Pathways to care in children at risk of Attention Deficit/Hyperactivity Disorder. British Journal of Psychiatry, 181 (1). pp. 43-48. ISSN 0007-1250

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Abstract

Background: There is underdiagnosis of and low use of specialist services for attention-deficit hyperactivity disorder (ADHD). Aims: To quantify the filters in the help-seeking pathway through primary care and to investigate factors influencing progress for children at risk of ADHD. Method: A total of 127 children (5-11 years old) with pervasive hyperactivity who passed each filter (primary care attendance and general practitioner (GP) recognition of disorder) were compared with those who had not. Results: Primary care attendance was only associated with parental perception of the behaviour as problematic (OR 2.11; 95% CI 1.11-4.03). However, GP recognition was related to both parent and child factors — parental request for referral (OR 20.83; 95% CI 3.05-142.08) and conduct problems (OR 1.48; 95% CI 1.04-2.12). GP non-recognition was the main barrier in the pathway to care; following recognition, most children were referred. Conclusions: Parents can be regarded as the main gatekeepers for access to specialist services.

Item Type: Article
Official URL: http://bjp.rcpsych.org/
Additional Information: © 2002 The Royal College of Psychiatrists
Library of Congress subject classification: R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Sets: Research centres and groups > Personal Social Services Research Unit (PSSRU)
Rights: http://www.lse.ac.uk/library/usingTheLibrary/academicSupport/OA/depositYourResearch.aspx
Date Deposited: 23 Jun 2008 14:14
URL: http://eprints.lse.ac.uk/5009/

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