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
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.
|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)|
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