ADHD Assessment and Treatment in Primary Care：在初级保健中注意缺陷多动障碍的评估和治疗.pptVIP

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ADHD Assessment and Treatment in Primary Care：在初级保健中注意缺陷多动障碍的评估和治疗.ppt

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ADHD Assessment and Treatment in Primary Care：在初级保健中注意缺陷多动障碍的评估和治疗

ADHD Assessment and Treatment in Primary Care BHC Outreach Meeting December 10, 2004 Overview Current State of Affairs Information and Education for Physicians Role of Behavioral Health Specialist Assessment Treatment Current Research on Implementation Future Research Questions Current Affairs Majority of health care visits for mental health are to primary care (60%). Current Affairs Majority of health care visits for mental health are to primary care (60%). “Attentional problems” greatest increase of all mental health problems in PC since 1979. Current Affairs Majority of health care visits for mental health are to primary care (60%). “Attentional problems” greatest increase of all mental health problems in PC since 1979. ADHD diagnosis a 2.3-fold increase in population-adjusted rate from 1990-95. Current Affairs Majority of health care visits for mental health are to primary care (60%). “Attentional problems” greatest increase of all mental health problems in PC since 1979. ADHD diagnosis a 2.3-fold increase in population-adjusted rate from 1990-95. Children with ADHD use primary care more, cost more. Current Affairs Copeland, Wolraich, Lindgren, Milich, Woolson, 1987 How is diagnosis made? 79% “activity in office” 47% “neurologic soft signs” 33% “aggressive/antisocial activity” 58% parent rating scales, 62% teacher rating scales 77% stimulant response Current Affairs Copeland, Wolraich, Lindgren, Milich, Woolson, 1987 What treatment recommendations are made? 84% use stimulants moderately - frequently 73% get parent report for periodic re-evaluation 56% get teacher ratings for periodic re-evaluation 33% treat preschoolers 70% behavior modification other therapies rarely recommended 26% never refer to mental health clinics Current Affairs What treatment recommendations are made? In pediatric visits, when meds prescribed, counseling offered in 68% cases. Hoagwood, Jensen, Feil, Vitiello, Bhatara, 2000 50% physicians surveyed referred to mental health profe