title: ADHD: Insurance and Mental Health Service Use.
abstract: We describe mental health service use by insurance among children aged 4 to 17 with diagnosed attention-deficit/ hyperactivity disorder (ADHD). Using parent reports from 2010-2013 National Health Interview Survey, we estimate the percentage that received services for emotional and behavioral difficulties (EBD): medication, other nonmedication services, and none (neither medication nor other nonmedication services). Among children with diagnosed ADHD, 56.0% had used medication for EBD, 39.8% had contact with a mental health professional, 32.2% had contact with a general doctor about the child's EBD, and 20.4% received special education services for EBD. Medication use was more often reported for privately or publicly insured children than uninsured children ( P < .001), and uninsured children more often received no services ( P < .001). Publicly insured children were more likely than privately insured children to receive other nonmedication services ( P < .001). Less than a third (28.9%) of all children received no services as compared to almost half (48.8%) of uninsured children.
authors.affiliation: 1 National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD, USA.
authors.forename: Patricia N
authors.initials: PN
authors.lastname: Pastor
authors.affiliation: 1 National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD, USA.
authors.forename: Alan E
authors.initials: AE
authors.lastname: Simon
authors.affiliation: 1 National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD, USA.
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Reuben
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data*; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*
keywords: children; emotional and behavioral difficulties; mental health; serious emotional disorders; service utilization