title: Patterns and Predictors of Service Utilization Among Youth With ADHD-Predominantly Inattentive Presentation.
abstract: Objective:This study examined rates and predictors of educational and mental health service utilization among youth with ADHD-predominantly inattentive presentation (ADHD-I).Method:Participants were 199 children with ADHD-I in Grades 2 to 5. Parents reported past-year child service utilization. Parents and teachers rated child ADHD and oppositional defiant disorder (ODD) symptom severity and functional impairment. Children completed an academic achievement test.Results:All children had impairment at school and home. Most received some sort of school service (79%), but only 23% received community-based services. ADHD symptom severity was unrelated to service utilization. However, higher parent-rated functional impairment predicted community service utilization. Academic underachievement and higher teacher-rated functional impairment predicted school service utilization.Conclusion:Many youth with ADHD-I experience impairment across domains without receiving adequate services for these problems. Functional impairment appears to be a stronger predictor of service utilization than ADHD symptom severity, demonstrating the importance of impairment in understanding service needs for ADHD-I.
authors.affiliation: 1 University of California, San Francisco, USA.
authors.forename: Matthew R
authors.initials: MR
authors.lastname: Capriotti
authors.affiliation: 1 University of California, San Francisco, USA.
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Pfiffner
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000628:therapy; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000628:therapy; D002648:Child; D003071:Cognition; D006801:Humans; D010290:Parents; D012574:Schools
keywords: ADHD subtypes; ADHD-Inattentive Presentation; functional impairment; service use