Beyond ADHD: How Well Are We Doing?

Ruth E.K. Stein, Amy Storfer-Isser, Bonnie D. Kerker, Andrew Garner, Moira Szilagyi, Kimberly E. Hoagwood, Karen G. O'Connor, Sarah McCue Horwitz

Research output: Contribution to journalArticle

39 Scopus citations

Abstract

Background and Objective There has been increasing emphasis on the role of the pediatrician with respect to behavioral, learning, and mental health (MH) issues, and developmental behavioral rotations are now required in pediatric residency programs. We sought to examine whether this newer emphasis on MH is reflected in pediatricians' reports of their current practices. Methods Data from 2 periodic surveys conducted in 2004 and 2013 by the American Academy of Pediatrics were examined to see whether there were differences in self-reported behaviors of usually inquiring/screening, treating/managing/comanaging, or referring patients for attention-deficit/hyperactivity disorder (ADHD), anxiety, depression, behavioral problems, or learning problems. We examined patterns for all practicing members and for those who practiced general pediatrics exclusively. Results There were few changes over the decade in the percentage who inquired or screened among all clinicians; among those exclusively practicing general pediatrics, the percentage who inquired or screened increased about 10% for ADHD and depression. ADHD remained the only condition for which the majority of respondents treated/managed/comanaged (57%). While there was some increase in the percentages who treated other conditions, the other conditions were usually treated by <30% of respondents. A similar pattern of results was observed in analyses adjusted for physician, practice, and patient characteristics. Conclusions Despite the changing nature of pediatric practice and increased efforts to emphasize the importance of behavior, learning, and MH, the pediatric community appears to be making little progress toward providing for the long-term behavioral, learning, and MH needs of children and adolescents in its care.

Original languageEnglish (US)
Pages (from-to)115-121
Number of pages7
JournalAcademic Pediatrics
Volume16
Issue number2
DOIs
StatePublished - Mar 1 2016

Keywords

  • ADHD
  • anxiety
  • behavior problems
  • depression
  • developmental behavioral pediatrics
  • learning problems
  • mental health
  • screening

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    Stein, R. E. K., Storfer-Isser, A., Kerker, B. D., Garner, A., Szilagyi, M., Hoagwood, K. E., O'Connor, K. G., & McCue Horwitz, S. (2016). Beyond ADHD: How Well Are We Doing? Academic Pediatrics, 16(2), 115-121. https://doi.org/10.1016/j.acap.2015.08.012