Attention Deficit Hyperactivity Disorder (ADHD), considered the most common child psychiatric condition, has only been minimally examined from a health services perspective. New efficacy data on multimodal treatments are forthcoming, but before we can mount effectiveness studies of these interventions, we must identify salient barriers to care, determine the magnitude of unmet need, learn how to best target affected children, and gather the viewpoints of relevant stakeholders on what interventions will work in specific contexts. This study therefore has the following specific aims: 1) to identify barriers to detection and access to services for ADHD, on the level of family and child, the school system, and health care providers, through complementary qualitative and quantitative research methods; 2) to determine the extent to which children with ADHD receive services across sectors (general health, mental health, education, informal and self-care), comparing the findings to suggested practice parameters for ADHD, and examining the associations between services use patterns and characteristics of the child, family, social network, school system, and of health care providers; and 3) to determine the implications of findings from this study for future context-specific interventions from the perspectives of multiple stakeholders, through focus group interview methods. To address these aims, we will use a combination of primary data collected on a representative sample of children enrolled in grades K through 5 in a Florida school district, and secondary data from the school district. Primary data will provide information on disorders, predisposing and barrier characteristics, and service use in the health and self-care sector. Secondary data will yield information on school performance and school service use. Profiles of help-seeking and of service use will be established at the individual child level, and characteristics of the school environment will be determined at the school level. The study findings will subsequently be presented in focus group interviews to relevant stakeholders to determine the implications for service delivery and for future effectiveness trials from their perspectives.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
3R01MH057399-04S1
Application #
6780130
Study Section
Services Research Review Committee (SER)
Program Officer
Ringeisen, Heather
Project Start
1998-08-01
Project End
2004-06-30
Budget Start
2001-08-01
Budget End
2004-06-30
Support Year
4
Fiscal Year
2003
Total Cost
$8,875
Indirect Cost
Name
University of Florida
Department
Psychiatry
Type
Schools of Medicine
DUNS #
969663814
City
Gainesville
State
FL
Country
United States
Zip Code
32611
Bussing, Regina; Koro-Ljungberg, Mirka; Gagnon, Joseph Calvin et al. (2016) Feasibility of School-Based ADHD Interventions: A Mixed-Methods Study of Perceptions of Adolescents and Adults. J Atten Disord 20:400-13
Bussing, Regina; Mason, Dana; Garvan, Cynthia Wilson et al. (2016) Willingness to use ADHD Self-Management: Mixed Methods Study of Perceptions by Adolescents and Parents. J Child Fam Stud 25:562-573
Bussing, Regina; Meyer, Johanna; Zima, Bonnie T et al. (2015) Childhood ADHD Symptoms: Association with Parental Social Networks and Mental Health Service Use during Adolescence. Int J Environ Res Public Health 12:11893-909
Bussing, Regina; Zima, Bonnie T; Mason, Dana M et al. (2012) ADHD knowledge, perceptions, and information sources: perspectives from a community sample of adolescents and their parents. J Adolesc Health 51:593-600
Bussing, Regina; Koro-Ljungberg, Mirka; Noguchi, Kenji et al. (2012) Willingness to use ADHD treatments: a mixed methods study of perceptions by adolescents, parents, health professionals and teachers. Soc Sci Med 74:92-100
Bussing, Regina; Zima, Bonnie T; Mason, Dana M et al. (2011) Receiving treatment for attention-deficit hyperactivity disorder: do the perspectives of adolescents matter? J Adolesc Health 49:7-14
Kellison, Ida; Bussing, Regina; Bell, Lindsay et al. (2010) Assessment of stigma associated with attention-deficit hyperactivity disorder: psychometric evaluation of the ADHD stigma questionnaire. Psychiatry Res 178:363-9
Bussing, Regina; Mason, Dana M; Bell, Lindsay et al. (2010) Adolescent outcomes of childhood attention-deficit/hyperactivity disorder in a diverse community sample. J Am Acad Child Adolesc Psychiatry 49:595-605
Bell, Lindsay; Kellison, Ida; Garvan, Cynthia W et al. (2010) Relationships between child-reported activity level and task orientation and parental attention-deficit/hyperactivity disorder symptom ratings. J Dev Behav Pediatr 31:233-7
Williamson, Pamela; Koro-Ljungberg, Mirka E; Bussing, Regina (2009) Analysis of critical incidents and shifting perspectives: transitions in illness careers among adolescents with ADHD. Qual Health Res 19:352-65

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