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Acad Pediatr. 2016 Mar;16(2):115-21. doi: 10.1016/j.acap.2015.08.012. Epub 2015 Sep 26.

Beyond ADHD: How Well Are We Doing?

Author information

1
Albert Einstein College of Medicine/Children's Hospital at Montefiore, New York, NY. Electronic address: ruth.stein@einstein.yu.edu.
2
Statistical Research Consultants LLC, Schaumburg, Ill.
3
Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York, NY; Nathan Kline Institute of Psychiatric Research, Orangeburg, NY.
4
Case Western Reserve University School of Medicine, Cleveland, Ohio.
5
University of California at Los Angeles, Los Angeles, Calif.
6
Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York, NY.
7
American Academy of Pediatrics, Elk Grove Village, Ill.

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.

KEYWORDS:

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

PMID:
26514649
PMCID:
PMC5560870
DOI:
10.1016/j.acap.2015.08.012
[Indexed for MEDLINE]
Free PMC Article

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