Collaborative care for the treatment of Hispanic children diagnosed with attention-deficit hyperactivity disorder.

摘要

OBJECTIVE: This study examined the use of the collaborative care model in treating Hispanic children diagnosed with attention-deficit hyperactivity disorder (ADHD) living in underserved communities. METHODS: The study was implemented in two clinics, one in a rural and one in an urban setting. We evaluated model implementation and used standardized rating scales to assess pre/post-intervention changes in ADHD symptoms. All children were referred and treated by their pediatricians. A care manager conveyed medication recommendations from a child and adolescent psychiatrist to the pediatrician who in turn implemented recommendations. The care manager also provided psychoeducation regarding the causes and management of ADHD. RESULTS: The model was successfully implemented. Differences were observed across the two clinics. The urban clinic provided more sessions in the first 2 months of treatment, collected more rating scales, provided more psychoeducation, made more medication adjustments, and prescribed higher medication doses. However, children at both sites showed comparable reductions in ADHD symptoms. Parents were satisfied with the collaborative care model. Staff expressed the need for more administrative support in implementing the model. CONCLUSIONS: Collaborative care appears feasible and acceptable for the treatment of Hispanic children with ADHD and shows preliminary evidence of effectiveness.