Practitioner Review: Pathways to care for ADHD - a systematic review of barriers and facilitators.
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| Title: | Practitioner Review: Pathways to care for ADHD - a systematic review of barriers and facilitators. |
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| Authors: | Wright, Nicola, Moldavsky, Maria, Schneider, Justine, Chakrabarti, Ipsita, Coates, Janine, Daley, David, Kochhar, Puja, Mills, Jon, Sorour, Walid, Sayal, Kapil |
| Source: | Journal of Child Psychology & Psychiatry. Jun2015, Vol. 56 Issue 6, p598-617. 20p. 1 Illustration. |
| Subjects: | Psychiatric diagnosis, Risk factors of attention-deficit hyperactivity disorder, Attention-deficit hyperactivity disorder, Confidence intervals, Continuum of care, Health services accessibility, Help-seeking behavior, Information storage & retrieval systems, Medical databases, Medical information storage & retrieval systems, Psychology information storage & retrieval systems, Medical needs assessment, MEDLINE, Race, Research funding, Sex distribution, Systematic reviews, Odds ratio |
| Abstract: | Background Attention-Deficit/Hyperactivity Disorder ( ADHD) is a common neurodevelopmental disorder starting in childhood that may persist into adulthood. It can be managed through carefully monitored medication and nonpharmacological interventions. Access to care for children at risk of ADHD varies both within and between countries. A systematic literature review was conducted to investigate the research evidence related to factors which influence children accessing services for ADHD. Method Studies investigating access to care for children at risk of ADHD were identified through electronic searches of the international peer-reviewed and grey literature. Databases were searched from inception till 30th April 2012. This identified 23,156 articles which were subjected to three levels of screening (title, abstract and full text) by a minimum of two independent reviewers. Due to the heterogeneity in the study designs, a narrative approach was used to present the findings. Results Twenty-seven papers met the inclusion criteria; these were grouped into four main themes, with some papers being included in more than one. These were wider determinants (10 papers); identification of need (9 papers); entry and continuity of care (13 papers) and interventions to improve access (4 papers). Barriers and facilitators to access were found to operate at the individual, organisational and societal level. Limited evidence of effective interventions to improve access was identified. Conclusion This review explored the multilayered obstacles in the pathway to care for children at risk of ADHD and the lack of evidence-based interventions designed to address these issues, thereby indicating areas for service development and further evaluative research. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Background Attention-Deficit/Hyperactivity Disorder ( ADHD) is a common neurodevelopmental disorder starting in childhood that may persist into adulthood. It can be managed through carefully monitored medication and nonpharmacological interventions. Access to care for children at risk of ADHD varies both within and between countries. A systematic literature review was conducted to investigate the research evidence related to factors which influence children accessing services for ADHD. Method Studies investigating access to care for children at risk of ADHD were identified through electronic searches of the international peer-reviewed and grey literature. Databases were searched from inception till 30th April 2012. This identified 23,156 articles which were subjected to three levels of screening (title, abstract and full text) by a minimum of two independent reviewers. Due to the heterogeneity in the study designs, a narrative approach was used to present the findings. Results Twenty-seven papers met the inclusion criteria; these were grouped into four main themes, with some papers being included in more than one. These were wider determinants (10 papers); identification of need (9 papers); entry and continuity of care (13 papers) and interventions to improve access (4 papers). Barriers and facilitators to access were found to operate at the individual, organisational and societal level. Limited evidence of effective interventions to improve access was identified. Conclusion This review explored the multilayered obstacles in the pathway to care for children at risk of ADHD and the lack of evidence-based interventions designed to address these issues, thereby indicating areas for service development and further evaluative research. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00219630 |
| DOI: | 10.1111/jcpp.12398 |
