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Evaluation of a new model for assessment and treatment of uncomplicated ADHD–effect, patient satisfaction and costs

Wernersson, Rebecca ; Johansson, Jan ; Andersson, Markus LU and Jarbin, Håkan LU (2020) In Nordic Journal of Psychiatry 74(2). p.96-104
Abstract

Aim: Attention-deficit/hyperactivity disorder (ADHD) is the most common diagnosis within child- and adolescent psychiatry. Waiting lists and delayed care are major issues. The aim was to evaluate if standardized care (SC) for assessment and treatment of uncomplicated ADHD would reduce resource utilization and increase satisfaction with preserved improvement within the first year of treatment. Method: Patients 6–12 years with positive screen for uncomplicated ADHD at the brief child and family phone interview (BCFPI), a routine clinical procedure, were triaged to SC. The control group consisted of patients diagnosed with ADHD in 2014 and treated as usual. BCFPI factors at baseline and follow-up after one year and resource utilization... (More)

Aim: Attention-deficit/hyperactivity disorder (ADHD) is the most common diagnosis within child- and adolescent psychiatry. Waiting lists and delayed care are major issues. The aim was to evaluate if standardized care (SC) for assessment and treatment of uncomplicated ADHD would reduce resource utilization and increase satisfaction with preserved improvement within the first year of treatment. Method: Patients 6–12 years with positive screen for uncomplicated ADHD at the brief child and family phone interview (BCFPI), a routine clinical procedure, were triaged to SC. The control group consisted of patients diagnosed with ADHD in 2014 and treated as usual. BCFPI factors at baseline and follow-up after one year and resource utilization were compared. Results: Patients improved in ADHD symptoms (Cohen’s d = 0.78, p < 0.001), child function (Cohen’s d = 0.80, p < 0.001) and in family situation (Cohen’s d = 0.61, p < 0.001) without group differences. Parents of SC patients participated more often in psychoeducational groups (75.5 vs. 49.5%, p < 0.001). SC had shorter time to ADHD diagnosis (8.4 vs. 15.6 weeks, p = 0.01) and to medication (24.6 vs. 32.1 weeks, p = 0.003). SC families were more satisfied with the waiting time (p = 0.01), otherwise there were no differences in satisfaction between the groups. Families of SC patients had fewer visits (4.7 vs. 10.8, p < 0.001) but used the same number of phone calls (6.3 vs. 6.2, p = 0.71). Costs were 55% lower. Conclusions: A SC for ADHD can markedly reduce costs with preserved quality. As resources are limited, child psychiatry would benefit from standardization.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
ADHD, Child, outcome, resource utilization, standardized care
in
Nordic Journal of Psychiatry
volume
74
issue
2
pages
9 pages
publisher
Informa Healthcare
external identifiers
  • scopus:85074482483
  • pmid:31596156
ISSN
0803-9488
DOI
10.1080/08039488.2019.1674377
language
English
LU publication?
yes
id
8d42c25e-033a-4a50-9f2b-045b29c5db67
date added to LUP
2019-11-22 10:59:12
date last changed
2024-05-15 02:14:59
@article{8d42c25e-033a-4a50-9f2b-045b29c5db67,
  abstract     = {{<p>Aim: Attention-deficit/hyperactivity disorder (ADHD) is the most common diagnosis within child- and adolescent psychiatry. Waiting lists and delayed care are major issues. The aim was to evaluate if standardized care (SC) for assessment and treatment of uncomplicated ADHD would reduce resource utilization and increase satisfaction with preserved improvement within the first year of treatment. Method: Patients 6–12 years with positive screen for uncomplicated ADHD at the brief child and family phone interview (BCFPI), a routine clinical procedure, were triaged to SC. The control group consisted of patients diagnosed with ADHD in 2014 and treated as usual. BCFPI factors at baseline and follow-up after one year and resource utilization were compared. Results: Patients improved in ADHD symptoms (Cohen’s d = 0.78, p &lt; 0.001), child function (Cohen’s d = 0.80, p &lt; 0.001) and in family situation (Cohen’s d = 0.61, p &lt; 0.001) without group differences. Parents of SC patients participated more often in psychoeducational groups (75.5 vs. 49.5%, p &lt; 0.001). SC had shorter time to ADHD diagnosis (8.4 vs. 15.6 weeks, p = 0.01) and to medication (24.6 vs. 32.1 weeks, p = 0.003). SC families were more satisfied with the waiting time (p = 0.01), otherwise there were no differences in satisfaction between the groups. Families of SC patients had fewer visits (4.7 vs. 10.8, p &lt; 0.001) but used the same number of phone calls (6.3 vs. 6.2, p = 0.71). Costs were 55% lower. Conclusions: A SC for ADHD can markedly reduce costs with preserved quality. As resources are limited, child psychiatry would benefit from standardization.</p>}},
  author       = {{Wernersson, Rebecca and Johansson, Jan and Andersson, Markus and Jarbin, Håkan}},
  issn         = {{0803-9488}},
  keywords     = {{ADHD; Child; outcome; resource utilization; standardized care}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{96--104}},
  publisher    = {{Informa Healthcare}},
  series       = {{Nordic Journal of Psychiatry}},
  title        = {{Evaluation of a new model for assessment and treatment of uncomplicated ADHD–effect, patient satisfaction and costs}},
  url          = {{http://dx.doi.org/10.1080/08039488.2019.1674377}},
  doi          = {{10.1080/08039488.2019.1674377}},
  volume       = {{74}},
  year         = {{2020}},
}