Abstract
Attention Deficit Hyperactivity Disorder (ADHD) is a common reason for referral to Child and Adolescent Mental Health Services (CAMHS), but families experience long delays between first professional contact and diagnosis, which risks development of secondary impairments. This study explores the agreement between clinician and research diagnoses of ADHD among children attending CAMHS, and their access to interventions. From the limited literature, we anticipated fluctuation and delays, but no other study has focused prospectively on ADHD diagnoses. This was a secondary analysis of a cohort of children attending two CAMHS between 2006 and 2009. The sample included 288 consecutive referrals of children aged between 5 and 11 years. Parents and teachers completed the Development and Well-Being Assessment (DAWBA) when the child was recruited to the study, which provided the research diagnosis of ADHD from the baseline. Clinicians reported no, possible, or definite diagnosis of ADHD and interventions provided at 6-monthly intervals for up to 2 years while the child attended CAMHS. We assessed agreement between the diagnoses using Kendall's Tau-B. Of the 101 children with a research diagnosis of ADHD, 26 received a definite clinician d...Continue Reading
References
Nov 9, 2001·Journal of the American Academy of Child and Adolescent Psychiatry·R Goodman
Aug 30, 2003·BMJ : British Medical Journal·Robert GoodmanTamsin Ford
Jan 8, 2005·Psychiatric Services : a Journal of the American Psychiatric Association·David S MandellMichael B Blank
Jan 20, 2006·Psychological Medicine·Stephen V FaraoneEric Mick
Jun 2, 2007·The American Journal of Psychiatry·Guilherme PolanczykLuis Augusto Rohde
Aug 19, 2007·Journal of Developmental and Behavioral Pediatrics : JDBP·William J BarbaresiSteven J Jacobsen
May 26, 2009·Social Psychiatry and Psychiatric Epidemiology·Rudolf Uher, Robert Goodman
Sep 2, 2009·The British Journal of Psychiatry : the Journal of Mental Science·Dieter WolkeKoen Lamberts
Feb 18, 2010·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Peter M WehmeierRussell A Barkley
Mar 3, 2010·The British Journal of Psychiatry : the Journal of Mental Science·Kate LangleyAnita Thapar
Apr 13, 2011·Clinical Child Psychology and Psychiatry·Anne-Marie MartinTamsin Ford
Jun 21, 2012·BMC Pediatrics·Suzanne McCarthyIan C K Wong
Jul 4, 2012·International Archives of Occupational and Environmental Health·Thomas KüpperBarbara Schauble
Jul 20, 2012·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Alyssa M WardUNKNOWN Research Network On Youth Mental Health
Aug 1, 2012·Journal of Abnormal Psychology·Brooke S G MolinaPatrick J Curran
Aug 9, 2012·Journal of Affective Disorders·Joanna MannTamsin Ford
Aug 14, 2012·Social Psychiatry and Psychiatric Epidemiology·Tamsin FordRobert Goodman
Mar 6, 2013·Pediatrics·William J BarbaresiSlavica K Katusic
Jul 6, 2014·Journal of Attention Disorders·Joseph R HolbrookRobert E McKeown
May 19, 2016·JAMA Psychiatry·Jessica C Agnew-BlaisLouise Arseneault
Jan 29, 2017·Archives of Disease in Childhood·Johnny DownsTamsin Ford
Jul 12, 2017·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Patty LeijtenStephen Scott
Feb 1, 2018·Child and Adolescent Mental Health·Joanna SmithGill Hubbard
Feb 1, 2007·Child and Adolescent Mental Health·Tamsin FordRobert Goodman
Sep 1, 2008·Child and Adolescent Mental Health·Tamsin FordAnita Thapar
May 1, 2014·Child and Adolescent Mental Health·Anna LastTamsin Ford