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Published VersionCC BY-NC V4.0, Open Access
Journal article
Examing the pharmacological and psychological treatment of child and adolescent ADHD
BMJ Open, Vol.12(11), pp.1-9
2022
Abstract
Introduction: Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder which affects 5% of children globally. In Australia, it is estimated that 4.1% of children and adolescents have ADHD. While research has examined the treatment and outcomes of children with ADHD attending public mental health services during their time in the public system in Australia, it is not known what treatment they received before and after these treatment episodes, which will provide a more complete understanding of these children’s treatment journey.
Methods and analysis: We will link clinical data from cohorts of children and adolescents treated in the public child and youth mental health and/or child development services in Brisbane, Melbourne and Sydney to the Medicare Benefits Schedule (MBS), Pharmaceutical Benefits Scheme (PBS) and National Death Index. MBS data will demonstrate the treatment journey with respect to clinicians seen, and treatment episodes from the public health service data sets will be examined to assess if the type and intensity of treatment are related to treatment outcomes. PBS data will reveal all psychotropic medications prescribed, allowing an examination of not just ADHD medications, but also other psychotropics which may indicate co-occurring conditions (eg, anxiety and mood disorders). Statistical analyses will include descriptive statistics to describe the rates of specific medications and clinician specialties seen. Linear and logistic regression will be used to model how treatment and sociodemographic variables relate to routinely collected outcome measures in the public health system while controlling for covarying factors.
Ethics and dissemination: This study has been approved by the following institutional ethics committees: (1) Children’s Health Queensland Hospital and Health Service (HREC/21/QCHQ/76260), (2) The University of Queensland (2021/HE002143) and (3) The Australian Institute of Health and Welfare (EO2021/4/1300). Findings will be disseminated through peer-reviewed journals, conferences, professional associations and to public mental health services that treat ADHD.
Details
- Title
- Examing the pharmacological and psychological treatment of child and adolescent ADHD
- Authors
- Daniel P Sullivan - The University of QueenslandLeanne Payne - Children's Health QueenslandKelsie A Boulton - The University of SydneyNatalie Silove - Sydney Children’s Hospitals NetworkMark A Bellgrove - Monash UniversityEmma Sciberras - Deakin UniversityDavid Coghill - The University of MelbourneAdam J Guastella - The University of SydneyChristel M Middeldorp (Corresponding Author) - Children’s Health Queensland Hospital and Health Service
- Publication details
- BMJ Open, Vol.12(11), pp.1-9
- Publisher
- BMJ Group
- Date published
- 2022
- DOI
- 10.1136/bmjopen-2022-064920
- ISSN
- 2044-6055; 2044-6055
- Copyright note
- This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
- Grant note
- Australian ADHD Professionals Association via an unrestricted grant from the Australian Government’s Department of Health.
- Organisation Unit
- Thompson Institute
- Language
- English
- Record Identifier
- 991093698802621
- Output Type
- Journal article
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- Psychiatry
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