A study of pathway of care in children and adolescents with attention deficit hyperactivity disorder
| Autor: | Manu Agarwal, Vivek Agarwal, Pawan Kumar Gupta, Suresh Yadav, Amit Arya |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Mental Health Services First contact Health Knowledge Attitudes Practice medicine.medical_specialty Adolescent Referral Child Health Services India behavioral disciplines and activities Tertiary care Time-to-Treatment School teachers mental disorders medicine Humans Attention deficit hyperactivity disorder Adhd symptoms Child Psychiatry General Psychology General Medicine Patient Acceptance of Health Care medicine.disease Help-seeking Diagnostic and Statistical Manual of Mental Disorders Psychiatry and Mental health Socioeconomic Factors Attention Deficit Disorder with Hyperactivity Needs assessment Critical Pathways Female Psychology Needs Assessment Clinical psychology |
| Zdroj: | Asian Journal of Psychiatry. 17:10-15 |
| ISSN: | 1876-2018 |
| Popis: | Objective Attention deficit hyperactivity disorder (ADHD) is associated with impairment in all aspects of the patient's life. Despite availability of effective treatments for ADHD, a majority of the patient lack access to or have a significant delay in seeking help. This study aimed to assess the pathway of care in ADHD among patients attending the outpatient psychiatric services of a tertiary care centre in India. Methods 57 newly registered cases of the age group 6–16 years with the diagnosis of ADHD as per DSM-IV-TR criteria were included in the study. Pathway of care was assessed on the semi structured proforma. Results The mean duration of delay in seeking help for ADHD symptoms was 3.96 Years (SD = 1.96). Only 50% of the subjects consulted psychiatrists as first contact. Majority of the patients (45.61%) were referred by school teachers. Major reason given by the family members was that the patient was naughty rather than having any disorder for not seeking treatment in (89.47%). Conclusion Our study showed that there was lack of recognition of ADHD at the level of other qualified practitioners and subsequent delay in referral to CAMHS. Sociocultural beliefs affected the help seeking by the parents. |
| Databáze: | OpenAIRE |
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