Diagnosis and treatment of attention deficit disorder in two general hospital clinics
| Autor: | Peter S. Jensen, Harry Davis, Robert E. Shervette, Stephen N. Xenakis, Michael W. Bain |
|---|---|
| Rok vydání: | 1989 |
| Předmět: |
medicine.medical_specialty
education Concurrent validity Presumptive diagnosis Pilot Projects Audit Psychiatric Department Hospital School intervention Hospitals General Hospitals Military Intervention (counseling) Internal consistency Medicine Humans General hospital Psychiatry Child Psychotropic Drugs business.industry Attention deficit disorder Combined Modality Therapy Drug Utilization United States Psychotherapy Psychiatry and Mental health Attention Deficit Disorder with Hyperactivity Family medicine business |
| Zdroj: | Hospitalcommunity psychiatry. 40(7) |
| ISSN: | 0022-1597 |
| Popis: | In two clinics in military general hospitals, the charts of all children with a presumptive diagnosis of attention deficit disorder who were prescribed psychostimulants (N = 68) were audited to assess the quality of the primary physicians' evaluation and treatment. The audit instrument, constructed by a multidisciplinary team, indicated high interrater reliabilities, high face and concurrent validity, and moderate internal consistency. The audit found that only 51.5 percent of the children being treated with psychostimulants met the audit criteria for attention deficit disorder. A school intervention plan was documented in only 16.2 percent of the cases, and a psychotherapy intervention in only 19.1 percent; low rates were also found for other treatment and follow-up criteria. Overall, the assessment, the follow-up care, and the overall quality of care were found to be inadequate or less than adequate in about two-thirds of the cases. |
| Databáze: | OpenAIRE |
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