Introduction
Attention-Deficit/Hyperactivity Disorder (ADHD) is a prevalent condition affecting both children and adults, often co-occurring within families. The recent study titled Screening for parent and child ADHD in urban pediatric primary care: pilot implementation and stakeholder perspectives provides critical insights into the implementation of ADHD screening protocols in urban pediatric settings. This blog explores the study's findings and suggests ways practitioners can enhance their skills in addressing ADHD in under-resourced communities.
Key Findings
The pilot study implemented a screening protocol for ADHD in urban pediatric primary care clinics, focusing on families insured through Medicaid. The study revealed a low screening completion rate of 19.28% over six months. However, among those screened, a significant portion indicated the presence of ADHD symptoms in both parents and children.
Stakeholder feedback identified several themes contributing to the low screening rates:
- Divergence between provider enthusiasm and parent hesitation: While providers were eager to integrate parent and child mental health care, parents were hesitant to discuss their mental health during child-focused visits.
- Parent preference versus logistic reality: Parents preferred discussing mental health with trusted providers rather than filling out forms, but providers faced time constraints.
- Centering marginalized identities: Sensitivity towards the historical mistreatment of marginalized communities is crucial when discussing mental health.
- Sensitivity in discussing mental health and medication: Stigma around mental health and medication requires careful communication.
Implications for Practitioners
Practitioners can enhance their approach to ADHD screening by considering the following strategies:
- Build Trust: Establishing a trusting relationship with families can facilitate open discussions about mental health. Consider engaging family navigators or parent advocates to bridge gaps.
- Flexible Screening Approaches: Tailor screening processes to accommodate family preferences, such as conducting screenings in advance or during less busy times.
- Cultural Sensitivity: Be aware of and address the unique challenges faced by marginalized communities, ensuring empathy and understanding in all interactions.
- Educate and Communicate: Provide clear information about the benefits of screening and treatment, using language that resonates with families' experiences.
Encouraging Further Research
The study underscores the need for continued research into effective ADHD screening and treatment strategies in diverse settings. Practitioners are encouraged to explore innovative approaches and share findings to contribute to a broader understanding of ADHD management in urban pediatric care.
To read the original research paper, please follow this link: Screening for parent and child ADHD in urban pediatric primary care: pilot implementation and stakeholder perspectives.
