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Improving Care for Children With ADHD: The Information is Just a Rating Scale Away

W. Barbaresi

Published 2016 in Pediatrics

ABSTRACT

* Abbreviation: ADHD — : attention-deficit/hyperactivity disorder Attention-deficit/hyperactivity disorder (ADHD) is the most common neurodevelopmental disorder, affecting millions of children, adolescents, and adults in the United States.1–3 ADHD is associated with a wide range of comorbid conditions and adverse outcomes, including learning and psychiatric disorders, substance abuse, school failure, increased healthcare costs and utilization, and, by young adulthood, significantly increased risk for suicide.4–8 Furthermore, many children will continue to have ADHD in adulthood, accompanied by high rates of comorbid psychiatric conditions.4 Fortunately, despite this worrisome array of adverse outcomes, there are highly effective medical and behavioral treatments that have been shown to be associated with improved outcomes in multiple domains, such as reduced risks for substance use disorders, reduced emergency department visits, and improved school and academic outcomes.6,9,10 It is therefore a major public health imperative that clinicians provide optimal diagnostic and treatment services for children and adolescents affected by ADHD, including using ADHD-specific rating scales to guide clinical decision-making. The article by Chang et al11 in … Address correspondence to William J. Barbaresi, MD, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115. E-mail: william.barbaresi{at}childrens.harvard.edu

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