Pilot Study of Shared Care of ADHD in a Pediatric Clinic:Colocation of a Psychologist as an ADHD Care Manager
Status unconfirmed · Not applicable
Conditions studied: ADHD
In brief
Due to the shortage of child psychiatrists and the high prevalence of child mental health disorder, pediatricians and other pediatric primary care providers often assume responsibility for the management of various psychiatric disorders, including ADHD, Attention Deficit Hyperactivity Disorder. However, pediatricians have not been well-trained during residency to deal with the complexities of ADHD management. In addition, the system of care under which pediatricians practice do not afford the time availability that is required to properly manage a child with ADHD. On the other hand, if a pediatrician wishes to refer a patient to a child mental health specialist, many obstacles, including but not limited to stigma, insurance issues, and long waiting lists, often interfere with the patient actually receiving services for his/her ADHD. This research project seeks to examine an innovative model of care in which a child psychologist is located on the premises of a pediatric office and is available to share the care of patients with the pediatrician in order to address ADHD. We hypothesize that parents as well as pediatricians will be more satisfied with this model of care and that patients will ultimately have better outcomes. The beginning of our pilot has shown under-identification to be a barrier to care as well, and thus we propose to implement a quality improvement initiative to screen children for psychosocial issues as well. As we have had trouble with recruitment and unfortunately have had more children randomized to TAU than shared care, we propose in December 2007 a phase 2 of our study where all subjects, instead of randomization, are entered into shared care.
Key facts
- Study ID
- NCT00644566
- Run by
- Weill Medical College of Cornell University
- People needed
- 140
- Starts
- 2006-08-01
- Expected to finish
- 2008-06-01
- Last updated by the study team
- 2010-11-05
Who can join
Age: 6 and older, up to 17. Sex: any. Healthy volunteers: not accepted.
You may not qualify if…
- Mental Retardation
- Co-morbid psychotic disorder
- Suicidal
- Homicidal
- Dangerous behavior
- Foster care
- Impairing co-morbid psychiatric disorder that would make ADHD treatment in a pediatric clinic unsafe or inappropriate (in the judgment of the PI based on the case review of the findings of the clinical psychologist.)
- Allergic or contraindication to stimulant medications
- Inclusion Criteria (Provider subjects):
- Provider at Cornell Campus Helmsley Tower 5/ Long Island City Campus
- Exclusion Criteria:
- None
- Inclusion for screening:
- Age 6-17
- Child is to be seen by pediatric provider at HT5
- Parent or guardian reads English or Spanish
- Exclusion Criteria:
- Parent/Guardian has received screen within the year
- Patient is too sick for parent to spend time on form
Where it is running
- New York Presbyterina Hospital- Weill Cornell Medcial College HT5 Pediatrics Clinic — New York, New York, United States (enrolling)
- Long Island City Community Practice — Long Island City, New York, United States
Full record on ClinicalTrials.gov
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