On-site Mental Health Professionals and Pediatric Residents in Continuity Clinic

2017 ◽  
Vol 56 (13) ◽  
pp. 1219-1226 ◽  
Author(s):  
Braveen Ragunanthan ◽  
Emily J. Frosch ◽  
Barry S. Solomon
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Behavioral Problems ◽  
Health Professionals ◽  
Pediatric Resident ◽  
Continuity Clinic ◽  
Pediatric Residents ◽  
Resident Perceptions ◽  
Hyperactivity Disorder ◽  
American Academy Of Pediatrics

The objective of the study was to examine differences in pediatric resident perceptions and practices related to child mental health conditions in continuity clinic settings with versus without on-site mental health professionals (MHPs). A 20-item questionnaire, based on the American Academy of Pediatrics Periodic Survey Number 59, was administered to pediatric residents in a medium-sized program from 2008 to 2011. Of 130 residents surveyed, compared with their peers, those practicing with the on-site MHPs were more likely to report mental health services as very available in their clinic (odds ratio [OR] = 39.7; P = .000). Residents with on-site MHPs inquired more frequently about attention-deficit/hyperactivity disorder (ADHD; OR = 2.96; P = .029) and referred more frequently for ADHD (OR = 3.68; P = .006), depression (OR = 2.82; P = .030), and behavioral problems (OR = 3.04; P = .012). On-site MHPs in continuity clinics offer great potential to improve resident education and patient care. Additional research is necessary to further understand their impact.

Current scenario of diagnosis and treatment of attention-deficit/hyperactivity disorder (ADHD) in urban India: a pilot study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sandhya Basu ◽  
Bidisha Banerjee
Keyword(s):  
Mental Health ◽  
Attention Deficit Hyperactivity Disorder ◽  
Pilot Study ◽  
Mental Health Professionals ◽  
Attention Deficit ◽  
Health Professionals ◽  
Urban Setting ◽  
Diagnosis And Treatment ◽  
Content Type ◽  
Hyperactivity Disorder

Purpose The current literature on attention-deficit/hyperactivity disorder (ADHD) shows a tangled picture of its etiology and diagnosis. It directs at over-medicalization in ADHD cases due to the pharmaceutical-based models surrounding its treatment. Further, the authors observed the negligible reporting of India’s ADHD scenario in the reviewed literature. Thus, this study aims to explore the status of ADHD in India’s urban setting through a pilot study. Design/methodology/approach Social constructivist viewpoint guided this study. The authors conducted the pilot in two phases: face-to-face semi-structured qualitative interviews with 11 mental health professionals in the first phase, and, in the second phase, five mental health professionals responded to an online survey with same questions. After qualitative analysis, four major themes were identified: participants’ opinions on ADHD etiology, issues in diagnosis, social context of ADHD and alternatives to medication. Findings The findings highlight the need to re-visit the ADHD narrative in the Indian context. These findings also emphasize future investigation on the medicalization of ADHD in India. Research limitations/implications A countrywide epidemiological survey is required to explore the distribution of the disorder to standardize diagnosis and treatment procedures pan-India. This paper is an attempt to iron out the ADHD-related information that needs further exploration and research. Originality/value With in-depth interviews of mental health professionals, the study explores the state of ADHD in an urban setting in India. Future research must build on the current findings to establish the etiological and diagnostic framework of ADHD.

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