caa a22 4500 605477434 CHVBK 20210128100401.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00787-014-0606-z doi (NATIONALLICENCE)springer-10.1007/s00787-014-0606-z Predictors of and barriers to service use for children at risk of ADHD: longitudinal study [Elektronische Daten] [Kapil Sayal, Jonathan Mills, Kate White, Christine Merrell, Peter Tymms] Many children with, or at risk of, ADHD do not receive healthcare services for their difficulties. This longitudinal study investigates barriers to and predictors of specialist health service use. This is a 5-year follow-up study of children who participated in a cluster randomised controlled trial, which investigated school-level interventions (provision of books with evidence-based information and/or feedback of names of children) for children at risk of ADHD. 162 children who had high levels of ADHD symptoms at age 5 (baseline) were followed up at age 10years. Using baseline data and follow-up information collected from parents and teachers, children who had and had not used specialist health services over the follow-up period were compared and predictors (symptom severity, comorbid problems, parental perception of burden, parental mental health, and socio-demographic factors) of specialist service use investigated. The most common parent-reported barrier reflected lack of information about who could help. Amongst children using specialist health services who met criteria for ADHD at follow-up, 36% had been prescribed stimulant medication. Specialist health service use was associated with each one-point increase in teacher-rated symptoms at baseline [inattention symptoms (adjusted OR=1.40; 95% CI 1.12-1.76) and hyperactivity/impulsivity symptoms (adjusted OR=1.23; 95% CI 1.05-1.44)]. Parental mental health problems were also independently associated with service use (for each one-point increase in symptoms, adjusted OR=1.41; 95% CI 1.04-1.91). Severity of teacher-rated ADHD symptoms in early school years is a determinant of subsequent service use. Clinicians and teachers should be aware that parental mental health problems are independently associated with service use for children at risk of ADHD. Springer-Verlag Berlin Heidelberg, 2014 ADHD nationallicence Hyperactivity/inattention nationallicence School-based intervention nationallicence Longitudinal nationallicence Barriers nationallicence Service use nationallicence Sayal Kapil Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, E Floor, South Block, Queen's Medical Centre, NG7 2UH, Nottingham, UK aut Mills Jonathan Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, E Floor, South Block, Queen's Medical Centre, NG7 2UH, Nottingham, UK aut White Kate School of Social and Community Medicine, University of Bristol, Bristol, UK aut Merrell Christine Centre for Evaluation and Monitoring (CEM), Durham University, Durham, UK aut Tymms Peter Centre for Evaluation and Monitoring (CEM), Durham University, Durham, UK aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/5(2015-05-01), 545-552 1018-8827 24:5<545 2015 24 787 https://doi.org/10.1007/s00787-014-0606-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0606-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sayal Kapil Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, E Floor, South Block, Queen's Medical Centre, NG7 2UH, Nottingham, UK aut NATIONALLICENCE 700 1- Mills Jonathan Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, E Floor, South Block, Queen's Medical Centre, NG7 2UH, Nottingham, UK aut NATIONALLICENCE 700 1- White Kate School of Social and Community Medicine, University of Bristol, Bristol, UK aut NATIONALLICENCE 700 1- Merrell Christine Centre for Evaluation and Monitoring (CEM), Durham University, Durham, UK aut NATIONALLICENCE 700 1- Tymms Peter Centre for Evaluation and Monitoring (CEM), Durham University, Durham, UK aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/5(2015-05-01), 545-552 1018-8827 24:5<545 2015 24 787