Skip to main content
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 10/2006

01.10.2006 | ORIGINAL PAPER

Identification of children at risk of Attention Deficit/Hyperactivity Disorder

A school-based intervention

verfasst von: Kapil Sayal, PhD, MRCPsych, Heatha Hornsey, Stephen Warren, Fiona MacDiarmid, Eric Taylor

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 10/2006

Einloggen, um Zugang zu erhalten

Abstract

Background

In many countries, the majority of children who have Attention Deficit/Hyperactivity Disorder (ADHD) are undiagnosed and there is limited recognition of child mental health problems in primary care. Teachers may be well placed to identify unrecognised children and to facilitate their referral to specialist services. Despite this, there has been limited intervention research addressing teacher identification of ADHD. This study aims to examine whether an educational intervention about ADHD for teachers improves their recognition of children at risk of ADHD.

Method

A before and after investigation of an educational intervention about ADHD for teachers took place in 6 primary schools (involving 96 class teachers and 2672 pupils). Teacher recognition was compared against a diagnostic algorithm for ADHD caseness that utilised both parent and teacher ratings. Changes in teacher recognition of children with probable ADHD, as well as predictors of recognition, were examined.

Results

Following the intervention, there was an increase in the proportion of children regarded by teachers as having probable ADHD. There was also improved agreement between teacher recognition and the diagnostic algorithm. Teacher views that a child had probable ADHD were based on both the severity of symptoms and the impact of these problems on the teacher and the class.

Conclusions

It is feasible to deliver an educational intervention addressing teacher identification of ADHD in routine practice. This was associated with an improvement in the ability of teachers to more accurately identify children at risk of ADHD. The provision of a brief educational intervention for teachers could assist in improving the identification of undiagnosed children with ADHD in the community.
Literatur
1.
Zurück zum Zitat Willoughby MT (2003) Developmental course of ADHD symptomatology during the transition from childhood to adolescence: a review with recommendations. J Child Psychol Psychiatry 44:88–106PubMedCrossRef Willoughby MT (2003) Developmental course of ADHD symptomatology during the transition from childhood to adolescence: a review with recommendations. J Child Psychol Psychiatry 44:88–106PubMedCrossRef
2.
Zurück zum Zitat Sayal K, Taylor E, Beecham J, et al. (2002) Pathways to care in children at risk of Attention Deficit/Hyperactivity Disorder. Br J Psychiatry 181:43–48PubMedCrossRef Sayal K, Taylor E, Beecham J, et al. (2002) Pathways to care in children at risk of Attention Deficit/Hyperactivity Disorder. Br J Psychiatry 181:43–48PubMedCrossRef
3.
Zurück zum Zitat Sayal K, Goodman R, Ford T (2006) Barriers to the identification of children with Attention Deficit/Hyperactivity Disorder. J Child Psychol Psychiatry 47(7):744–750PubMedCrossRef Sayal K, Goodman R, Ford T (2006) Barriers to the identification of children with Attention Deficit/Hyperactivity Disorder. J Child Psychol Psychiatry 47(7):744–750PubMedCrossRef
4.
Zurück zum Zitat Sayal K (2006) Annotation: Pathways to care for children with mental health problems. J Child Psychol Psychiatry 47(7):649–659PubMedCrossRef Sayal K (2006) Annotation: Pathways to care for children with mental health problems. J Child Psychol Psychiatry 47(7):649–659PubMedCrossRef
5.
Zurück zum Zitat Gledhill J, Kramer T, Iliffe S, et al. (2003) Training general practitioners in the identification and management of adolescent depression within the consultation: a feasibility study. J Adolesc 26:245–250PubMedCrossRef Gledhill J, Kramer T, Iliffe S, et al. (2003) Training general practitioners in the identification and management of adolescent depression within the consultation: a feasibility study. J Adolesc 26:245–250PubMedCrossRef
6.
Zurück zum Zitat Moor S, Sharrock G, Scott J, et al. (2000) Evaluation of a teaching package designed to improve teachers’ recognition of depressed pupils—a pilot study. J Adolesc 23:331–342PubMedCrossRef Moor S, Sharrock G, Scott J, et al. (2000) Evaluation of a teaching package designed to improve teachers’ recognition of depressed pupils—a pilot study. J Adolesc 23:331–342PubMedCrossRef
7.
Zurück zum Zitat Barbaresi WJ, Olsen RD (1998) An ADHD educational intervention for elementary school teachers: a pilot study. J Dev Behav Pediatr 19:94–100PubMed Barbaresi WJ, Olsen RD (1998) An ADHD educational intervention for elementary school teachers: a pilot study. J Dev Behav Pediatr 19:94–100PubMed
8.
Zurück zum Zitat Sax L, Kautz K (2003) Who first suggests the diagnosis of Attention-deficit/hyperactivity disorder? Ann Fam Med 1:171–174PubMedCrossRef Sax L, Kautz K (2003) Who first suggests the diagnosis of Attention-deficit/hyperactivity disorder? Ann Fam Med 1:171–174PubMedCrossRef
9.
Zurück zum Zitat Bussing R, Gary FA, Leon CE, et al. (2002) General classroom teachers’ information and perceptions of attention deficit hyperactivity disorder. Behav Disorders 27:327–339 Bussing R, Gary FA, Leon CE, et al. (2002) General classroom teachers’ information and perceptions of attention deficit hyperactivity disorder. Behav Disorders 27:327–339
10.
Zurück zum Zitat Walter HJ, Gouze K, Lim KG (2006) Teachers’ beliefs about mental health needs in inner city elementary schools. J Am Acad Child Adolesc Psychiatry 45:61–68PubMedCrossRef Walter HJ, Gouze K, Lim KG (2006) Teachers’ beliefs about mental health needs in inner city elementary schools. J Am Acad Child Adolesc Psychiatry 45:61–68PubMedCrossRef
11.
Zurück zum Zitat Poduska JM (2000) Parents’ perceptions of their first graders’ need for mental health and educational services. J Am Acad Child Adolesc Psychiatry 39:584–591PubMedCrossRef Poduska JM (2000) Parents’ perceptions of their first graders’ need for mental health and educational services. J Am Acad Child Adolesc Psychiatry 39:584–591PubMedCrossRef
12.
Zurück zum Zitat Sayal K, Taylor E (2004) Detection of child mental health disorders by General Practitioners. Br J Gen Pract 54:348–352PubMed Sayal K, Taylor E (2004) Detection of child mental health disorders by General Practitioners. Br J Gen Pract 54:348–352PubMed
13.
Zurück zum Zitat Pinfold V, Huxley P, Thornicroft G, et al. (2003) Reducing psychiatric stigma and discrimination—evaluating an educational intervention with the police force in England. Soc Psychiatry Psychiatr Epidemiol 38:337–344PubMed Pinfold V, Huxley P, Thornicroft G, et al. (2003) Reducing psychiatric stigma and discrimination—evaluating an educational intervention with the police force in England. Soc Psychiatry Psychiatr Epidemiol 38:337–344PubMed
14.
Zurück zum Zitat American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders (DSM-IV), 4th edn. APA, Washington, DC American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders (DSM-IV), 4th edn. APA, Washington, DC
15.
Zurück zum Zitat Goodman R (1997) The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry 38:581-586PubMed Goodman R (1997) The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry 38:581-586PubMed
16.
Zurück zum Zitat Goodman R, Renfrew D, Mullick M (2000a) Predicting type of psychiatric disorder from Strengths and Difficulties Questionnaire (SDQ) scores in child mental health clinics in London and Dhaka. Eur Child Adolesc Psychiatry 9:129–134CrossRef Goodman R, Renfrew D, Mullick M (2000a) Predicting type of psychiatric disorder from Strengths and Difficulties Questionnaire (SDQ) scores in child mental health clinics in London and Dhaka. Eur Child Adolesc Psychiatry 9:129–134CrossRef
17.
Zurück zum Zitat Goodman R, Ford T, Richards H, et al. (2000b) The development and well-being assessment: description and initial validation of an integrated assessment of child and adolescent psychopathology. J Child Psychol Psychiatry 41:645–655CrossRef Goodman R, Ford T, Richards H, et al. (2000b) The development and well-being assessment: description and initial validation of an integrated assessment of child and adolescent psychopathology. J Child Psychol Psychiatry 41:645–655CrossRef
18.
Zurück zum Zitat Sayal K (2004) Pathways to care in children at risk of Attention Deficit/Hyperactivity Disorder. PhD thesis, University of London Sayal K (2004) Pathways to care in children at risk of Attention Deficit/Hyperactivity Disorder. PhD thesis, University of London
19.
Zurück zum Zitat Sayal K, Taylor E, Beecham J (2003) Parental perception of problems and mental health service use for hyperactivity. J Am Acad Child Adolesc Psychiatry 42:1410–1414PubMedCrossRef Sayal K, Taylor E, Beecham J (2003) Parental perception of problems and mental health service use for hyperactivity. J Am Acad Child Adolesc Psychiatry 42:1410–1414PubMedCrossRef
20.
Zurück zum Zitat Campbell M, Fitzpatrick R, Haines A, et al. (2000) Framework for design and evaluation of complex interventions to improve health. BMJ 321:694–696PubMedCrossRef Campbell M, Fitzpatrick R, Haines A, et al. (2000) Framework for design and evaluation of complex interventions to improve health. BMJ 321:694–696PubMedCrossRef
21.
Zurück zum Zitat National Institute for Clinical Excellence (2000) Guidance on the use of methylphenidate (Ritalin, Equasym) for Attention Deficit/Hyperactivity Disorder (ADHD) in childhood. (Technology appraisal guidance No. 13). NICE, London National Institute for Clinical Excellence (2000) Guidance on the use of methylphenidate (Ritalin, Equasym) for Attention Deficit/Hyperactivity Disorder (ADHD) in childhood. (Technology appraisal guidance No. 13). NICE, London
22.
Zurück zum Zitat Committee on School Health (2004) School-based mental health services. Pediatrics 113:1839–1845CrossRef Committee on School Health (2004) School-based mental health services. Pediatrics 113:1839–1845CrossRef
23.
Zurück zum Zitat Ford T, Goodman R, Meltzer H (2004) The relative importance of child, family, school and neighbourhood correlates of childhood psychiatric disorder. Soc Psychiatry Psychiatr Epidemiol 39:487–496PubMedCrossRef Ford T, Goodman R, Meltzer H (2004) The relative importance of child, family, school and neighbourhood correlates of childhood psychiatric disorder. Soc Psychiatry Psychiatr Epidemiol 39:487–496PubMedCrossRef
24.
Zurück zum Zitat Rey JM, Sawyer MG (2003) Are psychostimulant drugs being used appropriately to treat child and adolescent disorders? Br J Psychiatry 182:284–286PubMedCrossRef Rey JM, Sawyer MG (2003) Are psychostimulant drugs being used appropriately to treat child and adolescent disorders? Br J Psychiatry 182:284–286PubMedCrossRef
25.
Zurück zum Zitat Timini S (2004) ADHD is best understood as a cultural construct. Br J Psychiatry 184:8–9CrossRef Timini S (2004) ADHD is best understood as a cultural construct. Br J Psychiatry 184:8–9CrossRef
Metadaten
Titel
Identification of children at risk of Attention Deficit/Hyperactivity Disorder
A school-based intervention
verfasst von
Kapil Sayal, PhD, MRCPsych
Heatha Hornsey
Stephen Warren
Fiona MacDiarmid
Eric Taylor
Publikationsdatum
01.10.2006
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 10/2006
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-006-0100-0

Weitere Artikel der Ausgabe 10/2006

Social Psychiatry and Psychiatric Epidemiology 10/2006 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.