Follow-Up Care for Children Prescribed ADHD Medication (ADD)

The two rates of this measure assess follow-up care for children prescribed an ADHD medication:

  • Initiation Phase: Assesses children between 6 and 12 years of age who were diagnosed with ADHD and had one follow-up visit with a practitioner with prescribing authority within 30 days of their first prescription of ADHD medication.
  • Continuation and Maintenance Phase: Assesses children between 6 and 12 years of age who had a prescription for ADHD medication and remained on the medication for at least 210 days, and had at least two follow-up visits with a practitioner in the 9 months after the Initiation Phase.

Why It Matters

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common mental disorders affecting children. 11% of American children have been diagnosed with ADHD. The main features include hyperactivity, impulsiveness and an inability to sustain attention or concentration.1,2 Of these children, 6.1% are taking ADHD medication.1

When managed appropriately, medication for ADHD can control symptoms of hyperactivity, impulsiveness and inability to sustain concentration. To ensure that medication is prescribed and managed correctly, it is important that children be monitored by a pediatrician with prescribing authority.

Results

FOLLOW-UP CARE AFTER INITIATION OF TREATMENT
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201741.639.944.6____
201640.039.044.5____
201539.438.642.2____
201438.236.740.1____
201339.938.339.6____
201238.638.139.0____
201139.439.438.8____
201038.838.138.1____
200936.635.436.6____
200835.834.134.4____
200733.731.833.5____
200633.030.631.8____

FOLLOW-UP CARE DURING CONTINUATION OF TREATMENT
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201748.246.555.0____
201646.545.854.5____
201547.746.050.9____
201446.543.547.5____
201346.845.346.4____
201245.744.945.3____
201144.244.945.9____
201043.443.343.9____
200941.739.041.7____
200840.237.139.5____
200738.734.238.9____
200638.130.034.0____

References

  1. Visser, S.N., M.L. Danielson, R.H. Bitsko, J.R. Holbrook, M.D. Kogan, R.M. Ghandour, … & S.J. Blumberg. 2014. “Trends in the parent-report of health care provider-diagnosed and medicated attention-deficit/hyperactivity disorder: United States, 2003—2011.” Journal of the American Academy of Child & Adolescent Psychiatry, 53(1), 34–46.
  2. The American Psychiatric Association. 2012. Children’s Mental Health. http://www.psychiatry.org/mental-health/people/children

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