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
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 40.0 39.0 44.5 __ __
2015 39.4 38.6 42.2 __ __
2014 38.2 36.7 40.1 __ __
2013 39.9 38.3 39.6 __ __
2012 38.6 38.1 39.0 __ __
2011 39.4 39.4 38.8 __ __
2010 38.8 38.1 38.1 __ __
2009 36.6 35.4 36.6 __ __
2008 35.8 34.1 34.4 __ __
2007 33.7 31.8 33.5 __ __
2006 33.0 30.6 31.8 __ __

FOLLOW-UP CARE DURING CONTINUATION OF TREATMENT
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 46.5 45.8 54.5 __ __
2015 47.7 46.0 50.9 __ __
2014 46.5 43.5 47.5 __ __
2013 46.8 45.3 46.4 __ __
2012 45.7 44.9 45.3 __ __
2011 44.2 44.9 45.9 __ __
2010 43.4 43.3 43.9 __ __
2009 41.7 39.0 41.7 __ __
2008 40.2 37.1 39.5 __ __
2007 38.7 34.2 38.9 __ __
2006 38.1 30.0 34.0 __ __

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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