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
CommercialMedicaid
YearHMOPPOHMO
201840.639.644.2
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
CommercialMedicaid
YearHMOPPOHMO
201849.746.854.6
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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