Type of Therapy Kids Receive for ADHD Depends on Where they Live
Targeted News Service |
About one quarter of commercially-insured children who are treated with medication for attention-deficit/hyperactivity disorder also receive psychotherapy, and the percentage is far lower in many parts of the country, according to a new
Published as a research letter in the
For many children with attention-deficit/hyperactivity disorder, medication alone can manage symptoms. But evidence shows that some affected children do better and can take lower doses of stimulant medications when they receive behavioral therapy along with ADHD drugs.
"Treatment of ADHD in children generates lots of controversy, primarily because of potential for overuse and abuse of stimulant medications," said Dr.
Using a large commercial claims database, researchers examined records of more than 300,000 children aged 17 and younger from 1,516 counties across
The researchers looked at how many children receive some amount of talk therapy along with medication, and also examined the supply of licensed psychologists in the counties studied.
Less than a quarter of those prescribed ADHD drugs received any talk therapy in the same year they received medication, 13 percent had at least four therapy visits and 7 percent had eight or more therapy visits. And in 200 U.S. counties, fewer than one in 10 children getting ADHD medication received any talk therapy.
"In areas of the country where rates of use are so low, it indicates that many kids with private insurance who could benefit from therapy are not receiving it," said Gellad, who also is affiliated with the
The percentage of children who received therapy along with medication was lower in those counties with fewer licensed psychologists, but didn't always reflect the number of available psychologists.
For example,
Other authors of the study are Dr.
Funding for the study was provided by
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