Diagnosing attention-deficit hyperactivity disorder ( ADHD) in children involved with child protection services: are current diagnostic guidelines acceptable for vulnerable populations?

Children involved with child protection services ( CPS) are diagnosed and treated for attention-deficit hyperactivity disorder ( ADHD) at higher rates than the general population. Children with maltreatment histories are much more likely to have other factors contributing to behavioural and attentio...

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Publicado en:Child: Care, Health & Development Vol. 41; no. 2; pp. 178 - 186
Autores principales: Klein, B., Damiani-Taraba, G., Koster, A., Campbell, J., Scholz, C.
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2015
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Diagnosing attention-deficit hyperactivity disorder ( ADHD) in children involved with child protection services: are current diagnostic guidelines acceptable for vulnerable populations?
      aug:
        au:
          Klein, B.
          Damiani-Taraba, G.
          Koster, A.
          Campbell, J.
          Scholz, C.
        affil: Landsdowne Children's Centre; McMaster University
      sug:
        subj:
          Attention Deficit Hyperactivity Disorder Diagnosis
          Social Work Service
          Child Welfare
          Practice Guidelines
          Human
          Systematic Review
          Child
          Multidisciplinary Care Team
          Child Abuse
          Children with Disabilities
          Mental Disorders
          Child Behavior Disorders
          Male
          Female
          PubMed
          Psycinfo
          ERIC Database
          Attention Deficit Hyperactivity Disorder Epidemiology
          Child: 6-12 years
          Male
          Female
      ab: Children involved with child protection services ( CPS) are diagnosed and treated for attention-deficit hyperactivity disorder ( ADHD) at higher rates than the general population. Children with maltreatment histories are much more likely to have other factors contributing to behavioural and attentional regulation difficulties that may overlap with or mimic ADHD-like symptoms, including language and learning problems, post-traumatic stress disorder, attachment difficulties, mood disorders and anxiety disorders. A higher number of children in the child welfare system are diagnosed with ADHD and provided with psychotropic medications under a group care setting compared with family-based, foster care and kinship care settings. However, children's behavioural trajectories change over time while in care. A reassessment in the approach to ADHD-like symptoms in children exposed to confirmed (or suspected) maltreatment (e.g. neglect, abuse) is required. Diagnosis should be conducted within a multidisciplinary team and practice guidelines regarding ADHD diagnostic and management practices for children in CPS care are warranted both in the USA and in Canada. Increased education for caregivers, teachers and child welfare staff on the effects of maltreatment and often perplexing relationship with ADHD-like symptoms and co-morbid disorders is also necessary. Increased partnerships are needed to ensure the mental well-being of children with child protection involvement.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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