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Journal of Emotional and Behavioral Disorders, Vol. 13, No. 4, 224-236 (2005)
DOI: 10.1177/10634266050130040401
© 2005 Hammill Institute on Disabilities

ADHD Treatment Patterns of Youth Served in Public Sectors in San Diego and Puerto Rico

Laurel K. Leslie

Child and Adolescent Services Research Center (CASRC) at Children's Hospital in San Diego, Department of Pediatrics at the University of California, San Diego (UCSD) and the Graduate School of Public Health at San Diego State University (SDSU), lleslie{at}casrc.org

Glorisa Canino

Behavioral Sciences Research Institute, Medical Sciences Campus, University of Puerto Rico

John Landsverk

CASRC, Department of Social Work at SDSU

Patricia A. Wood

SDSU Research Foundation

Ligia Chavez

Behavioral Sciences Research Institute at UPR

Richard L. Hough

University of New Mexico, Albuquerque

Jose J. Bauermeister

Department of Psychology at UPR

Rafael Ramirez

Behavioral Sciences Research Institute at UPR

This article investigates geographic variation in stimulant medication use by youth with attention-deficit/hyperactivity disorder (ADHD) served by public mental health and/or drug and alcohol programs in San Diego (n = 790) during 1997—1998 and in Puerto Rico ( n = 726) during 1998.Youth were stratified into four groups: (a) ADHD, (b) ADHD—not otherwise specified (ADHD-NOS), (c) other DSM-IV diagnoses, (d) no diagnosis. Reported rates of stimulant use were as follows: ADHD, 32.9% (Puerto Rico) and 38.8% (San Diego), and ADHD-NOS, 20.2% (Puerto Rico) and 17.8% (San Diego).Youth in San Diego were more likely to use other psychotropics and to have experienced residential or inpatient care compared with youth in Puerto Rico. A regression model indicated that predictors of stimulant use at both sites included ADHD, ADHD-NOS, male gender, and younger age. Despite sociodemographic and cultural differences, both settings demonstrated similar patterns of stimulant use, suggesting these medications are not over-used in public sectors.


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