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Journal of Emotional and Behavioral Disorders
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School-Based Service Use by Youth With ADHD in Public-Sector Settings

Laurel K. Leslie

Tufts University, Boston

Katina M. Lambros

Rady Children's Hospital-San Diego, California

Gregory A. Aarons

University of California, San Diego

Rachel A. Haine

Rady Children's Hospital-San Diego, California

Richard L. Hough

University of New Mexico, Albuquerque

This study investigates rates and predictors of school-based services (SBSs) for 390 youth meeting criteria for Attention Deficit Hyperactivity Disorder and served in the San Diego public sectors. Only 60% of youth had received an Attention Deficit Hyperactivity Disorder diagnosis; these youth were younger, male, Caucasian (versus Latino), and active to public mental health and special education (Emotional Disturbance category) at enumeration of study participants. Higher rates of SBSs (64%) were revealed than in community samples. Only 26% accessed multimodal treatment including SBSs, medication, and mental health. In multivariate modeling, SBSs displayed a curvilinear relationship with age, which may explain previously conflicting results regarding that relationship. Youth with private insurance or receiving mental health or medication were more likely to receive SBSs. Gender, race/ethnicity, and caregiver education, health, and mental health were not related to SBSs use. These findings may reflect sample characteristics. Further exploration of factors influencing SBSs use in different populations is warranted.

Key Words: ADD/ADHD/autism disorders/disabilities • community services • mental health • school-based services • mental health access issues • cross-system collaboration

This version was published on September 1, 2008

Journal of Emotional and Behavioral Disorders, Vol. 16, No. 3, 163-177 (2008)
DOI: 10.1177/1063426608314290
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