Profiles of service utilization and the resultant economic impact in preschoolers with attention deficit/hyperactivity disorder.

David J. Marks, Agnieszka Mlodnicka, Melissa Bernstein, Anil Chacko, Scott Rose, Jeffrey M. Halperin

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To examine whether preschool children with Attention deficit/hyperactivity disorder (ADHD) utilize more speech and language therapy (ST), occupational therapy (OT), and physical therapy (PT) services and are more likely to be placed in special education (SPED) classrooms as compared to their peers. Corresponding financial consequences were also examined. METHODS: The amount of ST, OT, and PT, as well as SPED placements, was examined in 3- and 4-year-old children with and without ADHD (n = 109 and n = 97, respectively) during the baseline portion of an ongoing, 5-year longitudinal study. Costs for individual services and aggregate cost were determined per child and compared across groups. RESULTS: Preschool children with ADHD were more likely to receive individual and multiple services. Higher rates of service utilization translated into increased costs for each individual service with the exception of PT. CONCLUSIONS: A comprehensive understanding of service utilization in the early years of development is important in addressing the increased service use in the preschool years and assist in guiding allocation of resources.

Original languageEnglish (US)
Pages (from-to)681-689
Number of pages9
JournalJournal of Pediatric Psychology
Volume34
Issue number6
StatePublished - Jul 2009

Fingerprint

Attention Deficit Disorder with Hyperactivity
Special Education
Occupational Therapy
Economics
Preschool Children
Costs and Cost Analysis
Language Therapy
Speech Therapy
Physical Education and Training
Resource Allocation
Longitudinal Studies
Therapeutics

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Pediatrics, Perinatology, and Child Health

Cite this

Profiles of service utilization and the resultant economic impact in preschoolers with attention deficit/hyperactivity disorder. / Marks, David J.; Mlodnicka, Agnieszka; Bernstein, Melissa; Chacko, Anil; Rose, Scott; Halperin, Jeffrey M.

In: Journal of Pediatric Psychology, Vol. 34, No. 6, 07.2009, p. 681-689.

Research output: Contribution to journalArticle

Marks, David J. ; Mlodnicka, Agnieszka ; Bernstein, Melissa ; Chacko, Anil ; Rose, Scott ; Halperin, Jeffrey M. / Profiles of service utilization and the resultant economic impact in preschoolers with attention deficit/hyperactivity disorder. In: Journal of Pediatric Psychology. 2009 ; Vol. 34, No. 6. pp. 681-689.
@article{7a2bb44fcf6740a9ae5e04cff533e176,
title = "Profiles of service utilization and the resultant economic impact in preschoolers with attention deficit/hyperactivity disorder.",
abstract = "OBJECTIVE: To examine whether preschool children with Attention deficit/hyperactivity disorder (ADHD) utilize more speech and language therapy (ST), occupational therapy (OT), and physical therapy (PT) services and are more likely to be placed in special education (SPED) classrooms as compared to their peers. Corresponding financial consequences were also examined. METHODS: The amount of ST, OT, and PT, as well as SPED placements, was examined in 3- and 4-year-old children with and without ADHD (n = 109 and n = 97, respectively) during the baseline portion of an ongoing, 5-year longitudinal study. Costs for individual services and aggregate cost were determined per child and compared across groups. RESULTS: Preschool children with ADHD were more likely to receive individual and multiple services. Higher rates of service utilization translated into increased costs for each individual service with the exception of PT. CONCLUSIONS: A comprehensive understanding of service utilization in the early years of development is important in addressing the increased service use in the preschool years and assist in guiding allocation of resources.",
author = "Marks, {David J.} and Agnieszka Mlodnicka and Melissa Bernstein and Anil Chacko and Scott Rose and Halperin, {Jeffrey M.}",
year = "2009",
month = "7",
language = "English (US)",
volume = "34",
pages = "681--689",
journal = "Journal of Pediatric Psychology",
issn = "0146-8693",
publisher = "Oxford University Press",
number = "6",

}

TY - JOUR

T1 - Profiles of service utilization and the resultant economic impact in preschoolers with attention deficit/hyperactivity disorder.

AU - Marks, David J.

AU - Mlodnicka, Agnieszka

AU - Bernstein, Melissa

AU - Chacko, Anil

AU - Rose, Scott

AU - Halperin, Jeffrey M.

PY - 2009/7

Y1 - 2009/7

N2 - OBJECTIVE: To examine whether preschool children with Attention deficit/hyperactivity disorder (ADHD) utilize more speech and language therapy (ST), occupational therapy (OT), and physical therapy (PT) services and are more likely to be placed in special education (SPED) classrooms as compared to their peers. Corresponding financial consequences were also examined. METHODS: The amount of ST, OT, and PT, as well as SPED placements, was examined in 3- and 4-year-old children with and without ADHD (n = 109 and n = 97, respectively) during the baseline portion of an ongoing, 5-year longitudinal study. Costs for individual services and aggregate cost were determined per child and compared across groups. RESULTS: Preschool children with ADHD were more likely to receive individual and multiple services. Higher rates of service utilization translated into increased costs for each individual service with the exception of PT. CONCLUSIONS: A comprehensive understanding of service utilization in the early years of development is important in addressing the increased service use in the preschool years and assist in guiding allocation of resources.

AB - OBJECTIVE: To examine whether preschool children with Attention deficit/hyperactivity disorder (ADHD) utilize more speech and language therapy (ST), occupational therapy (OT), and physical therapy (PT) services and are more likely to be placed in special education (SPED) classrooms as compared to their peers. Corresponding financial consequences were also examined. METHODS: The amount of ST, OT, and PT, as well as SPED placements, was examined in 3- and 4-year-old children with and without ADHD (n = 109 and n = 97, respectively) during the baseline portion of an ongoing, 5-year longitudinal study. Costs for individual services and aggregate cost were determined per child and compared across groups. RESULTS: Preschool children with ADHD were more likely to receive individual and multiple services. Higher rates of service utilization translated into increased costs for each individual service with the exception of PT. CONCLUSIONS: A comprehensive understanding of service utilization in the early years of development is important in addressing the increased service use in the preschool years and assist in guiding allocation of resources.

UR - http://www.scopus.com/inward/record.url?scp=70449363596&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70449363596&partnerID=8YFLogxK

M3 - Article

VL - 34

SP - 681

EP - 689

JO - Journal of Pediatric Psychology

JF - Journal of Pediatric Psychology

SN - 0146-8693

IS - 6

ER -