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Year:: 2023
Contributor:: Onyenso, Chinsom (Creator); Cordero, Francisco (Creator)
Subject:: pediatrics; Primary Care; screening; ADHD; federally qualified healthcare center; mood disorders; attention disorders; girls; vulnerable population
DOI: https://doi.org/10.26300/mj94-0605

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Abstract:: Background ADHD is a neurodevelopmental disorder characterized by chronic inattention, hyperactivity, and impulsivity. Research demonstrates girls are less likely to be diagnosed. Early identification and intervention can help girls achieve academic and personal success 7. Blackstone Valley Community Health Care is a Federally Qualified Health Center serving a culturally diverse patient population. They initiated the PSC-17 mood disorder screening for wellness child visits (WCV) ages 5-11 in July 2022. They have only seen an 8% screen rate. Objective 1. Improve PSC-17 screen rate at BHVC pediatric clinical sites. 2. Understand the relationship between positive symptoms on screening and ADHD in girls. 3. Describe health disparities related to ADHD in girls. Methods Setting: 2 BVCHC WCV Sites Objective 1: PDSA Cycles 1. Conducted a series of rapid PDSA cycles for process improvement to PSC-17 implementation and evaluated snapshot data. 2. Conducted key informant interviews with secretaries, medical assistants, and providers regarding barriers and facilitators to PSC-17 implementation. Objectives 2 & 3: Literature Review 1. Describe current literature regarding health disparities related to ADHD in girls. 2. Explore best practices for ADHD screening in girls and reducing disparities. Results: 1. Although BVCHC saw a 12% increase in PSC-17 screen rate with reminders in patient rooms, they still face language, time, and resource barriers leaving most qualified patients unscreened. 2. Girls are 2-2.5 times less likely to receive ADHD diagnosis due to comorbidity with internalizing disorders5. 3. Hispanics, children with no insurance, and non-English primary speakers are less likely to receive ADHD diagnoses1. Discussion: 1. Education in multiple languages for guardians regarding the clinical presentation of ADHD in girls can increase awareness and the likelihood of diagnosis. 2. Multicultural competency training can possibly reduce ADHD screening biases and train BVCHC staff with the skills and awareness to respond to sociocultural disparities.

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Onyenso, Chinsom, and Cordero, Francisco, "Identifying ADHD in Girls from Disadvantaged Backgrounds: Addressing Low Screen Rates at a Federally Qualified Healthcare Center" (2023). Gateways to Medicine, Health Care, and Research. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/mj94-0605

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Gateways to Medicine, Health Care, and Research

The Gateways Program at the Warren Alpert Medical School of Brown University provides academically promising, motivated students new pathways to careers in the health sciences. This collection houses scholarly works produced by Master of Science in Medical Sciences (ScM) students …
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Identifying ADHD in Girls from Disadvantaged Backgrounds: Addressing Low Screen Rates at a Federally Qualified Healthcare Center