Students with more ADHD symptoms are less likely to use extended time effectively, possibly because of their associated executive functioning problems. These results suggest there may be little justification for examining a student's ADHD symptoms when making extended time accommodation decisions.
Objective:
This study aimed to determine whether youth access behavioral health (BH) care earlier (i.e., when problems are less severe) when receiving services in colocated pediatric primary care clinics.
Methods:
Six primary care clinics in the Midwest with a colocated BH provider participated in this study. Data on number of sessions attended/not attended with the BH provider, BH symptom severity as measured by the Child Behavior Checklist, parent report of length of presenting problem, and improvement ratings were collected and compared for on-site referrals and off-site referrals. Descriptive, independent sample t tests and regression analyses compared those referred from on-site physicians versus off-site referral sources.
Results:
Results demonstrated that youth receiving BH services at their primary care physician's office accessed services when problems were less severe and had been impacting their functioning for a shorter duration.
Conclusion:
This study is among the first to explore whether youth receiving BH services in primary care are accessing those services earlier than those who are referred from outside sources, resulting in improved patient outcomes.
Bullying among school-aged children is problematic in the U.S., with 22% of students aged 12-18 years reporting experiences with bullying at school (Zhang, Musu-Gillette, & Oudekerk, 2016). Whereas early bullying research focused heavily on the physical bullying common among boys, more recent studies have included examinations of bullying using relational aggression. Defined as removing or threatening to remove relationships to cause harm to another, relational aggression includes behaviors such as spreading lies, gossiping, or ignoring a peer and has been found to be more common among girls (Crick & Grotpeter, 1995; Cullerton-Sen & Crick, 2005; Murray-Close et al., 2007). A specialized form of relational aggression that has been relatively under investigated among adolescents involves ostracism, the excluding or ignoring of others by individuals or groups (Williams, 2009). The paucity of research on ostracism in childhood and adolescence is surprising, given that research with adults has linked ostracism to a variety of negative outcomes, including suicidal ideation or attempts, depression, and other breakdowns in psychological functioning (Saylor, Williams, Nida, McKenna, Twomey, & Macias, 2013). Further, given the importance of healthy peer relations on child and adolescent
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