Abstract
Children with complex disabilities require comprehensive, coordinated and integrated services. However, parents often find themselves navigating fragmentary service systems-a process that may be more difficult when children exhibit behavioral problems such as hyperactivity and inattention. Such problems are more common among children with disabilities. Thus, the present study examined the familial and economic impact of service integration and child hyperactivity among 111 families involved with a children's treatment network over 2 years. The most dysfunctional families over time were involved with low-integration teams and had children who were highly hyperactive. Children who were hyperactive and their parents had the highest levels of service utilization at baseline, though these patterns reversed or disappeared over time, respectively. Family functioning was also associated with higher service costs for parents, over time. Results highlight the importance of considering the impact of child hyperactivity and inattention, even when children are receiving services for other primary diagnoses.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 181-201 |
| Number of pages | 21 |
| Journal | Journal of Developmental and Physical Disabilities |
| Volume | 25 |
| Issue number | 2 |
| DOIs | |
| State | Published - 2013 |
| Externally published | Yes |
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Keywords
- Developmental disorder
- Disability
- Expenditures
- Family functioning
- Hyperactivity
- Inattention
- Integration
- Longitudinal
- Service utilization
ASJC Scopus subject areas
- Developmental and Educational Psychology
- Physical Therapy, Sports Therapy and Rehabilitation
Cite this
Examining the Family-Level and Economic Impact of Complex Child Disabilities as a Function of Child Hyperactivity and Service Integration. / Browne, Dillon T.; Rokeach, Alan; Wiener, Judy; Hoch, Jeffrey S; Meunier, Jean Christophe; Thurston, Sandy.
In: Journal of Developmental and Physical Disabilities, Vol. 25, No. 2, 2013, p. 181-201.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Examining the Family-Level and Economic Impact of Complex Child Disabilities as a Function of Child Hyperactivity and Service Integration
AU - Browne, Dillon T.
AU - Rokeach, Alan
AU - Wiener, Judy
AU - Hoch, Jeffrey S
AU - Meunier, Jean Christophe
AU - Thurston, Sandy
PY - 2013
Y1 - 2013
N2 - Children with complex disabilities require comprehensive, coordinated and integrated services. However, parents often find themselves navigating fragmentary service systems-a process that may be more difficult when children exhibit behavioral problems such as hyperactivity and inattention. Such problems are more common among children with disabilities. Thus, the present study examined the familial and economic impact of service integration and child hyperactivity among 111 families involved with a children's treatment network over 2 years. The most dysfunctional families over time were involved with low-integration teams and had children who were highly hyperactive. Children who were hyperactive and their parents had the highest levels of service utilization at baseline, though these patterns reversed or disappeared over time, respectively. Family functioning was also associated with higher service costs for parents, over time. Results highlight the importance of considering the impact of child hyperactivity and inattention, even when children are receiving services for other primary diagnoses.
AB - Children with complex disabilities require comprehensive, coordinated and integrated services. However, parents often find themselves navigating fragmentary service systems-a process that may be more difficult when children exhibit behavioral problems such as hyperactivity and inattention. Such problems are more common among children with disabilities. Thus, the present study examined the familial and economic impact of service integration and child hyperactivity among 111 families involved with a children's treatment network over 2 years. The most dysfunctional families over time were involved with low-integration teams and had children who were highly hyperactive. Children who were hyperactive and their parents had the highest levels of service utilization at baseline, though these patterns reversed or disappeared over time, respectively. Family functioning was also associated with higher service costs for parents, over time. Results highlight the importance of considering the impact of child hyperactivity and inattention, even when children are receiving services for other primary diagnoses.
KW - Developmental disorder
KW - Disability
KW - Expenditures
KW - Family functioning
KW - Hyperactivity
KW - Inattention
KW - Integration
KW - Longitudinal
KW - Service utilization
UR - http://www.scopus.com/inward/record.url?scp=84874959232&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84874959232&partnerID=8YFLogxK
U2 - 10.1007/s10882-012-9295-z
DO - 10.1007/s10882-012-9295-z
M3 - Article
AN - SCOPUS:84874959232
VL - 25
SP - 181
EP - 201
JO - Journal of Developmental and Physical Disabilities
JF - Journal of Developmental and Physical Disabilities
SN - 1056-263X
IS - 2
ER -