MMWR. Morbidity and mortality weekly report

National Teen Driver Safety Week--October 17-23, 2010 -- Drivers Aged 16 or 17 Years Involved in Fatal Crashes--United States, 2004-2008 -- HIV Transmission Through Transfusion--Missouri and Colorado, 2008 -- State Medicaid Coverage for Tobacco-Dependence Treatments--United States, 2009 -- Announcements: World Stroke Day--October 29, 2010 -- Announcements: Menu of Suggested Provisions for State Tuberculosis Prevention and Control Laws Available Online -- QuickStats: Death Rates For Persons Aged 6565 Years, with Diabetes as the Underlying or a Contributing Cause, by Race and Sex--United States, 1981-2007 -- Notifiable Diseases and Mortality Tables.201

MMWR. Morbidity and mortality weekly report

Great American Smokeout--November 18, 2010 -- Racial/Ethnic Disparities and Geographic Differences in Lung Cancer Incidence--38 States and the District of Columbia, 1998-2006 -- Increasing Prevalence of Parent-Reported Attention-Deficit/Hyperactivity Disorder Among Children--United States, 2003 and 2007 -- Neonatal Intensive-Care Unit Admission of Infants with Very Low Birth Weight--19 States, 2006 -- Vital Signs: Health Insurance Coverage and Health Care Utilization--United States, 2006-2009 and January-March 2010 -- Announcement: Get Smart About Antibiotics Week--November 15-21, 2010 -- QuickStats: Delayed or Forgone Medical Care Because of Cost Concerns Among Adults Aged 18-64 Years, by Disability and Health Insurance Coverage Status--National Health Interview Survey, United States, 2009 -- Notifiable Diseases and Mortality Tables.2010626

MMWR. Morbidity and mortality weekly report

State-Specific Trends in Fruit and Vegetable Consumption Among Adults--United States, 2000-2009 -- Parental Attitudes and Experiences During School Dismissals Related to 2009 Influenza A (H1N1)--United States, 2009 -- Vital Signs: Current Cigarette Smoking Among Adults Aged 6518 Years--United States, 2009 -- Vital Signs: Nonsmokers\u2019 Exposure to Secondhand Smoke--United States, 1999-2008 -- Announcement: Sickle Cell Awareness Month--September, 2010 -- Errata: Vol. 59, No. RR-8 -- QuickStats: Percentage of Youths Aged 5-17 Years Ever Diagnosed as Having a Learning Disability and/or Attention Deficit Hyperactivity Disorder (ADHD), by Sex--National Health Interview Survey, United States, 2006-2009 -- Notifiable Diseases and Mortality Tables.201

MMWR. Morbidity and mortality weekly report

Television and Video Viewing Time Among Children Aged 2 Years--Oregon, 2006-2007 -- Commercial Fishing Deaths--United States, 2000-2009 -- Notes from the Field: Outbreak of Acute Lead Poisoning Among Children Aged <5 Years--Zamfara, Nigeria, 2010 -- Notifiable Diseases and Mortality Tables.201

MMWR. Morbidity and mortality weekly report

On May 3, 2016, this report was posted online as an MMWR Early Release.BACKGROUND: Attention deficit/hyperactivity disorder (ADHD) is associated with adverse outcomes and elevated societal costs. The American Academy of Pediatrics (AAP) 2011 guidelines recommend "behavior therapy" over medication as first-line treatment for children aged 4-5 years with ADHD; these recommendations are consistent with current guidelines from the American Academy of Child and Adolescent Psychiatry for younger children. CDC analyzed claims data to assess national and state-level ADHD treatment patterns among young children.METHODS: CDC compared Medicaid and employer-sponsored insurance (ESI) claims for "psychological services" (the procedure code category that includes behavior therapy) and ADHD medication among children aged 2-5 years receiving clinical care for ADHD, using the MarketScan commercial database (2008-2014) and Medicaid (2008-2011) data. Among children with ESI, ADHD indicators were compared during periods preceding and following the 2011 AAP guidelines.RESULTS: In both Medicaid and ESI populations, the percentage of children aged 2-5 years receiving clinical care for ADHD increased over time; however, during 2008-2011, the percentage of Medicaid beneficiaries receiving clinical care was double that of ESI beneficiaries. Although state percentages varied, overall nationally no more than 55% of children with ADHD received psychological services annually, regardless of insurance type, whereas approximately three fourths received medication. Among children with ESI, the percentage receiving psychological services following release of the guidelines decreased significantly by 5%, from 44% in 2011 to 42% in 2014; the change in medication treatment rates (77% in 2011 compared with 76% in 2014) was not significant.CONCLUSIONS AND COMMENTS: Among insured children aged 2-5 years receiving clinical care for ADHD, medication treatment was more common than receipt of recommended first-line treatment with psychological services. Among children with ADHD who had ESI, receipt of psychological services did not increase after release of the 2011 guidelines. Scaling up evidence-based behavior therapy might lead to increased delivery of effective ADHD management without the side effects of ADHD medications.Suggested citation for this article: Visser SN, Danielson ML, Wolraich ML, et al. Vital Signs: National and State-Specific Patterns of Attention Deficit/Hyperactivity Disorder Treatment Among Insured Children Aged 2\u20135 Years \u2014 United States, 2008\u20132014. MMWR Morb Mortal Wkly Rep 2016;65:443\u2013450. DOI: http://dx.doi.org/10.15585/mmwr.mm6517e1.mm6517e1.pdfPMID: 271490472714904

MMWR. Morbidity and mortality weekly report

Cigarette Use Among High School Students--United States, 1991-2009 -- Progress Toward Poliomyelitis Eradication--Nigeria, January 2009-June 2010 -- Vital Signs: Colorectal Cancer Screening Among Adults Aged 50-75 Years--United States, 2008 -- Vital Signs: Breast Cancer Screening Among Women Aged 50-74 Years--United States, 2008 -- Notes from the Field: Pertussis--California, January-June 2010 -- Notes from the Field: Salmonella Newport Infections Associated with Consumption of Unpasteurized Milk--Utah, April-June 2010 -- Announcement: MMWR on Facebook and Twitter -- QuickStats: Never-Married Females and Males Aged 15-19 Years Who Have Ever Had Sexual Intercourse--National Survey of Family Growth, United States, 1988-2008 -- Notifiable Diseases and Mortality Tables.2010626

MMWR. Morbidity and mortality weekly report

Multiple-Serotype Salmonella Gastroenteritis Outbreak After a Reception--Connecticut, 2009 -- Use of a Self-Assessment Questionnaire for Food Safety Education in the Home Kitchen--Los Angeles County, California, 2006-2008 -- Updated Recommendations for Prevention of Invasive Pneumococcal Disease Among Adults Using the 23-Valent Pneumococcal Polysaccharide Vaccine (PPSV23) -- Announcements: Clinical Vaccinology Course--November 5-7, 2010 -- Announcements: Preventive Medicine Residency and Fellowship Application Deadline--September 15, 2010 -- QuickStats: Hospitalization Rates for Patients Aged 6565 Years with Septicemia or Sepsis, by Age Group--National Hospital Discharge Survey, United States, 2000-2007 -- Notifiable Diseases and Mortality Tables.2010626

MMWR. Morbidity and mortality weekly report

State Cigarette Excise Taxes--United States, 2009 -- State Cigarette Minimum Price Laws--United States, 2009 -- Human Rabies--Kentucky/Indiana, 2009 -- Errata: MMWR Vol. 59, No. 12 -- Notifiable Diseases and Mortality Tables.2010626

MMWR. Morbidity and mortality weekly report

Public Health Surveillance Using Emergency Medical Service Logs--U.S.-Mexico Land Border, El Paso, Texas, 2009 -- Dengue Fever Among U.S. Travelers Returning from the Dominican Republic--Minnesota and Iowa, 2008 -- Preliminary Results: Surveillance for Guillain-Barr\ue9 Syndrome After Receipt of Influenza A (H1N1) 2009 Monovalent Vaccine--United States, 2009-2010 -- Notifiable Diseases and Mortality Tables.2010603

MMWR. Morbidity and mortality weekly report

Update on Cholera--Haiti, Dominican Republic, and Florida, 2010 -- Transmission of Multidrug-Resistant Escherichia coli Through Kidney Transplantation--California and Texas, 2009 -- Salmonella Montevideo Infections Associated with Salami Products Made with Contaminated Imported Black and Red Pepper--United States, July 2009-April 2010 -- Update: Influenza Activity--United States, October 3-December 11, 2010 -- Announcements: National Folic Acid Awareness Week -- Announcements: Maternal & Child Health Epidemiology Capacity: Findings and Recommendations Available Online -- QuickStats: Percentage of Adults Aged 6565 Years Who Have Lost All Their Natural Teeth, by Poverty Status--National Health Interview Survey, United States, 1998-2009 -- Notifiable Diseases and Mortality Tables.201