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Kristi D. Wright, Ph.D. Tamara Ruzic, B.A. Shelley Stulberg, BSW Stephanie Kaiser. B.A.

Examination of the Utility of Respite Services on Stress Reduction for Parents of Children with ADHD. Kristi D. Wright, Ph.D. Tamara Ruzic, B.A. Shelley Stulberg, BSW Stephanie Kaiser. B.A. ADHD. 3% to 7% of school aged children 2.5x more common in boys Characterized by:

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Kristi D. Wright, Ph.D. Tamara Ruzic, B.A. Shelley Stulberg, BSW Stephanie Kaiser. B.A.

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  1. Examination of the Utility of Respite Services on Stress Reduction for Parents of Children with ADHD Kristi D. Wright, Ph.D. Tamara Ruzic, B.A. Shelley Stulberg, BSW Stephanie Kaiser. B.A.

  2. ADHD • 3% to 7% of school aged children • 2.5x more common in boys • Characterized by: • symptoms of inattention and/or hyperactivity/impulsivity • significant functional impairment: • Home • Social • Academic

  3. Social Difficulties • Characterized by: • frequent shifts in conversation • not listening to others • initiating conversations at inappropriate times • frequently interrupting or intruding on others • clowning around

  4. Impact on Parents • more numerous and intense family conflicts • greater number of negative interactions during neutral discussions • greater personal distress • less satisfaction in marriage • negative impact on parents’ time to meet their own needs • interference with family activities and family cohesion

  5. Respite • What is it? • temporary care of a child with the intent to provide relief to primary care giver • Impact? • Maintain and enhance families • positive impact on maternal well-being

  6. Aims • to provide parents whose children have mental health disorders, specifically ADHD, with respite • decrease observed psychopathology (e.g., ADHD symptoms) in the children • provide children with mental health disorders with the skills and training necessary for them to effectively participate in structured prosocial activities

  7. Hypotheses • parental stress will decrease as a function of participation in the respite program (2) levels of child psychopathology will decrease as a function of participation in the respite program

  8. METHOD

  9. Participants • Participants consisted: • 8 males (mean age = 9.00 years, SD = 1.77) • 1 female (age 8.00 years) • Diagnoses: • ADHD or • ADHD comorbid with oppositional defiant disorder (ODD)

  10. Measures • Perceived Stress Scale (PSS) (Cohen, Kamarck, & Mermelstein, 1983) • Questionnaire on Resources and Stress – Friedrich Short Form (QRS-F) (Friedrich, Greenberg, & Crnic, 1983) • Child Behavior Checklist (CBCL) (Achenbach, 2001) • Client Satisfaction Survey (CSS) (Larsen, Attkisson, Hargreaves & Nguyen, 1979)

  11. Procedure • The children participated in a structured athletic activity (i.e., basketball)delivered over a twelve week span. • 2 sessions/week for two hours each session • session was comprised of instruction of basketball skills, various games, and a nutrition break • Ehrlo Community Services delivered the program • Parents completed measures of child psychopathology and parental stress at Time 1 (pre-group) and Time 2 (post-group). Parents also completed a measure of client satisfaction at Time 2.

  12. RESULTS

  13. Results • No significant differences were observed across CBCL DSM-Oriented Scales from Time 1 to Time 2. • No significant changes in parental stress across both the stress measures from Time 1 to Time 2.

  14. Satisfaction • 100% of the parents stating they were either “mostly satisfied” or “very satisfied” with the program • 100% of parents indicated that they would recommend the group to other parents • 100% of parents indicated that would come back to the group if they were to seek help again • 88% of parents indicated that they (parent and child) got the service they wanted

  15. Conclusion • As the CSS results demonstrated, the program was considered helpful to parents, albeit not in reduction of parental stress. • Limitation: • small sample size • difficulty with parents completing measures

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