Why the discrepancy? For one, say the authors, behavior management and counseling strategies are not always easily accessible to many families. And if they are available, in some cases they may be financially out of reach if insurers dont cover services provided by professionals in the local community. However, Adesman says when his investigators asked the doctors whether their decision to prescribe medication for first-line treatment was influenced by the availability of behavior therapy for their patients, he did not find evidence of a trend. So as much as I would like to think that doctors are prescribing medicine first line because behavior therapy is not available, that does not seem to be the case, he says. (MORE: Can Anesthesia Raise the Risk of ADHD? ) Its also possible that doctors are turning to medication because the long-term commitment that repeated behavioral-therapy sessions require may be onerous for parents. Adesman says clinicians may also be paying attention to some studies in school-age children that have shown that medicine can be more effective than behavioral therapy. Yet he argues this still does not justify its use in preschoolers. There is an important distinction, and that is that even if medication has been shown to be more effective in the short term than behavior therapy in school-age children, medication does not work quite as well or consistently in preschool kids. So a head-to-head comparison in school-age children may not necessarily be appropriate to extrapolate down to the preschool kids, he says.
Franciscan Alliance acquires Medical Specialists
Alexander Stemer said he will remain president of what will now be called Franciscan Medical Specialists. The group’s employees will remain, and they will maintain all of their benefits, Stemer said. Aside from the new name, patients will not notice much change. The offices will maintain the same services. “There will be no apparent difference from the standpoint of the patient,” Stemer said. Gene Diamond, CEO of Franciscan Alliances Northern Indiana Region, said the physicians group is a good match for Franciscan. We’ve been chatting with these folks for years, he said. The reason we have persisted is because Alex (Stemer) himself and, obviously, the group he has led have established a pretty obvious excellent reputation for high quality. Given Alex’s abilities and his vision, it was pretty clear to us that this would be a good match. Stemer said Franciscan Medical Specialists will serve as a specialty arm in the northern region, recruiting and placing university-qualified physicians where they are most in need. The land beneath our feet in health care is shifting, he said. We’ll be looking for physicians looking to join larger organizations. Aside from his role as president, Stemer will work in strategic planning in the northern region. Diamond said Stemer already is beginning to work with Franciscan on its accountable care organization in the northern region. Medical Specialists was established in 1978 and has 12 locations in Lake, Porter and LaPorte counties. Its team consists of 55 physicians and surgeons, 11 nurse practitioners and two physician assistants. Franciscan Medical Specialist locations include Munster, Dyer, Hammond, Hobart, LaPorte, Merrillville, Michigan City, Schererville and Valparaiso. Franciscan Medical Specialists will honor the Franciscan mission statement, values and the ethical and religious directives for Catholic health care facilities, Diamond said.