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Method: Participants were 199 children with ADHD-I in Grades 2 to 5. Parents reported past-year child service utilization. Parents and teachers rated child ADHD and oppositional defiant disorder (ODD) symptom severity and functional impairment. Children completed an academic achievement test. Results: All children had impairment at school and home. Most received some sort of school service (79%), but only 23% received community-based services. ADHD symptom severity was unrelated to service utilization. However, higher parent-rated functional impairment predicted community service utilization. Academic underachievement and higher teacher-rated functional impairment predicted school service utilization. Conclusion: Many youth with ADHD-I experience impairment across domains without receiving adequate services for these problems. Functional impairment appears to be a stronger predictor of service utilization than ADHD symptom severity, demonstrating the importance of impairment in understanding service needs for ADHD-I.<\/jats:p>","DOI":"10.1177\/1087054716677817","type":"journal-article","created":{"date-parts":[[2017,1,9]],"date-time":"2017-01-09T00:10:54Z","timestamp":1483920654000},"page":"1251-1261","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Patterns and Predictors of Service Utilization Among Youth With ADHD-Predominantly Inattentive Presentation"],"prefix":"10.1177","volume":"23","author":[{"given":"Matthew R.","family":"Capriotti","sequence":"first","affiliation":[{"name":"University of California, San Francisco, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda J.","family":"Pfiffner","sequence":"additional","affiliation":[{"name":"University of California, San Francisco, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,1,8]]},"reference":[{"key":"bibr1-1087054716677817","first-page":"208","volume":"9","author":"Aday L. 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