{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T17:44:13Z","timestamp":1789753453196,"version":"4.0.1"},"reference-count":22,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Atten Disord"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>At least a third of U.S. adults with ADHD do not access recommended treatments (medication or cognitive behavioral therapy [CBT]), and those receiving treatment face barriers (e.g., inconsistent availability of medication). We investigated systemic inequities in CBT access for adults with ADHD versus psychiatric diagnoses with similar prevalence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      We accessed and extracted publicly available listings from the Psychology Interjurisdictional Compact (PSYPACT) provider directory (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009\n                      <jats:italic toggle=\"yes\">=<\/jats:italic>\n                      \u200912,898) in April 2025.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Only 26.4% of PSYPACT providers explicitly offer any services for adult ADHD. They were nearly three times more likely to treat adult depression (69.2%) and anxiety (74.0%). CBT for adult ADHD was offered by just 21.3% of providers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>U.S. psychologists are chief CBT providers for adult mental disorders; however, they systemically underserve adults with ADHD. Contributors to this inequity must be identified to advance adult ADHD care, as untreated ADHD is a costly public health burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10870547251409862","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T03:37:08Z","timestamp":1769139428000},"page":"571-576","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Disparities in Adult ADHD Care Delivery Among U.S. Telepsychology Providers"],"prefix":"10.1177","volume":"30","author":[{"given":"Marushka R.","family":"Rout","sequence":"first","affiliation":[{"name":"Seattle Children\u2019s Research Institute, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ava","family":"Gaddis","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Research Institute, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos E.","family":"Yeguez","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Research Institute, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7167-2240","authenticated-orcid":false,"given":"Margaret H.","family":"Sibley","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Research Institute, WA, USA"},{"name":"University of Washington School of Medicine, Seattle, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4465-8723","authenticated-orcid":false,"given":"Nicole B.","family":"Groves","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Research Institute, WA, USA"},{"name":"University of Washington School of Medicine, Seattle, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"e_1_3_4_2_1","unstructured":"American Psychological Association. (2023). APA Practitioner Pulse Survey. https:\/\/www.apa.org\/pubs\/reports\/practitioner\/2023-practitioner-pulse-survey.pdf"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7213a1"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-024-00495-0"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.949321"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0319335"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529786"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/10870547231214969"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-184"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/00048674231166329"},{"key":"e_1_3_4_11_1","author":"National Institute for Health and Care Excellence","year":"2019","unstructured":"National Institute for Health and Care Excellence. (2019). Attention deficit hyperactivity disorder: Diagnosis and management (NICE guideline 87).","journal-title":"Attention deficit hyperactivity disorder: Diagnosis and management (NICE guideline 87)"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(19981130)17:22<2635::AID-SIM954>3.0.CO;2-C"},{"key":"e_1_3_4_13_1","volume-title":"Early release of selected estimates based on data grom the 2024 National Health Interview Survey","author":"Norris T.","year":"2024","unstructured":"Norris T., Adjaye-Gbewonyo D., Bottoms-McClain L. (2024). Early release of selected estimates based on data grom the 2024 National Health Interview Survey. National Center for Health Statistics."},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(24)00360-2"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s42843-021-00044-3"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2023.02.001"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/10870547231164155"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.52407"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7340a1"},{"key":"e_1_3_4_20_1","unstructured":"U.S. Drug Enforcement Administration. (n.d.). Drug scheduling. https:\/\/www.dea.gov\/drug-information\/drug-scheduling"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.2196\/22619"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2024.1341624"},{"key":"e_1_3_4_23_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.649399"}],"container-title":["Journal of Attention Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10870547251409862","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10870547251409862","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10870547251409862","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:30:49Z","timestamp":1777491049000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10870547251409862"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,22]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/10870547251409862"],"URL":"https:\/\/doi.org\/10.1177\/10870547251409862","relation":{},"ISSN":["1087-0547","1557-1246"],"issn-type":[{"value":"1087-0547","type":"print"},{"value":"1557-1246","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,22]]}}}