Examining the Family-Level and Economic Impact of Complex Child Disabilities as a Function of Child Hyperactivity and Service Integration

Children with complex disabilities require comprehensive, coordinated and integrated services. However, parents often find
themselves navigating fragmentary service systems—a process that may be more difficult when children exhibit behavioral problems
such as hyperactivity and inattention. Such problems are more common among children with disabilities. Thus, the present study
examined the familial and economic impact of service integration and child hyperactivity among 111 families involved with
a children’s treatment network over 2 years. The most dysfunctional families over time were involved with low-integration
teams and had children who were highly hyperactive. Children who were hyperactive and their parents had the highest levels
of service utilization at baseline, though these patterns reversed or disappeared over time, respectively. Family functioning
was also associated with higher service costs for parents, over time. Results highlight the importance of considering the
impact of child hyperactivity and inattention, even when children are receiving services for other primary diagnoses.