DSW Showcase Student Presentation

Asha Givens

DSW Candidate, LMSW, ADC, Certified Holistic Doula

Bridging Gaps in Attention-Deficit/Hyperactivity Disorder (ADHD) Care: A Systems Approach to Equity and Integration

Concentration -

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder characterized by persistent difficulties with inattention, hyperactivity, and impulsivity, which substantially affect daily functioning and developmental trajectories. According to the U.S. Centers for Disease Control and Prevention (CDC) (2024), approximately 7 million children aged 3–17 years (11.4%) in the U.S. have been diagnosed with attention-deficit/hyperactivity disorder (ADHD), yet its diagnosis and management remain inconsistent due to systemic barriers, healthcare disparities, and limited interdisciplinary collaboration. For instance, a 16-year-old pregnant adolescent with ADHD experienced significant disruptions in care when transitioning from pediatric to adult services, due to resistance from providers buy-in, Medicaid restrictions, prolonged psychiatric wait times, and co-occurring perinatal depression. This case underscores the critical need for an integrated care model designed to address the complex and multifaceted needs of individuals navigating both developmental and systemic barriers to effective treatment. Grounded in Ecological Systems Theory and Systems Theory, this presentation examines the integrated model used by Federally Qualified Health Centers (FQHCs) to demonstrate how enhanced coordination between primary care and behavioral health providers can improve ADHD diagnosis and treatment, advocating for its adoption across all healthcare settings. It will also address key barriers to integrated care, such as provider training, financial constraints, and workflow challenges. Also, it will present strategies for advancing equitable, culturally responsive ADHD care across diverse healthcare settings.

Biography

Asha C. Givens is a Behavioral Health Consultant in Columbia, SC, and the Founder of Nurturing Nectar Doula Services. She is currently pursuing her Doctorate in Social Work at the University of Kentucky, specializing in Clinical Social Work. Givens holds a Master in Social Work from the University of South Carolina (2018) and a Bachelor of Arts in Sociology from Claflin University (2016).

Givens excels in crisis intervention, case management, biopsychosocial assessments, and clinical counseling. Her expertise spans mental and behavioral health conditions, including ADHD, substance use, and mood disorders, with a focus on culturally responsive care for underserved communities.

An advocate for integrated healthcare, her Capstone project, " Bridging Gaps in Attention-Deficit/Hyperactivity Disorder (ADHD) Care: A Systems Approach to Equity and Integration," reflects her commitment to improving ADHD management for pediatric patients in rural areas.

Her accolades include certification as an Alcohol and Drug Counselor (ADC), membership in Delta Sigma Theta Sorority, Incorporated, Certified Holistic Doula, and ongoing licensure as a Clinical Licensed Independent Social Worker (expected 2025). She has furthered her expertise as a Diabetes Care & Education Specialist and through involvement in the Collaborative Family Healthcare Association’s Pediatric Special Interest Group.

Beyond her professional endeavors, Givens is devoted to her family and friends, valuing the time spent with them creating lasting memories. She enjoys traveling, engaging in new experiences, music, reading, and fostering meaningful connections. Givens is tenacious, demonstrating a commitment to helping others heal and live authentically.