Diagnosis and Management of Attention Deficit Hyperactivity Disorder in Primary Care for School Age Children and Adolescents. Evaluation Algorithm.

[ADHD diagnostic formulation (see Management Algorithm)]

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Source: Institute for Clinical Systems Improvement (ICSI). Diagnosis and management of attention deficit hyperactivity disorder in primary care for school age children and adolescents. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2005 Jan. 69 p. Diagnosis and Management of Attention Deficit Hyperactivity Disorder in Primary Care for School Age Children and Adolescents Evaluation Algorithm Learning/behavior problems (suspect ADHD). A A = Annotation Crisis? A Immediate assessment and/or referral. A Evaluate for key features of ADHD using DSM-IV/DSM-PC criteria: *Symptoms. *Onset. *Duration. *Pervasiveness. *Impairment. A Screen for other primary conditions and comorbidities including all of the following: A. Biomedical conditions. B. Emotional/psychiatric problems. C. Family/psychosocial problems. D. Speech/language problems. E. Academic/learning problems. A Are other primary condition(s) or comorbidity(s) suspected? A Assessment of suspect condition(s) and comorbidity(s): A. Biomedical conditions. B. Emotional/psychiatric problems. C. Family/psychosocial problems. D. Speech/language problems. E. Academic/learning problems. A Primary diagnosis other than ADHD accounting for symptoms? A Out of guideline - need for further evaluation. A DSM-IV/DSM-PC criteria confirmed? A Related comorbidity identified? A Desire subspecialty consultation for ADHD medical management? A ADHD diagnostic formulation (see Management algorithm). A Coordinate care with subspecialty(s) as indicated Out of guideline - coordinate care with subspecialty(s) as indicated All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.