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

[ADHD diagnostic formulation (see Evaluation algorithm)]

[Address comorbid condition (see Evaluation 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 Management Algorithm ADHD diagnostic formulation (see Evaluation algorithm). A A = Annotation Multimodal management coordinated by primary clinician. A Education of key individuals. A Parents/Family Focused Strategies *ADHD support group. *Advocacy groups. *Parenting skills training. Comorbidity present: *Refer for psychotherapy, family therapy as needed. A Child Interventions *Social skills training. *Problem solving strategies. *Study/organizational skills training. Comorbidity present: *Refer for psychotherapy, as needed. *Appropriate medical management for comorbid condition. A School Interventions *Curricular/instructional accommodations. *Behavior modification. Comorbidity present: *Special education services as needed. *Speech/language therapy as indicated. A Medications warranted and desired? A First line medication(s) trial(s) *Placebo. *Open label. A Successful psychostimulant(s) trial(s)? Alternative medication(s) trial(s)? A Out of guideline (consider subspecialist consultation). A Maintenance and continuing care. A Emerging comorbid condition? Address comorbid condition (see Evaluation algorithm) All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.