Identification, Diagnosis & Treatment of Child Attention Deficit / Hyperactivity Disorder a package for First Contact Health Providers Created by: Stan Kutcher



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Identification, Diagnosis & Treatment of Child Attention Deficit / Hyperactivity Disorder
A Package for First Contact Health Providers

Created by:
Stan Kutcher, MD, FRCPC, Sun Life Financial Chair in Adolescent Mental Health & Director, WHO Collaborating Center, Dalhousie University, (Halifax, NS)
Iliana Garcia-Ortega, MD, Psychiatrist Research Associate Sun Life Financial Chair in Adolescent Mental Health, Dalhousie University & IWK Health Centre (Halifax, NS)
External Observers:
Practice Support Program Child and Youth Mental Health Module Content Committee



Andy Basi, EdD, MBA, CHE, ART, Executive Lead, Practice Support Program (Vancouver, BC)

Charles Blackwood, MD

Christina Southey, MSc, Quality Improvement Advisor, Impact BC (Vancouver, BC)

Garey Mazowita, MD, FCFP, Clinical Professor, Department of Family Medicine, University of British Columbia, Head, Department of Family and Community Medicine, Providence Health Care

Gayle Read, Senior Mental Health Consultant, Ministry of Children and Family Development (Victoria, BC)

Jane Garland, MD, FRCPC, Clinical Professor, Department of Psychiatry, University of British Columbia, Clinical Head, Mood and Anxiety Disorders Clinic, British Columbia's Children's Hospital, (Vancouver, BC)


Jessica K. Bruhn, BA, BC Provincial Family Council Co-chair, Institute of Families for Child & Youth Mental Health (Vancouver, BC)

Judy Huska, RN, BScN, Executive Director Quality Improvement, Impact BC ( Vancouver BC)

Kimberly McEwan, Phd, RPsych.

Liza Kallstrom, MSc, Content and Implementation Lead, Practice Support Program (Vancouver, BC)

Olga O’Toole, Child and Youth Mental Health Manager, Ministry of Children and Family Development (Vancouver, BC)

Olivia Sampson, MD (Vancouver, BC)

Robert Lampard, Ph.D., R. Psych, Ministry of Children and Family Development, Child & Youth Mental Health (Victoria, BC)

Sherry Bar, Research Officer, Primary Health Care, Ministry of Health (Victoria, BC)

Wilma Arruda, BSc., BEd, MD, FRCPC, Consulting Paediatrician, Co Medical Director, Child, Youth and Family Health, Vancouver Island Health Authority (Nanaimo, BC)

Rivian Weinerman, MD, FRCPC, Regional Head, Division of Collaborative Care, Department of Psychiatry, Vancouver Island Health Authority (Victoria, BC)

Sandy Wiens, Ministry of Child and Family Development (Victoria, BC)

Acknowledgement: Pamela Hinada provided technical assistance and project coordination.
© This material is under copyright.

This material cannot be altered, modified or sold.


Teens and parents are welcome to use this material for their own purposes. Health providers are welcome to use this material in their provision of health care. Educators are welcome to use this material for teaching or similar purposes. Permission for use in whole or part for any other purpose must be obtained in writing from either Dr. Stan Kutcher at skutcher@dal.ca or from Dr. Dan MacCarthy (dmaccarthy@bcma.bc.ca) at the British Columbia Medical Association (BCMA).


Introduction


This package is provided as an overview of attention deficit / hyperactivity disorder (ADHD) in children and how first contact health providers can identify and address this issue in an effective, clinically relevant and best evidence-driven manner.
The package is divided into two parts:


  1. Overview

An information overview to help first contact health providers understand how to identify, diagnose and treat ADHD in children.


  1. Toolkit

A toolkit for first contact health providers containing useful resources for assessing and treating ADHD in children.
Throughout this package hyperlinked text is highlighted in blue underline that, when clicked, will link to either a resource within the package or to an external website where additional information can be found
This program offers the health care provider a comprehensive, sequential and rational framework for addressing the diagnosis and treatment of children with ADHD. Each health care provider will be able to extract from this program those components that they can best apply in their own practice setting. By building on the information presented in this course and by utilizing those components of the toolkit that best meet the realities of their practice each health care provider can customize their approach to the treatment of the young person with ADHD.
For health care practices in which there exist family care teams, different providers can use the various components of the toolkit, with the team leader being responsible to ensure integrated monitoring of ongoing care.

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Primary health care providers can appropriately deliver effective treatment for ADHD to children. Here’s how…
Key steps

  1. Identification of child at risk for ADHD

  2. Useful methods for screening and diagnosis of ADHD in the clinical setting

  3. Treatment template

  4. Safety and contingency planning

  5. Referral flags





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