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Quick reference guide


Issue date: September 2008

Attention deficit hyperactivity disorder
Diagnosis and management of ADHD in children,
young people and adults




NICE clinical guideline 72
Developed by the National Collaborating Centre for Mental Health

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Attention deficit hyperactivity disorder




About this booklet
This is a quick reference guide that summarises the recommendations NICE has made to the NHS in
Attention deficit hyperactivity disorder: diagnosis and management of ADHD in children, young
people and adults (NICE clinical guideline 72).

Who should read this booklet?
This quick…

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Attention deficit hyperactivity disorder Contents




Contents
Introduction 4

Definition of terms used in this guideline 4

Key priorities for implementation 5

Person-centred care 6

Principles of treatment and care 7

ADHD in children and young people 8

ADHD in adults 15

How to use drug treatment in children, young 17…

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Attention deficit hyperactivity disorder Introduction




Introduction
This guideline covers the diagnosis and management of attention deficit hyperactivity disorder
(ADHD) in children aged 3 years and older, young people and adults. The term `children` refers to
those between 3 and 11 years; `young people' refers to those between 12 and 18…

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Attention deficit hyperactivity disorder Key priorities for implementation




Key priorities for implementation
G Trusts should ensure that specialist ADHD teams for children, young people and adults jointly
develop age-appropriate training programmes for the diagnosis and management of ADHD for
mental health, paediatric, social care, education, forensic and primary care providers…

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Attention deficit hyperactivity disorder Person-centred care




Key priorities for implementation continued

G When a decision has been made to treat children or young people with ADHD with drugs,
healthcare professionals should consider:
­ methylphenidate for ADHD without significant comorbidity
­ methylphenidate for ADHD with comorbid conduct disorder
­ methylphenidate or…

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Attention deficit hyperactivity disorder Principles of treatment and care




Principles of treatment and care
Respect, understanding and consent
G Develop a trusting relationship with all people with ADHD and their families or carers by:
­ respecting their knowledge and experience of ADHD
­ being sensitive to stigma concerning mental illness.…

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Attention deficit hyperactivity disorder ADHD in children and young people




ADHD in children and young people
Care pathway

Child/young
person with
suspected ADHD




Seen in primary care (see Seen at school (see
identification and referral Watchful identification and referral
to secondary care, page 9) waiting to secondary care, page 9)…

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Attention deficit hyperactivity disorder ADHD in children and young people




Identification and referral to secondary care
School
G Universal screening for ADHD should not be undertaken in schools or nurseries.

G On referral to a special educational needs coordinator (SENCO), the SENCO should:
­ help children or young people with…

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Attention deficit hyperactivity disorder ADHD in children and young people




Diagnosis of ADHD
G Diagnosis should only be made by a specialist psychiatrist, paediatrician or other healthcare
professional with training and expertise in the diagnosis of ADHD.
G Diagnosis should be based on:
­ a full clinical and psychosocial assessment.…

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