ADHD QUICK REFERENCE

ADHD QUICK REFERENCE

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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 reference guide is for healthcare professionals and others involved in the care of people
with attention deficit hyperactivity disorder.…read more

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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
people and adults
Monitoring side effects 20
Behavioural and psychological interventions in 22
children and young people
Organisation and planning of services 23
Training 23
Implementation tools 24
Further information 24
NICE clinical guideline 72…read more

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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 years.
ADHD is a heterogeneous behavioural syndrome characterised by the core symptoms of inattention,
hyperactivity and impulsivity.…read more

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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 and other
professionals who have contact with people with ADHD.…read more

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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 atomoxetine when tics, Tourette's syndrome, anxiety disorder, stimulant
misuse or risk of stimulant diversion are present
­ atomoxetine if methylphenidate has been tried and has been ineffective at the maximum
tolerated dose, or the child…read more

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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.…read more

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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)
Severe Mild/moderate impairment
impairment G Refer only if impairment persists
G Secondary care assessment
G Diagnosis of ADHD (see page 10)
Treatment and management
G Pre-school children (see page 11)
G School-age children and young…read more

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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 disordered conduct and suspected ADHD with their behaviour
­ inform the parents about local parent-training/education programmes (see page 22).
G If a child or young person is referred to secondary care, inform the GP.…read more

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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. Discuss behaviour and symptoms in the different
domains and settings of the person's everyday life
­ a full developmental and psychiatric history, and
­ observer reports and an assessment of mental state.…read more

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