ADHD Diagnosis and Evaluation Robin K. Blitz, MD. ADHD DIAGNOSTIC CLINIC Week 1

Size: px
Start display at page:

Download "ADHD Diagnosis and Evaluation Robin K. Blitz, MD. ADHD DIAGNOSTIC CLINIC Week 1"

Transcription

1 ADHD Diagnosis and Evaluation Robin K. Blitz, MD ADHD DIAGNOSTIC CLINIC Week 1

2 ADHD What is it? A neurodevelopmental disorder Developmentally inappropriate levels of hyperactivity, impulsivity, and inattention Impairment in executive function and behavioral self-regulation Frequent co-morbidities: mood, conduct, learning disorders Impairment in functioning in at least 2 settings (home, school, social)

3 ADHD: A Brain-based Disorder

4 ADHD: Core Symptoms Hyperactivity Whole body restlessness Fidgetiness Peaks by 8 years of age May continue as mental restlessness Impulsivity - the core symptom? Difficulty with self-regulation and response inhibition (gas and brakes) Inattention - more cognitive impairment Distractibility (sustained attention) Interest vs Importance-based learning The Nintendo effect

5 ADHD: Significant Associated Symptoms Academic Skills Deficit Problems with academic productivity and accuracy Social Skills Deficit Problems with social interactions peers and family in school and at home Impulsive Aggression Motor Coordination Difficulties Speech and Language Disorders Sleep Difficulties

6 ADHD and Coexisting Conditions Evaluation for ADHD should include assessment for Conduct (10%) co-existing conditions ODD (40-50%) Learning Conduct (10%) Disorders ODD (40-50%) (50-60%) Anxiety Disorders ADHD Anxiety (35%) Mood Disorders Mood Disorders Disorders (35%) ADHD Only (5-25%) (30-50%)

7 How common is ADHD? Prevalence of ADHD Prevalence of Medication Treatment for ADHD in Elementary School Children in Johnston County, NC 10% given a diagnosis of ADHD 7% were receiving ADHD medication treatment diagnosis and treatment varied by sex, race/ethnicity and grade 15% of boys vs 5% of girls given the diagnosis 9% of African American children 4% of Hispanic children 6.5% in grade 1 vs 13% in grade 5 11% of boys vs 3% of girls treated with medications 8% of Caucasian children 5% of African American children 2% of Hispanic children Roland, Umbach, et al. Prevalence of Medication Treatment for Attention Deficit Hyperactivity Disorder among Elementary School Children in Johnston County, NC. Am J Public Health.2002;92:

8 ADHD Toolkit Vanderbilt ADHD Score: Parent Report ADHD Subtype Score Inattentive (items 1-9) Hyper/Impuls (items 10-18) Combined (items 1-18) Performance (items 48-55) Total # positive symptoms Criteria / 9 6/9 pos. + 1 pos. imprmnt / 9 6/9 pos. + 1 pos. imprmnt / 18 12/18 pos. + 1 pos. imprmnt Meets DSM-IV Criteria YES YES YES NO NO NO / 8 YES NO Symptoms present > 6 months? Yes No Symptoms present to some degree < 7 years old? Yes No

9 COMORBIDITIES From Parent NICHQ Vanderbilt Oppositional-Defiant Disorder (questions 19-26; 4 of 8 symptoms with scores of 2 or 3 are positive AND a score of 4 or 5 on any of the 8 Performance Section items) Conduct Disorder (questions 27-40; 3 of 14 symptoms with scores of 2 or 3 are positive AND a score of 4 or 5 on any of the 8 Performance Section items). Anxiety / Depression (questions 41-47; 3 of 7 symptoms with scores of 2 or 3 are positive AND a score of 4 or 5 on any of the 8 Performance Section items).

10 Review Visits, Parent and Teacher Packets Visit packets: #1, 2, 3 Progress notes Vanderbilts for parents Parent training group handout (visit #2) Teacher Packets given at Visits #1, 2 Letters to teacher, Vanderbilts, envelope, release of information, teacher handout Parent Packets from Emily Center, given at Visit #2 Info on Emily Center and available resources National and local resource list Articles

11 Resident Responsibilities Visit #1 Review history form with parent / child Complete visit forms (H & P) Review and document cardiac risk factors Consult with attending Provide parent with Vanderbilt and Teacher packet #1 Schedule 2 nd visit

12 Resident Responsibilities Visit #2 Score Parent and Teacher Vanderbilts Complete Visit #2 form Consult with attending Discuss diagnosis with parent / child Discuss treatment regimen and /or referral to psychiatry Refer to Psychology - Parent Training Group Provide parent with Emily packet and Teacher packet #2 Schedule Visit #3

13 Resident Responsibilities Between Visits 2 and 3 Phone to parent once a week using phone script Document progress on medication Consult with attending Make any necessary changes to medication Remind parent of Visit #3

14 Resident Responsibilities Visit #3 Review and score Parent and Teacher followup Vanderbilts Complete Visit #3 form, including interim H&P Consult with attending Discuss diagnosis and further management with parent / child, including transfer back to PCP or ADHD Medication Management Clinic Attending dictates report for chart and for PCP

15 When to refer to Psychiatry At Visit #1 if: Suspect significant psychiatric disorder If other conditions make the child inappropriate for ADHD Diagnostic Clinic At Visit #2 if: If child does not meet criteria for ADHD, but there are other psychiatric concerns If child does meet ADHD criteria, but comorbidities are more impairing At Visit #3 if: Child fails medication trial or medication makes comorbidities worse

16

MCPS Special Education Parent Summit

MCPS Special Education Parent Summit MCPS Special Education Parent Summit May 17, 2014 Rockville High School 2100 Baltimore Road Rockville, MD 20851 When ADHD Is Not ADHD: ADHD Look-Alikes and Co-occurring Disorders David W. Holdefer MCPS

More information

Talking about ADHD. INTSP/IN/ADHD/13/0080a October 2013

Talking about ADHD. INTSP/IN/ADHD/13/0080a October 2013 Talking about ADHD Please note, the content of this programme is advisory only and not a substitute for professional and/or medical advice. If you would like any further advice or have any concerns regarding

More information

ADHD AND ANXIETY AND DEPRESSION AN OVERVIEW

ADHD AND ANXIETY AND DEPRESSION AN OVERVIEW ADHD AND ANXIETY AND DEPRESSION AN OVERVIEW A/Professor Alasdair Vance Head, Academic Child Psychiatry Department of Paediatrics University of Melbourne Telephone: 9345 4666 Facsimile: 9345 6002 Email:

More information

Billy. Austin 8/27/2013. ADHD & Bipolar Disorder: Differentiating the Behavioral Presentation in Children

Billy. Austin 8/27/2013. ADHD & Bipolar Disorder: Differentiating the Behavioral Presentation in Children ADHD & Bipolar Disorder: Differentiating the Behavioral Presentation in Children Judy Goodwin, MSN, CNS Meadows Psychiatric Associates Billy Austin 1 Introduction Distinguishing between ADHD and Bipolar

More information

ADHDInitiative. The Vermont A MULTIDISCIPLINARY APPROACH TO ADHD FOR FAMILIES/CAREGIVERS, EDUCATIONAL & HEALTH PROFESSIONALS

ADHDInitiative. The Vermont A MULTIDISCIPLINARY APPROACH TO ADHD FOR FAMILIES/CAREGIVERS, EDUCATIONAL & HEALTH PROFESSIONALS The Vermont ADHDInitiative A MULTIDISCIPLINARY APPROACH TO ADHD FOR FAMILIES/CAREGIVERS, EDUCATIONAL & HEALTH PROFESSIONALS ACKNOWLEDGEMENTS: This work and its resulting improvements in the care provided

More information

Documentation Guidelines for ADD/ADHD

Documentation Guidelines for ADD/ADHD Documentation Guidelines for ADD/ADHD Hope College Academic Success Center This document was developed following the best practice recommendations for disability documentation as outlined by the Association

More information

ADHD Treatment Home Management and School Accommodations Robin K. Blitz, MD. ADHD DIAGNOSTIC CLINIC Week 3

ADHD Treatment Home Management and School Accommodations Robin K. Blitz, MD. ADHD DIAGNOSTIC CLINIC Week 3 ADHD Treatment Home Management and School Accommodations Robin K. Blitz, MD ADHD DIAGNOSTIC CLINIC Week 3 ADHD Target symptoms Behavioral / Emotional Improvements in: Self-esteem Behavior in public places

More information

UNDERSTANDING AND LEARNING ABOUT STUDENT HEALTH

UNDERSTANDING AND LEARNING ABOUT STUDENT HEALTH Teacher Workshop Curriculum UNDERSTANDING AND LEARNING ABOUT STUDENT HEALTH Written by Meg Sullivan, MD with help from Marina Catallozzi, MD, Pam Haller MDiv, MPH, and Erica Gibson, MD UNDERSTANDING AND

More information

For more than 100 years, extremely hyperactive

For more than 100 years, extremely hyperactive 8 WHAT WE KNOW ADHD Predominantly Inattentive Type For more than 100 years, extremely hyperactive children have been recognized as having behavioral problems. In the 1970s, doctors recognized that those

More information

Neurodevelopmental Disorders, Disruptive, Impulse Control and Conduct Disorder (DSM 5)

Neurodevelopmental Disorders, Disruptive, Impulse Control and Conduct Disorder (DSM 5) Neurodevelopmental Disorders, Disruptive, Impulse Control and Conduct Disorder (DSM 5) Matthew Soulier, MD Paula Wadell, MD Scott Summers, MD, PhD UC Davis Department of Psychiatry CONCENTRATION IRRITABILITY

More information

UCLA-NPI/VA PG-2 Child & Adolescent Psychiatry Course 2004-5. Week 3:Attention Deficit Hyperactivity Disorder

UCLA-NPI/VA PG-2 Child & Adolescent Psychiatry Course 2004-5. Week 3:Attention Deficit Hyperactivity Disorder UCLA-NPI/VA PG-2 Child & Adolescent Psychiatry Course 2004-5 Week 3:Attention Deficit Hyperactivity Disorder ADHD:Epidemiology Point Prevalence 2-18% M:F>= 2:1 ADHD Symptoms Cognitive (attention) Impulsivity

More information

Tourette syndrome and co-morbidity

Tourette syndrome and co-morbidity Tourette syndrome and co-morbidity Nanette M.M. Mol Debes, M.D., Ph.D. Tourette clinic, Herlev University Hospital, Denmark Outline of presentation Research project Herlev University Hospital Denmark Prevalence

More information

RESEARCH OBJECTIVE/QUESTION

RESEARCH OBJECTIVE/QUESTION ADHD 9 Study results from confirm effectiveness of combined treatments and medication management in reducing children s Attention Deficit/Hyperactivity Disorder (ADHD) symptoms CITATION: MTA Cooperative

More information

The Prevalence of ADHD and LD in Children with Hearing Loss

The Prevalence of ADHD and LD in Children with Hearing Loss The Prevalence of ADHD and LD in Children with Hearing Loss Krista R. Biernath MD, Susanna N. Visser PhD, W. June Holstrum PhD Centers for Disease Control and Prevention National Center on Birth Defects

More information

NICHQ Vanderbilt Assessment Scale PARENT Informant

NICHQ Vanderbilt Assessment Scale PARENT Informant NICHQ Vanderbilt Assessment Scale PARENT Informant Today s Date: Child s Name: Date of Birth: Parent s Name: Parent s Phone Number: Directions: Each rating should be considered in the context of what is

More information

ADHD. & Coexisting Disorders in Children

ADHD. & Coexisting Disorders in Children ADHD & Coexisting Disorders in Children ADHD AND CHILDREN Attention-deficit/hyperactivity disorder (ADHD) is a recognized medical condition that often requires medical intervention. Establishing a diagnosis

More information

ADHD DSM Criteria and Evidence-based Treatments

ADHD DSM Criteria and Evidence-based Treatments ADHD DSM Criteria and Evidence-based Treatments DSM-5 Criteria for ADHD A. A persistent pattern of inattention and/or hyperactivity-impulsivity that interferes With functioning or development, as characterized

More information

DSM-5. Presented by CCESC School Psychologist Interns: Kayla Dodson, M.Ed. Ellen Doll, M.S. Rich Marsicano, Ph.D. Elaine Wahl, Ph.D.

DSM-5. Presented by CCESC School Psychologist Interns: Kayla Dodson, M.Ed. Ellen Doll, M.S. Rich Marsicano, Ph.D. Elaine Wahl, Ph.D. DSM-5 Presented by CCESC School Psychologist Interns: Kayla Dodson, M.Ed. Ellen Doll, M.S. Rich Marsicano, Ph.D. Elaine Wahl, Ph.D. Introduction Lifespan approach to diagnosis Diagnoses occurring in children

More information

Attention, memory and learning and acquired brain injury. Vicki Anderson. Jamie M. Attention & learning: an information processing model

Attention, memory and learning and acquired brain injury. Vicki Anderson. Jamie M. Attention & learning: an information processing model Attention, memory and learning and acquired brain injury Vicki Anderson Jamie M. Childhood acquired amnesia Attention & learning: an information processing model MANAGEMENT Organising, problem solving

More information

Background: Previous Research

Background: Previous Research OUTCOME TRAJECTORIES FOR YOUTH SERVED IN RESIDENTIAL TREATMENT FACILITY SETTINGS OR THE COMMUNITY THROUGH THE HOME AND COMMUNITY BASED SERVICES MEDICAID WAIVER Office of Performance Measurement & Evaluation

More information

Clinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder

Clinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder Clinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder AACAP Official Action: OUTLINE OF PRACTICE PARAMETERS FOR THE ASSESSMENT AND TREATMENT OF CHILDREN, ADOLESCENTS, AND ADULTS WITH ADHD

More information

Every person with ADHD has a unique portrait.

Every person with ADHD has a unique portrait. Every person with ADHD has a unique portrait. Now you can see it objectively. The Quotient ADHD System accurately measures motion and analyzes shifts in attention state to give an objective picture of

More information

Integrated Visual and Auditory (IVA) Continuous Performance Test

Integrated Visual and Auditory (IVA) Continuous Performance Test DISCLAIMER The information contained within this document does not constitute medical advice or diagnosis and is intended for education and information purposes only. It was current at the time of publication

More information

ADHD HOS FØRSKOLEBARN H E I D I A A S E, PHD N A S J O N A L T F O L K E H E L S E I N S T I T U T T

ADHD HOS FØRSKOLEBARN H E I D I A A S E, PHD N A S J O N A L T F O L K E H E L S E I N S T I T U T T ADHD HOS FØRSKOLEBARN H E I D I A A S E, PHD N A S J O N A L T F O L K E H E L S E I N S T I T U T T OUTLINE ADHD in preschool: why is it important? Assessment Symptoms of ADHD vs normal diversity in preschool

More information

2014 ADHD Conference Presentation Descriptions

2014 ADHD Conference Presentation Descriptions 2014 ADHD Conference Presentation Descriptions Presentations on Saturday November 1 st 2014 ADHD: Essential Ideas You Need to Know. 9:00AM to 10:20AM In this presentation Dr. Barkley distills from his

More information

Guidelines for Documentation of Attention Deficit/Hyperactivity Disorder In Adolescents and Adults

Guidelines for Documentation of Attention Deficit/Hyperactivity Disorder In Adolescents and Adults Guidelines for Documentation of Attention Deficit/Hyperactivity Disorder In Adolescents and Adults Third Edition 2016 Office of Disability Policy Educational Testing Service Princeton, NJ 08541 Copyright

More information

ADHD and Treatment HYPERACTIVITY AND INATTENTION (ADHD) Meghan Miller, MA, Stephen P. Hinshaw, PhD University of California, Berkeley, USA

ADHD and Treatment HYPERACTIVITY AND INATTENTION (ADHD) Meghan Miller, MA, Stephen P. Hinshaw, PhD University of California, Berkeley, USA HYPERACTIVITY AND INATTENTION (ADHD) ADHD and Treatment Meghan Miller, MA, Stephen P. Hinshaw, PhD University of California, Berkeley, USA February 2012 Introduction Attention-deficit/hyperactivity disorder

More information

The Child with ADHD: Using the AAP Clinical Practice Guideline

The Child with ADHD: Using the AAP Clinical Practice Guideline The Child with ADHD: Using the AAP Clinical Practice Guideline CARLA T. HERRERIAS, M.P.H., American Academy of Pediatrics, Elk Grove Village, Illinois JAMES M. PERRIN, M.D., Harvard Medical School, Boston,

More information

Mental health problems in children and adolescents with Autism Spectrum Disorder/ADHD: Relevance for General Practice

Mental health problems in children and adolescents with Autism Spectrum Disorder/ADHD: Relevance for General Practice Mental health problems in children and adolescents with Autism Spectrum Disorder/ADHD: Relevance for General Practice Dr Tanveer Sandhu Consultant Child and Adolescent Psychiatrist Dr Faizal Moosa Locum

More information

Attention Deficit/Hyperactivity Disorder (ADHD)

Attention Deficit/Hyperactivity Disorder (ADHD) Attention Deficit/Hyperactivity Disorder (ADHD) Documentation Guidelines Introduction This document provides students, schools, professional diagnosticians, and service providers with a common understanding

More information

Guidelines for Documentation of a A. Learning Disability

Guidelines for Documentation of a A. Learning Disability Guidelines for Documentation of a Learning Disability A. Learning Disability B. Attention Deficit Disorder C. Psychiatric Disabilities D. Chronic Health Disabilities A. Learning Disability Students who

More information

DSM 5 AND DISRUPTIVE MOOD DYSREGULATION DISORDER Gail Fernandez, M.D.

DSM 5 AND DISRUPTIVE MOOD DYSREGULATION DISORDER Gail Fernandez, M.D. DSM 5 AND DISRUPTIVE MOOD DYSREGULATION DISORDER Gail Fernandez, M.D. GOALS Learn DSM 5 criteria for DMDD Understand the theoretical background of DMDD Discuss background, pathophysiology and treatment

More information

Vanderbilt ADHD Diagnostic Rating Scales

Vanderbilt ADHD Diagnostic Rating Scales Vanderbilt ADHD Diagnostic Rating Scales Overview The Vanderbilt ADHD Rating Scales (VADRS) are based on DSM-5 criteria for ADHD diagnosis and include versions specific for parents and teachers. These

More information

ADHD and School Failure

ADHD and School Failure ADHD and School Failure Your child isn t doing well in school. Actually, she/he s never done very well, but it s getting worse as schoolwork gets more challenging every year. What do you do? Here are some

More information

Anxiety, Depression, and ADD/ADHD The Holistic Approach for Children in the Classroom

Anxiety, Depression, and ADD/ADHD The Holistic Approach for Children in the Classroom Anxiety, Depression, and ADD/ADHD The Holistic Approach for Children in the Classroom Anxiety Facts 20% of American children are diagnosed with a mental illness Nearly 5 million children are diagnosed

More information

Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) (APA, 2001) 10

Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) (APA, 2001) 10 5. Diagnosis Questions to be answered: 5.1. What are the diagnostic criteria for ADHD in children and adolescents? 5.2. How is ADHD diagnosed in children and adolescents? Who must diagnose it? 5.3. Which

More information

What is ADHD/ADD and Do I Have It?

What is ADHD/ADD and Do I Have It? What is ADHD/ADD and Do I Have It? ADHD Definition and Symptoms Adults with ADHD Possible Coexistent Conditions Medications and Treatments Additional Resources Works Cited What is Attention Deficit Hyperactivity

More information

Epilepsy in Children. Learning and School Performance

Epilepsy in Children. Learning and School Performance Epilepsy in Children Learning and School Performance About the Epilepsy Foundation The Epilepsy Foundation is the national voluntary agency solely dedicated to the welfare of the more than three million

More information

Copyright 2006: www.valueoptions.com Page 1 of 5

Copyright 2006: www.valueoptions.com Page 1 of 5 V-CODES RELATIONAL PROBLEMS DSM-IV-TR Diagnostic Codes: V61.9 Relational Problem Related to a Mental Disorder or General Medical Condition V61.20 Parent-Child Relational Problem V61.10 Partner Relational

More information

...from a mild and temporary learning difficulty to severe, complex and permanent difficulties that will always affect the child's learning.

...from a mild and temporary learning difficulty to severe, complex and permanent difficulties that will always affect the child's learning. Massage and Children with Special/ Additional Needs Special educational needs can range......from a mild and temporary learning difficulty to severe, complex and permanent difficulties that will always

More information

Overview of DSM-5: Autism Spectrum Disorder

Overview of DSM-5: Autism Spectrum Disorder Overview of DSM-5: Autism Spectrum Disorder Courtney Burnette, PhD Clinical Psychologist UNM Center for Development and Disability Department of Pediatrics September 20, 2013 Objectives Recognize the changes

More information

Dr. Varunee Mekareeya, M.D., FRCPsychT. Attention deficit hyperactivity disorder

Dr. Varunee Mekareeya, M.D., FRCPsychT. Attention deficit hyperactivity disorder Attention deficit hyperactivity disorder Dr. Varunee Mekareeya, M.D., FRCPsychT Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in childhood. At least half

More information

Interview for Adult ADHD (Parent or Adult Questionnaire)

Interview for Adult ADHD (Parent or Adult Questionnaire) Interview for Adult ADHD (Parent or Adult Questionnaire) (client s name here) is undergoing evaluation for Attention Deficit Hyperactivity Disorder (ADHD). You have been identified as someone who could

More information

ADHD in Children vs. Adults

ADHD in Children vs. Adults ADHD in Children vs. Adults ADHD Symptoms In Children DSM-IV INATTENTION 1) Often does not give close attention to details or makes careless mistakes in schoolwork, work, or other activities. 2) Often

More information

ADHD and Autism (and everything else in between) Dr Ankit Mathur Consultant Community Paediatrician

ADHD and Autism (and everything else in between) Dr Ankit Mathur Consultant Community Paediatrician ADHD and Autism (and everything else in between) Dr Ankit Mathur Consultant Community Paediatrician Objectives Community Paediatric service pathways Importance of these conditions Case studies Differential

More information

The core symptoms of ADHD, as the name implies, are inattentiveness, hyperactivity and impulsivity. These are excessive and long-term and

The core symptoms of ADHD, as the name implies, are inattentiveness, hyperactivity and impulsivity. These are excessive and long-term and Attention Deficit Hyperactivity Disorder What is Attention Deficit Hyperactivity Disorder? The core symptoms of ADHD, as the name implies, are inattentiveness, hyperactivity and impulsivity. These are

More information

Dr. Anna M. Acee, EdD, ANP-BC, PMHNP-BC Long Island University, Heilbrunn School of Nursing

Dr. Anna M. Acee, EdD, ANP-BC, PMHNP-BC Long Island University, Heilbrunn School of Nursing Dr. Anna M. Acee, EdD, ANP-BC, PMHNP-BC Long Island University, Heilbrunn School of Nursing Overview Depression is significantly higher among elderly adults receiving home healthcare, particularly among

More information

Supporting Families Through a Comprehensive Approach to School-Based ADHD Intervention: A Grant Proposal

Supporting Families Through a Comprehensive Approach to School-Based ADHD Intervention: A Grant Proposal Supporting Families Through a Comprehensive Approach to School-Based ADHD Intervention: A Grant Proposal Veronica Scheele California State University, Long Beach May 2015 Introduction Attention Deficit

More information

ADD and/or ADHD Verification Form

ADD and/or ADHD Verification Form ADD and/or ADHD Verification Form Disability Services for Students (DSS) provides academic services and accommodations for students with diagnosed disabilities. The documentation provided regarding the

More information

Conduct Disorder: Treatment Recommendations. For Vermont Youth. From the. State Interagency Team

Conduct Disorder: Treatment Recommendations. For Vermont Youth. From the. State Interagency Team Conduct Disorder: Treatment Recommendations For Vermont Youth From the State Interagency Team By Bill McMains, Medical Director, Vermont DDMHS Alice Maynard, Mental Health Quality Management Chief, Vermont

More information

HYPERACTIVITY IN CHILDREN. Stacey KH Tay, Low Poh Sim

HYPERACTIVITY IN CHILDREN. Stacey KH Tay, Low Poh Sim HYPERACTIVITY IN CHILDREN Stacey KH Tay, Low Poh Sim Hyperactivity is a common complaint in children, and Attention Deficit Hyperactivity Disorder (ADHD) is the most prevalent chronic behavioural disorder

More information

County of San Diego Health and Human Services Agency (HHSA) Mental Health Services Policies and Procedures MHS General Administration

County of San Diego Health and Human Services Agency (HHSA) Mental Health Services Policies and Procedures MHS General Administration MHS FINAL Subject: Referenc Specialty for Clients with Co-occurring CCR Title 9; Co-occurring Psychiatric and Substance Abuse Disorders Consensus Document No: 01-02-205 Formerly: 01-06-117 Page: 1 of 7

More information

Clinical Treatment Protocol For The Integrated Treatment of Pathological Gamblers. Presented by: Harlan H. Vogel, MS, NCGC,CCGC, LPC

Clinical Treatment Protocol For The Integrated Treatment of Pathological Gamblers. Presented by: Harlan H. Vogel, MS, NCGC,CCGC, LPC Clinical Treatment Protocol For The Integrated Treatment of Pathological Gamblers Presented by: Harlan H. Vogel, MS, NCGC,CCGC, LPC Purpose of Presentation To provide guidelines for the effective identification,

More information

Emotionally Disturbed. Questions from Parents

Emotionally Disturbed. Questions from Parents 1 Emotionally Disturbed Questions from Parents Characteristics that may be reflective of ED:* an inability to learn which cannot be explained by intellectual, sensory, or health factors. an inability to

More information

Learning Disabilities: ADHD/ADD. Dr. Wilfred Johnson September 29, 2005

Learning Disabilities: ADHD/ADD. Dr. Wilfred Johnson September 29, 2005 Learning Disabilities: ADHD/ADD Dr. Wilfred Johnson September 29, 2005 Prevalence of ADHD/ADD ADHD/ADD is the most common childhood psychiatric disorder. Conservative estimate of prevalence is 2%; liberal

More information

Cambridgeshire Community Services NHS Trust: delivering excellence in children and young people s health services

Cambridgeshire Community Services NHS Trust: delivering excellence in children and young people s health services Deficits in Attention and Motor Perception (DAMP) Community Paediatrics Cambridgeshire Community Services NHS Trust: delivering excellence in children and young people s health services Deficits in Attention

More information

Recognizing and Helping Girls with ADHD in the Classroom. Kathleen G. Nadeau, Ph.D.

Recognizing and Helping Girls with ADHD in the Classroom. Kathleen G. Nadeau, Ph.D. Recognizing and Helping Girls with ADHD in the Classroom Kathleen G. Nadeau, Ph.D. What is different about girls? How do we recognize them? What prevents many girls from being diagnosed? Don t fit the

More information

Adult ADHD Self-Report Scale-V1.1 (ASRS-V1.1) Symptoms Checklist from WHO Composite International Diagnostic Interview

Adult ADHD Self-Report Scale-V1.1 (ASRS-V1.1) Symptoms Checklist from WHO Composite International Diagnostic Interview Adult ADHD Self-Report Scale-V1.1 (ASRS-V1.1) Symptoms Checklist from WHO Composite International Diagnostic Interview World Health Organization 2003 All rights reserved. Based on the Composite International

More information

ADHD in women UKAAN & ENAA & APSARD. London Sept Dr. J.J. Sandra Kooij

ADHD in women UKAAN & ENAA & APSARD. London Sept Dr. J.J. Sandra Kooij ADHD in women UKAAN & ENAA & APSARD London Sept 2014 Dr. J.J. Sandra Kooij Psychiatrist /Head Program & Expertise Centre Adult ADHD PsyQ, psycho-medical programs The Hague, the Netherlands ADHD in women

More information

Behavioural interventions for Attention Deficit Hyperactivity Disorder

Behavioural interventions for Attention Deficit Hyperactivity Disorder Behavioural interventions for Attention Deficit Hyperactivity Disorder Dr David Daley Professor of Psychological Intervention and Behaviour Change Division of Psychiatry & Applied Psychology, School of

More information

written by Harvard Medical School ADHD Attention Deficit Hyperactivity Disorder www.patientedu.org

written by Harvard Medical School ADHD Attention Deficit Hyperactivity Disorder www.patientedu.org written by Harvard Medical School ADHD Attention Deficit Hyperactivity Disorder www.patientedu.org Every child gets restless and fidgety from time to time; in particular, boys are often bursting with energy

More information

Cognitive behavioral therapy (CBT) may improve the home behavior of children with Attention Deficit/Hyperactivity Disorder (ADHD).

Cognitive behavioral therapy (CBT) may improve the home behavior of children with Attention Deficit/Hyperactivity Disorder (ADHD). ADHD 4 Cognitive behavioral therapy (CBT) may improve the home behavior of children with Attention Deficit/Hyperactivity Disorder (ADHD). CITATION: Fehlings, D. L., Roberts, W., Humphries, T., Dawe, G.

More information

Background. Provincial Teacher Resource List 2015-2016. Please Note:

Background. Provincial Teacher Resource List 2015-2016. Please Note: Provincial Teacher Resource List 2015-2016 Background The purpose of this list is to help teachers and schools promote a Comprehensive School Health (CSH) approach in a classroom setting. CSH is an internationally

More information

Irritability and DSM-5 Disruptive Mood Dysregulation Disorder (DMDD): Correlates, predictors, and outcome in children

Irritability and DSM-5 Disruptive Mood Dysregulation Disorder (DMDD): Correlates, predictors, and outcome in children Irritability and DSM-5 Disruptive Mood Dysregulation Disorder (DMDD): Correlates, predictors, and outcome in children Ellen Leibenluft, M.D. Chief, Section on Bipolar Spectrum Disorders National Institute

More information

Differentiating PTSD and ADHD. Elizabeth Risch, Ph.D. & Melissa Hakman, Ph.D.

Differentiating PTSD and ADHD. Elizabeth Risch, Ph.D. & Melissa Hakman, Ph.D. Differentiating PTSD and ADHD Elizabeth Risch, Ph.D. & Melissa Hakman, Ph.D. ADHD vs. PTSD One is a disruptive behavior disorder and the other is a reaction to trauma.so what s to differentiate??? The

More information

Treating Depression to Remission in the Primary Care Setting. James M. Slayton, M.D., M.B.A. Medical Director United Behavioral Health

Treating Depression to Remission in the Primary Care Setting. James M. Slayton, M.D., M.B.A. Medical Director United Behavioral Health Treating Depression to Remission in the Primary Care Setting James M. Slayton, M.D., M.B.A. Medical Director United Behavioral Health 2007 United Behavioral Health 1 2007 United Behavioral Health Goals

More information

THE OVERLAP BETWEEN ADHD AND LEARNING DISABILITIES

THE OVERLAP BETWEEN ADHD AND LEARNING DISABILITIES THE OVERLAP BETWEEN ADHD AND LEARNING DISABILITIES Stephanie Moulton Sarkis PhD NCC LMHC Stephanie Moulton Sarkis PhD NCC LMHC Ph.D. from University of Florida Author of 4 books on ADHD Private practice

More information

Children s Intensive Services (CIS) Evaluation Report

Children s Intensive Services (CIS) Evaluation Report Children s Intensive Services (CIS) Evaluation Report First Year Performance (Revised Certification Standards) The Consultation Center and the Division of Prevention and Community Research Department of

More information

Obsessive Compulsive Disorder: a pharmacological treatment approach

Obsessive Compulsive Disorder: a pharmacological treatment approach Obsessive Compulsive Disorder: a pharmacological treatment approach Professor Alasdair Vance Head, Academic Child Psychiatry Department of Paediatrics University of Melbourne Royal Children s Hospital

More information

Supporting Students with ADHD

Supporting Students with ADHD Supporting Students with ADHD A Teacher s Resource Guide By Diana Jurist Assistive Technology Graduate Student barisong@hotmail.com djurist@gmu.edu What is ADHD? Attention-deficit/hyperactivity disorder

More information

Accommodations STUDENTS WITH DISABILTITES SERVICES

Accommodations STUDENTS WITH DISABILTITES SERVICES Accommodations Otis College of Art and Design is committed to providing equality of education opportunity to all students. To assist in increasing the student s learning outcome, Students with Disabilities

More information

SAMPLE. Conners 3 Teacher Assessment Report. By C. Keith Conners, Ph.D.

SAMPLE. Conners 3 Teacher Assessment Report. By C. Keith Conners, Ph.D. By C. Keith Conners, Ph.D. Conners 3 Teacher Assessment Report This Assessment report is intended for use by qualified assessors only, and is not to be shown or presented to the respondent or any other

More information

Drugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia

Drugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia Drugs Stress Medical Illness PSYCHOSIS Depression Schizophrenia Mania Disorders In preschool children imaginary friends and belief in monsters under the bed is normal (it may be normal in older developmentally

More information

Conners' Adult ADHD Rating Scales Self-Report: Long Version (CAARS S:L)

Conners' Adult ADHD Rating Scales Self-Report: Long Version (CAARS S:L) Conners' Adult ADHD Rating Scales Self-Report: Long Version (CAARS S:L) By C. Keith Conners, Ph.D., Drew Erhardt, Ph.D., and Elizabeth Sparrow, Ph.D. Interpretive Report Copyright 00 Multi-Health Systems

More information

Conners' Adult ADHD Rating Scales Observer Report: Long Version (CAARS O:L)

Conners' Adult ADHD Rating Scales Observer Report: Long Version (CAARS O:L) Conners' Adult ADHD Rating Scales Observer Report: Long Version (CAARS O:L) By C. Keith Conners, Ph.D., Drew Erhardt, Ph.D., and Elizabeth Sparrow, Ph.D. Interpretive Report Copyright 00 Multi-Health Systems

More information

ADHD: A Neurodevelopmental Disorder Through the Ages

ADHD: A Neurodevelopmental Disorder Through the Ages Rachel G. Klein, Ph.D. Fascitelli Family Professor of Child and Adolescent Psychiatry,New York University Child Study Center, New York, NY ADHD: A Neurodevelopmental Disorder Through the Ages 1 ADHD -

More information

Mood Disorders. Ch. 6- Mood Disorders. What do you know about depression? True or false? Depression is not a common psychological disorder.

Mood Disorders. Ch. 6- Mood Disorders. What do you know about depression? True or false? Depression is not a common psychological disorder. Ch. 6- Mood Disorders OBJECTIVE: Depressive Disorders: Major depressive Disorder Post Partum Disorder Mood Disorders Mood disorders are a group of disorders involving severe and enduring disturbances in

More information

Behavioral and Developmental Referral Center

Behavioral and Developmental Referral Center Dear Parent, Thank you for allowing us the opportunity to serve your family. We will make every effort to best meet your needs. You will find a brief questionnaire enclosed with this letter. This information

More information

Policy for Documentation

Policy for Documentation Policy for Documentation act.org 2015 by ACT, Inc. All rights reserved. 3836 Introduction The ACT Policy for Documentation contains information individual examinees, professional diagnosticians, and qualified

More information

DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource

DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource E-Resource March, 2015 DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource Depression affects approximately 20% of the general population

More information

Parent and Teacher Ratings of Attention-Deficit/Hyperactivity Disorder in Preschool: The ADHD Rating Scale-IV Preschool Version

Parent and Teacher Ratings of Attention-Deficit/Hyperactivity Disorder in Preschool: The ADHD Rating Scale-IV Preschool Version Parent and Teacher Ratings of Attention-Deficit/Hyperactivity Disorder in Preschool: The ADHD Rating Scale-IV Preschool Version By: Kara E. McGoey, George J. DuPaul, Erin Haley, and Teri L. Shelton McGoey,

More information

Chapter 18 Behavioral Health Services

Chapter 18 Behavioral Health Services 18 Behavioral Health Services INTRODUCTION The State of Arizona has contracted the administration of the AHCCCS mental health and substance abuse services program to the Arizona Department of Health Services

More information

Running Head: INTERNET USE IN A COLLEGE SAMPLE. TITLE: Internet Use and Associated Risks in a College Sample

Running Head: INTERNET USE IN A COLLEGE SAMPLE. TITLE: Internet Use and Associated Risks in a College Sample Running Head: INTERNET USE IN A COLLEGE SAMPLE TITLE: Internet Use and Associated Risks in a College Sample AUTHORS: Katherine Derbyshire, B.S. Jon Grant, J.D., M.D., M.P.H. Katherine Lust, Ph.D., M.P.H.

More information

The WISC III Freedom From Distractibility Factor: Its Utility in Identifying Children With Attention Deficit Hyperactivity Disorder

The WISC III Freedom From Distractibility Factor: Its Utility in Identifying Children With Attention Deficit Hyperactivity Disorder The WISC III Freedom From Distractibility Factor: Its Utility in Identifying Children With Attention Deficit Hyperactivity Disorder By: Arthur D. Anastopoulos, Marc A. Spisto, Mary C. Maher Anastopoulos,

More information

4/18/12. Russell Kim April 17, 2012

4/18/12. Russell Kim April 17, 2012 Russell Kim April 17, 2012 1) DSM-5: Why a new edition? 2) History The APA and the DSM-5 Task Force The Coalition for DSM-5 Reform 3) Timeline: Where are we now in the process? 4) Field Trials 5) Open

More information

Bright Futures, HEDIS, USPHTF, AAP, PIPP, Other (Please

Bright Futures, HEDIS, USPHTF, AAP, PIPP, Other (Please Elementary School Data Collection Form Final Version (2/1/01) 1 Table I Annual Risk Assessment and Biannual Physical Examination Student unique ID number ( There should be 20 lines on each table) Gender

More information

FACTS. Longitudinal Studies. from OSEP s National. A Profile of Students with ADHD Who Receive Special Education Services.

FACTS. Longitudinal Studies. from OSEP s National. A Profile of Students with ADHD Who Receive Special Education Services. FACTS from OSEP s National Longitudinal Studies November 2004 A Profile of Students with ADHD Who Receive Special Education Services What Is Attention-Deficit/Hyperactivity Disorder (ADHD)? Attention-deficit/hyperactivity

More information

NIH Consensus Development Conference on Diagnosis and Treatment of Attention Deficit Hyperactivity Disorder

NIH Consensus Development Conference on Diagnosis and Treatment of Attention Deficit Hyperactivity Disorder NIH Consensus Development Conference on Diagnosis and Treatment of Attention Deficit Hyperactivity Disorder t' '. November 16-18, 1998 WilliamH. Natcher Conference Cegter National Institutes of Health

More information

Disruptive Mood Dysregulation Disorder

Disruptive Mood Dysregulation Disorder The Center for Counseling Practice, Policy, and Research counseling.org/practice_briefs 703-823-9800 x324 Disruptive Mood Dysregulation Disorder Brandy L. Gilea Ph.D. and Rachel M. O Neill Ph.D., Walden

More information

Clinical pathway for children and adolescents in Oslo with ADHD. Manual for parents. Oslo kommune

Clinical pathway for children and adolescents in Oslo with ADHD. Manual for parents. Oslo kommune Clinical pathway for children and adolescents in Oslo with ADHD Manual for parents Oslo kommune Clinical pathway for Children and Adolescents in Oslo with ADHD The Oslo University Hospital, Akershus University

More information

Diagnosis and management of ADHD in children, young people and adults

Diagnosis and management of ADHD in children, young people and adults 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

More information

The Vocational Rehabilitation Process for Specific Learning Disorders

The Vocational Rehabilitation Process for Specific Learning Disorders The Vocational Rehabilitation Process for Specific Learning Disorders A Guide for Transition Partners August 2006 The Fred & Wilma Show Wilma Ausbrook, VRS Area Supervisor Kokomo wilma.ausbrook@fssa.in.gov

More information

Adult ADHD Service - 5 BP. Dr Joe Johnson Consultant Psychiatrist Five Boroughs Partnership NHS Trust

Adult ADHD Service - 5 BP. Dr Joe Johnson Consultant Psychiatrist Five Boroughs Partnership NHS Trust Adult ADHD Service - 5 BP Dr Joe Johnson Consultant Psychiatrist Five Boroughs Partnership NHS Trust My Background Consultant Psychiatrist in 5BP since 2005 Working both in Community and Prison MH (Risley)

More information

What is Specialist CAMHS? And your role in it!

What is Specialist CAMHS? And your role in it! What is Specialist CAMHS? And your role in it! The Service We Provide Consultation, Liaison & Mental Health Promotion Urgent Mental Health Assessment Psychological Therapy Diagnostic assessment/intervention

More information

Identification of Sluggish Cognitive Tempo by Teachers

Identification of Sluggish Cognitive Tempo by Teachers University of Northern Iowa UNI ScholarWorks Annual Graduate Student Symposium 2015 Annual Graduate Student Symposium Apr 1st, 2:00 PM - 4:00 PM Identification of Sluggish Cognitive Tempo by Teachers Rachel

More information

Form 20 Initial Assessment Children and Adolescents (< 18)

Form 20 Initial Assessment Children and Adolescents (< 18) Form 20 Initial Assessment Children and Adolescents (< 18) Client s name: Date: Starting time: Ending time: Duration: PART A. BIOPSYCHOSOCIAL ASSESSMENT 1. Presenting Problem (Client s brief statement

More information

Children in the United States with attention deficit/

Children in the United States with attention deficit/ 10.1177/1087054705281123 Journal Norvilitis, of Attention Fang / Perceptions Disorders of / November ADHD 2005 Perceptions of ADHD in China and the United States: A Preliminary Study Journal of Attention

More information

Patient Self-Evaluation for ATTENTION DEFICIT/HYPERACTIVITY DISORDER

Patient Self-Evaluation for ATTENTION DEFICIT/HYPERACTIVITY DISORDER Patient Self-Evaluation for ATTENTION DEFICIT/HYPERACTIVITY DISORDER Student Name Student No. Date STUDENT'S PRIMARY CONCERN (Please state your primary concern) WHAT LED YOU TO SEEK AN EVALUATION NOW?

More information

ADHD vs. Bipolar Disorder Clinical Case Discussion

ADHD vs. Bipolar Disorder Clinical Case Discussion ADHD vs. Bipolar Disorder Clinical Case Discussion Rif El Mallahk, M.D. Allan Josephson, M.D. W. David Lohr, M.D. wdlohr01@louisville.edu September 19, 2014 Is ADHD overdiagnosed? Diagnostic practices

More information