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The assessment and management of ADHD is a significant issue in terms of resources for child psychiatric services, and increasingly Community Paediatricians and General…
The assessment and management of ADHD is a significant issue in terms of resources for child psychiatric services, and increasingly Community Paediatricians and General Practitioners are becoming involved. This practice of shared care is amongst recommendations in the NICE guidelines on the use of methylphenidate for ADHD, published in 2000. Following the establishment of an ADHD Assessment Clinic in Peterborough, its performance was audited in light of these guidelines and recommendations from other publications. Audit standards for assessment and stimulant medication initiation procedures were set and evaluated in 63 children seen during the first year. There was success in achieving multi‐disciplinary assessments, carefully supervised initiation of medication and subsequent shared care with GPs. Problem areas included waiting times, follow‐up of problems detected on psychometric screening, physical screening, especially prior to medication, and communication with schools. Changes are now being implemented to address these issues.