ADHD Screening Always Starts with a Thorough Clinical Interview Describing

ADHD P&P

ADHD screening always starts with a thorough clinical interview describing:

1. Problems with concentration and other possible ADHD symptoms

2. Current academic status, major and career goal, GPA, functioning in current and past quarters, class attendance, and study habits including hours devoted to studying, use of tutors/office hours, etc.

3. Other mental health problems that could impair concentration (anxiety, depression, etc.)

4. Other areas outlined in IC template, including sleep pattern, and substance use.

Patients with current prescription for stimulant medication:

1. If diagnosis appears valid (typically based on testing and/or diagnosis by psychiatrist), consult with MOD to consider referral to PCP.

2. If the diagnosis appears to be of uncertain validity, request records, and Celeste will review and refer to PCP or refer for ADHD screening.

Patients with no current prescription but have prior ADHD diagnosis based on testing:

1. Request ADHD testing report

2. After receiving report, circulate note to Celeste with heading "Possible ADHD."

3. Celeste will review and determine next step

If clear ADHDwith no comorbid disorder, Celeste will refer to PCP for meds

If no clear ADHD, Celeste will refer for ADHD screening (starting with IC if needed)

Patients with no documented history of ADHD:

1. Refer for ADHD screening when indicated (no co-morbid disorder)

2. May offer option of referral to community psychiatrist

3. If co-morbid disorder, may refer to CAPS psychiatry for co-morbid disorder

After ADHD Screening:

1. Intern interprets ADHD assessment (supervised by Roy)

2. If high likelihood of ADHD* refer to CAPS Psychiatry

3. If less likelihood of ADHD, may refer to community psychiatrist for second opinion**

4. If equivocal, refer to Celeste who may refer to CAPS Psychiatry or whatever seems appropriate

Patients presenting at intake with request for documentation of ADHD disability:

1. Refer to community providers unless patient has been engaged in treatment at CS or CAPS

* Screening Criteria:

· VSVT shows full effort

· CPT-II shows >59% chance of clinically significant problem with concentration

· No co-morbid disorder (based on chart review and PAI)

· Parent endorses ADHD symptoms in childhood

· (Less than a third of the evaluations will be this clear-cut)

These are the minimum needed to refer to CAPS. Better to have documentation of ADHD testing and diagnosis before age 12, and/or IEP or 501 accommodation plan.

** Records of screening etc. sent by Insurance Services (?)