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Recommendations to Address Challenges in Practice Organization

Clinician-Focused Implementation Strategies

  • Develop ADHD-specific office workflows, as detailed in the “preparing the practice” section of the PoCA (see supplemental information).
  • Ensure that the practice is welcoming and inclusive to patients and families of all backgrounds and cultures.
  • Enable office systems to support communication with parents, education professionals, and mental health specialists, possibly through electronic communication systems (discussed below).
  • Consider office certification as a patient- and family-centered medical home.
  • If certification as a patient- and family-centered medical home is not feasible, implement medical home policies and procedures, including care conferences and management. Explore care management opportunities, including adequate resourcing and payment, with third-party payers.
  • Identify and establish relationships with mental health consultation and referral sources in the community and within the region, if available, and investigate integration of services as well as the resources to support them.
  • Promote communication between ADHD care team members by integrating health and mental health services and using collaborative care model treatments when possible.
  • Be aware of the community mental health crisis providers’ referral processes, and be prepared to educate families about evidence-based psychosocial treatments for ADHD across the lifespan.

 

Policy-Oriented Suggested Strategies

  • Encourage efforts to support the development and maintenance of patient- and family-centered medical homes or related systems to enable patients with chronic complex disorders to receive comprehensive care.
  • Support streamlined, coordinated ADHD care across systems by providing incentives for the integration of health and mental health services and collaborative care models.

Source:Systematic Barriers to the Care of Children and Adolescents with ADHD  taken from the AAP 2019 AHD Guideline: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) in Children and Adolescents.