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It is known that one per cent of school age population have severe ADHD. Those with severe conduct disorder, oppositional defiant disorder or major family breakdown should be referred to CAMHS for assessment and treatment.
However at least 50 per cent will have developmental comorbidities including Developmental Coordination Disorder (DCD), Autism Spectrum Disorder (ASD), Language Disorder or General or Specific Learning Difficulties. These benefit from Child Development services.
Initial assessment interview is followed by information collection from home and school which may include a school observation by a specialist Nurse.
We also arrange access to group and individual behaviour management sessions covering ADHD, parenting skills for a child with attentional problems and anger management.
Follow up clinics discuss whether or not the child or young person has ADHD and other difficulties and how these can be managed at home and school. Evidence-based management also includes the use of medication in some cases.
Our clinics monitor medication and some of the review clinics are nurse-led.
GPs are involved in Shared Care protocols to provide review if the child/young person is stable on medication. Clinical Psychology may be involved in cognitive assessment, behaviour management and assessment of comorbidity.
We also involve Occupational Therapy and Physiotherapy as needed for DCD and speech and language therapy if language difficulties are likely.
We liaise with schools and other education services and with social services when needed.
We have a strong interest in ADHD research including the use of medication and long term outcomes.
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