Chapter

Organizing and delivering treatment

David Coghill and Marina Danckaerts

in Attention-Deficit Hyperactivity Disorder and Hyperkinetic Disorder

Published on behalf of Oxford University Press

ISBN: 9780199577651
Published online May 2011 | e-ISBN: 9780199607525 | DOI: http://dx.doi.org/10.1093/med/9780199577651.003.0007

Series: Oxford Psychiatry Library

Organizing and delivering treatment

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The delivery of treatment for ADHD can be broken down into several steps Deciding on the targets for treatment Choosing, starting and optimizing the first treatment Monitoring treatment Adjusting and switching treatments Treatment is about more than just symptom reduction, it also involves managing comorbid disorders and improving quality of life The decision about whether to use a behavioural or pharmacological treatment as the first option is a complex one which depends on a range of different factors It is essential to take baseline measures and to continue to monitor both positive and negative outcomes on a regular basis When initiating medication treatments for ADHD the use of recognized titration protocols can help to ensure that treatment is optimized Similarly the use of a structured protocol for adjusting doses and switching medication will help ensure that evidence based treatment decisions are made whenever possible.

Chapter.  5666 words. 

Subjects: Child and Adolescent Psychiatry

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