Pilot Study of Shared Care of ADHD in a Pediatric Clinic:Colocation of a Psychologist as an ADHD Care Manager (shared care)
ADHD
About this trial
This is an interventional health services research trial for ADHD focused on measuring ADHD, Primary Care, Pediatrics, Health services, shared care, care manager, screening
Eligibility Criteria
Inclusion Criteria (Patient subjects):
- Age 6-17
- Suspected diagnosis of ADHD, inattentive type, hyperactive type, combined type, NOS
- Living with Guardian for at least 6 months
- English-speaking child
- English-speaking guardian
- Telephone Access to Guardian
- Inclusion for Randomization or Phase 2 shared care:
- Diagnosis of ADHD
Exclusion Criteria:
- Mental Retardation
- Co-morbid psychotic disorder
- Suicidal
- Homicidal
- Dangerous behavior
- Foster care
- Impairing co-morbid psychiatric disorder that would make ADHD treatment in a pediatric clinic unsafe or inappropriate (in the judgment of the PI based on the case review of the findings of the clinical psychologist.)
- Allergic or contraindication to stimulant medications
Inclusion Criteria (Provider subjects):
- Provider at Cornell Campus Helmsley Tower 5/ Long Island City Campus
Exclusion Criteria:
- None
Inclusion for screening:
- Age 6-17
- Child is to be seen by pediatric provider at HT5
- Parent or guardian reads English or Spanish
Exclusion Criteria:
- Parent/Guardian has received screen within the year
- Patient is too sick for parent to spend time on form
Sites / Locations
- Long Island City Community Practice
- New York Presbyterina Hospital- Weill Cornell Medcial College HT5 Pediatrics ClinicRecruiting
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
TAU
shared care
Treatment as usual. These subjects and their providers were told to pursue treatment services as they normally would do.
A psychologist co-located in the pediatric primary care clinic shared care with the subject's pediatrician. The psychologist offered regular appointments and psychoeducation. On an individual basis, parent management training, behavioral management training, individual psychotherapy, educational intervention assistance, teacher communication, and medication education were provided as needed.