Fast Tracking Assessment of Attention Deficit Hyperactivity Disorder in Tertiary Care

Current pediatric practice guidelines recommend children with complex attention deficit hyperactivity disorder (ADHD) receive a psychological evaluation. However, obtaining such an evaluation in a timely manner can be difficult. The authors present a framework for an economical, efficient, and effic...

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Main Authors: Katherine Burrows PhD, Sarah Rysdyk PsyD
Format: Article
Language:English
Published: SAGE Publishing 2022-07-01
Series:Journal of Patient Experience
Online Access:https://doi.org/10.1177/23743735221112210
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author Katherine Burrows PhD
Sarah Rysdyk PsyD
author_facet Katherine Burrows PhD
Sarah Rysdyk PsyD
author_sort Katherine Burrows PhD
collection DOAJ
description Current pediatric practice guidelines recommend children with complex attention deficit hyperactivity disorder (ADHD) receive a psychological evaluation. However, obtaining such an evaluation in a timely manner can be difficult. The authors present a framework for an economical, efficient, and efficacious approach to diagnosing complex ADHD based on a 5-year project to “fast track” these types of assessments in a tertiary care setting. Patients were triaged to the “fast track” for a streamlined assessment, by a psychologist, within a developmental pediatrics center. Assessment data, diagnoses, and recommendations were recorded for 79 participants. For most of the children, not only was ADHD confirmed, but diagnostic criteria were also met for at least one comorbid condition. For 64% of children the diagnostic picture changed, resulting in an ADHD diagnosis with corresponding changes to treatment planning. Fast track programming cut the wait time for evaluations in half. Preliminary data shows it is possible to clarify diagnoses for this complex population and provide much needed treatment recommendations in a timelier manner through utilization of a “fast track” approach to triage and assessment.
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spelling doaj.art-9071bfe5f25c4727a3f8d03602e27b162022-12-22T02:42:55ZengSAGE PublishingJournal of Patient Experience2374-37432022-07-01910.1177/23743735221112210Fast Tracking Assessment of Attention Deficit Hyperactivity Disorder in Tertiary CareKatherine Burrows PhDSarah Rysdyk PsyDCurrent pediatric practice guidelines recommend children with complex attention deficit hyperactivity disorder (ADHD) receive a psychological evaluation. However, obtaining such an evaluation in a timely manner can be difficult. The authors present a framework for an economical, efficient, and efficacious approach to diagnosing complex ADHD based on a 5-year project to “fast track” these types of assessments in a tertiary care setting. Patients were triaged to the “fast track” for a streamlined assessment, by a psychologist, within a developmental pediatrics center. Assessment data, diagnoses, and recommendations were recorded for 79 participants. For most of the children, not only was ADHD confirmed, but diagnostic criteria were also met for at least one comorbid condition. For 64% of children the diagnostic picture changed, resulting in an ADHD diagnosis with corresponding changes to treatment planning. Fast track programming cut the wait time for evaluations in half. Preliminary data shows it is possible to clarify diagnoses for this complex population and provide much needed treatment recommendations in a timelier manner through utilization of a “fast track” approach to triage and assessment.https://doi.org/10.1177/23743735221112210
spellingShingle Katherine Burrows PhD
Sarah Rysdyk PsyD
Fast Tracking Assessment of Attention Deficit Hyperactivity Disorder in Tertiary Care
Journal of Patient Experience
title Fast Tracking Assessment of Attention Deficit Hyperactivity Disorder in Tertiary Care
title_full Fast Tracking Assessment of Attention Deficit Hyperactivity Disorder in Tertiary Care
title_fullStr Fast Tracking Assessment of Attention Deficit Hyperactivity Disorder in Tertiary Care
title_full_unstemmed Fast Tracking Assessment of Attention Deficit Hyperactivity Disorder in Tertiary Care
title_short Fast Tracking Assessment of Attention Deficit Hyperactivity Disorder in Tertiary Care
title_sort fast tracking assessment of attention deficit hyperactivity disorder in tertiary care
url https://doi.org/10.1177/23743735221112210
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