Measurement-Based Care in the Treatment of Attention-Deficit/Hyperactivity Disorder and Disruptive Behavior Disorders

Child Adolesc Psychiatr Clin N Am. 2020 Oct;29(4):663-674. doi: 10.1016/j.chc.2020.06.005. Epub 2020 Jul 29.

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common childhood psychiatric diagnoses. The core symptoms of ADHD include inattention, impulsivity, and hyperactivity. ADHD entails impairments that have extensive and profound detrimental effects on many critical developmental areas. As a valid neurobiologic condition that causes significant impairments in those affected, it is one of the best-researched disorders in medicine. Measurement-based care in treatment of ADHD is critical in establishing a diagnosis, determining a treatment target, and assessing treatment response. This article highlights the rationale for measurement-based care in ADHD, how to implement measurement-based care in clinical practice, and common challenges encountered.

Keywords: Attention-deficit/hyperactivity disorder (ADHD); Children and adolescents; Disruptive behavior disorders; Evidence-based medicine; Measurement based care.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Attention Deficit and Disruptive Behavior Disorders / therapy*
  • Child
  • Electronic Health Records
  • Humans
  • Mental Health Services / standards*
  • Patient Reported Outcome Measures*
  • Psychometrics*
  • Reproducibility of Results