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Organizing and delivering treatment 

Organizing and delivering treatment
Chapter:
Organizing and delivering treatment
Author(s):

David Coghill

and Marina Danckaerts

DOI:
10.1093/med/9780198724308.003.0007
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date: 15 November 2019

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, and 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.

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