Mental health

Pharmacological and nonpharmacological interventions for children with attention-deficit hyperactivity disorder (ADHD)

[2012]

Recommendation(s)

Non-specialized health care providers at the secondary level should consider initiating parent education/training before starting medication for a child who has been diagnosed as suffering from attention-deficit hyperactivity disorder (ADHD). Initial interventions may include cognitive-behavioural therapy and social skills training if feasible.
Strength of recommendation: CONDITIONAL
Quality of the evidence: MODERATE

Methylphenidate may be considered, when available, after a careful assessment of the child, preferably in consultation with relevant specialist and taking into consideration the preferences of parents and children. Children receiving methylphenidate should be maintained under close clinical monitoring for improvement in symptoms and prevention of adverse effects. Care and support should be provided for the parents, if needed.
Strength of recommendation: CONDITIONAL
Quality of the evidence: MODERATE

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