当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY期刊下所有文献 > A feasibility study of the children's medication algorithm project (CMAP) algorithm for the treatment of ADHD.

A feasibility study of the children's medication algorithm project (CMAP) algorithm for the treatment of ADHD.

Abstract：

OBJECTIVE:To determine whether an algorithm for the treatment of attention-deficit/hyperactivity disorder (ADHD) can be implemented in a community mental health center. METHOD:Fifty child and adolescent patients at Texas community mental health centers who met criteria for ADHD were treated according to an algorithm-based disease management program for ADHD. Psychiatrists were trained in the use of the algorithm, and each subject underwent a baseline assessment consisting of a structured interview and standardized rating scales. Subjects were monitored for 4 months. At the end of treatment, the psychiatrists completed the Clinical Global Impression Scale (CGI) and the baseline rating scales were repeated. The primary variables of interest were psychiatrist and family adherence to the algorithm. To examine impact on treatment outcome, the CGI of the algorithm subjects was compared with CGIs based on chart reviews of 118 historical controls. RESULTS:Psychiatrists implemented the major aspects of the algorithm, but the detailed tactics of the algorithm (use of fixed titration of stimulants) were less well adhered to. CONCLUSIONS:An algorithm for the treatment of ADHD can be implemented in a community mental health center.

journal_name

J Am Acad Child Adolesc Psychiatry

journal_title

Journal of the American Academy of Child and Adolescent Psychiatry

authors

Pliszka SR,Lopez M,Crismon ML,Toprac MG,Hughes CW,Emslie GJ,Boemer C

doi

10.1097/00004583-200303000-00007

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

279-87

issue

3

eissn

0890-8567

issn

1527-5418

pii

S0890-8567(09)60560-8

journal_volume

42

pub_type

杂志文章

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