This pre-referral guideline covers inattention, overactivity (possible ADHD) in children from 3-18 years of age.

Initial work-up

History

• Standard history and physical exam. Include history from parents/ caregivers regarding onset and course of symptoms and family history of similar patterns.
• Consider other causes of attention problems e.g. anxiety, family dysfunction, communication disorder, hearing loss.
• Consider possibility of co-morbidities e.g. disruptive disorders, emotional disorders, learning disabilities, developmental disorders.
• Consider administration of PEDS Screening Tool

When to refer

• Significant parent concern PEDS Screening Tool 
• Multidisciplinary assessment is required.
• Response to simple behavioural measures not effective.
• Medication may be considered.
• Has co-morbid symptoms that require special assessment or interventions.

Information needed

• Demographic data.
• Birth, developmental medical history.
• Family and social history.
• Copies of previous of mental health, language, cognitive & audiology assessments.
• Treatments: recommended and delivered.
• Response to treatment.
• Information regarding previous medication interventions.
• Information about any known risk factors e.g. SES, single parenting, young parents, CALD (culturally and linguistically diverse), ATSI.

Resources

Kids Connect (RCH Primary Care Liaison)

Contact information