Vermont Attention Deficit Hyperactivity Disorder (ADHD) Initiative

ADHDMomDaughter250x180In March 2003, the Vermont Department of Health (VDH) and VCHIP convened a summit meeting on the issue of ADHD as it applies to all Vermont children. Subsequently, VCHIP convened a working group comprised of 25 individuals representing 12 domains: VCHIP, the Vermont Departments of Education, Health, and Developmental and Mental Health Services (DDMHS); Parent to Parent, Vermont Parent Information Center (VPIC), parents, special educators, school psychologists, psychiatrists, pediatricians and neuropsychologists.

The work group developed a standardized assessment and treatment of school-aged children with symptoms of ADHD an approach in which families, educators and medical professionals work collaboratively to develop care for school-aged children with ADHD subsequently. VCHIP developed the Vermont ADHD Practice Improvement Project. In this initiative, participating Vermont pediatricians were provided with educational materials and support in order to improve their competence in diagnosing and treating school-aged children with symptoms of ADHD and their adherence to the American Academy of Pediatric guidelines for the care of their patients with ADHD. Participating providers received education and support to help them improve their competence in diagnosing and treating symptoms of ADHD and co-occurring mental health conditions in their patients.

Objectives

  • Estimate baseline rates of ADHD for Medicaid and non-Medicaid children
  • Identify changes in state Medicaid policy that would diminish any observed discrepancies in how care of ADHD and its co-morbidities is provided to Medicaid and non-Medicaid children
  • Identify and assist in the implementation of an educational program to increase the competence of primary care practitioners who care for Medicaid children with ADHD and its co-morbidities

Accomplishments

  • The products of the ADHD working group include a detailed flow chart mapping the multi-disciplinary approach to the assessment and treatment of children with ADHD, and educational, medical and family/caregiver narratives which describe in detail each of those components respectively
  • Developed educational modules to teach primary care practitioners essential information about the diagnosis and treatment of ADHD and its co-morbidities for medicaid-eligible

Project Contact

Thomas Delaney, PhD