G509(P) Managing parental expectations in paediatric adhd clinics – a new model of care:

Abstract

Method A Prospective, questionnaire based study of parental expectations of children and adolescents attending a Paediatric ADHD follow up clinic from July 2013-august 2014. Case selection through the hospital appointment system, by parental choice.(clinician blinded). 80 completed forms were evaluated. Clinical details were verified from electronic records at data entry. Results The age of children and adolescents who attended the clinic ranged from 6-17 years with a mean of 10.90yrs. The M: F ratio was 74:6. The primary diagnoses were ADHD(43.7%), ODD(20%), ASD (5%), CD (5%), LD (5%), Tourette's, anxiety and behaviour problems. Secondary diagnoses were ADHD (25%), ODD (15%), Social Interaction difficulties, insomnia, anxiety and significant mental health problems 56% were satisfied with the ADHD management, 5% had a mixed reaction and 5% not.18.7% did not comment. The rest did not have ADHD. The reasons for satisfaction were as follows 25% happy about overall Mx, 12.5% about the medication response, 5% about symptom improvement.no comment from the rest. Reasons for non-satisfaction were lack of CAMHS support, lack of educational support, no improvement of symptoms. Conclusion The model of care based on parental expectations should provide a quick and easy approach to manage the next consultations effectively by focusing on reasons for satisfactions and not during the previous. A larger study awaits. (Table Presented).