Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Ten years (2011-2021) of the Regional ADHD Centre-Based Network Project for the Diagnosis and Treatment of Children and Adolescents with ADHD

Version 1 : Received: 3 June 2021 / Approved: 4 June 2021 / Online: 4 June 2021 (09:04:18 CEST)

A peer-reviewed article of this Preprint also exists.

Bonati, M.; Scarpellini, F.; Cartabia, M.; Zanetti, M.; on behalf of the Lombardy ADHD Group . Ten Years (2011–2021) of the Italian Lombardy ADHD Register for the Diagnosis and Treatment of Children and Adolescents with ADHD. Children 2021, 8, 598. Bonati, M.; Scarpellini, F.; Cartabia, M.; Zanetti, M.; on behalf of the Lombardy ADHD Group . Ten Years (2011–2021) of the Italian Lombardy ADHD Register for the Diagnosis and Treatment of Children and Adolescents with ADHD. Children 2021, 8, 598.

Journal reference: Children 2021, 8, 598
DOI: 10.3390/children8070598

Abstract

Background: The purpose of this article is to update the diagnostic assessment, therapeutic approach, and 12-18 month follow up of patients added in the Italian Lombardy ADHD Register. Methods: Data on patients evaluated by the 18 Regional ADHD Reference Centres in the ten year period from 2011 to April 2021 were analysed. Results: 4091 of 5934 added patients received a diagnosis of ADHD. In 20.3% of cases, there was a family history of ADHD. 2879 children (70.4%) had at least one comorbidity disorder, the most common of which was learning disorder (39%). Nearly all (95.9%) received at least one psychological prescription, 17.9% of them almost one pharmacological treatment, and 15.6% a combination of both. Values of ≥5 of the Clinical Global Impressions- Severity (CGI-S) are more commonly presented by patients with a pharmacological prescription than with a psychological treatment (p < .0001). A significant improvement was reported in half of the patients followed after 1 year, with Clinical Global Impressions- Improvement (CGI-I ≤ 3). In all, 233 of 4091 are 18 year old patients. Conclusion: A ten year systematic monitoring of models of care was a fruitful shared and collaborative initiative in order to promote significant improvement in clinical practice, providing effective and continuous quality of care. The unique experience here reported should spread.

Keywords

Attention deficit disorder with hyperactivity; child; adolescent; mental health; chronic disease; register; clinical protocol

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