Comparative Effectiveness Research for Two Medical Home Models for Attention Deficit Hyperactivity Disorder

COMPARATIVE EFFECTIVENESS RESEARCH FOR TWO MEDICAL HOME MODELS FOR ATTENTION DEFICIT HYPERACTIVITY DISORDER

The purpose of this study is to compare the effectiveness of two care models on ADHD outcomes: one, a model of basic care management and structured communication with specialists, consistent with conventional descriptions of a patient-centered Medical Home; and another, which combines the Medical Home with theory-based care management strategies to address common reasons for ADHD treatment failure.

Inclusion Criteria:

• Child is being evaluated for a potential diagnosis of ADHD by a primary care pediatrician at one of our sites.
• Child is 6 to 12 years of age
• Family plans to remain in the Boston area for the duration of the follow-up period
• Mother is comfortable in English or Spanish

Exclusion Criteria:

• Child already has a confirmed diagnosis of ADHD
• Child already receives ongoing specialty care in one or more of the following clinics: pediatric psychiatry, developmental behavioral pediatrics