Interventions for Attention deficit/hyperactivity syndrome

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Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
	Guidance to pregnant women to avoid anything that could harm fetal development such as; alcohol drinking -Guide them on stoppage Use recreational drugs Smoke cigarettes.
Primary Care

Referral Facility: General

Referral Facility: Specialist

Age Cohort: < 5 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community education/awareness creation on ADHD Advocacy for ADHD including provision of services for persons with ADHD Community Health workers training/sensitization on ADHD	for the school children Reduction of exposure to Children to certain toxic substances, such industrial chemicals, organophosphate insecticides Prevention of child abuse, neglect or social deprivation		Recognition of symptoms indicative of ADHD including inattention, or excessive activity and impulsivity, which are otherwise not appropriate for a person's age. Psychotherapy and Psychosocial Interventions including; Behavioral therapy to help the patient change their behavior *Cognitive behavioral therapy to teach on mindfulness techniques or meditation and help patient adjust to the life changes that come with treatment, Referral to a health facility	Community/home based physical activities/Promote exercises	Children with ADHD need guidance and understanding from their parents, families and teachers to reach their full potential and to succeed. Help to the child and parents develop new skills, attitudes and ways of relating to each other. Linkage to Support groups to help children, their parents and families connect with others who have similar problems and concerns. Linkage with schools and advice on Specific behavioral classroom management e.g. teacher-implemented reward system
Primary Care
Community education/awareness creation on ADHD Advocacy for ADHD including provision of services for persons with ADHD Health workers training on ADHD	Physical exercise for the children Prevention of child abuse, neglect or social deprivation Awareness care on on prevention measures including: Reduction of exposure to Children to certain toxic substances, such industrial chemicals, organophosphate insecticides		physical and clinical examination Symptomatic diagnosis of AHDD-Inattention, hyperactivity, disruptive behavior and impulsivity Diagnosis based on assessment of child’s behavioral and mental development (must be diagnosed by the age of six) Psychotherapy and Psychosocial Interventions including; Behavioral therapy to help the patient change their behavior Cognitive behavioral therapy to teach on mindfulness techniques or meditation; and help patient adjust to the life changes that come with treatment, Referral to a hospital	Physical therapy Promote exercises	Children with ADHD need guidance and understanding from their parents, families, and teachers to reach their full potential and to succeed. Help to the child and parents develop new skills, attitudes and ways of relating to each other. Linkage to Support groups to help children, their parents and families connect with others who have similar problems and concerns. Linkage with pre-schools and advice on Specific behavioral classroom management e.g. teacher-implemented reward system
Referral Facility: General
Community education/awareness creation on ADHD Advocacy for ADHD including provision of services for persons with ADHD Health workers training on ADHD	Awareness caretion on prevention measures including: Reduction of exposure to Children to certain toxic substances such industrial chemicals, organophosphate insecticides Prevention of child abuse, neglect or social deprivation Physical exercise for the children		physical and clinical examination Symptomatic diagnosis of AHDD-Inattention, hyperactivity, disruptive behavior and impulsivity Diagnosis based on assessment of child’s behavioral and mental development (must have been diagnosed by the age of six) Psychotherapy and Psychosocial Interventions including; Behavioral therapy to help the patient change their behavior Cognitive behavioral therapy to teach on mindfulness techniques or meditation and help patient adjust to the life changes that come with treatment, Medication therapy (e.g. use of non-stimulants & stimulants) to reduce hyperactivity and impulsivity and improve ability to focus, work, learn and physical coordination Monitoring and management of complications including those related to medication use including headaches; increased anxiety and irritability Rule out effects of drugs, medications and other medical or psychiatric problems as the cause of ADHD Follow up	Physical therapy Promote exercises	Children with ADHD need guidance and understanding from their parents, families and teachers to reach their full potential and to succeed. Help to the child and parents develop new skills, attitudes and ways of relating to each other. Linkage to Support groups to help school children, their parents and families connect with others who have similar problems and concerns. Linkage with schools and advice on Specific behavioral classroom management e.g. teacher-implemented reward system
Referral Facility: Specialist
Community education/awareness creation on ADHD Advocacy for ADHD including provision of services for persons with ADHD Health workers training on ADHD	Physical exercise Prevention of child abuse, neglect or social deprivation Awareness creation on prevention measures including: Reduction of exposure to Children to certain toxic substances such industrial chemicals, organophosphate insecticides		physical and clinical examination Symptomatic diagnosis of AHDD-Inattention, hyperactivity, disruptive behavior and impulsivity Diagnosis based on assessment of child’s behavioral and mental development (must have been diagnosed by the age of six) Follow up Medication therapy (e.g. use of non-stimulants & stimulants) to reduce hyperactivity and impulsivity and improve ability to focus, work, learn and physical coordination Monitoring and management of complications including those related to medication use including headaches; increased anxiety and irritability Rule out effects of drugs, medications and other medical or psychiatric problems as the cause of ADHD Psychotherapy and Psychosocial Interventions including; Behavioral therapy to help the patient change their behavior Cognitive behavioral therapy to teach on mindfulness techniques or meditation and help patient adjust to the life changes that come with treatment,	Physical therapy Promote exercises	Children with ADHD need guidance and understanding from their parents, families and teachers to reach their full potential and to succeed. Help to the child and parents develop new skills, attitudes and ways of relating to each other. Linkage to Support groups to help school children, their parents and families connect with others who have similar problems and concerns. Linkage with schools and advice on Specific behavioral classroom management e.g. teacher-implemented reward system

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community education/awareness creation on ADHD Advocacy for ADHD including provision of services for persons with ADHD Community Health workers training/sensitization on ADHD	Physical exercise for the school children Reduction of exposure to Children to certain toxic substances, such industrial chemicals, organophosphate insecticides Prevention of child abuse, neglect or social deprivation		Recognition of symptoms indicative of ADHD including inattention, or excessive activity and impulsivity, which are otherwise not Psychotherapy and Psychosocial Interventions including; Behavioral therapy to help the patient change their behavior Cognitive behavioral therapy to teach on mindfulness techniques or meditation and help patient adjust to the life changes that come with treatment,appropriate for a person's age. Referral to a health facility	Community/home based physical activities/Promote exercises	Children with ADHD need guidance and understanding from their parents, families and teachers to reach their full potential and to succeed. Help to the child and parents develop new skills, attitudes and ways of relating to each other. Linkage to Support groups to help children, their parents and families connect with others who have similar problems and concerns. Linkage with schools and advice on Specific behavioral classroom management e.g. teacher-implemented reward system
Primary Care
Community education/awareness creation on ADHD Advocacy for ADHD including provision of services for persons with ADHD Health workers training on ADHD	Awareness caretion on prevention measures including: Reduction of exposure to Children to certain toxic substances, such industrial chemicals, organophosphate insecticides Prevention of child abuse, neglect or social deprivation Physical exercise for the school children		physical and clinical examination Symptomatic diagnosis of AHDD-Inattention, hyperactivity, disruptive behavior and impulsivity Diagnosis based on assessment of child’s behavioral and mental development (must be diagnosed by the age of six) Referral to a hospital Psychotherapy and Psychosocial Interventions including, Behavioral therapy to help the patient change their behavior Cognitive behavioral therapy to teach on mindfulness techniques or meditation; and help patient adjust to the life changes that come with treatment,	Physical therapy Promote exercises	Children with ADHD need guidance and understanding from their parents, families and teachers to reach their full potential and to succeed. Help to the child and parents develop new skills, attitudes, and ways of relating to each other. Linkage to Support groups to help children, their parents and families connect with others who have similar problems and concerns. Linkage with schools and advice on Specific behavioral classroom management e.g. teacher-implemented reward system
Referral Facility: General
Community education/awareness creation on ADHD Advocacy for ADHD including provision of services for persons with ADHD Health workers training on ADHD	Physical exercise for the school children Reduction of exposure to Children to certain toxic substances such industrial chemicals, organophosphate insecticides Awareness creation on prevention measures including: Prevention of child abuse, neglect or social deprivation		physical and clinical examination Symptomatic diagnosis of AHDD-Inattention, hyperactivity, disruptive behavior and impulsivity Diagnosis based on assessment of child’s behavioral and mental development (must have been diagnosed by the age of six) Psychotherapy and Psychosocial Interventions including; Behavioral therapy to help the patient change their behavior Cognitive behavioral therapy to teach on mindfulness techniques or meditation and help patient adjust to the life changes that come with treatment, Medication therapy (e.g. use of non-stimulants & stimulants) to reduce hyperactivity and impulsivity and improve ability to focus, work, learn and physical coordination. Monitoring and management of complications including those related to medication use including headaches; increased anxiety and irritability Rule out effects of drugs, medications and other medical or psychiatric problems as the cause of ADHD Follow up	Physical therapy Promote exercises	Children with ADHD need guidance and understanding from their parents, families and teachers to reach their full potential and to succeed. Help to the child and parents develop new skills, attitudes, and ways of relating to each other. Linkage to Support groups to help school children, their parents and families connect with others who have similar problems and concerns. Linkage with schools and advice on Specific behavioral classroom management e.g. teacher-implemented reward system
Referral Facility: Specialist
Community education/awareness creation on ADHD Advocacy for ADHD including provision of services for persons with ADHD Health workers training on ADHD	Physical exercise for the school children Reduction of exposure to Children to certain toxic substances such industrial chemicals, organophosphate insecticides Awareness creation on prevention measures including: Prevention of child abuse, neglect or social deprivation		physical and clinical examination Symptomatic diagnosis of AHDD-Inattention, hyperactivity, disruptive behavior and impulsivity Diagnosis based on assessment of child’s behavioral and mental development (must have been diagnosed by the age of six) Rule out effects of drugs, medications and other medical or psychiatric problems as the cause of ADHD Psychotherapy and Psychosocial Interventions including; Behavioral therapy to help the patient change their behavior Cognitive behavioral therapy to teach on mindfulness techniques or meditation and help patient adjust to the life changes that come with treatment. Medication therapy (e.g. use of non-stimulants & stimulants) to reduce hyperactivity and impulsivity and improve ability to focus, work, learn and physical coordination. Monitoring and management of complications including those related to medication use including headaches; increased anxiety and irritability Follow up	Physical therapy Promote exercises	Children with ADHD need guidance and understanding from their parents, families and teachers to reach their full potential and to succeed. Help to the child and parents develop new skills, attitudes, and ways of relating to each other. Linkage to Support groups to help school children, their parents and families connect with others who have similar problems and concerns. Linkage with schools and advice on Specific behavioral classroom management e.g. teacher-implemented reward system

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community education/awareness creation on ADHD Advocacy for ADHD including provision of services for persons with ADHD Community Health workers education on ADHD	Physical exercise for the adolescents Reduction of exposure to certain toxic substances, such industrial chemicals, organophosphate insecticides Prevention of child abuse, neglect or social deprivation		Recognition of symptoms indicative of ADHD including inattention or excessive activity and impulsivity, which are otherwise not appropriate for a person's age. Psychotherapy and Psychosocial Interventions including; Behavioral therapy to help the patient change their behavior Cognitive behavioral therapy to teach on mindfulness techniques or meditation; and help patient adjust to the life changes that come with treatment, Referral to a health facility	Community/home based physical activities/Promote exercises	Guidance and understanding from their parents, families, and teachers to reach their full potential and to succeed. Help to the Adolescents and parents to develop new skills, attitudes and ways of relating to each other. Linkage to Support groups to help adolescents, their parents and families connect with others who have similar problems and concerns.
Primary Care
Community education/awareness creation on ADHD Advocacy for ADHD including provision of services for persons with ADHD Health workers education on ADHD	Awareness caretion on prevention measures including: Reduction of exposure to certain toxic substances, such industrial chemicals, organophosphate insecticides Prevention of child abuse, neglect or social deprivation Physical exercise for the adolescents		physical and clinical examination Symptomatic diagnosis of AHDD-Inattention, hyperactivity, disruptive behavior and impulsivity Diagnosis based on assessment of child’s behavioral and mental development (must have been diagnosed by the age of six) Behavioral therapy to help the patient change their behavior Cognitive behavioral therapy to teach on mindfulness techniques or meditation and help patient adjust to the life changes that come with treatment, Referral to a hospital	Physical therapy Promote exercises	Adolescents with ADHD need guidance and understanding from their parents, families, and teachers to reach their full potential and to succeed. Help to the adolescents and parents develop new skills, attitudes and ways of relating to each other. Linkage to Support groups to help adolescents, their parents and families connect with others who have similar problems and concerns. Linkage with schools and advice on Specific behavioral classroom management e.g. teacher-implemented reward system
Referral Facility: General
Community education/awareness creation on ADHD Advocacy for ADHD including provision of services for persons with ADHD Health workers training on ADHD	Physical exercise for the adolescents Reduction of exposure to certain toxic substances such industrial chemicals, organophosphate insecticides Awareness creation on prevention measures including: Prevention of child abuse, neglect or social deprivation		physical and clinical examination Symptomatic diagnosis of AHDD-Inattention, hyperactivity, disruptive behavior and impulsivity Diagnosis based on assessment of child’s behavioral and mental development (must have been diagnosed by the age of six) Psychotherapy and Psychosocial Interventions including; Behavioral therapy to help the patient change their behavior Cognitive behavioral therapy to teach on mindfulness techniques or meditation and help patient adjust to the life changes that come with treatment. Medication therapy (e.g. use of non-stimulants & stimulants) to reduce hyperactivity and impulsivity and improve ability to focus, work, learn and physical coordination. Monitoring and management of complications including those related to medication use including headaches; increased anxiety and irritability Rule out effects of drugs, medications and other medical or psychiatric problems as the cause of ADHD Follow up	Physical therapy Promote exercises	Adolescents with ADHD need guidance and understanding from their parents, families and teachers to reach their full potential and to succeed. Help to the adolescents to develop new skills, attitudes and ways of relating to each other. Linkage to Support groups to help adolscents , their parents and families connect with others who have similar problems and concerns. Linkage with schools and advice on Specific behavioral classroom management e.g. teacher-implemented reward system
Referral Facility: Specialist
Community education/awareness creation on ADHD Advocacy for ADHD including provision of services for persons with ADHD Health workers training on ADHD	Physical exercise for the adolesecnts Reduction of exposure to aldolescents to certain toxic substances such industrial chemicals, organophosphate insecticides Awareness caretion on prevention measures including: Prevention of child abuse, neglect or social deprivation		physical and clinical examination Symptomatic diagnosis of AHDD-Inattention, hyperactivity, disruptive behavior and impulsivity Diagnosis based on assessment of child’s behavioral and mental development (must have been diagnosed by the age of six) Rule out effects of drugs, medications and other medical or psychiatric problems as the cause of ADHD Psychotherapy and Psychosocial Interventions including; Behavioral therapy to help the patient change their behavior Cognitive behavioral therapy to teach on mindfulness techniques or meditation and help patient adjust to the life changes that come with treatment. Medication therapy (e.g. use of non-stimulants & stimulants) to reduce hyperactivity and impulsivity and improve ability to focus, work, learn and physical coordination. Monitoring and management of complications including those related to medication use including headaches; increased anxiety and irritability Follow up	Physical therapy Promote exercises	Adolescents with ADHD need guidance and understanding from their parents, families and teachers to reach their full potential and to succeed. Help to the adolescents and parents develop new skills, attitudes and ways of relating to each other. Linkage to Support groups to help adolescents , their parents and families connect with others who have similar problems and concerns. Linkage with schools and advice on Specific behavioral classroom management e.g. teacher-implemented reward system