Title
Guideline for screening, diagnosis and treatment of ADHD in adults with substance use disordersGuideline for screening, diagnosis and treatment of ADHD in adults with substance use disorders
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Research group
Collaborative Antwerp Psychiatric Research Institute (CAPRI)
Publication type
article
Publication
New York, N.Y.,
Subject
Human medicine
Source (journal)
International journal of mental health and addiction. - New York, N.Y.
Volume/pages
12(2014):5, p. 629-647
ISSN
1557-1874
ISI
000342435200008
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
Currently there is no guideline for the screening, diagnosis and treatment of adult attention deficit/hyperactivity disorder (ADHD) in patients with a substance use disorder (SUD). The aim was to develop such a guideline, starting out from a systematic review and based on the methodology of the Scottish Intercollegiate Guideline Network (SIGN). Due to the lack of scientific evidence on some of the topics, the guideline is a combination of evidence based and practice based recommendations. Given the high prevalence of ADHD in treatment seeking SUD patients and the availability of valid screening instruments, all treatment seeking SUD patients should be screened for ADHD. Diagnosis of ADHD should be based on clinical observation and history taking, including informant data. Integrated treatment of ADHD and SUD is recommended, including pharmacotherapy, psycho-education, coaching, and cognitive behavioral therapy (CBT). The lack of scientific data and the overall lack of expertise in the field are significant obstacles to the implementation of the guideline. Intensive training programs in the substance abuse sector need to be organized to implement these guidelines.
E-info
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