{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T21:32:33Z","timestamp":1793655153588,"version":"4.5.1"},"reference-count":66,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2004,7,1]]},"abstract":"<jats:p>Objectives. To evaluate the feasibility of the San Diego Attention-Deficit\/Hyperactivity Disorder Project (SANDAP) protocol, a pediatric community-initiated quality improvement effort to foster implementation of the American Academy of Pediatrics (AAP) attention-deficit\/hyperactivity disorder (ADHD) diagnostic guidelines, and to identify any additional barriers to providing evidence-based ADHD evaluative care.<\/jats:p><jats:p>Methods. Seven research-nai\u0308ve primary care offices in the San Diego area were recruited to participate. Offices were trained in the SANDAP protocol, which included 1) physician education, 2) a standardized assessment packet for parents and teachers, 3) an ADHD coordinator to assist in collection and collation of the assessment packet components, 4) educational materials for clinicians, parents, and teachers, in the form of handouts and a website, and 5) flowcharts delineating local paths for referral to medical subspecialists, mental health practitioners, and school-based professionals. The assessment packet included the parent and teacher versions of the Vanderbilt ADHD Diagnostic Rating Scales. In this study, we chose a conservative interpretation of the AAP ADHD guidelines for diagnosing ADHD, requiring that a child met criteria for ADHD on both the parent and teacher rating scales. A mixed-method analytic strategy was used to address feasibility and barriers, including quantitative surveys with parents and teachers and qualitative debriefing sessions conducted an average of 3 times per year with pediatricians and office staff members.<\/jats:p><jats:p>Results. Between December 2000 and April 2003, 159 children were consecutively enrolled for evaluation of school and\/or behavioral problems. Clinically, only 44% of the children met criteria for ADHD on both the parent and teacher scales, and 73.5% of those children were categorized as having the combined subtype. More than 40% of the subjects demonstrated discrepant results on the Vanderbilt scales, with only the parent or teacher endorsing sufficient symptoms to meet the criteria of the Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Other mental health and learning problems were common in the sample; 58.5% of subjects met screening criteria for oppositional defiant disorder\/conduct disorder, 32.7% met screening criteria for anxiety\/depression, and approximately one-third had an active individualized education program in place or had received an individualized education program in the past. On evaluation, the SANDAP protocol was acceptable and feasible for all stakeholders. However, additional barriers to implementing the AAP ADHD guidelines were identified, including 1) limited information in the guidelines regarding the use of specific ADHD rating scales, the evaluation and treatment of children with discrepant and\/or negative results, and the indications for psychologic evaluation of learning problems, 2) families\u2019 need for education regarding ADHD and support, 3) characteristics of physical health and mental health plans that limited care for children with ADHD, and 4) limited knowledge and use of potential community resources.<\/jats:p><jats:p>Conclusions. Our results indicate that children presenting for evaluation of possible ADHD in primary care offices have complex clinical characteristics. Providers need mechanisms for implementing the ADHD diagnostic guidelines that address the physician education and delivery system design aspects of care that were developed in the SANDAP protocol. Additional barriers were also identified. Careful attention to these factors will be necessary to ensure the sustained provision of quality care for children with ADHD in primary care settings.<\/jats:p>","DOI":"10.1542\/peds.114.1.129","type":"journal-article","created":{"date-parts":[[2004,8,14]],"date-time":"2004-08-14T00:53:04Z","timestamp":1092444784000},"page":"129-140","source":"Crossref","is-referenced-by-count":144,"title":["Implementing the American Academy of Pediatrics Attention-Deficit\/Hyperactivity Disorder Diagnostic Guidelines in Primary Care Settings"],"prefix":"10.1542","volume":"114","author":[{"given":"Laurel K.","family":"Leslie","sequence":"first","affiliation":[{"name":"Child and Adolescent Services Research Center, Children\u2019s Hospital, San Diego, California; Departments of"},{"name":"Pediatrics"},{"name":"School of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Weckerly","sequence":"additional","affiliation":[{"name":"Child and Adolescent Services Research Center, Children\u2019s Hospital, San Diego, California; Departments of"},{"name":"Psychiatry, University of California, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dena","family":"Plemmons","sequence":"additional","affiliation":[{"name":"Child and Adolescent Services Research Center, Children\u2019s Hospital, San Diego, California; Departments of"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Landsverk","sequence":"additional","affiliation":[{"name":"Child and Adolescent Services Research Center, Children\u2019s Hospital, San Diego, California; Departments of"},{"name":"School of Social Work, San Diego State University, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarita","family":"Eastman","sequence":"additional","affiliation":[{"name":"San Diego County, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2004,7,1]]},"reference":[{"key":"2021121006514645700_R1","unstructured":"American Psychiatric Association. 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Attention deficit disorder: A review of the past 10 years. J Am Acad Child Adolesc Psychiatry.\u20081996;35:978\u2013987","DOI":"10.1097\/00004583-199608000-00008"},{"key":"2021121006514645700_R5","doi-asserted-by":"crossref","unstructured":"Hoagwood K, Kelleher KJ, Feil M, Comer DM. Treatment services for children with ADHD: a national perspective. J Am Acad Child Adolesc Psychiatry.\u20082000;39:198\u2013206","DOI":"10.1097\/00004583-200002000-00020"},{"key":"2021121006514645700_R6","unstructured":"Hoagwood K. A national perspective on treatments and services for children with attention deficit hyperactivity disorder. In: Proceedings of the NIH Consensus Conference on Diagnosis and Treatment of ADHD. Bethesda, MD: National Institutes of Health; 1998:211\u2013219"},{"key":"2021121006514645700_R7","unstructured":"Kazdin AE. Psychosocial treatments for conduct disorder in children and adolescents. In: Nathan P, Gorman J, eds. A Guide to Treatments That Work. 2nd ed. New York, NY: Oxford University Press; 2002:57\u201385"},{"key":"2021121006514645700_R8","unstructured":"Wolraich ML. Current assessment and treatment practices. In: Proceedings of the NIH Consensus Conference on Diagnosis and Treatment of ADHD. Bethesda, MD: National Institutes of Health; 1998:221\u2013225"},{"key":"2021121006514645700_R9","unstructured":"Bureau of Health Professions. Shortage designation. Available at: http:\/\/bhpr.hrsa.gov\/shortage. Accessed May 6, 2004"},{"key":"2021121006514645700_R10","doi-asserted-by":"crossref","unstructured":"American Academy of Pediatrics. Clinical practice guideline: diagnosis and evaluation of the child with attention-deficit\/hyperactivity disorder. Pediatrics.\u20082000;105:1158\u20131170","DOI":"10.1542\/peds.105.5.1158"},{"key":"2021121006514645700_R11","doi-asserted-by":"crossref","unstructured":"Costello EJ, Angold A, Burns BJ, et al. The Great Smoky Mountains Study of Youth: Goals, design, methods, and the prevalence of DSM-III-R disorders. Arch Gen Psychiatry.\u20081996;53:1129\u20131136","DOI":"10.1001\/archpsyc.1996.01830120067012"},{"key":"2021121006514645700_R12","doi-asserted-by":"crossref","unstructured":"Wolraich ML, Lambert EW, Bickman L, Simmons T, Doffing MA, Worley KA. Assessing the impact of parent and teacher agreement on diagnosing attention-deficit hyperactivity disorder. J Dev Behav Pediatr.\u20082004;25:41\u201347","DOI":"10.1097\/00004703-200402000-00007"},{"key":"2021121006514645700_R13","unstructured":"Foley HA, Carlton CO, Howell RJ. The relationship of attention deficit hyperactivity disorder and conduct disorder to juvenile delinquency: legal implications. Bull Am Acad Psychiatry Law.\u20081996;24:333\u2013345"},{"key":"2021121006514645700_R14","unstructured":"National Institutes of Health. Diagnosis and treatment of attention deficit\/hyperactivity disorder (ADHD). NIH Consens Statement.\u20081998;16:1\u201337"},{"key":"2021121006514645700_R15","doi-asserted-by":"crossref","unstructured":"Wasserman R, Kelleher K, Bocian ABA, et al. Identification of attentional and hyperactivity problems in primary care: a report from Pediatric Research in Office Settings and the Ambulatory Sentinel Practice Network. Pediatrics.\u20081999;103(3). Available at: www.pediatrics.org\/cgi\/content\/full\/103\/3\/e38","DOI":"10.1542\/peds.103.3.e38"},{"key":"2021121006514645700_R16","doi-asserted-by":"crossref","unstructured":"Jerome L, Gordon M, Hustler P. A comparison of American and Canadian teachers\u2019 knowledge and attitudes towards attention deficit hyperactivity disorder (ADHD). Can J Psychiatry.\u20081994;39:563\u2013567","DOI":"10.1177\/070674379403900909"},{"key":"2021121006514645700_R17","unstructured":"Homer CJ. The care model for child health. In: Improving Care for Children With Attention Deficit Hyperactivity Disorder. 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J Pediatr Psychol.\u20081993;18:717\u2013730","DOI":"10.1093\/jpepsy\/18.6.717"},{"key":"2021121006514645700_R42","doi-asserted-by":"crossref","unstructured":"Wolraich ML, Hannah JN, Baumgaertel A, Feurer ID. Examination of DSM-IV criteria for attention deficit\/hyperactivity disorder in a county-wide sample. J Dev Behav Pediatr.\u20081998;19:162\u2013168","DOI":"10.1097\/00004703-199806000-00003"},{"key":"2021121006514645700_R43","doi-asserted-by":"crossref","unstructured":"Swanson J, Lerner M, March J, Gresham F. Assessment and intervention for attention-deficit\/hyperactivity disorder in the schools. Pediatr Clin North Am.\u20081999;46:993\u20131009","DOI":"10.1016\/S0031-3955(05)70168-1"},{"key":"2021121006514645700_R44","doi-asserted-by":"crossref","unstructured":"Mulhern S, Dworkin PH, Bernstein B. 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