❓ A WA parliamentary question seeks detailed data on ADHD services at Joondalup and Murdoch, including referral pathways, client demographics, diagnoses, and medication usage. The response details referral processes and service commencement dates, but states that some requested data is not readily available in the format requested.
AnsweredQoN 5657Legislative Assembly
QuestionView source ↗
In relation to the Joondalup and Murdoch Complex Attention and Hyperactivity Disorders Services:
(a) what are the referral pathways by which clients access these services;
(b) when did each service begin servicing clients;
(c) what is the number, age and gender demographic of clients seen at each service;
(d) by service and age and sex demographic, what is the number of clients who, when first seen by the service:
(i) had a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD); and/or
(ii) had other discrete and co-morbid disorders (please specify individual disorders; and
(iii) were treated with:
(A) dexamphetamine; and/or
(B) methylphenidate; and/or
(C) atomoxetine; and/or
(D) other psychotropic drugs; and
(e) what is the number, age and sex demographic of clients who, six months after their initial visit:
(i) had a diagnosis of ADHD; and/or
(ii) had other discrete and co-morbid disorders (please specify individual disorders); and
(iii) were treated with:
(A) dexamphetamine; and/or
(B) methylphenidate; and/or
(C) atomoxetine; and/or
(D) other psychotropic drugs?
(a) what are the referral pathways by which clients access these services;
(b) when did each service begin servicing clients;
(c) what is the number, age and gender demographic of clients seen at each service;
(d) by service and age and sex demographic, what is the number of clients who, when first seen by the service:
(i) had a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD); and/or
(ii) had other discrete and co-morbid disorders (please specify individual disorders; and
(iii) were treated with:
(A) dexamphetamine; and/or
(B) methylphenidate; and/or
(C) atomoxetine; and/or
(D) other psychotropic drugs; and
(e) what is the number, age and sex demographic of clients who, six months after their initial visit:
(i) had a diagnosis of ADHD; and/or
(ii) had other discrete and co-morbid disorders (please specify individual disorders); and
(iii) were treated with:
(A) dexamphetamine; and/or
(B) methylphenidate; and/or
(C) atomoxetine; and/or
(D) other psychotropic drugs?
AnswerView source ↗
Answered
6 September 2011
Responded by
Minister for Mental Health
Response time
84 days
The Tertiary Consultative Clinical Model requires referrals to come from Paediatricians, Psychiatrists, Neurologists and General Practitioners who are authorised stimulant prescribers.
Referrals from General Practitioners, Allied Health and School Psychologists will be accepted if accompanied by a letter from an authorised stimulant prescriber agreeing to the referral and involvement in a shared care management plan.
Agreement for the referral by an authorised prescriber is necessary as further medication review and/or management may be required post assessment at the Complex Attention and Hyperactivity Disorder Service (CAHDS). For this reason, it is a pre-requisite that the referring clinician will remain involved in the child's treatment during and after CAHDS involvement.
For private practitioners involved in the ongoing shared care management, the Medicare Benefits Scheme (MBS) has provider numbers that may support shared care planning and management.
Referrals are accepted from any clinician on condition that the referral is approved by an authorised stimulant prescriber.
(a) Joondalup - February 2010
Murdoch - September 2010
(b) Please see tabled papers [....]
(d-d(iii(D))
Please see tabled papers [....]
(e-e(iii(D))
Information such as diagnoses and prescribed medication is recorded on admission and then as necessary across assessment, review and intervention sessions rather than at set periods such as 6 monthly intervals. It is therefore not possible to gather the data requested. However, it is of note that whilst 74% of children are admitted to the service with a primary diagnosis of ADHD, only 15% are discharged with this diagnosis following comprehensive multi-disciplinary assessment.
Notice: This document is created or edited using unregistered or evaluation copy of rtLib valid for testing or development purposes only. To use it for productive or any other purposes please register it. You may purchase the license on
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Referrals from General Practitioners, Allied Health and School Psychologists will be accepted if accompanied by a letter from an authorised stimulant prescriber agreeing to the referral and involvement in a shared care management plan.
Agreement for the referral by an authorised prescriber is necessary as further medication review and/or management may be required post assessment at the Complex Attention and Hyperactivity Disorder Service (CAHDS). For this reason, it is a pre-requisite that the referring clinician will remain involved in the child's treatment during and after CAHDS involvement.
For private practitioners involved in the ongoing shared care management, the Medicare Benefits Scheme (MBS) has provider numbers that may support shared care planning and management.
Referrals are accepted from any clinician on condition that the referral is approved by an authorised stimulant prescriber.
(a) Joondalup - February 2010
Murdoch - September 2010
(b) Please see tabled papers [....]
(d-d(iii(D))
Please see tabled papers [....]
(e-e(iii(D))
Information such as diagnoses and prescribed medication is recorded on admission and then as necessary across assessment, review and intervention sessions rather than at set periods such as 6 monthly intervals. It is therefore not possible to gather the data requested. However, it is of note that whilst 74% of children are admitted to the service with a primary diagnosis of ADHD, only 15% are discharged with this diagnosis following comprehensive multi-disciplinary assessment.
Notice: This document is created or edited using unregistered or evaluation copy of rtLib valid for testing or development purposes only. To use it for productive or any other purposes please register it. You may purchase the license on
http://www.rtlib.com
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