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ADHD Across the Ages: Focus on the Child

neuroscienceCME Live and On Demand

Premiere Date: Wednesday, November 11, 2009

Click here to access additional resources mentioned in the live broadcast.

This activity offers CE credit for:

  1. Physicians (CME)
  2. Pediatricians (AAP)
  3. Nurses (CNE)
  4. Pharmacists (ACPE)
  5. Psychologists (APA)
  6. Social Workers (NASW)
  7. Certified Case Managers (CCMC)


All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Credit™

Credit Expiration Date:
Thursday, November 11, 2010
Note: Credit Is No Longer Available

Faculty


Richard E. D'Alli, MDRichard E. D'Alli, MD (Moderator)
Associate Professor of Psychiatry and Pediatrics
Duke University Medical Center
Durham, NC

Scott H. Kollins, PhDScott H. Kollins, PhD 
Chief Medical Officer, Holmusk
Adjunct Professor of Psychiatry and Behavioral Science
Duke University School of Medicine
Durham, NC

Alice R. Mao, MDAlice R. Mao, MD 
Associate Professor of Psychiatry
Menninger Department of Psychiatry and Behavioral Sciences
Baylor College of Medicine
Associate Medical Director
Director of Psychopharmacology Research and Education
Depelchin Children's Center
Houston, TX

Statement of Need

Studies have shown that children with ADHD have higher rates of academic difficulties, social issues, and a number of comorbid psychiatric conditions compared to children without ADHD. These factors, and others, contribute to the high cost of care as well as diminished quality of life for children with ADHD. Applying the diagnostic criteria and unraveling the complexities of real-world patients can present a serious challenge to all clinicians. The symptom domains of ADHD—hyperactivity, impulsivity, and inattention—must often be diagnosed in the context of psychiatric comorbidities. The Multimodal Treatment Study of Children with ADHD (MTA) found that in a sample of 579 children, 31% had ADHD alone, 21% had oppositional symptoms, 12% had oppositional symptoms plus anxiety, 10% had anxiety symptoms, and 7% had comorbid conduct disorders.(1) Careful clinical assessment of the child focusing on family history and longitudinal course of the disease is pivotal in order to develop appropriate treatment planning. A multimodal treatment approach that includes both pharmacologic and behavioral interventions is prudent. Ongoing monitoring at regular intervals utilizing structured data tools should be implemented to evaluate efficacy, tolerability, and compliance. In this evidence-based neuroscienceCME Live and On Demand activity, the expert faculty will explore the complex presentations of ADHD and provide strategies for the assessment, diagnosis, and individualized multimodal management of children and adolescents with ADHD.


  1. Jensen PS, Hinshaw SP, Kraemer HC, et al. ADHD comorbidity findings from the MTA study: comparing comorbid subgroups. J Am Acad Child Adolesc Psychiatry 2001;40:147-158.

Activity Goal

To improve knowledge and performance through utilization of evidence-based guidelines and current research on the diagnosis and long-term management of children and adolescents with ADHD.

Learning Objectives

At the end of this CE activity, participants should be able to:

  • Integrate established practice parameters, screening tools, and clinical observation in the diagnosis of ADHD and the differentiation of ADHD with and without comorbid psychiatric symptoms and/or behavioral disorders.
  • Routinely assess response to ADHD therapy using structured monitoring tools.
  • Develop a comprehensive, individualized, and evidence-based treatment plan that combines pharmacological and behavioral strategies to improve outcomes for children and adolescents with ADHD.

The following learning objectives pertain only to those requesting CNE or CPE credit:

  • Identify practice parameters, screening tools, and clinical observation in the diagnosis of ADHD and the differentiation of ADHD with and without comorbid psychiatric symptoms and/or behavioral disorders.
  • Identify structured monitoring tools to routinely assess response to ADHD therapy.
  • Compare and contrast options for a comprehensive, individualized, and evidence-based treatment plan that combines pharmacological and behavioral strategies to improve outcomes for children and adolescents with ADHD.

Financial Support

This educational activity is supported by an independent medical educational grant from Shire.

Target Audience

Physicians, pediatricians, physician assistants, nurse practitioners, nurses, psychologists, social workers, certified case managers, pharmacists, and other healthcare professionals interested in mental health.

Credit Information

CME Credit (Physicians):
CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CME Outfitters, LLC, designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AAP Credit (Pediatricians):
This continuing medical education activity has been reviewed by the American Academy of Pediatrics and is acceptable for a maximum of 1.0 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics.

CNE Credit (Nurses):
This continuing nursing education activity was approved by the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

It has been assigned approval code 7ZDSHF-10. 1.0 contact hours will be awarded upon successful completion.

CEP Credit (Psychologists):
CME Outfitters is approved by the American Psychological Association to sponsor continuing education for psychologists. CME Outfitters maintains responsibility for this program and its content. (1.0 CE credits)

NASW Credit (Social Workers):
This program was approved by the National Association of Social Workers (provider #886407722) for 1 continuing education contact hour.

CCMC Credit (Certified Case Managers):
This program has been approved for 1 hour by the Commission for Case Manager Certification (CCMC).

CPE Credit (Pharmacists):
ACPE CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 1.0 contact hours (0.1 CEUs)
Universal Activity Number: 376-000-09-028-L01-P (live presentation) 376-000-09-028-H01-P (recorded programs)
Activity Type: knowledge-based

Post-tests, credit request forms, and activity evaluations can be completed online at www.neuroscienceCME.com (click on the Testing/Certification link under the Activities tab–requires free account activation), and participants can print their certificate or statement of credit immediately (70% pass rate required). Otherwise, participants should fully complete and return both the credit request form and activity evaluation located within the course guide for this activity. A certificate or statement of credit will be mailed within 4–6 weeks to all who successfully complete these requirements. This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit www.neurosciencecme.com/technical.asp.

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Dr. D'Alli has no disclosures to report.

Dr. Kollins has disclosed that he receives grant support from Addrenex Pharmaceuticals, Inc., Comentis, Environmental Protection Agency, National Institute on Drug Abuse, National Institute of Environmental Health Sciences, National Institute of Mental Health, National Institute of Neurological Disorders and Stroke, and Shire Pharmaceuticals. He serves as a consultant to Addrenex Pharmaceuticals, Inc., Comentis, National Institute on Drug Abuse, National Institutes of Health, Otsuka America Pharmaceutical, Inc., and Shire Pharmaceuticals.

Dr. Mao has disclosed that she is on the speakers bureau of Bristol-Myers Squibb Company, Eli Lilly and Company, Forest Laboratories, Inc., Novartis Pharmaceuticals Corporation, Noven Pharmaceuticals, Inc., Ortho-McNeil Janssen Scientific Affairs, LLC, Pfizer Inc., and Shire Pharmaceuticals.

Howard Bliwise, MD (Content/Peer Reviewer) has no disclosures to report.
Nancy Jennings, MSN, MBA, MHA, RNC (Content/Peer Reviewer) has no disclosures to report.
Ruth Cody, BSN, RN-BC (Content/Peer Reviewer) has no disclosures to report.
Philip Harvey, PhD (Content/Peer Reviewer) has no disclosures to report.
Greg Kirk, MSW, LCSW (Content/Peer Reviewer) has no disclosures to report.

Monique Johnson, MD, CCMEP (Planning Committee) has no disclosures to report.
Sharon Tordoff, CCMEP (Planning Committee) has no disclosures to report.

Unlabeled Use Disclosure

Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.

CME Outfitters, LLC, the faculty, and Shire Pharmaceuticals do not endorse the use of any product outside of the FDA labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.

Questions about this activity? Call us at 877.CME.PROS (877.263.7767).

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