G189. AUDIT OF THE SPECIALIST ADHD CLINIC IN THANET REGION IN SOUTH EAST KENT

S. Banerjee.

School & Child Health, East Kent Hospitals NHS Trust, Queens House, Queen Street, Ramsgate, Kent

Introduction: A Specialist ADHD Clinic is functioning in the Thanet region since April 1998.

Aims: This audit was done to evaluate the existing practice in this specialist ADHD Clinic against the NICE¹ and SIGN² guidance standards.

Methods: A retrospective case note study of 50 children attending the Joint ADHD Clinic between October – December 2001.

Results: There were 46 (92%) male children. The majority of the children were referred by school (36%) and GPs (30%). Two third of the children (n=33) were school age at the time of the first referral. In 12 (24%) children Conners’ Rating Scales were used as an assessment tool. 10 children (82%) were found to be positive both on Parents’ and Teachers’ Conners’ Rating Scales. In cases of 45 children (90%), letters were sent to school about the child’s medication, whereas only in 13 cases (26%) parents were given a copy of the letter. In 43 (86%) the management plan was both behavioural management strategies and drugs. In 24 (48%) cases there was no record of height and weight. There was no transitional plan for any of the 8 children who were over 14 years of age.

Conclusions: Although we offer a service, we did not meet all the standards as suggested in the SIGN and NICE guidelines. Parents and teachers should get a copy of each consultation. A joint care pathway with GPs for repeat prescriptions and monitoring needs to be devised and a transitional plan needs in place to meet the needs of young people leaving the education system at 16–19 yrs.

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G190. PHARMACOLOGIC PROPERTIES OF ATOMOXETINE: A NOVEL TREATMENT FOR ATTENTION DEFICIT/HYPERACTIVITY DISORDER

S. Prasad, V. Harpin, F. Bymaster, J. Witcher, D. Michelson, W.J. Brown.

Eli Lilly and Company Limited, Hampshire, UK

Background: …