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REACH INSTITUTE: RESOURCE FOR ADVANCING CHILDREN'S HEALTH, THE

This application addresses broad Challenge Area 15-MH-105, Strategies to support uptake of interventions within clinical and community settings: Develop and pilot comprehensive implementation strategies to support the broader uptake of interventions within clinical and community settings. Drawing upon behavioral change science and distance learning methods, this award Enhancing Pediatric Psychopharmacology in the Medical Home will test the relative impact of two interventions of differing intensity, both designed to increase primary care providers, (principally physicians), use of expert-recommended best practices in the assessment and treatment of children and adolescents with ADHD. This study of strategies to change physicians' ADHD practices addresses an area of urgent public health need and keen interest, given concerns about ADHD under- and over-treatment, potential side effects of the drugs used to treat ADHD, and the failure to employ other interventions that might be required to optimize child and family outcomes. Importantly, findings from the NIMH Multimodal Treatment of Children with ADHD (MTA) Study (1999) indicate that carefully medication management is significantly more effective and cost-effective than usual care, yet available evidence indicates that most "real-world" primary care clinicians have not incorporated these findings into their ADHD management practices. This application capitalizes on these new findings to address this area of great public health impact. Moreover, because basic behavior change methods and learning theory are incorporated into the interventions, findings from this study will be of great interest to other scientists and policy-makers struggling to close the research-practice gap.

Clarification of Codes