Multimodal Treatment Plan

Research indicates that for many children the best way to mitigate symptoms of AD/HD is the use of a combined approach. A study by the NIMH-the Multimodal Treatment Study of Children with ADHD (MTA)-is the longest and most thorough study of the effects of AD/HD interventions (MTA Cooperative Group, 1999a, 1999b). The study followed 579 children between the ages of 7 and 10 at six sites in the US and in Canada. The researchers compared the effects of four interventions: medication provided by the researchers, behavioural intervention, a combination of medication and behavioural intervention, and no-intervention community care (i.e., typical medical care provided in the community).

Of the four interventions investigated, the researchers found that the combined medication/behaviour treatment and the medication treatment work significantly better than behavioural therapy alone or community care alone at reducing the symptoms of AD/HD.

Multimodal treatments were especially effective in improving social skills for students coming from high-stress environments and children with AD/HD in combination with symptoms of anxiety or depression.

The study revealed that a lower medication dosage is effective in multimodal treatments, whereas higher doses were needed to achieve similar results in the medication-only treatment.

In this study, multimodal intervention was found to improve:

  • academic performance
  • parent-child interaction
  • school-related behavior

while reducing: . . .

  • child anxiety
  • oppositioinal behaviour

There are three (3) components in this treatment plan, each equally important:

  • medication
  • behaviour and/or other therapy
  • accommodations and interventions at school as needed

A multimodal treatment plan must be individually tailored and continually monitored and optimised. Accompanying psychoeducation for the family forms the basis of all treatments for AD/HD.

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ADHD Europe asks for better provisions for Teenagers with ADHD who continue to need access to mental health services after they turn 18.
This must be a priority across Europe so please sign the Declaration:

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