The purpose of developing this care pathway is to:

  • encourage best practice among local practitioners in Tees Esk and Wear Valleys NHS Foundation Trust
  • support commissioners and providers in conjunction with service users to have a service that is timely, accessible and appropriate to the needs of the children and their families
  • make clear a pathway for referral for specialist assessment which is visible and include protocols for screening and filtering in universal/targeted services
  • aim for an understanding of the links between different services so that the right care is provided at the right time
  • provide children/young people with an equitable and quality service across Tees Esk and Wear Valleys NHS Foundation Trust.

Assessment by specialist team

The child and young person will undergo a full and comprehensive assessment of ADHD, this will include:

  • a detailed history of presenting symptoms and co-existing conditions
  • current medications and treatments (this will include alternative therapies etc)
  • psychosocial, developmental and educational and mental health history
  • impact of symptoms on educational, psychological, social and occupational functioning
  • impact of symptoms on peer relationships and family life
  • physical/growth and developmental assessment, this may include height, weight, blood pressure, pulse and a discussion around your health
  • observation in clinic settings
  • child/young person’s view
  • school liaison - this may include an observation of your child and child’s teacher interview/questionnaires and consideration of relevant accompanying reports e.g. school, educational psychologist
  • scoring of rating scales and developmental screening tools
  • assessment of the child/young person and family needs
  • history of parent/carers’ mental health

Assessment may also include:

  • carers assessment - this may include an assessment of your needs as a parent or carer
  • occupational therapy assessment - this may be included depending on needs identified by comprehensive assessment.

Once this information is gathered a formulation meeting will be held with you and all professionals involved in your child’s assessment. This information will be shared with you and an explanation of the conclusion of the assessment and future strategies to support your child.


Leaflet reference:




Date last updated:

12 / 2016

Archive date:

12 / 2019

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