Pilot Study of Shared Care of ADHD in a Pediatric Clinic:Colocation of a Psychologist as an ADHD Care Manager (shared care)
![]() |
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT00644566 |
Recruitment Status : Unknown
Verified November 2010 by Weill Medical College of Cornell University.
Recruitment status was: Recruiting
First Posted : March 27, 2008
Last Update Posted : November 5, 2010
|
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
Condition or disease | Intervention/treatment | Phase |
---|---|---|
ADHD | Other: Shared Care | Not Applicable |
Study Goals:
A. To compare patients with ADHD (Attention Deficit Hyperactivity Disorder) treated by a pediatric provider in collaboration with a co-located psychologist/ADHD care manager available for evaluation/assessment and ongoing shared-care consultation to patients with ADHD in a pediatric primary care clinic treated as usual.
-
Patients treated by the pediatricians with the added co-located services will have clinical outcomes that are superior to those that receive usual care
- Co-located services will increase the number of ADHD patients accessing specialized mental health treatment services
- A higher proportion of patients treated by the pediatric providers and psychologists than those in usual care receive doses of medication that are consistent with AAP (American Academy of Pediatrics) recommendations
- Patients whose providers are offered to receive the aid of the co-located psychologists will be more likely to be co-managed by the pediatrician than referred out to the community.
- Parents will be more satisfied with care in the shared care model than in usual care
B. Pediatricians' morale and attitudes to the treatment of ADHD will improve with the addition of a co-located psychologist.
C. ADDITIONAL AIMS:
- To assist a pediatric primary care clinic in implementing a quality improvement initiative to help pediatric providers better identify ADHD by implementing the PSC-17, a general psychosocial checklist.
- Study the usefulness of using the PSC 17 screen as a clinical tool to identify ADHD in the primary care office by obtaining results and tracking physician disposition planning based on results.
D. Operationalize Shared Care by examining what happens in such an arrangement, and see if patient recruitment and provider buy-in improves when shared care is assured.
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 140 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Health Services Research |
Official Title: | Pilot Study of Shared Care of ADHD in a Pediatric Clinic:Colocation of a Psychologist as an ADHD Care Manager |
Study Start Date : | August 2006 |
Estimated Primary Completion Date : | June 2008 |
Estimated Study Completion Date : | June 2008 |

Arm | Intervention/treatment |
---|---|
No Intervention: TAU
Treatment as usual. These subjects and their providers were told to pursue treatment services as they normally would do.
|
|
Experimental: shared care
A psychologist co-located in the pediatric primary care clinic shared care with the subject's pediatrician. The psychologist offered regular appointments and psychoeducation. On an individual basis, parent management training, behavioral management training, individual psychotherapy, educational intervention assistance, teacher communication, and medication education were provided as needed.
|
Other: Shared Care
A psychologist co-located in the pediatric primary care clinic shared care with the subject's pediatrician. The psychologist offered regular appointments and psychoeducation. On an individual basis, parent management training, behavioral management training, individual psychotherapy, educational intervention assistance, teacher communication, and medication education were provided as needed. |
- A higher proportion of patients treated by the pediatric providers and psychologists than those in usual care receive doses of medication that are consistent with AAP (American Academy of Pediatrics) recommendations [ Time Frame: six months ]
- Co-located services will increase the number of ADHD patients accessing specialized mental health treatment services [ Time Frame: six months ]
- 2. Patients whose providers are offered to receive the aid of the co-located psychologists will be more likely to be co-managed by the pediatrician than referred out to the community. [ Time Frame: six months ]
- Parents will be more satisfied with care in the shared care model than in usual care [ Time Frame: six months ]

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 6 Years to 17 Years (Child) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria (Patient subjects):
- Age 6-17
- Suspected diagnosis of ADHD, inattentive type, hyperactive type, combined type, NOS
- Living with Guardian for at least 6 months
- English-speaking child
- English-speaking guardian
- Telephone Access to Guardian
- Inclusion for Randomization or Phase 2 shared care:
- Diagnosis of ADHD
Exclusion Criteria:
- Mental Retardation
- Co-morbid psychotic disorder
- Suicidal
- Homicidal
- Dangerous behavior
- Foster care
- Impairing co-morbid psychiatric disorder that would make ADHD treatment in a pediatric clinic unsafe or inappropriate (in the judgment of the PI based on the case review of the findings of the clinical psychologist.)
- Allergic or contraindication to stimulant medications
Inclusion Criteria (Provider subjects):
- Provider at Cornell Campus Helmsley Tower 5/ Long Island City Campus
Exclusion Criteria:
- None
Inclusion for screening:
- Age 6-17
- Child is to be seen by pediatric provider at HT5
- Parent or guardian reads English or Spanish
Exclusion Criteria:
- Parent/Guardian has received screen within the year
- Patient is too sick for parent to spend time on form

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00644566
Contact: Rachel A Zuckerbrot, MD | 212-543-2628 | zuckerbr@childpsych.columbia.edu |
United States, New York | |
Long Island City Community Practice | Active, not recruiting |
Long Island City, New York, United States, 11106 | |
New York Presbyterina Hospital- Weill Cornell Medcial College HT5 Pediatrics Clinic | Recruiting |
New York, New York, United States, 10021 |
Principal Investigator: | Daniel Hyman, MD | New York Presbyterian Hospital | |
Principal Investigator: | Rachel Zuckerbrot, MD | Columbia University/New York State Psychiatric Institute | |
Principal Investigator: | Mark Olfson, MD | Columbia University/New York State Psychiatric Institute |
Responsible Party: | Daniel Hyman, M.D., M.M.M., New York Presbyterian Hospital |
ClinicalTrials.gov Identifier: | NCT00644566 |
Other Study ID Numbers: |
0604008460 |
First Posted: | March 27, 2008 Key Record Dates |
Last Update Posted: | November 5, 2010 |
Last Verified: | November 2010 |
ADHD Primary Care Pediatrics Health services |
shared care care manager screening |
Attention Deficit Disorder with Hyperactivity Attention Deficit and Disruptive Behavior Disorders Neurodevelopmental Disorders Mental Disorders |