GP ADHD Shared Care Program:
A Child & Adolescent Mental Health Services (CAMHS) initiative in partnership with GPEX Shared Care (previously GP Partners Australia)
For detailed background information, go to the Personal Health Record Background Information document at https://gpex.com.au/for-health-professionals/gp-shared-care/gp-adhd-shared-care/

Lifetime ADHD Care
•	ADHD is a high prevalence neurodevelopmental disorder, often associated with impairment that extends across the lifespan (1).
•	A comprehensive assessment and management plan, collaboratively developed between a psychiatrist, individual with ADHD and/or their carer engaged in information sharing, is the basis of good clinical care. This ensures continuity of care as patients move between age groups, health services and community services,
•	Treatment for ADHD, with or without medication as part of the treatment plan, requires regular review and follow-up according to the severity of the condition and individual factors such as co-occurring conditions, medical complications, compliance, response to treatment, social supports, and lifestyle factors. (2)
•	Individualised monitoring is based on a chronic condition management model.(2)
 
Routine Primary Health Care for Young People:
The Guidelines for Preventive Activities in General Practice, 9th edition, 17048-Red-Book-9th-Edition.pdf (racgp.org.au) (3) provides comprehensive advice on preventative health activities GP’s routinely provide young people. Whole-person care for the young person with ADHD includes, but is not limited to:
· Sleep						
· Diet & nutritional screens where indicated
· Physical activity levels & cardiovascular health
· Smoking. Alcohol, recreational drug use, herbal and OTC preparations
· Sexual health 
· Mental health (HEADSS assessment)
· e-safety
· Work
· Driving 
· Education, in particular the secondary impacts of ADHD such as learning difficulties, and 
· educational and occupational issues and rights to reasonable adjustments at school, university and in the workplace (2).
 References:
1. ADHD across the lifespan, March 2023, RANZP Position statement 55: ADHD across the lifespan | RANZCP
2. Australian Evidence-Based ADHD Clinical Guideline (aadpa.com.au) 
3. Guidelines for Preventive Activities in General Practice, 9th edition, 17048-Red-Book-9th-Edition.pdf (racgp.org.au)
ADHD SHARED CARE PROTOCOL
Annual Cycle of Care
 2 months	•	Maximum period Schedule 8 stimulants can be prescribed without applying to Drugs of Dependence Unit, ref: Drugs of dependence | SA Health
•	May be required if the Authorised Prescriber is unavailable due to unforeseen circumstances. 
•	Prescriber MUST REVIEW patient script record on SCRIPT CHECK SA: www.sahealth.sa.gov.au/scriptchecksa
•	MUST BE DOCUMENTED IN PERSONAL HAND-HELD RECORD
	
 3 monthly	•	Medication review
•	Repeat scripts per DDU Authority specifications
	
 3-6 monthly	Health check, including but not limited to:
•	Growth
•	Diet
•	Cardiovascular health
•	Co-occurring conditions
•	Medical complications
•	Exclusion of new onset contra-indications
•	Compliance
•	Response to treatment
•	Social supports
•	Lifestyle factors (1)	
 
5 Yearly	 
•	Maximum medication authority duration ADHD Stimulant Prescribing Regulations & Authorities in Australia & New Zealand (aadpa.com.au)

Medicolegal Documentation
 First DDU Authority	Specialist letter supporting GP to be Authorised Prescriber received: 	___/___/____ (date)
Advised specialist review interval:  ____________________________________________
 
Schedule 8 Medication Authority application sent:			___/___/____ (date)
Schedule 8 Medication Authority Confirmation received: 		___/___/____ (date)
 	
Subsequent 
DDU Authorities:	Specialist letter supporting GP as ongoing Authorised Prescriber received: ___/___/____ (date)
Advised specialist review interval:  ____________________________________________
 
Schedule 8 Medication Authority application sent:			       ___/___/____ (date)
Schedule 8 Medication Authority Confirmation received: 		      ___/___/____ (date)
 	
 	Specialist letter supporting GP as ongoing Authorised Prescriber received: ___/___/____ (date)
Advised specialist review interval:  ____________________________________________
 
Schedule 8 Medication Authority application sent:			       ___/___/____ (date)
Schedule 8 Medication Authority Confirmation received: 		      ___/___/____ (date)
 	
 	Specialist letter supporting GP as ongoing Authorised Prescriber received: ___/___/____ (date)
Advised specialist review interval:  ____________________________________________
 
Schedule 8 Medication Authority application sent:			       ___/___/____ (date)
Schedule 8 Medication Authority Confirmation received: 		      ___/___/____ (date)
 	
 	Specialist letter supporting GP as ongoing Authorised Prescriber received: ___/___/____ (date)
Advised specialist review interval:  ____________________________________________
 
Schedule 8 Medication Authority application sent:			       ___/___/____ (date)
Schedule 8 Medication Authority Confirmation received: 		      ___/___/____ (date)
 	
 	Specialist letter supporting GP as ongoing Authorised Prescriber received: ___/___/____ (date)
Advised specialist review interval:  ____________________________________________
 
Schedule 8 Medication Authority application sent:			       ___/___/____ (date)
Schedule 8 Medication Authority Confirmation received: 		      ___/___/____ (date)	

PROGRESS NOTES
table or progress notes (delete as needed)
 
Date &  Time	Weight (percentile)	Height
(percentile)	Pulse 
Rate	Blood Pressure (centile or online checker assessment)	Medication details
(Preparations and dosages)	
					 	
Health review:	
 	
Mental health review: 	

Progress Notes:
<<Miscellaneous:Date (short)>> 

Dr <<Doctor:Name>>
<<Doctor:Qualifications>> <<Doctor:Provider Number>>
<<Doctor:Address>>
<<Doctor:Phone>>

<<Summary:Progress Notes (Selected)>>

Observations:
<<Clinical Details:Measurements (Selected)>>

Medications:
<<Clinical Details:Medication List>>

Previous Progress Notes:
<<Summary:Progress Notes (Selected)>>