Bibliographic information
Recommendation
Psychosocial interventions focused on social skills training and cognitive interventions should be considered to improve development and functioning in children and adolescents with attention deficit hyperactivity disorder (ADHD).
Recommended in favor
Conditional
Certainty of evidence
Moderate
Notes and Remarks
Remarks y Social skills training interventions tend to focus on problem-solving, control of emotions, and verbal and non-verbal communication. Social skills training consists of role play, exercises and games, as well as homework. Social skills training is taught in groups and is a relatively short intervention typically lasting between 8 and 12 weeks. The duration of each group session is usually 50–90 minutes. y Organizational skills training focuses on organization of materials, time and tasks and includes a variety of learning activities, such as teaching, modelling and feedback to build new skills or improve performance of existing skills. y Cognitive interventions focus on improving cognitive processes through controlled exposures to information processing tasks.
Implementation considerations y Both individual and group-based formats can be considered, adjusted to the needs of the children and young people. These may include greater use of written and visual information, more concrete and structured cognitive approaches, providing for short breaks and involvement of a carer in treatment sessions. y These approaches should be implemented in the context of broader strategies focused on promoting inclusive and enabling environments for all, including children and adolescents with ADHD. y Make reasonable adjustments or adaptations and provide visual supports if useful. y Ensure that children and youth with ADHD have full access to health- and social-care services, including mental health services. y Promote access to information about treatment options suitable for the child or young person’s needs and developmental level, and promote supported decision-making. y Make arrangements to support children and young people and their family and carers during times of increased need and transitions, such as puberty and starting or changing schools.