Remarks y Structured physical exercise included planned or purposeful sports games, aerobic exercise, cycling and yoga. These suggested activities reflect those reported in the literature. However, the examples can be adapted to reflect those most relevant to the local content, e.g. cycling or yoga may not be common activities in all settings. y This could be completed individually or in pairs or groups.

Implementation considerations y Both individual and group-based formats can be considered, adjusted to the needs of the children and adolescents. These may include greater use of written and visual information, more concrete and structured 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 young people with ADHD. y Make reasonable adjustments or adaptations and provide visual supports if useful. y Ensure that children and adolescents 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 adolescents’ needs and developmental level, and promote supported decision-making. y Make arrangements to support children and adolescents and their family and carers during times of increased need and transitions, such as puberty and starting or changing schools.