Improving the Care of Patients With ADHD

Improving the Care of Patients With Attention-Deficit/ Hyperactivity Disorder UPDATES IN S creening,

Diagnosis, and Management Friday, October 4, 2013 1:00 pm-2:05 pm John A. Williams Ballroom CDFG Cobb Galleria Centre : Atlanta, Georgia

Friday, November 1, 2013 10:40 am-11:45 am Grand Ballroom G1-G5 Irving Convention Center : Dallas, Texas

Jointly sponsored by Educational Review Systems, Inc., and Integritas Communications This activity is supported by an educational grant from Lilly USA, LLC. For further information concerning Lilly grant funding visit www.lillygrantoffice.com.

LIL-ADHD PCN Workbook R1.indd 2

9/30/13 6:03 PM

LIL-ADHD PCN Workbook R1.indd 2

9/30/13 6:03 PM

David A. Baron, MSEd, DO

FACULTY

Professor and Vice Chair Department of Psychiatry and Behavioral Sciences Keck School of Medicine University of Southern California (USC) Psychiatrist-in-Chief USC University and USC Norris Cancer Hospital Los Angeles, California Dr. Baron is currently Professor and Vice Chair, Department of Psychiatry and Behavioral Sciences and Assistant Dean of Global Relations at the Keck School of Medicine at the University of Southern California (USC). He is also Psychiatrist-inChief at both USC University and USC Norris Cancer Hospital.

Past President of the American College of Neuropsychiatrists, Dr. Baron was also Deputy Clinical Director at the National Institute of Mental Health (NIMH), as well as Director of Medical Student and Residency Education at the NIMH. He also served as Chair of the Department of Psychiatry at Temple University School of Medicine.

He has been active in ADHD treatment and research since 1988, directing the ADHD Treatment and Research program at Temple for over 10 years. Dr. Baron received his DO degree from Philadelphia College of Osteopathic Medicine and completed his internship at the Delaware Valley Medical Center.

In addition to authoring or coauthoring over 80 publications and 12 books, Dr. Baron served as Editor-in-Chief of the Journal of the American College of Neuropsychiatrists. He has lectured extensively worldwide, and recently completed a film on ADHD in youth soccer entitled Game On, based on his experiences in treating youth athletes with ADHD.

Updates in Screening, Diagnosis, and Management : 3

LIL-ADHD PCN Workbook R1.indd 3

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

Rakesh Jain, MD, MPH Associate Clinical Professor Department of Psychiatry and Behavioral Sciences University of Texas Medical School Houston, Texas

PREAMBLE

Dr. Jain is Associate Clinical Professor of Psychiatry and Behavioral Sciences at the University of Texas in Houston. He also maintains a private practice in Austin, Texas.

Dr. Jain is currently involved in multiple research projects studying the effects of medications on short-term and long-term treatment of depression, anxiety, pain/ mood overlap disorders, and psychosis in adult and child/adolescent populations.

Author of several articles on mood and pain conditions, he has had research posters presented at meetings of the American Psychological Association, the American College of Neuropsychopharmacology, the American Academy of Child and Adolescent Psychology, and the US Psychiatric Congress, among others. He has coauthored articles published in peer-reviewed journals, including the Journal of Psychiatric Research and the Journal of Clinical Psychiatry. He has recently presented at the World Psychiatric Congress in Prague, and at Depression and Pain Forum meetings in Costa Rica, Singapore, Hong Kong, Indonesia, Malaysia, Greece, Brazil, Portugal, the United Kingdom, and Argentina.

A member of several Advisory Boards focusing on drug development and disease state education, Dr. Jain was named “Public Citizen of the Year” by the National Association of Social Workers, Gulf Coast Chapter, in recognition of his community and peer education and championing of mental health issues. He was awarded the “Extra Mile Award” by the Brazosport Independent School District for his service to the children of the school district and his consultation to the teachers and counselors. A member and former Chair of the Steering Committee for the US Psychiatric Congress, he recently received the Congress’s Teacher of the Year Award.

Dr. Jain received his MD degree from the medical school at the University of Calcutta in India. He then received his Masters of Public Health (MPH) degree in 1987 from the University of Texas School of Public Health in Houston, where he was also awarded a National Institutes of Health/Centers for Disease Control Competitive Traineeship and focused his research thesis on the impact of substance abuse. Dr. Jain then completed a postdoctoral fellowship in Research Psychiatry at the University of Texas Mental Sciences Institute in Houston supported by a National Research Service Award. After this, he served a 3-year residency in Psychiatry and a 2-year fellowship in Child and Adolescent Psychiatry in the Department of Psychiatry and Behavioral Sciences at the University of Texas Medical School at Houston.

4

LIL-ADHD PCN Workbook R1.indd 4

9/30/13 6:03 PM

EDUCATIONAL OBJECTIVES At the conclusion of this educational activity, participants should be better prepared to: • Discuss attention-deficit/hyperactivity disorder (ADHD) pathology and consequences of inadequate treatment across various age groups • Operationalize the latest diagnostic and treatment guidelines for ADHD, including recommendations from the DSM-5 and the American Academy of Pediatrics

• Tailor treatment plans for patients with ADHD based on clinical presentation, comorbid conditions, risk stratification for medication abuse, and patient preferences • Educate patients and family members about ADHD medication profiles, behavioral treatments, and therapeutic adherence

PREAMBLE

• Differentiate among various stimulant and nonstimulant medications for ADHD in terms of efficacy, safety, abuse potential, and effects on comorbidities

INTENDED AUDIENCE This activity is intended for primary care providers (PCPs) involved in the diagnosis and management of patients with attention-deficit/hyperactivity disorder (ADHD).

There are no prerequisites for this educational activity.

NEEDS ASSESSMENT AND LEARNER’S GAP This Best Practices in Primary Care™ program will foster collaborative exchange among expert faculty regarding the latest advances in the diagnosis and treatment of ADHD. ADHD is a serious public health concern, affecting 3% to 9% of children and approximately 4% of adults.1,2 Over time, core ADHD-associated difficulties in executive function cause a range of medical, social, and economic difficulties based on patient-specific biologic, psychological, and environmental risk factors.3,4 During this 60-minute educational activity, two expert faculty will conduct an interactive, case-based discussion that focuses on ADHD pathology, updates to diagnostic recommendations from national clinical practice guidelines, and reviews of how various drug classes should be integrated into multimodal treatment plans. Faculty will also review risk stratification and alternative treatment strategies that can minimize harm to patients and the public when potentially abusable medications are considered for ADHD management. At the close of the program, a focused question-and-answer session will encourage audience members to further explore key issues and real-world patient challenges with the faculty experts.

Updates in Screening, Diagnosis, and Management : 5

LIL-ADHD PCN Workbook R1.indd 5

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

REFERENCES 1. Faraone SV, Sergeant J, Gillberg C, Biederman J. The worldwide prevalence of ADHD: is it an American condition? World Psychiatry 2003;2:104-113.

2. Froehlich TE, Lanphear BP, Epstein JN, Barbaresi WJ, Katusic SK, Kahn RS. Prevalence, recognition, and treatment of attention-deficit/hyperactivity disorder in a national sample of US children. Arch Pediatr Adolesc Med 2007; 161(9):857-864.

3. Thapar A, Cooper M, Eyre O, Langley K. What have we learnt about the causes of ADHD? J Child Psychol Psychiatry. 2013;54(1):3-16.

PREAMBLE

4. Klein RG, Mannuzza S, Olazagasti MA, et al. Clinical and functional outcome of childhood attentiondeficit/hyperactivity disorder 33 years later. Arch Gen Psychiatry 2012;69(12):1295-1303.

ACCREDITATION STATEMENT This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of ScientiaCME and Educational Review Systems (ERS). ScientiaCME is accredited by the ACCME to provide continuing medical education for physicians.

CREDIT DESIGNATION ScientiaCME designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit™ toward the AMA Physician’s Recognition Award. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CONFLICT OF INTEREST STATEMENT The Conflict of Interest Disclosure Policy of Educational Review Systems, Inc., requires that faculty participating in any CME activity disclose to the audience any relationship(s) with a pharmaceutical, product, or device company. Any presenter whose disclosed relationships prove to create a conflict of interest with regard to his/her contribution to the activity will not be permitted to present.

Educational Review Systems, Inc., also requires that faculty participating in any CME activity and anyone in a position to influence content disclose to the audience when discussing any unlabeled or investigational use of any commercial product, or device, not yet approved for use in the United States.

6

LIL-ADHD PCN Workbook R1.indd 6

9/30/13 6:03 PM

FACULTY AND PLANNING COMMITTEE DISCLOSURES

Rakesh Jain, MD Addrenex Pharmaceuticals, Inc. (Advisory Board, Consultant, Speakers Bureau), AstraZeneca (Grant/ Research), Forest Pharmaceuticals, Inc. (Advisory Board, Consultant, Speakers Bureau), Eli Lilly and Company (Advisory Board, Consultant, Grant/ Research, Speakers Bureau), Merck & Co., Inc. (Advisory Board, Consultant, Speakers Bureau), Pamlab, LLC (Advisory Board, Consultant, Speakers Bureau), Pfizer Inc. (Advisory Board, Consultant, Grant/Research, Speakers Bureau), Shionogi Inc. (Advisory Board, Consultant, Speakers Bureau), Shire Plc (Advisory Board, Consultant, Grant/Research, Speakers Bureau), Sunovion Pharmaceuticals Inc. (Advisory Board, Consultant, Speakers Bureau)

PREAMBLE

David A. Baron, MSEd, DO BioBehavioral Diagnostics Company (Advisory Board, Grant/Research)

Jim Kappler, PhD Has no relevant financial relationships to disclose.

Updates in Screening, Diagnosis, and Management : 7

LIL-ADHD PCN Workbook R1.indd 7

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

SLIDES

8

LIL-ADHD PCN Workbook R1.indd 8

9/30/13 6:03 PM

SLIDES

Updates in Screening, Diagnosis, and Management : 9

LIL-ADHD PCN Workbook R1.indd 9

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

SLIDES

10

LIL-ADHD PCN Workbook R1.indd 10

9/30/13 6:03 PM

SLIDES

Updates in Screening, Diagnosis, and Management : 11

LIL-ADHD PCN Workbook R1.indd 11

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

SLIDES

12

LIL-ADHD PCN Workbook R1.indd 12

9/30/13 6:03 PM

SLIDES

Updates in Screening, Diagnosis, and Management : 13

LIL-ADHD PCN Workbook R1.indd 13

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

SLIDES

14

LIL-ADHD PCN Workbook R1.indd 14

9/30/13 6:03 PM

SLIDES

Updates in Screening, Diagnosis, and Management : 15

LIL-ADHD PCN Workbook R1.indd 15

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

SLIDES

16

LIL-ADHD PCN Workbook R1.indd 16

9/30/13 6:03 PM

SLIDES

Updates in Screening, Diagnosis, and Management : 17

LIL-ADHD PCN Workbook R1.indd 17

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

SLIDES

18

LIL-ADHD PCN Workbook R1.indd 18

9/30/13 6:03 PM

SLIDES

Updates in Screening, Diagnosis, and Management : 19

LIL-ADHD PCN Workbook R1.indd 19

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

SLIDES

20

LIL-ADHD PCN Workbook R1.indd 20

9/30/13 6:03 PM

SLIDES

Updates in Screening, Diagnosis, and Management : 21

LIL-ADHD PCN Workbook R1.indd 21

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

SLIDES

22

LIL-ADHD PCN Workbook R1.indd 22

9/30/13 6:03 PM

SLIDES

Updates in Screening, Diagnosis, and Management : 23

LIL-ADHD PCN Workbook R1.indd 23

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

SLIDES

24

LIL-ADHD PCN Workbook R1.indd 24

9/30/13 6:03 PM

SLIDES

Updates in Screening, Diagnosis, and Management : 25

LIL-ADHD PCN Workbook R1.indd 25

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

SLIDES

26

LIL-ADHD PCN Workbook R1.indd 26

9/30/13 6:03 PM

SLIDES

Updates in Screening, Diagnosis, and Management : 27

LIL-ADHD PCN Workbook R1.indd 27

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

SLIDES

28

LIL-ADHD PCN Workbook R1.indd 28

9/30/13 6:03 PM

SLIDES

Updates in Screening, Diagnosis, and Management : 29

LIL-ADHD PCN Workbook R1.indd 29

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

SLIDES

30

LIL-ADHD PCN Workbook R1.indd 30

9/30/13 6:03 PM

SLIDES

Updates in Screening, Diagnosis, and Management : 31

LIL-ADHD PCN Workbook R1.indd 31

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

SLIDES

32

LIL-ADHD PCN Workbook R1.indd 32

9/30/13 6:03 PM

SLIDES

Updates in Screening, Diagnosis, and Management : 33

LIL-ADHD PCN Workbook R1.indd 33

9/30/13 6:03 PM

Improving the Care of Patients With Attention-Deficit/Hyperactivity Disorder

NOTES

34

LIL-ADHD PCN Workbook R1.indd 34

9/30/13 6:03 PM

LIL-ADHD PCN Workbook R1.indd 35

9/30/13 6:03 PM

For more information and to view additional resources for this program, please visit

EXCHANGECME.com/ADHD

LIL-ADHD PCN Workbook R1.indd 1

9/30/13 6:03 PM