title: A Regional ADHD Center-Based Network Project for the Diagnosis and Treatment of Children and Adolescents With ADHD.
abstract: We aimed to define the sociodemographic, clinical, and prescription profiles of the participants enrolled in the Italian Lombardy ADHD Register.
  
  
  
  Data on patients evaluated by the 18 regional ADHD reference centers in the 2012 to 2013 period were analyzed.
  
  
  
  Seven hundred fifty-three of 1,150 (65%) suspected patients received a diagnosis of ADHD. In 24% of cases, there was a family history of ADHD. Four hundred eighty-three (64%) patients had at least one psychopathological disorder, the more common of which were learning disorders (35%). Eighty-four percent of patients received a prescription for psychoeducational interventions, 2% received only pharmacological treatment, and 14% a combination of both. Compared with patients treated with psychoeducational intervention alone, patients with drug prescriptions more commonly presented values of Clinical Global Impressions - Severity scale (CGI-S) of 5 or higher ( p < .0001).
  
  
  
  A continuous and systematic monitoring of patterns of care is essential in promoting significant improvements in clinical practice and ensuring an efficient and homogeneous quality of care.
authors: 1 Laboratory for Mother and Child Health, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri," Milan, Italy.
authors: Maurizio
authors: M
authors: Bonati
authors: 1 Laboratory for Mother and Child Health, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri," Milan, Italy.
authors: Laura
authors: L
authors: Reale
authors: 1 Laboratory for Mother and Child Health, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri," Milan, Italy.
authors: Michele
authors: M
authors: Zanetti
authors: 1 Laboratory for Mother and Child Health, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri," Milan, Italy.
authors: Massimo
authors: M
authors: Cartabia
authors: 1 Laboratory for Mother and Child Health, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri," Milan, Italy.
authors: Filomena
authors: F
authors: Fortinguerra
authors: 2 Child Neuropsychiatry Department, Poma Hospital, Mantova, Italy.
authors: Giuseppe
authors: G
authors: Capovilla
authors: 3 Child Neurology and Psychiatry Unit, National Neurological Institute C. Mondino, Pavia, Italy.
authors: Matteo
authors: M
authors: Chiappedi
authors: 4 Child and Adolescent Neuropsychiatric Unit, IRCCS Foundation Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
authors: Antonella
authors: A
authors: Costantino
authors: 5 Child and Adolescent Neuropsychiatric Unit, Children Hospital, Brescia, Italy.
authors: Paola
authors: P
authors: Effedri
authors: 6 Child and Adolescent Neuropsychiatric Unit, De Ponte Hospital, Macchi Foundation, Varese, Italy.
authors: Chiara
authors: C
authors: Luoni
authors: 7 Child and Adolescent Neuropsychiatric Unit, Manzoni Hospital, Lecco, Italy.
authors: Ottaviano
authors: O
authors: Martinelli
authors: 8 Child and Adolescent Neuropsychiatric Unit, IRCCS Foundation Eugenio Medea, Bosisio Parini (LC), Italy.
authors: Massimo
authors: M
authors: Molteni
authors: 9 Child and Adolescent Neuropsychiatric Unit, Fatebenefratelli Hospital, Milan, Italy.
authors: Alberto
authors: A
authors: Ottolini
authors: 10 Child and Adolescent Neuropsychiatric Unit, San Paolo Hospital, Milan Italy.
authors: Monica
authors: M
authors: Saccani
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D002985:Clinical Protocols; D003266:Continuity of Patient Care; D005260:Female; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D007859:Learning Disabilities / Q000453:epidemiology; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data; D012042:Registries
keywords: adolescent; attention deficit disorder; child; clinical protocol; mental health services; register