Patient Information

Referring clinician

Patient demographics (age, gender, race/ethnicity)

Relevant medical history (including previous mental health diagnoses)

Current medications and any substance use

• Record all current medications, dosages, and frequency
• Note any substance use including alcohol, tobacco, and recreational drugs

Family history of ADHD or other mental health conditions

Educational and occupational history

Current symptoms and concerns reported by patient or guardian

Any recent life events or stressors that may be impacting the patient's symptoms

Assessment Tools

Conners’ Adult ADHD Rating Scale (CAARS)

Barkley Deficits in Executive Functioning Scale (BDEFS)

Wender Utah Rating Scale (WURS)

Structured Clinical Interview for DSM-5 (SCID-5)

Brown Attention-Deficit Disorder Scale (BADDS)

Adult ADHD Self-Report Scale (ASRS)

Behavior Rating Inventory of Executive Function (BRIEF)

Continuous Performance Test (CPT)

Neuropsychological testing (e.g., Trail Making Test, Stroop Test)

Self-report measures of functional impairment (e.g., Work and Social Adjustment Scale)

Symptoms and Impairments

Inattention symptoms

Hyperactivity symptoms

Impulsivity symptoms

Impairments in daily functioning

Comorbidities (anxiety, depression, substance abuse)

Developmental History

Childhood symptoms of ADHD

Academic performance

Social interactions

Family history of ADHD

Developmental milestones (e.g. walking, talking)

Early childhood behaviors (e.g. hyperactivity, impulsivity)

Presence of comorbid conditions (e.g. learning disabilities, anxiety)

History of behavioral interventions or therapies

Impact of symptoms on early development and school readiness

Any concerns or observations from early childhood educators or caregivers

Previous evaluations or assessments for developmental delays or behavioral concerns

Any history of trauma or adverse childhood experiences

Medical History

Physical health conditions

Medications

Past psychiatric diagnoses and treatments

Substance use history

Family history of psychiatric conditions

Developmental milestones

History of head injuries or concussions

History of learning disabilities or academic struggles

History of trauma or adverse childhood experiences

History of sleep disturbances or sleep disorders

History of neurological conditions or disorders

History of developmental delays or early interventions

Diagnostic Criteria

DSM-5 criteria for ADHD

Confirmation of symptoms in multiple settings

Onset of symptoms before age 12

Evidence of impairment in two or more domains

Review of school and work records for evidence of symptoms and impairment

Interview with parents, teachers, and significant others to gather information on symptoms and impairments

Use of standardized rating scales to assess symptoms and impairments

Consideration of comorbid conditions that may be contributing to symptoms and impairments

Assessment of executive functioning skills and cognitive abilities

Treatment Recommendations

Psychoeducation for patient and family

Pharmacological interventions

Psychological therapies (CBT, coaching)

Occupational and educational accommodations

Follow-Up Plan

Schedule for monitoring symptoms and medication effects

Referral to specialist services if needed

Communication with primary care provider

Documentation

Clear and concise summary of findings

Justification for diagnosis and treatment recommendations

Informed consent from patient or guardian

Reviewer Signatures

Assessing clinician

Reviewing clinician or team

Date of review

Audit Summary

Compliance with NICE guidance and UKAAN standards

Opportunities for improvement

Actions to be taken to address deficiencies

Overall Rating

Adequate

Requires further review

Inadequate

Requires additional information/documentation

Recommendations for improvement

Follow-up plan needed

Referral to specialist services required

Review in specific timeframe necessary

Date of Audit

Date of completion of checklist

Date of next scheduled audit

Appendices

Copies of assessment tools used

Relevant research articles or guidelines

Patient information leaflets or resources

This checklist should be completed by an experienced clinician familiar with the NICE guidance and UKAAN standards for ADHD diagnosis and management. The checklist should be reviewed regularly to ensure ongoing compliance and quality improvement in diagnostic reports.

Examples of completed diagnostic reports for reference

Templates for follow-up assessments and treatment plans

Educational materials for patients and families about ADHD

Information on local support groups or resources for ADHD