Child and Pediatric ADHD Management: Managing ADHD in Clinic and in Schools

Ravi Grivois- Shah, MD & Timothy Grivois- Shah, EdD

Ravi Grivois- Shah, MD & Timothy Grivois- Shah, EdD

TIME AND PLACE: 10:45-11:45 a.m. Friday, Room 214AB, and 10-11 a.m. Saturday, Hemisfair Ballroom C2

ABOUT THE PRESENTERS: Ravi Grivois-Shah, MD, Clinical Associate Professor, Family and Community Medicine and Medical Director for both the Alveron Family Medicine Clinic and the Mobile Health Program, has presented on Attentiondeficit/ hyperactivity disorder (ADHD) at FMX since 2014 and before that in residency programs. He won't call himself an ADHD "expert," as his practice is general family medicine, but he has found ways to incorporate effective diagnosis and treatment.

His spouse, Timothy Grivois-Shah, EdD, is an elementary school principal in Tucson, Ariz., who has worked with families and physicians to help all types of students become successful.

"As I got to know more about the medical management of ADHD through my husband, I realized that many family physicians may not recognize the process that schools and families work through together to support students," Timothy Grivois-Shah said.

SESSION OVERVIEW: The presentation starts with a discussion of diagnostic strategies for ADHD in the clinical setting and a closer look at how ADHS manifests itself in schools. Timothy will review schoolbased interventions and how schools design behavior support plans, and Ravi will discuss clinical treatment options and medication management strategies.

WHY THIS SESSION MATTERS TO YOU: While the session reviews strategies for family physicians to diagnose and treat ADHD in pediatric patients, the Grivois-Shahs take it a step further, teaching family physicians about the schoolbased supports available for these patients.

"This can not only help physicians advocate for patients more effectively, but also inform clinical decisionmaking," Ravi said.

THE TAKE-HOME: Family physicians can develop partnerships with families and schools to effectively diagnose and treat ADHD in young students. Understanding what happens in the school setting allows family physicians to make informed recommendations regarding the educational needs of their patients.

"Patients cannot fill a prescription for a 504 plan or special education at their local pharmacy," Ravi Grivois-Shah said. "There is a process for creating student support plans that is rooted in the civil rights movement."