Table 2 Clinical interpretation of scores from the ADHD-RS-IV or the SNAP-IV questionnaires
ADHD-RS-IV or SNAP-IV questionnaire score | (i) Pre-assessment screening | (ii) Post-treatment monitoring | ||||
|---|---|---|---|---|---|---|
Total score (range 0–54) | Mean item total scorea | Subscaleb score (range 0–27) | Mean item subscale scorea | Clinical interpretation | Clinical outcome | Clinical interpretation |
0–18 | ≤1 | 0–9 | ≤1 | ADHD unlikely. Alternative explanations for clinical presentation to be considered | Refer to other CAMHS divisions or paediatrics for assessment of non-ADHD problems OR discharge and/or refer to another agency (e.g. social work or education) | Very good/optimal response: symptoms well within normal range |
19–26 | <1.5 | 10–13 | <1.5 | May require full assessment. Decision based on clinical judgement using all available evidence | Outcome depends on qualitative assessment and clinical judgement. Full assessment is scheduled to exclude or confirm ADHD, as below. If ADHD is considered unlikely, refer to other CAMHS divisions OR discharge and/or refer to another agency, as above | Good response: symptoms within normal range but may be improved |
27–36 | 1.5–2 | 14–18 | 1.5–2 | May require full assessment. Use clinical judgement based on all available evidence | Response still clinically significant: symptoms within normal range but response probably inadequate. Need to assess other factors | |
37–54 | >2 | 19–27 | >2 | ADHD likely. Needs full assessment | Conduct a full assessment (see text for details: DACCP Stage 2) | Inadequate response: many symptoms still observed. Need to assess other factors |