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Table 3 Priority waiting list: factors indicating the prioritization of a patient with a development disorder

From: Effective management of attention-deficit/hyperactivity disorder (ADHD) through structured re-assessment: the Dundee ADHD Clinical Care Pathway

Trigger for prioritization

Placement (with own family or out-of-family) at significant risk of breakdown and seeing the patient may reduce this risk and social workers are already appropriately involved

Significant health risk will ensue for a patient’s caregiver and/or family members if the patient does not receive treatment

Patient at risk of significant, deliberate self-harm

Patient at significant risk of developing an impairing comorbid disorder (not oppositional defiant disorder or conduct disorder)

Substantial reduction in school attendance has occurred due to multiple or extended exclusions or the patient has significantly reduced access to educational opportunities: e.g. a long-term part-time timetable or patient can only be taught 1:1 and, in all cases, appropriate educational measures are already in place

Patient approaching upper age-limit of the service (≥15.5 years for Dundee CAMHS)

  1. These criteria were designed to identify the ~10 % of patients with the most immediate needs. Patients from priority and routine waiting lists are routed into the assessment process in a 1:1 ratio; however, this ratio could be altered in favour of either waiting list depending on demand
  2. CAMHS Child and Adolescent Mental Health Service