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Getting to Goal for ADHD: Managed Care Strategies for the Diagnosis and Treatment of Adult ADHD

Release Date: February 23, 2009
Expiration Date: February 28, 2011

TARGET AUDIENCE
This activity has been designed to meet the educational needs of physicians, managed care pharmacists, pharmacy directors, medical directors, quality directors, policy executives, and other key managed care administrators.

STATEMENT OF NEED
While attention-deficit/hyperactivity disorder (ADHD) is, in fact, most frequently diagnosed and most commonly recognized in children, the impact of persistent ADHD in adults may have an even more profound effect on a managed care population. ADHD is often underestimated in adults, and goes undiagnosed and untreated in many cases. Childhood ADHD persists into adulthood in 43% to 75% of individuals, with an estimated prevalence of 4.4%. That prevalence translates into approximately 8 million adults currently living with ADHD. Furthermore, the socioeconomic consequences of ADHD on independent adults who are responsible for supporting themselves and their families can be staggering, impacting patients, their families, coworkers, and managed care providers.

EDUCATIONAL OBJECTIVES
At the conclusion of this continuing education activity, participants should be able to:

  • Identify ADHD as a treatable neurobiological disease within an adult patient population in managed care
  • Explain the barriers to managed care's appropriate treatment of ADHD
  • Outline the safety and efficacy of current treatment in adult patients

ACCREDITATION STATEMENTS
Physician Continuing Medical Education
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Postgraduate Institute for Medicine (PIM) and Impact Education, LLC. PIM is accredited by the ACCME to provide continuing medical education for physicians.

Postgraduate Institute for Medicine designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Pharmacist Continuing Education
Postgraduate Institute for Medicine is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Postgraduate Institute for Medicine designates this continuing education activity for 1.5 contact hours (0.15 CEUs) of the Accreditation Council for Pharmacy Education.
(Universal Program Number: 809-999-08-255-H01-P)

FACULTY INFORMATION
Julie Dopheide, PharmD, BCPP
(Click on faculty name to view full biography)
Associate Professor of Clinical Pharmacy, Psychiatry and the Behavioral Sciences
University of Southern California
Schools of Pharmacy and Medicine
Los Angeles, CA

Peter S. Jensen, MD
(Click on faculty name to view full biography)
President & CEO
The REACH Institute
REsource for Advancing Children's Health
New York, NY

Neil B. Minkoff, MD
(Click on faculty name to view full biography)
Medical Director
Network Medical Management and Pharmacy
Harvard Pilgrim Health Care
Wellesley, MA

METHOD OF PARTICIPATION IN THE LEARNING PROCESS
There are no fees for participating and receiving CME/CE credit for this activity. During the period February 2009 through February 2011, participants must:

  • Read the learning objectives and faculty disclosures.
  • Study the educational activity.
  • Complete the post-test by recording the best answer to each question.
  • Complete the evaluation form.
A statement of credit will be issued only upon receipt of a completed activity evaluation form and a completed post-test with a score of 70% or better.

COMMERCIAL SUPPORT
This activity is supported by an educational grant from Ortho-McNeil Janssen Scientific Affairs, LLC.

DISCLOSURE DECLARATION
Postgraduate Institute for Medicine (PIM) assesses conflict of interest with its instructors, planners, managers and other individuals who are in a position to control the content of CME activities. All relevant conflicts of interest that are identified are thoroughly vetted by PIM for fair balance, scientific objectivity of studies utilized in this activity, and patient care recommendations. PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Name of Faculty or Presenter Reported Financial Relationship
Julie Dopheide, PharmD, BCPP Consulting Fee: Ortho-McNeil Janssen Scientific Affairs, LLC, Shire
Peter S. Jensen, MD Consulting Fee: Otsuka America Pharmaceutical, Inc.
Fees for Non-CME: Ortho-McNeil Janssen Scientific Affairs, LLC, Otsuka America Pharmaceutical, Inc., Shire
Neil B. Minkoff, MD No financial interest/relationships relating to the topic of this activity

The planners and managers reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Name of Planner or Manager Reported Financial Relationship
Steve Casebeer, MBA No financial interest/relationships with financial interests relating to the topic of this activity
Trace Hutchison, PharmD (PIM) No financial interest/relationships with financial interests relating to the topic of this activity
Jan Hixon, RN, BSN, MA (PIM) No financial interest/relationships with financial interests relating to the topic of this activity
Linda Graham, RN, BSN, BA (PIM) No financial interest/relationships with financial interests relating to the topic of this activity
Julia Kirkwood, RN, BSN (PIM) No financial interest/relationships with financial interests relating to the topic of this activity
Jan Schultz, RN, MSN (PIM) No financial interest/relationships with financial interests relating to the topic of this activity

Other Disclosures
This activity is jointly sponsored by Postgraduate Institute for Medicine and Impact Education, LLC.

For information about the accreditation of this activity, please contact Postgraduate Institute for Medicine at (303) 799-1930 or information@pimed.com.

MEDIA
Interactive Online Monograph

DISCLOSURE OF UNLABELED USE
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Postgraduate Institute for Medicine (PIM), Impact Education, LLC, and Ortho-McNeil Janssen Scientific Affairs, LLC do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of PIM, Impact Education, LLC, and Ortho-McNeil Janssen Scientific Affairs, LLC. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

DISCLAIMER
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient's conditions and possible contraindications on dangers in use, review of any applicable manufacturer's product information, and comparison with recommendations of other authorities.

SOFTWARE REQUIREMENTS
PC
Microsoft Windows 2000 SE or above.
Flash Player Plugin (v8 or greater)
Internet Explorer (v5.5 or greater), or Firefox
Adobe Acrobat Reader*

MAC
MAC OS 10.2.8
Flash Player Plugin (v8 or greater)
Safari
Adobe Acrobat Reader*
Internet Explorer is not supported on the Macintosh.

* Required to view printable (PDF) version of the lesson.


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