ADHD Care Plan
Prepared by: [Your Name]
I. Client Information
A. Personal Details
Name: [Client’s Name]
Date of Birth: [Client Date of Birth]
Age: [Client’s Age]
Contact Information: [Client’s Number]
Address: [Client Address]
B. ADHD Diagnosis
Diagnosis Details:
Assessment Date: January 20, 2050
Type of ADHD: Predominantly Inattentive Type
Assessment Results:
[Client’s Name] exhibits symptoms of inattention, including difficulty sustaining attention in tasks and frequently losing necessary items.
II. Care Team
Care Coordinator: [Your Name]
Primary Physician: [Physician’s Name]
Therapists/Counselors: [Therapist’s Name(s)]
School/Work Contact: [Contact Name and Details]
III. Goals and Objectives
Goal | Objective | Timeline |
|---|
Improve Focus | Develop a routine that includes scheduled breaks | 1 Month |
Reduce Impulsivity | Implement mindfulness techniques and behavioral therapy | 3 Months |
IV. Accommodations and Support
A. Educational Accommodations
1. Extended time for assignments and tests
2. Preferential seating near the front of the classroom
3. Use of assistive technology for note-taking
B. Workplace Accommodations
1. Breaks scheduled throughout the workday
2. Clear, written instructions for tasks
3. Access to noise-canceling headphones
V. Behavioral Strategies
A. Inattentive Symptoms Management
1. Implement a structured daily schedule with specific tasks assigned to each time slot.
2. Break tasks into smaller, manageable steps.
3. Use visual aids, such as checklists or reminder notes.
B. Hyperactive/Impulsive Symptoms Management
1. Practice deep breathing exercises to help manage impulsivity.
2. Engage in physical activities, such as walking or stretching, to release excess energy.
3. Utilize fidget toys or stress balls during times of restlessness.
VI. Medication Management
1. Medication Name: [Medication 1]
2. Medication Name: [Medication 2]
VII. Therapeutic Interventions
Cognitive Behavioral Therapy (CBT)
[Client's Name] will attend weekly CBT sessions focusing on building organizational skills and coping strategies for managing ADHD symptoms.
VIII. Monitoring and Evaluation
A. Regular Check-Ins
Every 2 weeks with Dr. Johnson and the school counselor.
B. Assessment of Goals
Use behavior tracking charts and teacher feedback to assess progress towards goals.
IX. Emergency Response Plan
A. Recognizing Crisis Signs
Signs of crisis may include extreme emotional dysregulation, aggression, or self-harm behaviors.
B. Steps to Take in Crisis Situations
1. De-Escalation Techniques:
2. Emergency Contacts:
[Emergency Contact Name] - [Relationship with the Client]
[Emergency Contact Number]
X. Follow-Up and Review
A. Plan Review
Review and update the care plan every 3 months or as needed based on progress and changes in the client's needs.
B. Referral to Specialists
Referral to a psychiatrist may be necessary for further evaluation of medication effectiveness or adjustment.
XI. Signature
Care Coordinator:
[Your Name]
[Date Signed]
XII. Conclusion
This ADHD Care Plan is a comprehensive approach to supporting [Client’s Name] in managing their ADHD symptoms effectively. For any questions or further assistance, please contact [Your Name] at [Your Email] or visit [Your Company Website].
Plan Templates @ Template.net
