Table 1.

Description of an Evidence Based Program Integrating Chronic Care Model Principles/Elements and Clinical Content/Topics in Doctor Office Collaborative Care (DOCC)

Chronic Care Model Principle and Core Elements	Clinical Content/Topics
Leadership Team: PCP and CM as treatment team with facilitator	Assessment Measures: Vanderbilt ADHD Parent Diagnostic Rating Scale; IGAR, PEDS-QL
Decision Support: Automated assessments; EBP medication & psychosocial treatment of ADHD	Engagement: Intake assessment findings, orientation, psychoeducation, rules
Delivery System Design: CM delivers services via liaison with PCP; care management process	Self Management: Positive thoughts, managing stress, emotion regulation
Clinical Information Systems: Integrated notes; case reviews with PCP to monitor progress/plans; data collection options	Behavior Change: Attending/ignoring, promoting positives, punishment, home contingencies, problem-solving, social skills
Self-Management Support: Psychoeducational materials & workbook, assessment summary and discharge Suggestions	Maintenance: Family problem-solving & family communication; emotionally and physically harsh interactions
Community Resources: Referral list; mobilization of community resources to assist families (e.g., local ADHD advocacy group).	ADHD Medication Management: triage, psychoeducation, decision making, consultation and monitoring; survival school skills

Key: PCP = pediatric care provider; CM = care manager; EBP = evidence-based practice; ADHD = attention deficit hyperactivity disorder; IGAR = individual goal achievement ratings; PEDS-QL = pediatric quality of life inventory.