Contents
Preface
ADHD Fact Sheet
I. Forms for Use with Children and Adolescents
*Instructions for Child and Adolescent Forms
*General Instruction Sheet
*Child and Family Information Form
*Developmental and Medical History Form
*Preparing for Your Child's Evaluation
*Parental Interview Form
*Disruptive Behavior Rating Scale/m-/Parent Scale
*Disruptive Behavior Rating Scale/m-/Teacher Form
*Home Situations Questionnaire
*School Situations Questionnaire
*Issues Checklist
*Daily School Behavior Report Cards
II. Forms for Evaluation of Adults
*Instructions for Adult Forms
*Developmental History Form
*Employment History Form
*Health History Form
*Social History Form
*Current Behavior--Self-Report Form
*Childhood Behavior--Self-Report Form
*Current Behavior--Other Report Form
*Childhood Behavior--Other Report Form
*Childhood School Performance--Parent Report Form
*Work Performance Evaluation--Self-Report Form
*Adult Interview
III. Forms for Use During Medication Treatment
*Physician Checklist
*Follow-up Form
*Side Effects Rating Scale
About the author
A clinical practitioner, scientist, and educator, Russell A. Barkley,
PhD, is Director of Psychology and Professor of Psychiatry and Neurology at
the University of Massachusetts Medical Center. In 1978, he founded the
Neuropsychology Service at the Medical College of Wisconsin and Milwaukee
Children's Hospital and served as its Chief until 1985. Since then, he has
established the clinics for both child and adult
Attention-Deficit/Hyperactivity Disorder at the University of Massachusetts
Medical Center, where he continues to conduct numerous ongoing studies of
this disorder. The author of Taking Charge of ADHD, Dr. Barkley's
other publications include Defiant Children, Second Edition, ADHD and the
Nature of Self-Control, and several acclaimed video programs on ADHD and
childhood defiance. He is coeditor of Treatment of Childhood Disorders,
Second Edition, and editor of the newsletter the ADHD Report. He
also serves on the editorial boards of five scientific journals and as a
consulting reviewer for numerous others. The recipient of the C. Anderson
Aldrich Award for child development research from the American Academy of
Pediatrics, Dr. Barkley has presented more than 500 invited public lectures,
professional workshops, and scientific addresses internationally. In 1988 he
was President of the Section of Clinical Child Psychology, Division 12 of
the American Psychological Association, and in 1991 he served as President
of the International Society for Research in Child and Adolescent
Psychopathology.
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