Quality statement 4: Parent training programmes

Quality statement

Parents or carers of children and young people with symptoms of attention deficit hyperactivity disorder (ADHD) who meet the NICE eligibility criteria are offered a referral to a parent training programme.

Rationale

Parent training and education programmes aim to provide parents or carers with coping strategies and techniques for managing the behaviour of their children with ADHD. These programmes can help improve the relationship between parents or carers and their children and improve the child's behaviour.

Quality measures

Structure

a) Evidence of local arrangements to ensure that parents or carers of children and young people with symptoms of ADHD who meet NICE eligibility criteria are offered a referral to a parent training programme.

Data source: Local data collection.

b) Evidence of local arrangements for provision of parent training programmes.

Data source: Local data collection.

Process

a) Proportion of parents or carers of children and young people with symptoms of ADHD who meet NICE eligibility criteria who are referred to a parent training programme.

Numerator – the number of people in the denominator referred to a parent training programme

Denominator – the number of parents or carers of children and young people with symptoms of ADHD who meet NICE eligibility criteria.

Data source: Local data collection.

b) Proportion of parents or carers of children and young people with symptoms of ADHD who meet NICE eligibility criteria who attend a parent training programme.

Numerator – the number of people in the denominator attending a parent training programme.

Denominator – the number of parents or carers of children and young people with symptoms of ADHD who are referred to a parent training programme.

Data source: Local data collection.

c) Proportion of parents and carers of children and young people with symptoms of ADHD who meet NICE eligibility criteria who complete a parent training programme.

Numerator – the number of people in the denominator completing a parent training programme.

Denominator – the number of parents or carers of children and young people with symptoms of ADHD who attend a parent training programme.

Data source: Local data collection.

Outcome

a) Parent or carer satisfaction with the provision of parent training programmes.

Data source: Local data collection.

b) Parents or carers feel supported to manage their child's condition.

Data source: Local data collection.

What the quality statement means for service providers, healthcare practitioners, and commissioners

Service providers ensure that systems are in place for the referral of parents or carers of children and young people with symptoms of ADHD who meet NICE eligibility criteria to a parent training programme.

Healthcare practitioners ensure that they offer parents or carers of children and young people with symptoms of ADHD who meet NICE eligibility criteria a referral to a parent training programme.

Commissioners ensure that they commission parent training programmes for parents or carers of children and young people with symptoms of ADHD who meet NICE eligibility criteria.

What the quality statement means for patients, service users and carers

Parents and carers of children and young people with symptoms of ADHD who meet NICE eligibility criteria are offered a referral to a parent training programme to help them manage their child's behaviour.

Source guidance

Definitions of terms used in this quality statement

Parent training programme

Parent training programmes should be offered in line with recommendations 1.5.1 to 1.5.10 in NICE's guideline on antisocial behaviour and conduct disorders in children and young people.

[NICE's guidelines on attention deficit hyperactivity disorder, recommendation 1.5.7 and 1.5.11, and antisocial behaviour and conduct disorders in children and young people, recommendations 1.5.1 to 1.5.10]

Symptoms of ADHD

For a diagnosis of ADHD, symptoms of hyperactivity/impulsivity and/or inattention should:

  • meet the diagnostic criteria for ADHD in DSM-5 (the Diagnostic and Statistical Manual of Mental Disorders 5th edition) or for hyperkinetic disorder in ICD-10 (the International Classification of Mental and Behavioural Disorders 10th revision) and

  • cause at least moderate psychological, social and/or educational or occupational impairment based on interview and/or direct observation in multiple settings, and

  • be pervasive, occurring in two or more important settings including social, familial, educational and/or occupational settings.

[NICE's guideline on attention deficit hyperactivity disorder, recommendation 1.3.3]

NICE eligibility criteria

The NICE eligibility criteria for referral to a parent training programme are:

  • parents or carers of children under 5 years with ADHD

  • parents or carers of children over 5 years with ADHD and symptoms of oppositional defiant disorder or conduct disorder.

[NICE's guideline on attention deficit hyperactivity disorder, recommendation 1.5.7 and 1.5.11]

Children and young people

Children are aged between 3 and 11 years. Young people are aged 12 to 18 years.

Equality and diversity considerations

All information and advice should be culturally appropriate. It should also be accessible to people with additional needs such as physical, sensory or learning disabilities, and to people who do not speak or read English.