我认为我的孩子可能患有注意力缺陷多动障碍……
诊断快速指南

安排预约



1. Start with Your PCP (or Pediatrician)
Call the office of your child's primary care doctor to schedule an appointment specifically to discuss concerns about ADHD.
Tip* Mention the Reason - Inform the office staff that you would like to discuss your child’s behavior and potential ADHD symptoms. This helps the doctor prepare for the visit.
2. Bring Data
A short log of when/where the behaviors appear and how they affect school, home, friends.
3. Rule-Out & Refer
At the visit the doctor will:
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review medical history / sleep / hearing / vision;
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decide if labs or an in-office screener are needed;
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issue a referral to a specialist (psychologist, psychiatrist, neurologist, or developmental-behavioral pediatrician) if criteria are met.
4. Specialist Evaluation
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Comprehensive testing may include cognitive, executive-function and rating-scale batteries plus interviews with you and the school. Results feed directly into 504/IEP planning.
5. Results & Plan
Meet again with the doctor to review the report, choose treatments (behavior therapy, parent-training, meds, classroom supports) and set up 3-month check-ins.
Inland Empire Providers:
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No insurance coverage?
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Inland Empire Health Plan (IEHP): Visit iehp.org or call 800-440-IEHP (4347)
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Riverside University Health System (RUHS): Visit ruhealth.org or call 800-720‑9553
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Kaiser: Visit kp.org, download the Kaiser Permanente App, or call 833-KP4CARE (833-574-2273)
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UC Riverside Health Pediatrics: Visit ucrhealth.org or call (844) 827-8000
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Loma Linda University Children's Hospital 877-558-6248
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San Bernardino County Public Health Clinics 800-722-4777
🩺 How to Find an In-Network Provider (Any Insurance)
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Log in to your plan’s portal (IEHP, Kaiser, Blue Shield, etc.).
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Choose “Behavioral Health” → “Pediatrics” or search “ADHD Evaluation.”
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Filter by distance and “Accepting New Patients.”
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Write down the NPI number shown for each provider—your PCP’s referral desk will need it.
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Call the office and ask:
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“Do you do initial ADHD evaluations for children?”
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“What paperwork should I bring?”
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“Do you need my PCP’s electronic referral first?”
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For HMOs/Medi-Cal be sure your PCP submits the referral in the plan’s system (IEHP uses e‐Consult; Kaiser auto-routes internally).
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If the wait list is >10 weeks, ask the plan for a “timely-access” exception or an out-of-network authorization.
Adapted from IEHP, Kaiser Permanente, and Covered California insurance portal guides (2024-2025), including recommendations from the California Department of Managed Health Care (DMHC) on accessing behavioral health services.
准备预约

收集信息:
记录您孩子令您担忧的行为的具体例子。包括在家、学校和其他场合的观察。记录这些行为的频率、持续时间和影响。
行为检查表:如果可以的话,考虑使用标准化行为检查表(如范德比尔特 ADHD 诊断评定量表),它可以提供有关您孩子症状的结构化信息。
教师反馈:收集您孩子的老师或监护人的反馈。他们可以提供宝贵的见解,帮助您了解孩子在学校和社交场合的行为。
就诊期间

清楚地表达您的担忧:在对话开始时,明确说明您担心孩子的注意力、多动症或冲动性,并希望讨论孩子患有 ADHD 的可能性。
提供具体例子:分享您记录的例子,强调这些行为如何影响您孩子的日常生活、学习成绩和社交互动。
提问:询问 ADHD 的评估过程,包括将采取哪些步骤以及将使用哪些评估方法。
首次预约脚本
您好,[医生姓名] 医生。我很担心我孩子的行为,尤其是在注意力、多动症和冲动方面。这些行为影响了他们在学校和日常活动中的表现。我想讨论一下孩子是否患有多动症 (ADHD),并申请进行正式评估,以便更好地了解可能的情况以及我们如何帮助他们。
评估流程

初步评估:初级保健医生可能会进行初步评估,包括病史回顾和体格检查,以排除症状的其他潜在原因。
转诊给专科医生:医生可能会将您转诊给专科医生,例如儿科神经科医生、精神科医生、心理学家或发育行为儿科医生,以进行更全面的评估。
行为和心理测试:您的孩子可能会接受各种行为和心理测试,以评估注意力、冲动控制和执行功能。
教师和家长问卷:您和您孩子的老师可能会被要求完成标准化问卷,以便更广泛地了解孩子在不同环境下的行为。
后续行动

Review Results: Once the evaluation is complete, schedule a follow-up appointment to review the results and discuss the diagnosis (if applicable).
Treatment Plan: If your child is diagnosed with ADHD, work with the doctor to develop a treatment plan. This may include behavioral therapy, medications, educational interventions, and support strategies.
持续监测

定期检查:安排定期的后续预约,以监测您孩子的进展并根据需要调整治疗计划。
与学校合作:确保学校了解诊断结果并参与制定个性化教育计划 (IEP) 或 504 计划以支持您孩子的教育需求。
