Quality statute

Trade name

ADHD Medisch Centrum B.V.

Main postal address, street and house number

Sloterweg 303

Main postal address, postcode and town

1171VC BADHOEVEDORP

Website

https://adhdmc.nl/

Chamber of Commerce (KvK) number

95855904

AGB code 1

22222017

Name

Yassine Daia

Email address

y.daia@adhdmc.nl

Second email address

o.tanay@adhdmc.nl

Telephone number

020 303 34 65

Link

https://adhdmc.nl/

4a. Describe in no more than 10 sentences the general vision/approach of your institution and what your client population looks like. For example: which problems/target group does your institution focus on, do you involve family/the social environment in the treatment, do you use eHealth (applications), etc.:

ADHD Medisch Centrum focuses on the diagnostics and treatment of adults with ADHD. We offer specialised, protocol-based care with attention to both medication-based and non-medication-based treatments. Our approach is multidisciplinary and we work with psychiatrists, psychologists, doctors and other professionals to provide tailored care. Where relevant, family and the social environment are involved in the treatment in order to increase its effectiveness. We use eHealth applications, such as digital questionnaires, monitoring of medication effects and online consultations, to improve the accessibility and efficiency of care. Our patient population consists of adults with ADHD, often with co-occurring problems such as anxiety, depression or susceptibility to addiction. We strive for a personal and evidence-based approach, in which the autonomy and quality of life of our patients are central. Our institution is easily accessible and focused on inclusivity, with attention to diverse cultural backgrounds. Treatments are mainly offered in Dutch, but can also be given in other languages if necessary.

4b. Clients with the following main diagnosis/diagnoses can be treated at my institution:

Neurodevelopmental disorders

4c. Does your organisation offer highly specialised mental health care (tertiary mental health care):

No

4d. Do you have any other specialisms:

Dual diagnosis (care specifically aimed at the treatment of, for example, addiction in combination with a mental disorder or an eating disorder in combination with PTSD), namely

• ADHD/ADD and sleep disorders

ADHD Medisch Centrum works within a broad professional network to provide high-quality and integrated care to adults with ADHD. We work closely with GPs, mental health practice nurses (POH-GGZ) and other primary care providers for smooth referral and diagnostics. In addition, we work with specialised psychologists and psychiatrists within mental health care (GGZ), both within our own institution and with external colleagues, to provide multidisciplinary treatments, including medication therapy and psychological interventions.

Our network also includes collaborations with other mental health care institutions for referral or additional treatment when specialised care is needed. For emergency psychiatric care, we maintain contact with Spoedeisende Psychiatrie Amsterdam (SPA, the emergency psychiatry service in Amsterdam) and other crisis services, so that patients in crisis situations quickly receive the right care. We also have contacts with pharmacists in order to carefully monitor medication use and to identify possible interactions or side effects in good time.

Furthermore, we work with occupational experts and reintegration professionals to support patients with work-related challenges resulting from ADHD. We also involve social work and other social support agencies in the treatment if psychosocial factors play a role. Our network is strengthened by collaborations with eHealth platforms, through which we make digital monitoring, online consultations and psychoeducation accessible to patients.

We strive for an efficient, patient-centred care chain through short lines of communication with referrers, regular peer consultations and interdisciplinary collaboration.

There is a transitional situation in which we work both with a distinction between generalist basic mental health care and specialised mental health care and with a classification into settings of the care performance model (zorgprestatiemodel). In the future, the first distinction will cease to apply.

Setting 2 (outpatient - monodisciplinary) / specialised mental health care

Psychiatrist

Setting 3 (outpatient - multidisciplinary)

Psychiatrist

ADHD Medisch Centrum B.V. works together with the following for the treatment and support of clients (describe the function of the partnership and who participates in it (state name and address details and website)):

ADHD Medisch Centrum works with various care institutions and professionals to offer patients optimal care and support. These collaborations focus on diagnostics, treatment and additional support, with short lines of communication to keep care accessible and efficient. Our structural cooperation partners are:

Spoedeisende Psychiatrie Amsterdam (SPA)

For the assessment and care of patients in crisis situations, we work with Spoedeisende Psychiatrie Amsterdam (SPA). This partnership ensures that patients in acute emergencies are assessed in time and, if necessary, referred to appropriate care.

Address

Eerste Constantijn Huygensstraat 38, 1054 BR Amsterdam

Website

https://www.ggzingeest.nl/spoedeisende-psychiatrie (opens in a new window) (in Dutch)

Various GP practices

We maintain close contacts with various GPs and mental health practice nurses (POH-GGZ) in the region. GPs play an important role in the early identification and referral of patients with ADHD-related symptoms. By working together, we can diagnose and treat patients quickly and adequately.

Other mental health care institutions

In some cases, additional or specialised mental health care is needed. We work with other mental health care institutions for referral or co-treatment in complex cases, for example in the case of serious comorbid disorders or when more intensive treatment is needed.

Social neighbourhood teams (Buurtteams)

For patients who experience psychosocial problems in addition to ADHD, we work with social neighbourhood teams (Buurtteams). These teams offer support in the areas of finances, work, family and social participation, which contributes to a more stable living situation and a better treatment outcome.

ADHD Medisch Centrum B.V. gives shape to the learning network of indicating and coordinating lead practitioners (regiebehandelaren) in the following way. If you are a small care provider (2-50 healthcare providers (category 2)), you must also indicate with.

Within ADHD Medisch Centrum, we use a learning network for our indicating and coordinating lead practitioners in order to continuously improve the quality of care. We do this through:

Peer consultations and case discussions

Our lead practitioners regularly take part in peer consultations, in which complex cases are discussed and best practices are shared. This promotes knowledge exchange and contributes to professional development.

Collaboration with other mental health care institutions and psychiatrists

We work with other mental health care providers and independent psychiatrists to exchange expertise and to develop joint guidelines and treatment strategies. This takes place, among other things, in multidisciplinary consultations (MDOs).

Supervision and peer supervision

Lead practitioners take part in supervision and peer supervision meetings in which they reflect together on their actions, discuss dilemmas and learn from each other’s experience. This ensures continuous professional growth and improvement of patient care.

Training and continuing education

Our practitioners regularly attend accredited training, courses and conferences within mental health care and specifically in the field of ADHD care. This ensures that our practitioners always stay up to date with the latest scientific insights and treatment methods.

Connection with other care providers

As a small care provider (fewer than 50 healthcare providers), we work with other mental health care institutions and care networks to strengthen this learning network. We maintain contacts with specialised ADHD care institutions and work closely with Spoedeisende Psychiatrie Amsterdam (SPA) and GP practices, so that knowledge exchange and consultation are possible.

Through these initiatives, we ensure that our lead practitioners continue to learn and develop, which contributes to the quality and effectiveness of our care.

ADHD Medisch Centrum B.V. ensures as follows that:

9a. Healthcare providers are authorised and competent:

Our institution ensures that all healthcare providers are authorised and competent to carry out their work within mental health care. We do this by means of the following measures:

Diplomas and Registrations

• All practitioners have the required (BIG) registrations and diplomas appropriate to their position.
• Before they start employment, new healthcare providers are checked for their authorisation via the BIG register (the Dutch register of healthcare professionals), the SKJ register (if applicable) and other relevant professional registers.
• We apply a strict policy in which only qualified professionals are deployed for diagnostics and treatment.

Periodic Training and Continuing Education

• Healthcare providers are encouraged and enabled to attend continuing education, for example through accredited courses and symposia.
• Annual recertification and mandatory training (such as BHV (in-house emergency response), suicide prevention and communication skills) are supported.
• We encourage peer supervision and supervision within the team to keep professional knowledge and skills up to date.

Peer Supervision, Supervision and Multidisciplinary Consultations (MDOs)

• We organise periodic peer supervision meetings in which cases are discussed and knowledge is shared.
• Healthcare providers in training or with limited experience are paired with an experienced colleague for supervision.
• Within the institution, MDOs take place to assess complex cases from a multidisciplinary perspective and to ensure high-quality and safe care.

Quality Monitoring and Performance Reviews

• Authorisation and competence are included in annual performance and appraisal reviews.
• Feedback from clients and colleagues is used to support healthcare providers in their professional development.
• Healthcare providers are made aware of the latest guidelines and scientific insights in mental health care.

Record-keeping and Responsibility

• All healthcare providers follow the guidelines for correct and complete record-keeping, as laid down in the Medical Treatment Contracts Act (Wgbo).
• The EPD (electronic patient record) ensures that only authorised practitioners carry out specific actions.

9b. Healthcare providers act in accordance with quality standards, care standards and guidelines:

Our institution ensures that healthcare providers act in accordance with the applicable quality standards, care standards and guidelines through a strong focus on protocol-based working. This is a core principle within our organisation and is ensured in the following ways:

Protocol-based working as the core of our approach

• From the start, our institution has set up all its work on the basis of protocols, integrating the applicable guidelines and standards from the GGZ standards (GGZ Standaarden), the Multidisciplinary Guidelines for mental health care, and the standards of, for example, the NVvP (Netherlands Psychiatric Association) and the National Health Care Institute (Zorginstituut Nederland).
• New healthcare providers are trained internally by experienced colleagues to work according to these protocols.

Structural supervision and review

• Weekly meeting at locations: In this meeting, practitioners are supervised on the correct application of protocols and guidelines.
• Monthly management meeting: In this meeting, the management discusses compliance with protocols and assesses whether improvements are needed in the implementation of the care standards.
• Multidisciplinary consultation (MDO): Complex cases are discussed within a multidisciplinary team to ensure that the treatment meets the most current guidelines.

Appraisal cycle and continuous quality monitoring

Medical practice and compliance with guidelines are a fixed part of the annual appraisal cycle, consisting of:

• Annual review: Discussion of performance and compliance with guidelines.
• Objectives meeting: Formulating concrete goals for further professional development within the guidelines.
• Evaluation meeting: Assessing whether the goals have been achieved and where adjustment is needed.

Record-keeping is checked by random sampling, so that treatment plans and medication prescriptions are always in line with the applicable standards.

Training and continuing education

• Healthcare providers are encouraged and enabled to attend continuing education, so that they stay up to date with the latest guidelines and scientific insights.
• Periodic clinical lessons and peer supervision sessions are organised to promote knowledge sharing and reflection.

Continuous improvement and evaluation

• The protocols and guidelines are regularly evaluated and, where necessary, adapted to new scientific insights and national developments in mental health care.
• Healthcare providers can actively give feedback on existing protocols and put forward points for improvement via the quality structure of the organisation.

With these measures, we ensure that healthcare providers not only act in accordance with the applicable guidelines, but that these are also effectively integrated into daily practice, which contributes to safe and high-quality care.

9c. Healthcare providers keep their expertise up to date:

Our institution ensures that healthcare providers keep their expertise up to date by means of a structural training and quality policy. This is implemented and ensured in the following ways:

Continuous learning and development

• Healthcare providers are encouraged and enabled to attend continuing education regularly.
• There is active participation in accredited courses, symposia and training within mental health care.
• Within the institution, we work with a learning and development plan in which healthcare providers set personal learning goals.

Internal training and supervision

• Weekly meetings on location: Cases and current developments within the field are discussed here.
• Periodic clinical lessons: Healthcare providers receive internal training on new guidelines, treatment methods and scientific insights.
• Peer supervision and supervision: Experienced professionals guide less experienced colleagues, and there is reflection on professional conduct.

Appraisal and performance reviews

• Learning goals and training needs are discussed in the annual performance review.
• In the objectives meeting, concrete agreements are made about further development.
• During the evaluation meeting, it is assessed whether the healthcare provider has improved their expertise and what the next development steps are.

Accreditation and re-registration

• BIG-registered healthcare providers are supported with their re-registration requirements and are encouraged to take part in accredited continuing education.
• All mandatory continuing education is recorded in a central system and scheduled in good time.

Multidisciplinary collaboration and knowledge sharing

• Healthcare providers actively take part in MDOs (Multidisciplinary Consultations) in which knowledge and expertise are shared.
• There is room for peer consultation, in which professionals learn from each other and share best practices.

Scientific basis and innovation

• Our institution keeps up to date with the latest scientific insights and applies them in practice.
• Healthcare providers are encouraged to use evidence-based treatment methods and to receive further training in them.

Through these measures, we ensure that healthcare providers continuously develop their expertise and continue to meet the high quality requirements within mental health care.

10a. Collaboration within your organisation and the (multidisciplinary) consultation are laid down and ensured in the professional statute (choose one of the two options):

Yes

10b. Within ADHD Medisch Centrum B.V., the (multidisciplinary) consultation and the exchange and transfer of information between the lead practitioner and other practitioners involved are arranged as follows:

Within our institution, structural multidisciplinary consultation (MDO) takes place for case discussions and coordination of care.

• Composition: Lead practitioner, coordinating practitioner, psychologists, doctors and other healthcare providers involved.
• Meeting frequency: Weekly with the management and periodically ad hoc for complex cases.
• Reporting: In the Electronic Patient Record (EPD), recording treatment agreements and action points.

Information exchange takes place in accordance with the privacy guidelines (GDPR (AVG), Wgbo) and on the basis of necessity and treatment responsibility.

Within our institution, there is also continuous consultation between the healthcare providers involved, including the lead practitioner, psychiatrist, doctors and psychologist.

• Treatment plan: Elaboration of pharmacotherapy and cognitive behavioural therapy in conjunction, coordinated within the team.

This ensures integrated and efficient collaboration within the treatment.

10c. ADHD Medisch Centrum B.V. uses the following procedure for scaling care up or down to a next or preceding level of care, respectively:

Scaling care up and down within our institution is protocol-based and is carefully recorded in the EPD. This ensures that patients receive the right care in time and that referrals are well coordinated.

Scaling up care

When the treatment process stagnates or there are complex problems that fall outside the standard protocols, this is discussed in the multidisciplinary consultation (MDO).

The lead practitioner (psychiatrist) decides whether scaling up is necessary.

This may involve:

• Takeover by the psychiatrist in the event of diagnostic or medication-related complications.
• Referral to specialist mental health care in the event of serious comorbidity or complex problems.
• Referral to a crisis service or 24-hour care in situations with acute psychiatric instability.

Decisions on this are recorded in the EPD, including the indication and next steps.

Scaling down care

As soon as a patient has sufficiently stabilised, the treatment pathway is phased out and care is scaled down. This can be done in various ways:

• Medication is transferred to the GP, with the lead practitioner drawing up a discharge letter with a request for continuation and the option of collegial consultation.
• For patients who do not need further specialist mental health care, support is transferred to the POH-GGZ or generalist basic mental health care.
• If additional care is needed after completion of the treatment, a targeted referral is advised in consultation with the GP.

This process is also fully recorded in the EPD.

With this approach, we ensure a smooth transfer within the right care lines, with the aim of effective and efficient treatment for the patient.

10d. Within ADHD Medisch Centrum B.V., the following escalation procedure applies in the event of a difference of opinion between healthcare providers involved in a care process:

Within our institution, we use a clear escalation procedure to resolve disagreements between healthcare providers within a treatment pathway.

First step: consultation between the healthcare providers involved

In the event of a difference of opinion, this is first discussed directly between the healthcare providers involved (e.g. psychologist, nurse specialist, doctor, psychiatrist).

A joint solution is sought, with the guidelines and protocols serving as a guide.

Second step: multidisciplinary consultation (MDO)

If necessary, the matter is raised in the MDO, where a broader team of practitioners and the lead practitioner assess the situation.

Here, a joint decision is made on which approach best suits the patient and the guidelines.

Third step: decision by the lead practitioner

If no consensus is reached within the MDO, the lead practitioner has final responsibility and takes a definitive decision on the basis of medical and protocol-based considerations.

Fourth step: escalation to management or an external expert

In exceptional cases in which a disagreement has major consequences for the quality of care or patient safety, the matter is escalated to the medical director or an external expert for mediation.

Safeguarding:

All decisions and outcomes of the escalation procedure are recorded in the EPD and discussed in the MDO.

This ensures transparency and safeguards that the best possible care is provided to the patient.

11a. I ask for the client’s consent when sharing data with professionals who are not involved in the treatment:

Yes

11b. In situations in which professional confidentiality may be breached, I use the applicable guidelines of the professional group, including the reporting code for child abuse and domestic violence (meldcode kindermishandeling en huiselijk geweld) (in the event of a conflict of duties, suspicion of child abuse or domestic violence), the step-by-step plan for material checks, and I request the control plan from the health insurer (in the event of material checks):

Yes

11c. I use the privacy statement if the client does not want to disclose their diagnosis to their health insurer/the Dutch Healthcare Authority (NZa):

Yes

12a. Clients can find the complaints procedure here:

Link to complaints procedure

https://adhdmc.nl/klachtenregeling/

12b. Clients with disputes about treatment and support can go to

Name of the disputes body the institution is affiliated with

De Geschillencommissie zorg

Contact details

www.degeschillencommissiezorg.nl (opens in a new window) (in Dutch)

The disputes procedure can be found here:

Link to disputes procedure

www.degeschillencommissiezorg.nl (opens in a new window) (in Dutch)

Clients can find information about waiting times for intake and for treatment and support via this link or document (and can request it by telephone). Where the distinction applies, the information is given per health insurer and per diagnosis.

Link to waiting times for intake and treatment

https://adhdmc.nl/

14a. The registration procedure is arranged as follows in the organisation (who receives the telephone registration, who carries out the intake, how does communication with the client take place):

The registration procedure runs via various channels and is set up so that each step is handled carefully:

Registration

• Via Zorgdomein: GPs refer patients via Zorgdomein (the secure referral system used in Dutch healthcare).
• Direct registration: Patients can also register themselves via the website, by telephone or by email.

Receipt and Processing

• All incoming registrations are received by the secretariat.
• The secretariat forwards the registrations to the designated screener.

Screening

• Assessment: The screener checks whether the referral or registration is current and complete.
• Completion: If the referral is not complete, the screener contacts the referrer for additional details.

Scheduling the Intake Appointment

• Creating a record: If the referral is complete, a record is created.
• Telephone Contact: The secretariat contacts the client by telephone to schedule a first intake appointment.
• Proposed Lead Practitioner: The screener makes a proposal for the lead practitioner (and possibly an additional practitioner) on the basis of the specified problems.
• Client’s Wishes: The secretariat discusses the proposal and takes into account any preferences of the client (for example language or a specific practitioner).

Communication with the Client

• Confirmation: The client receives confirmation of the intake appointment by post or email.
• Additional Information: Extra information is sent with the confirmation, such as:
• A ROM (Routine Outcome Monitoring) questionnaire (if applicable)
• Directions to the centre
• Instructions on what to bring (for example proof of identity and a medication list)
• Further explanation of the intake procedure and how the diagnosis is made.

Division of roles:

• Secretariat: Receives the registrations and schedules the intake appointment.
• Screener: Assesses the registration and draws up a proposal for the (lead) practitioner.
• Lead practitioner/Practitioner: Then takes part in the intake and starts the further diagnostics and treatment.

This procedure ensures that every registration is handled efficiently and carefully and that the client is clearly informed from start to finish about the further steps in the intake and diagnostic pathway.

14b. Within ADHD Medisch Centrum B.V., the client is referred to another care provider with appropriate care or referred back to the referrer (if possible with appropriate advice) if the institution has no appropriate offer for the client’s care needs:

Yes

Describe how the intake/problem analysis and indication assessment are arranged within ADHD Medisch Centrum B.V. (how does the registration come in, how is the intake appointment with the client arranged, who is the lead practitioner in the intake phase and how is that decision made (coordination with the client), what do the responsibilities of the lead practitioner in making the diagnosis consist of):

At ADHD Medisch Centrum BV, the intake, problem analysis and indication assessment are carefully organised to guarantee an optimal diagnosis and treatment planning. Below is an overview of the process:

Registration

• Channels: Registrations come in via Zorgdomein, the registration function on our website and by email.
• Initial Screening: The secretariat receives all registrations and carries out an initial screening to assess whether the referral is current and complete.

Intake appointment

• Matching with an Indicating Practitioner: On the basis of the screening, the patient is matched with an indicating (lead) practitioner who is authorised to do so.
• Coordinating Patient Preference: If the patient or referrer has a preference for a specific practitioner, this is accommodated where possible.
• Scheduling: The secretariat contacts the patient by telephone to schedule an intake appointment. Practical matters are discussed at the same time, such as the documents required (for example proof of identity and the treatment agreement) and the further procedure.

Intake and Problem Analysis

• Implementation: During the intake, a thorough problem analysis is carried out by the indicating lead practitioner, often in collaboration with a co-practitioner.
• Gathering Information: The practitioner discusses the symptoms and background information with the patient, which creates an initial picture of the nature and severity of the problems.

Indication Assessment and Diagnosis

• Division of roles: During the intake, the indicating lead practitioner is responsible for making the descriptive diagnosis and the associated classification.
• Multidisciplinary Consultation (MDO): If necessary, the intake is discussed in an MDO, in which an assessing psychiatrist may also be involved. In this consultation, the differential diagnosis and treatment options are discussed.
• Advice consultation: After the consultation, an advice consultation takes place between the indicating practitioner and the patient. In this consultation, the provisional diagnosis is fed back, including an explanation of the chance of treatment success, risks and any side effects.
• Treatment plan: A treatment plan is drawn up together with the patient, with informed consent being used to record that the patient agrees to the proposed diagnosis and treatment. After agreement, a confirmation letter with the (working) diagnosis and treatment advice is sent to the referrer, for example the GP.

Responsibilities of the Indicating Practitioner

• Point of contact: The indicating lead practitioner acts as the central point of contact throughout the entire diagnostic pathway.
• Record management: A complete and accurate registration of all relevant data in the patient record is ensured.
• Communication: The practitioner maintains continuous contact with the patient and ensures clear and timely feedback on the progress of the intake, indication assessment and final diagnosis.
• Handover to Co-practitioners: If parts of the diagnostic process are carried out by co-practitioners, the patient is informed of this, so that he/she knows who fulfils which role in the pathway.

This structured approach ensures that every registration and intake is carefully assessed and that the indication assessment takes place in a transparent and patient-centred manner.

16a. The treatment plan is drawn up as follows (description of the process and the involvement of the patient/client and (co-)practitioners, role of the (multidisciplinary) team):

The treatment plan at ADHD Medisch Centrum is drawn up in collaboration between the lead practitioner and the patient. The process starts during the intake, when the request for help and the treatment goals are formulated together with the patient. Then, on the basis of the intake and indication assessment, a treatment plan is drawn up. This treatment plan includes, among other things, a description of the symptoms, the current medication and relevant medical information, and the care goals. The treatment goals are discussed and recorded in consultation with the patient, with the treating doctor providing insight into various approaches to addressing the problems.

Responsibility for the treatment plan lies with the lead practitioner, who, together with the treating professionals, establishes the diagnosis, defines the goals to be achieved and chooses the appropriate treatment methods. During the treatment pathway, the treatment plan is evaluated, usually during a Multidisciplinary Consultation (MDO) or evaluation meeting, and, if necessary, the goals are adjusted in consultation with the patient. This ensures that the treatment plan always matches the changing needs of the patient. After the treatment plan has been drawn up, the patient is informed about the choices that have been made and the advice that has emerged from the MDO. It is also discussed which interventions are most suitable for the patient and which treatment will be started. If the patient wishes, family members or other loved ones can be involved in the process, so that a broadly supported treatment plan is created. After the consultation has been concluded, an intake report is drawn up and, with the patient’s consent, a letter with the diagnosis and treatment advice is sent to the GP. In cases where the lead practitioner is not a clinical psychologist or psychiatrist, the treatment plan is discussed with a psychiatrist or clinical psychologist in order to be certain about the diagnosis and the right course for the treatment. If there is agreement, the patient is placed on the waiting list, or the treatment is started immediately.

The treatment plan is drawn up in close collaboration with the patient and the practitioners involved, with the lead practitioner playing a central role. During the intake phase, the request for help is formulated together with the patient and an extensive problem analysis is carried out, in which symptoms, current medication and drug use, psychiatric history and family or social history are inventoried. On the basis of this information, the treatment goals are established together with the patient and a descriptive diagnosis and treatment advice are formulated.

In a multidisciplinary consultation, in which co-practitioners and, if necessary, a clinical psychologist or psychiatrist are also involved, the initial findings and the proposed interventions are discussed and agreed. During this process, the patient is informed about the considerations and insights that lead to the final treatment advice, so that there is well-considered and informed consent. All agreements and objectives are then recorded in writing in the treatment plan, which also allows for the involvement of family members or friends if the patient so wishes. After the intake, a report is drawn up and, with the patient’s consent, the GP or referrer receives a letter with the (working) diagnosis and the treatment advice, after which the further treatment is started or the patient is placed on the waiting list if applicable.

16b. The central point of contact for the client during treatment is the lead practitioner (description of the role and tasks of the lead practitioner in relation to the role and tasks of co-practitioners):

The coordinating lead practitioner acts as the central point of contact for the patient throughout the entire treatment phase. This practitioner ensures that all activities relating to the diagnosis and treatment proceed carefully and that there is structural, multidisciplinary coordination between the co-practitioners involved, such as the psychiatrist, psychologist and other specialists. He or she monitors the progress of the treatment pathway, organises regular evaluation meetings with the patient and acts as case manager when several practitioners are involved. In doing so, the coordinating lead practitioner ensures that crucial decision points, such as adjustments to the treatment plan, changes in medication, or identifying (impending) stagnation, are decided jointly with the patient and the co-practitioners, so that there is always shared decision making. He or she is also responsible for accurate record-keeping of the course and progress of the treatment, and for feedback to the referring GP. In the event of disagreements, the coordinating lead practitioner may, with due observance of the established escalation procedures, give advice or, in exceptional cases, overrule decisions of co-practitioners in order to ensure that the treatment pathway is continued in the interest of the patient.

16c. The progress of the treatment is monitored within ADHD Medisch Centrum B.V. as follows (such as progress review of the treatment plan, evaluation, questionnaires, ROM):

The progress of the treatment and support is continuously monitored, so that both the effectiveness of the interventions and the satisfaction of the patient are clear at all times. During the treatment pathway, an evaluation meeting takes place at least twice a year between the coordinating lead practitioner and the patient, in which the progress of the treatment plan and the objectives achieved are discussed. On the basis of these evaluations, the treatment plan can, if necessary, be adjusted in consultation with the indicating lead practitioner. In addition to these periodic evaluations, progress is continuously measured and recorded in the patient record, and multidisciplinary consultations also take place to discuss and jointly assess progress. When care is concluded, the entire treatment is completed with a final ROM and the CQi (Consumer Quality Index), so that a complete picture emerges of the results achieved and any points for improvement.

16d. Within ADHD Medisch Centrum B.V., the lead practitioner reflects on the progress, efficiency and effectiveness of the treatment and support together with the client and, where applicable, their loved ones as follows (explanation of the method of evaluation and frequency):

Within our institution, the evaluation of the progress, efficiency and effectiveness of the treatment takes place as an ongoing process. In regular evaluation meetings, at least twice a year, the coordinating lead practitioner discusses the progress of the treatment pathway together with the patient and, if desired, their loved ones. During these meetings, not only is the progress within the treatment plan considered, but the satisfaction of the patient is also gauged and any bottlenecks and necessary adjustments are discussed. The results of these evaluations are carefully recorded in the patient record and form the basis for further coordination during multidisciplinary consultations. In addition, continuous attention is paid to the effectiveness of the treatment during each consultation, so that adjustments can be made immediately if necessary. At the end of the pathway, a formal final evaluation takes place, in which ROM questionnaires are used to assess the extent to which the goals set have been achieved and which lessons can be learned for future treatments.

16e. Client satisfaction is measured within ADHD Medisch Centrum B.V. in the following way (when, how):

Patient satisfaction is measured at several moments. At the end of each treatment pathway, or annually, patients complete a client satisfaction questionnaire (CQ index and ROM measurement). In addition, progress and satisfaction are evaluated during regular treatment plan reviews. Patients can also indicate whether their data are shared anonymously with Stichting Benchmark GGZ (the mental health care benchmarking foundation).

17a. The results of the treatment and support and the possible next steps are discussed with the client and their referrer as follows (including informing the referrer, advice to the referrer on next steps, informing the subsequent practitioner, how the institution acts if the client objects to the referrer or others being informed):

At the end of the treatment pathway, the lead practitioner discusses the results achieved and possible next steps together with the patient in a concluding meeting. A closing letter is then drawn up in which, among other things, the course of treatment, the diagnosis and advice on next steps are recorded. With the patient’s consent, this letter is sent to the referrer or subsequent practitioner, including relevant additional information. If the patient objects to the sharing of information, only the strictly necessary information is provided or no information is exchanged, and the objection is reported back to the referrer.

17b. Clients or their loved ones can take the following action if there is a crisis or relapse after the treatment and support have been completed:

If a crisis or relapse occurs after the treatment has been completed, patients or their loved ones can contact ADHD Medisch Centrum directly via the general number. If this happens within half a year of completion, the treatment can be reopened without a new referral. In acute situations, we advise, together with the GP, calling in the crisis service. If a crisis or relapse occurs after this period of six months, a new referral from the GP is required.

Name of director of ADHD Medisch Centrum B.V.

Y. Daia

Place

Badhoevedorp

Date

19 November 2025

I declare that I comply with the legal frameworks of my professional practice, act in accordance with the National quality statute for mental health care (Landelijk kwaliteitsstatuut ggz) and that I have completed this quality statute truthfully:

Yes

When publishing the quality statute, the mental health care institution adds the following appendices on the registration page of www.ggzkwaliteitsstatuut.nl:

• A copy of the quality certificate that applies within the institution (HKZ/NIAZ/JCI and/or another quality mark);
• Its general terms and conditions of delivery;
• The professional statute that applies within the institution, which includes the escalation procedure mentioned.