Principles of management

Management begins with a comprehensive assessment leading to a multiaxial diagnostic formulation based on DSM-IV or ICD-10 which takes into account the psychopathological condition, cognitive profile, temperamental characteristics, associated medical conditions and state of health, the family environment and sociocultural context, and the current level of adaptive functioning. A comprehensive multidisciplinary approach to management is usually necessary to take into account the often complex interactions of factors contributing to the psychopathology. Effective mechanisms for communication between professionals, parents, carers, and teachers such as case conferences, and a clear definition of case-management roles and responsibilities are required.

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