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Benefits of a Private ADHD Assessment<br><br>If you or someone you know has been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and cannot access the services at your local health center you might want to think about getting a private adhd assessment. This will give you the chance to speak with an expert doctor about the specifics of your case and the treatment options available to you. A private adhd assessment will also help you understand the most common co-morbid conditions which affect your treatment after you are diagnosed with ADHD.<br><br>The time to wait for a personal adhd test<br><br>A clear diagnosis of ADHD is an important relief. A diagnosis can help you understand the causes of many problems like difficulty maintaining employment, loss of motivation and other issues that could be caused by a lack of treatment. It can also help parents make crucial decisions regarding their child's future.<br><br>The National Health Service (NHS) has a variety of waiting lists for ADHD. These waiting lists can be long. For instance, the median wait for an assessment of ADHD by the Community Child Health Team is six months.<br><br>Certain ADHD medications aren't prescribed by all doctors. Patients will need to make multiple appointments to see a specialist. Another option is to seek treatment privately. It isn't cheap however, it is usually less invasive than the traditional diagnostic procedure. Private providers charge between PS300 and PS700 for their services.<br><br>Diagnostic services are often delayed. are an ongoing "crisis" for a lot of ADHD patients. If you're fortunate enough to live near an ADHD clinic, you could expect to wait for more than six months before getting an initial appointment.<br><br>Long waiting periods can cause symptoms to become more acute and increase the possibility of dropping out of school. Thus, it is imperative that health professionals take prompt action in cases of mental health disorders in both adults and children.<br><br>Research has shown that faster access to healthcare is linked with better outcomes. According to NICE's guideline87, prompt detection and preventive actions are vital for patients suffering from mental health conditions.<br><br>Private ADHD assessments can have a longer wait time than those offered by the NHS. Before you make a choice regarding whether or not to be able to have your child evaluated it is crucial to know the waiting times. AADDUK lists ADHD assessment centers across the nation.<br><br>Many clinical commissioning groups (CCGs) have tried RTC to speed up the time for assessments. Some local CCGs are not able to accept RTC funding is not deferred legally.<br><br>Common co-morbidities that may affect the treatment plan following an assessment<br><br>You may want to learn about common co-morbidities that can impact your ADHD treatment plan. These conditions can exacerbate or even repress your symptoms. Finding a comorbidity in its earliest stages is important to the effective management of your illness.<br><br>The most frequent psychiatric comorbid disorders for adults with ADHD include depression, anxiety and addiction disorders. However the severity and frequency of these conditions can vary according to the type of ADHD you suffer from.<br><br>ADHD sufferers are more likely to suffer from substance use disorders. This includes nicotine, alcohol marijuana, cocaine, and. While the exact causes for the disorders of substance use are unknown, it is believed that premorbid ADHD can be a contributing factor to the course of these disorders. Controlling ADHD symptoms is a protection condition for patients suffering from substance use disorders.<br><br>ADHD adults often have difficulties in time management, organization and self-regulation. They also have a higher risk of depression. Beginning early ADHD treatment can stop these disorders from developing into severe. Treatment of these comorbidities could aid in the overall management of your condition.<br><br>Anxiety is the most frequent mental illness that can be a comorbidity for adults and children who suffer from ADHD. Research has revealed that those with ADHD are at greater risk of developing other anxiety disorders. ADHD is more likely to be diagnosed early in their journey.<br><br>Disruptive behavior disorder (DBD) is a different comorbid mental condition for ADHD children. Children who suffer from this disorder are more likely to engage in behaviors that disrupt others' lives. Children with this disorder also have greater risk of being subject to school suspension. Additionally they are more likely to display externalizing behaviors that interfere with their learning.<br><br>ADHD children are more likely than children without ADHD to develop other behavioral disorders or social anxiety. This places more stress on the family as well as the community. Hospitalization for psychiatric reasons is more common for adolescents suffering from ADHD and DBD.<br><br>It has been established that comorbid conditions can increase the severity of illness. Therefore it is crucial to recognize and treat any conditions that are comorbid to ensure the best management of your condition.<br><br>Private [https://privatepsychiatry34575.frewwebs.com/29007951/is-your-company-responsible-for-an-adhd-private-assessment-budget-12-top-notch-ways-to-spend-your-money adhd assessment] cost<br><br>Prices for private ADHD assessments differ depending on where they are located and the experience of the psychiatrist. Some providers offer free services or have limited numbers of assessments that are based on sliding scales for patients with low incomes.<br><br>A complete evaluation will include a number of test results and a questionnaire to [https://private-psychiatry37313.wikienlightenment.com/7061621/why_you_should_concentrate_on_the_improvement_of_private_adhd_assessment assess adhd] your child's behavior different situations. The report will also include recommendations on treatment options.<br><br>Treatment for adults and children includes medications, cognitive behavior therapy and behavioural therapy. These options are typically offered through psychiatric nurse practitioners.<br><br>A questionnaire and a medical interview might be part of the initial assessment. Teachers and other school staff might be asked to fill out assessment forms in certain situations.<br><br>A neurobehavioural psychiatrist might be referred to a GP or a member of the community mental healthcare team. The doctor will then send the diagnosis to the doctor. If the diagnosis isn't agreed upon by the doctor, the patient could be referred to an expert.<br><br>The cost of an ADHD diagnosis can vary from PS500 [https://marcojilin.ampedpages.com/10-tell-tale-warning-signs-you-should-know-to-get-a-new-adhd-private-assessment-55846414 how to get assessed for adhd] PS800. The qualifications of the Psychologist performing the assessment can also impact the cost.<br><br>Private assessment providers may not require to have a GP referral letter. However, they can charge additional fees.<br><br>The wait times for a diagnosis may be lengthy. Adult ADHD Service recommends that adults wait at minimum 140 days before they can receive a diagnosis.<br><br>While the cost of an individual [https://iampsychiatry37020.blogars.com/27867812/adhd-assessment-near-me-the-ultimate-guide-to-adhd-assessment-near-me adhd assessment london] assessment is likely higher than the public NHS but it's more invasive than traditional screening procedures. This is a great alternative for people with an established work schedule or who require their assessments in installments.<br><br>A private doctor may provide an independent diagnosis and treatment plan. He or she may suggest a mentor to your child. But, a thorough assessment will require several appointments.<br><br>There are also university testing centers that can offer cheaper options. A list of local clinics can be found on the AADDUK website.<br><br>Making sure you have a clear diagnosis will help you make the right choices for your child.<br><br>ADHD medication sharing<br><br>A system that blends medical, educational, and behavioral interventions to treat ADHD medications is known as shared care. Its goal is to improve patient care in a city setting in China. Implementing a successful plan can be a challenge. The study aims to explore these challenges and help facilitate understanding among stakeholders to improve the sustainability of the project.<br><br>In the Chinese context, the scarcity of specialists is the primary problem. Patients must wait for specialist appointments, which can lead to long waiting times. Patients may also not be able to get treatment due to inadequate medical training for general doctors. Additionally, parents of children who suffer from ADHD are often distrustful of their GPs at basic-level hospitals. They are constantly seeking out specialists in hospitals of third-level.<br><br>ADHD treatment is difficult since the majority of GPs [https://privateadhdassessment25554.blogofoto.com/59651611/10-simple-steps-to-start-the-business-you-want-to-start-adhd-assessments-business how do i get assessed for adhd] not consider themselves competent in diagnosing or treating the condition. This could be due to their lack of experience prescribing and lack of knowledge.<br><br>This study was done to identify the difficulties related to the implementation Beijing of the Adhd assessment uk cost - [https://private-psychiatry45592.lotrlegendswiki.com/834278/what_you_can_use_a_weekly_assessments_for_adhd_in_adults_project_can_change_your_life private-psychiatry45592.lotrlegendswiki.com] - Shared Care Pathways program. Seven health care providers were interviewed. Each one was asked about his or her views on ADHD medications, as in the reasons why he she did not prescribe. Utilizing the Consolidated Framework for Implementation Research Researchers came up with nine interview questions. They translated them into Chinese and used for the focus groups.<br><br>Respondents stated that the deficiency in training of GPs was a major reason in delayed access to care. Another concern was that monitoring might not be adequately performed by secondary care. Some GPs were reluctant to accept shared care.<br><br>Stakeholders suggested that the main issue for a successful program was lack of support from hospital officials. While the process of shifting responsibility for prescribing is predictable, it can only occur when the patient's condition is fairly predictable. The absence of a referral procedure can increase the number of specialists.<br><br>The Chinese participants believed that service users would participate in the evaluation of the program when the referral system was implemented. Since this was a very early stage, the amount of participants was very small.
Benefits of a Private ADHD Assessment<br><br>If you or someone you know has been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and is unable to access services at your local health care facility You may want to consider a private [https://jaredgonih.weblogco.com/28516419/the-complete-guide-to-adhd-assessment-near-me adhd assessment]. This will provide you with the chance to speak with a doctor about the details of your case and the treatment options available to you. A private assessment of your ADHD will help you understand common co-morbidities that can influence your treatment plan after you have been diagnosed with ADHD.<br><br>Time to wait for a private adhd evaluation<br><br>It is important to get a precise diagnosis of ADHD. A diagnosis can help you understand the root cause of many problems, such as difficulty maintaining employment, motivation loss, and many other issues that may arise if you don't get treatment. In addition, it can assist parents in making important decisions about the future of their child.<br><br>The National Health Service (NHS) has a variety of waiting lists for ADHD. These waiting lists can be long. The average time to wait for [https://iampsychiatry17896.wiki-racconti.com/7558434/5_assessments_for_adhd_projects_for_any_budget ADHD assessments] by the Community Child Health Team takes six months.<br><br>Certain ADHD medications aren't prescribed by all GPs. Patients will have to attend multiple appointments to see a specialist. Another alternative is to seek treatment privately. Although it is more expensive than traditional treatment options, it's typically less invasive. Private providers can charge between PS300 and PS700 for their services.<br><br>Many ADHD patients are in many ADHD patients face a "crisis" due to the long wait times for diagnostics. If you are fortunate enough to live close to an ADHD clinic, you could anticipate waiting for more than six months for an initial appointment.<br><br>Long waiting periods can increase the intensity of symptoms, and increase the chance of dropping out of school. It is vital that mental health professionals take immediate action when they notice signs and symptoms of mental disorders in children or adults.<br><br>Research has shown that faster access to healthcare is associated with better outcomes. According to NICE's Guidelines87, prompt detection and preventive actions are crucial for patients with mental health disorders.<br><br>The waiting time for a private ADHD assessment may be different from those for an NHS one. If you're thinking about getting an assessment for your child or yourself be sure to look up the wait times prior to making your decision. You can also visit the peer support website AADDUK which offers a national list of local ADHD assessment centers.<br><br>A variety of clinical commissioning group (CCGs) have been experimenting with RTC in an attempt to shorten the length of time needed to complete assessments. Some local CCGs are still not able to accept that RTC funding is not a right to be denied legally.<br><br>Common co-morbid conditions that can affect your treatment plan after the diagnosis<br><br>If you have been diagnosed with ADHD If you've been diagnosed with ADHD, you might be interested in learning about some of the common co-morbidities that affect your treatment plan. These conditions can cause your symptoms to worse or cause them to get worse. The identification of a comorbid disorder at an early stage is essential to ensure the proper treatment of your health condition.<br><br>Depression, anxiety and substance abuse disorders are among the most frequent co-morbid psychiatric conditions that adults suffer from with ADHD. However the severity and frequency of these conditions can vary according to the type of ADHD you have.<br><br>ADHD sufferers are more likely to have substance use disorders. This includes marijuana, alcohol cocaine, nicotine, and other substances. While the precise causes of substance use disorders remain not clear but it is believed that premorbid ADHD is a factor in the progression of these disorders. Being able to manage ADHD symptoms is a protection aspect for those suffering from substance use disorders.<br><br>ADHD adults are often struggling with time management, organization and self assessment adhd test - [https://99webdirectory.com/listings12779183/enough-already-15-things-about-adhd-private-assessment-we-re-tired-of-hearing https://99webdirectory.Com/listings12779183/enough-already-15-things-about-adhd-private-assessment-we-re-Tired-of-hearing] --regulation. They also face a high risk of developing depression. Being proactive in ADHD treatment can help prevent these conditions from becoming severe. These co-occurring disorders can be treated to improve your overall management of ADHD.<br><br>Anxiety is the most frequent psychiatric disorder that is comorbid for adults and children with ADHD. Studies have shown that those who suffer from ADHD are more likely to develop other anxiety disorders. As a result, the earlier an individual suffering from ADHD starts to experience anxiety more quickly they are diagnosed.<br><br>Disruptive behavior disorder (DBD) is another co-occurring mental disorder for ADHD children. Children who suffer from this disorder are more likely to be disruptive to the lives of others. The students with this disorder are more likely to be excluded from school. Additionally, they are more likely externalizing behaviors that affect their learning.<br><br>Children who suffer from ADHD are more likely to suffer from other social phobias and behavioral disorders as compared to children who don't suffer from ADHD. This creates an increase in the burden on the family and the community. Adolescents who suffer from ADHD and DBD are more likely to be admitted to psychiatric hospitals.<br><br>Comorbid disorders have been shown to make it more difficult to treat an illness. Therefore, identifying and treating comorbid disorders is crucial to the correct treatment of your illness.<br><br>Cost of a private adhd test<br><br>Prices for private ADHD assessments differ based on where they are located and the credentials of the psychiatrist. Some providers offer free services or have limited numbers of assessments on a sliding scale for low income patients.<br><br>A complete evaluation will include a number of test results and a questionnaire to assess your child's behavior different situations. The report will also offer suggestions for possible solutions.<br><br>Adults and children can be treated by taking medication, cognitive therapy, or behavioural management. These are usually offered by psychiatric nurse practitioner.<br><br>The initial assessment may involve a medical interview and completion of a questionnaire. In some instances, teachers as well as other school staff members will be required to fill out assessment forms.<br><br>A [https://private-psychiatrist31989.wonderkingwiki.com/822733/this_week_s_top_stories_about_adhd_assessment_adult gp adhd assessment] or a community mental health team could refer an individual [https://privateadhdassessment64082.blog-gold.com/34744581/14-cartoons-on-adhd-assessments-for-adults-to-brighten-your-day how to get an assessment for adhd] an neurobehavioural psychiatrist. The psychiatrist will send the diagnosis to the GP. If the diagnosis cannot be agreed upon by the doctor, the patient can be taken to a specialist.<br><br>The cost of an ADHD diagnosis can range from PS500 to PS800. The price can also depend on the expertise of the psychologist who is conducting the assessment.<br><br>Some private assessment companies do not require a GP referral letter. However, they might charge additional charges.<br><br>The waiting times for a diagnosis can be lengthy. For adults, the Adult ADHD Service recommends waiting at least 140 days to receive an assessment.<br><br>While the cost of a private ADHD assessment is likely to be higher than the public NHS however, it's less costly than conventional screening methods. This is a great alternative for people with a regular work schedule or who require their tests in installments.<br><br>A private consultant may offer an independent diagnosis and treatment plan. A private consultant could also recommend a mentor for your child. However, a comprehensive assessment may require several appointments.<br><br>There are also university testing centers that offer cheaper options. A complete list of local clinics can be found on the AADDUK website.<br><br>Making sure you have a clear diagnosis will aid you in making the best decisions for your child.<br><br>Shared care for ADHD medication<br><br>Shared care for ADHD medication is a method that combines medical, educational and behavioural interventions. It is designed to improve patient care in an urban setting in China. Implementing a program that is successful can be difficult. The study aims to explore the challenges and improve understanding among all stakeholders to ensure sustainability of the project.<br><br>In the Chinese situation, the dearth of specialists is the major issue. As a result, patients are forced to wait a long time for appointments with specialists. Inadequate training of general practitioners may mean that patients aren't able to access treatment. Parents of children with ADHD tend to be distrustful of their GPs at basic-level hospitals. They frequently seek out specialists in third-level hospital.<br><br>ADHD managing is a challenge because most GPs don't consider themselves competent in diagnosing or treating the condition. This can be due to their lack of prescription experience and lack of experience.<br><br>The present study was designed to assess the challenges that come with the implementation of the ADHD Shared Care Pathways program in the Beijing context. Seven health professionals were interviewed. Each health professional was asked their perspective on ADHD medications, as and the reasons [https://psychiatry61100.eveowiki.com/841639/ten_things_you_should_not_share_on_twitter why are adhd assessments so expensive] she did not prescribe. Using the Consolidated Framework for Implementation Research Researchers developed nine interview questions. These questions were translated into Chinese and then used in the focus group.<br><br>Respondents reported that the lack of training for GPs was a major reason in the delayed access to healthcare. Another concern was that monitoring would not be properly performed by secondary care. This meant that certain GPs were reluctant to participate in shared care.<br><br>According to the stakeholders the primary problem to a successful program was the absence of support from hospital administrators. Although the process of shifting responsibility for prescribing is predictable, it can only occur when the patient's medical condition is relatively predictable. The absence of a referral procedure could also result in a greater shortage of specialists.<br><br>In the end the Chinese stakeholders believed that service users would be included in the evaluation of the program after the referral system was in place. Given that this was a relatively beginning stage, the number of participants was quite low.

Revision as of 12:17, 24 November 2024

Benefits of a Private ADHD Assessment

If you or someone you know has been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and is unable to access services at your local health care facility You may want to consider a private adhd assessment. This will provide you with the chance to speak with a doctor about the details of your case and the treatment options available to you. A private assessment of your ADHD will help you understand common co-morbidities that can influence your treatment plan after you have been diagnosed with ADHD.

Time to wait for a private adhd evaluation

It is important to get a precise diagnosis of ADHD. A diagnosis can help you understand the root cause of many problems, such as difficulty maintaining employment, motivation loss, and many other issues that may arise if you don't get treatment. In addition, it can assist parents in making important decisions about the future of their child.

The National Health Service (NHS) has a variety of waiting lists for ADHD. These waiting lists can be long. The average time to wait for ADHD assessments by the Community Child Health Team takes six months.

Certain ADHD medications aren't prescribed by all GPs. Patients will have to attend multiple appointments to see a specialist. Another alternative is to seek treatment privately. Although it is more expensive than traditional treatment options, it's typically less invasive. Private providers can charge between PS300 and PS700 for their services.

Many ADHD patients are in many ADHD patients face a "crisis" due to the long wait times for diagnostics. If you are fortunate enough to live close to an ADHD clinic, you could anticipate waiting for more than six months for an initial appointment.

Long waiting periods can increase the intensity of symptoms, and increase the chance of dropping out of school. It is vital that mental health professionals take immediate action when they notice signs and symptoms of mental disorders in children or adults.

Research has shown that faster access to healthcare is associated with better outcomes. According to NICE's Guidelines87, prompt detection and preventive actions are crucial for patients with mental health disorders.

The waiting time for a private ADHD assessment may be different from those for an NHS one. If you're thinking about getting an assessment for your child or yourself be sure to look up the wait times prior to making your decision. You can also visit the peer support website AADDUK which offers a national list of local ADHD assessment centers.

A variety of clinical commissioning group (CCGs) have been experimenting with RTC in an attempt to shorten the length of time needed to complete assessments. Some local CCGs are still not able to accept that RTC funding is not a right to be denied legally.

Common co-morbid conditions that can affect your treatment plan after the diagnosis

If you have been diagnosed with ADHD If you've been diagnosed with ADHD, you might be interested in learning about some of the common co-morbidities that affect your treatment plan. These conditions can cause your symptoms to worse or cause them to get worse. The identification of a comorbid disorder at an early stage is essential to ensure the proper treatment of your health condition.

Depression, anxiety and substance abuse disorders are among the most frequent co-morbid psychiatric conditions that adults suffer from with ADHD. However the severity and frequency of these conditions can vary according to the type of ADHD you have.

ADHD sufferers are more likely to have substance use disorders. This includes marijuana, alcohol cocaine, nicotine, and other substances. While the precise causes of substance use disorders remain not clear but it is believed that premorbid ADHD is a factor in the progression of these disorders. Being able to manage ADHD symptoms is a protection aspect for those suffering from substance use disorders.

ADHD adults are often struggling with time management, organization and self assessment adhd test - https://99webdirectory.Com/listings12779183/enough-already-15-things-about-adhd-private-assessment-we-re-Tired-of-hearing --regulation. They also face a high risk of developing depression. Being proactive in ADHD treatment can help prevent these conditions from becoming severe. These co-occurring disorders can be treated to improve your overall management of ADHD.

Anxiety is the most frequent psychiatric disorder that is comorbid for adults and children with ADHD. Studies have shown that those who suffer from ADHD are more likely to develop other anxiety disorders. As a result, the earlier an individual suffering from ADHD starts to experience anxiety more quickly they are diagnosed.

Disruptive behavior disorder (DBD) is another co-occurring mental disorder for ADHD children. Children who suffer from this disorder are more likely to be disruptive to the lives of others. The students with this disorder are more likely to be excluded from school. Additionally, they are more likely externalizing behaviors that affect their learning.

Children who suffer from ADHD are more likely to suffer from other social phobias and behavioral disorders as compared to children who don't suffer from ADHD. This creates an increase in the burden on the family and the community. Adolescents who suffer from ADHD and DBD are more likely to be admitted to psychiatric hospitals.

Comorbid disorders have been shown to make it more difficult to treat an illness. Therefore, identifying and treating comorbid disorders is crucial to the correct treatment of your illness.

Cost of a private adhd test

Prices for private ADHD assessments differ based on where they are located and the credentials of the psychiatrist. Some providers offer free services or have limited numbers of assessments on a sliding scale for low income patients.

A complete evaluation will include a number of test results and a questionnaire to assess your child's behavior different situations. The report will also offer suggestions for possible solutions.

Adults and children can be treated by taking medication, cognitive therapy, or behavioural management. These are usually offered by psychiatric nurse practitioner.

The initial assessment may involve a medical interview and completion of a questionnaire. In some instances, teachers as well as other school staff members will be required to fill out assessment forms.

A gp adhd assessment or a community mental health team could refer an individual how to get an assessment for adhd an neurobehavioural psychiatrist. The psychiatrist will send the diagnosis to the GP. If the diagnosis cannot be agreed upon by the doctor, the patient can be taken to a specialist.

The cost of an ADHD diagnosis can range from PS500 to PS800. The price can also depend on the expertise of the psychologist who is conducting the assessment.

Some private assessment companies do not require a GP referral letter. However, they might charge additional charges.

The waiting times for a diagnosis can be lengthy. For adults, the Adult ADHD Service recommends waiting at least 140 days to receive an assessment.

While the cost of a private ADHD assessment is likely to be higher than the public NHS however, it's less costly than conventional screening methods. This is a great alternative for people with a regular work schedule or who require their tests in installments.

A private consultant may offer an independent diagnosis and treatment plan. A private consultant could also recommend a mentor for your child. However, a comprehensive assessment may require several appointments.

There are also university testing centers that offer cheaper options. A complete list of local clinics can be found on the AADDUK website.

Making sure you have a clear diagnosis will aid you in making the best decisions for your child.

Shared care for ADHD medication

Shared care for ADHD medication is a method that combines medical, educational and behavioural interventions. It is designed to improve patient care in an urban setting in China. Implementing a program that is successful can be difficult. The study aims to explore the challenges and improve understanding among all stakeholders to ensure sustainability of the project.

In the Chinese situation, the dearth of specialists is the major issue. As a result, patients are forced to wait a long time for appointments with specialists. Inadequate training of general practitioners may mean that patients aren't able to access treatment. Parents of children with ADHD tend to be distrustful of their GPs at basic-level hospitals. They frequently seek out specialists in third-level hospital.

ADHD managing is a challenge because most GPs don't consider themselves competent in diagnosing or treating the condition. This can be due to their lack of prescription experience and lack of experience.

The present study was designed to assess the challenges that come with the implementation of the ADHD Shared Care Pathways program in the Beijing context. Seven health professionals were interviewed. Each health professional was asked their perspective on ADHD medications, as and the reasons why are adhd assessments so expensive she did not prescribe. Using the Consolidated Framework for Implementation Research Researchers developed nine interview questions. These questions were translated into Chinese and then used in the focus group.

Respondents reported that the lack of training for GPs was a major reason in the delayed access to healthcare. Another concern was that monitoring would not be properly performed by secondary care. This meant that certain GPs were reluctant to participate in shared care.

According to the stakeholders the primary problem to a successful program was the absence of support from hospital administrators. Although the process of shifting responsibility for prescribing is predictable, it can only occur when the patient's medical condition is relatively predictable. The absence of a referral procedure could also result in a greater shortage of specialists.

In the end the Chinese stakeholders believed that service users would be included in the evaluation of the program after the referral system was in place. Given that this was a relatively beginning stage, the number of participants was quite low.